Spurlock G H
Marion duPont Scott Equine Medical Center, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Polytechnic Institute and State University, Leesburg.
Vet Clin North Am Equine Pract. 1989 Dec;5(3):563-73. doi: 10.1016/s0749-0739(17)30575-8.
The prognosis for returning horses with open joint injuries to athletic function is most closely related to the duration of the injury prior to treatment. Prompt diagnosis and appropriate therapy should yield a favorable result. Delayed diagnosis or inappropriate therapy that allow the wound to progress to an infected state makes the likelihood of return to athletic function poor. Refractory joint infection can occur despite early diagnosis and prompt appropriate therapy. The development of these infections is undoubtedly increased by tissue loss and gross contamination. Appropriate antibiotics given long term probably play the most significant role in resolving joint sepsis. When the refractory nature of the infection is accompanied by cartilage loss and bone proliferation, aggressive treatment by open drainage, synovectomy, and arthrodesis of the joint should be considered.
开放性关节损伤的马匹恢复运动功能的预后与治疗前损伤的持续时间密切相关。及时诊断和适当治疗应能产生良好效果。延迟诊断或不适当治疗导致伤口发展为感染状态，会使恢复运动功能的可能性降低。尽管早期诊断并及时进行了适当治疗，但仍可能发生难治性关节感染。组织损失和严重污染无疑会增加这些感染的发生。长期使用适当的抗生素可能在解决关节败血症方面发挥最重要的作用。当感染的难治性伴有软骨损失和骨质增生时，应考虑通过开放引流、滑膜切除术和关节融合术进行积极治疗。
