Yardımcı Cenk, Özak Ahmet, Önyay Taylan, İnal Kamil Serdar
Cenk Yardımcı, DVM, PhD, Department of Surgery, Faculty of Veterinary Medicine, Ondokuz Mayıs University, 55139, Kurupelit, Samsun, Turkey, E-mail:
Vet Comp Orthop Traumatol. 2016 May 18;29(3):232-8. doi: 10.3415/VCOT-15-04-0056. Epub 2016 Apr 12.
To report our experience with the use of contoured mini circular transarticular external skeletal fixators for the management of traumatic tarsal luxations in 15 cats.
Fifteen cats with traumatic tarsal joint luxation treated by using mini circular transarticular external fixators with available clinical records and complete clinical and radiographic follow-up of at least 30 weeks duration were included in the study. Data collected were the signalment, history, type of injury, concomitant injury, frame configuration, stabilization technique, duration of the surgery, time to first use of the operated limb, fixator removal time, complications, final outcome and follow-up.
The surgical procedure chosen was based on the type of luxation; partial tarsal arthrodesis was performed in 10 cases, tarso-crural stabilization in four cases, and pantarsal arthrodesis in three cases. Five cats started to use the operated limb immediately after recovering from anaesthesia. In the other 10 cats, time to first use ranged from one to four days (mean 2 days). In one case, early pin loosening due to half pin fixation bolt failure was observed as a postoperative complication. Fixator removal time ranged from 24 to 60 days (mean 45 days). Functional outcome was excellent in 15 cats and good in two.
This is a preliminary report about the treatment of tarsal luxations with a mini circular transarticular external fixation system in which early postoperative and long-term results seem to be favourable.
报告我们使用轮廓适配的微型环形经关节外固定器治疗15只猫创伤性跗关节脱位的经验。
本研究纳入了15只采用微型环形经关节外固定器治疗创伤性跗关节脱位的猫，这些猫均有可用的临床记录，并进行了至少30周的完整临床和影像学随访。收集的数据包括动物特征、病史、损伤类型、伴随损伤、外固定架配置、固定技术、手术时间、术肢首次使用时间、外固定器拆除时间、并发症、最终结果及随访情况。
所选手术方式基于脱位类型；10例行部分跗关节融合术，4例行跗-胫关节固定术，3例行全跗关节融合术。5只猫麻醉苏醒后立即开始使用术肢。另外10只猫，首次使用时间为1至4天（平均2天）。1例术后出现并发症，因半针固定螺栓故障导致早期钢针松动。外固定器拆除时间为24至60天（平均45天）。15只猫功能预后优秀，2只良好。
这是一篇关于使用微型环形经关节外固定系统治疗跗关节脱位的初步报告，术后早期及长期结果似乎良好。
