Young D R, Richardson D W, Nunamaker D M, Ross M W, Tulleners E P
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, New Bolton Center, Kennett Square 19348.
J Am Vet Med Assoc. 1989 Jun 15;194(12):1755-60.
The medical records of 9 foals less than 4 months old, with fracture of the tibial diaphysis, were reviewed. Open reduction was accomplished by use of 3 approaches; however, a cranial approach was preferred and was used in 7 foals. Two dynamic compression plates were implanted in all foals except the first of this series. The technique of plate luting was used in 7 foals and appeared to improve the ability of implants to resist failure. Complications after surgery included partial or complete failure of fracture fixation (n = 3 foals), osteomyelitis (n = 2 foals), angular limb deformity (n = 2 foals), minor dehiscence of the surgical wound (n = 3 foals), and mild extensor deficits of the injured limb (n = 4 foals). One foal was euthanatized 12 hours after surgery because of complete loss of fracture fixation. All other foals were discharged 10 to 295 days after surgery. One or both plates were subsequently removed in 7 foals. Follow-up information was obtained 6 to 36 months after discharge. Excellent results were reported for 6 foals, and good or fair results were reported for the remaining 2 foals.
回顾了9匹4月龄以下胫骨骨干骨折马驹的病历。采用3种入路完成切开复位；然而，颅侧入路更受青睐，7匹马驹采用了该入路。除本系列的第一匹马驹外，所有马驹均植入了两块动力加压接骨板。7匹马驹采用了接骨板黏合技术，该技术似乎提高了植入物抵抗失效的能力。术后并发症包括骨折固定部分或完全失败（3匹马驹）、骨髓炎（2匹马驹）、肢体成角畸形（2匹马驹）、手术切口轻度裂开（3匹马驹）以及受伤肢体轻度伸肌功能障碍（4匹马驹）。1匹马驹术后12小时因骨折固定完全失败而实施安乐死。所有其他马驹在术后10至295天出院。7匹马驹随后取出了一块或两块接骨板。出院后6至36个月获得随访信息。6匹马驹报告结果优秀，其余2匹马驹报告结果良好或尚可。
