Bertone A L, Schneiter H L, Turner A S, Shoemaker R S
Department of Veterinary Clinical Science, School of Veterinary Medicine, Louisiana State University, Baton Rouge 70803.
Vet Surg. 1989 Sep-Oct;18(5):353-9. doi: 10.1111/j.1532-950x.1989.tb01098.x.
Two mares with multiple carpal bone fractures, malarticulation and degenerative joint disease were successfully treated with unilateral arthrodeses of the antebrachiocarpal, middle carpal, and carpometacarpal joints. Arthrodesis was achieved by removal of articular cartilage, autogenous cancellous bone graft, and double dynamic compression plating. In one horse, wedge ostectomy corrected the severe, acquired angular limb deformity. External coaptation supplemented the internal fixation. Postoperative complications were limited to cast sores that healed with treatment, although protracted in one horse. Both mares adapted to the "peg leg" condition and ambulated without pain by 3 months. The first mare treated survived for at least 2 1/2 years after surgery and has had at least one foal. The most recently treated mare will be bred next year.
两匹患有多块腕骨骨折、关节错位和退行性关节疾病的母马通过前臂腕关节、腕中间关节和腕掌关节的单侧关节固定术成功治愈。通过切除关节软骨、自体松质骨移植和双动力加压钢板固定实现关节固定。在一匹马中，楔形截骨术纠正了严重的后天性肢体角状畸形。外部固定辅助内固定。术后并发症仅限于经治疗愈合的石膏疮，尽管其中一匹马的愈合过程较长。两匹母马都适应了“假腿”状况，到3个月时行走时不再疼痛。第一匹接受治疗的母马术后存活至少2年半，并且至少产过一匹小马驹。最近接受治疗的母马将于明年配种。
