Faillace Vanessa, Tambella Adolfo Maria, Fratini Margherita, Paggi Emanuele, Dini Fabrizio, Laus Fulvio
School of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione, 93/95, 62024 Matelica, MC, Italy.
J Vet Med Sci. 2017 Mar 23;79(3):618-622. doi: 10.1292/jvms.16-0400. Epub 2017 Feb 13.
A 9-month-old filly donkey was referred for a comminuted diaphyseal fracture of the right tibia. Surgical osteosynthesis, with multiple lag screws and a neutralization plate, was performed for anatomical reconstruction. Despite a good gait condition, delayed bone consolidation and a bone gap were evident on follow up radiographic evaluations. Due to delayed healing, autologous platelet-rich plasma (PRP) was injected on the surface of the tibia. Increased bone consolidation was evident on radiographs one month after the PRP injection. Progressive filling of both the fracture lines and bone gap continued during the six-month follow up. Clinical outcome was excellent. Autologous PRP should be considered as a practical adjuvant therapy in bone healing process in donkeys.
一匹9个月大的雌性小驴因右胫骨骨干粉碎性骨折前来就诊。采用多枚拉力螺钉和中和钢板进行手术内固定,以实现解剖重建。尽管步态状况良好,但在后续的X线评估中,仍明显存在骨愈合延迟和骨间隙。由于愈合延迟,在胫骨表面注射了自体富血小板血浆(PRP)。PRP注射后1个月,X线片显示骨愈合明显增加。在6个月的随访期间,骨折线和骨间隙持续逐渐填充。临床结果极佳。自体PRP应被视为驴骨愈合过程中的一种实用辅助治疗方法。