Guthrie J W, Kalff S
Fitzpatrick Referrals, Eashing, Surrey, GU7 2QQ, UK.
J Small Anim Pract. 2018 Apr;59(4):232-237. doi: 10.1111/jsap.12803. Epub 2017 Dec 12.
To evaluate the clinical and radiographic outcomes following surgical stabilisation of ilial fractures in dogs and cats using a laterally applied Synthes TPLO locking compression plate.
Medical records and radiographs of seven dogs and two cats which had undergone surgical repair of an ilial body fracture with a TPLO locking compression plate were reviewed. Long-term clinical follow-up was obtained from an owner or referring veterinarian questionnaire.
Fracture reduction was anatomic in six of nine ilia and near-anatomic in three of nine. All but one fracture achieved osseous union by 6 weeks after surgery. No screw loosening or implant-related complications occurred in any patient. There was pelvic canal narrowing in six of nine patients (median reduction in pelvic canal diameter was 4·9%). No intraoperative or postoperative complications were reported.
Lateral plating of canine and feline ilial fractures with a Synthes TPLO locking compression plate was associated with a low complication rate and satisfactory radiographic and clinical outcomes in this small case series.
评估使用外侧应用的辛迪思(Synthes)胫骨平台外侧锁定钢板(TPLO)对犬猫髂骨骨折进行手术固定后的临床和影像学结果。
回顾了7只犬和2只猫使用TPLO锁定钢板对髂骨体骨折进行手术修复的病历和X光片。通过向主人或转诊兽医发放问卷获得长期临床随访结果。
9例髂骨骨折中有6例实现解剖复位,9例中有3例接近解剖复位。除1例骨折外,所有骨折均在术后6周实现骨愈合。所有患者均未出现螺钉松动或与植入物相关的并发症。9例患者中有6例出现骨盆管狭窄(骨盆管直径中位缩小4.9%)。未报告术中或术后并发症。
在这个小病例系列中,使用辛迪思TPLO锁定钢板对犬猫髂骨骨折进行外侧钢板固定的并发症发生率较低,影像学和临床结果令人满意。