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用于稳定犬猫髂骨体骨折的胫骨平台平整截骨锁定加压钢板

Tibial plateau levelling osteotomy locking-compression plates for stabilisation of canine and feline ilial body fractures.

作者信息

Guthrie J W, Kalff S

机构信息

Fitzpatrick Referrals, Eashing, Surrey, GU7 2QQ, UK.

出版信息

J Small Anim Pract. 2018 Apr;59(4):232-237. doi: 10.1111/jsap.12803. Epub 2017 Dec 12.

Abstract

OBJECTIVES

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.

MATERIALS AND METHODS

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.

RESULTS

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.

CLINICAL SIGNIFICANCE

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.

摘要

目的

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。

材料与方法

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。

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。

临床意义

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。

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