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山羊和绵羊肢体截肢的适应症及结果。

Indications for and outcomes of limb amputation in goats and sheep.

作者信息

Gamsjaeger Lisa, Chigerwe Munashe

出版信息

J Am Vet Med Assoc. 2018 Apr 1;252(7):860-863. doi: 10.2460/javma.252.7.860.

DOI:10.2460/javma.252.7.860
PMID:29553907
Abstract

OBJECTIVE To characterize indications for and clinical outcomes of limb amputation in goats and sheep. DESIGN Retrospective case series and observational study. ANIMALS Goats (n = 15) and sheep (7) that underwent partial or complete limb amputation at the University of California-Davis Veterinary Medical Teaching Hospital from January 1, 1985, through December 31, 2015. PROCEDURES Medical records of qualifying goats and sheep were reviewed and data extracted regarding signalment, use of animal, characteristics of the amputated limb, duration of hospitalization, outcome, and surgery-associated complications. The Fisher exact test was performed to compare postsurgical complication rates between various groups. RESULTS Reasons for limb amputation included trauma (ie, fracture, dog bite, and wire-fence injury) and infectious or degenerative disease (ie, osteomyelitis and osteoarthritis). Median (range) hospitalization period for goats and sheep was 7.5 days (1 to 63 days) and 8 days (3 to 20 days), respectively. Most (7/9) of the postsurgical complications were noticed > 2 months after amputation and included uncoordinated gait, tendon breakdown and laxity of the contralateral limb, chronic lameness, surgical site infection, chronic intermittent pain, and angular limb deformity. No association was identified between postsurgical complication rate in goats and body weight category (< 20 vs ≥ 20 kg [44 lb]), age category (< 2 vs ≥ 2 years), and amputated limb type (forelimb vs hind limb). CONCLUSIONS AND CLINICAL RELEVANCE Clinical outcomes for goats and sheep following limb amputation varied and were seemingly case dependent. Amputation should be considered when preservation of the whole limb is not possible. Veterinarians should advise owners that limb amputation may result in various complications and recommend aftercare treatment such as physiotherapy.

摘要

目的 描述山羊和绵羊肢体截肢的指征及临床结果。 设计 回顾性病例系列研究和观察性研究。 动物 1985年1月1日至2015年12月31日期间在加利福尼亚大学戴维斯分校兽医教学医院接受部分或完全肢体截肢的山羊(n = 15)和绵羊(7只)。 程序 查阅符合条件的山羊和绵羊的病历,并提取有关动物特征、截肢肢体特点、住院时间、结果及手术相关并发症的数据。采用Fisher精确检验比较不同组之间的术后并发症发生率。 结果 肢体截肢的原因包括创伤(即骨折、犬咬伤和铁丝网围栏损伤)以及感染性或退行性疾病(即骨髓炎和骨关节炎)。山羊和绵羊的中位(范围)住院时间分别为7.5天(1至63天)和8天(3至20天)。大多数(7/9)术后并发症在截肢后2个月以上出现,包括步态不协调、对侧肢体肌腱断裂和松弛、慢性跛行、手术部位感染、慢性间歇性疼痛和肢体成角畸形。未发现山羊术后并发症发生率与体重类别(<20 vs≥20 kg [44 lb])、年龄类别(<2 vs≥2岁)及截肢肢体类型(前肢vs后肢)之间存在关联。 结论及临床意义 山羊和绵羊肢体截肢后的临床结果各不相同,似乎取决于具体病例。当无法保留整个肢体时应考虑截肢。兽医应告知主人肢体截肢可能导致各种并发症,并建议进行诸如物理治疗等术后护理。

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