Slunsky Pavel, Weiß Janine, Haake Alexander, Shahid Muhammad, Brunnberg Leo, Müller Kerstin
J Avian Med Surg. 2018 Mar;32(1):50-56. doi: 10.1647/2016-242.
A 2-year-old Pomeranian goose ( Anser anser) weighing 8.1 kg was examined because of non-weight-bearing lameness of the right limb. A closed, transverse, diaphyseal fracture of the distal third of the right tibiotarsus with a craniolateral displacement of the distal fragment was diagnosed radiographically. Surgery under general anesthesia was performed to repair the fracture with a 14-hole, 2.7-mm locking plate fixed with 6 screws in a bicortical manner. Two days later, the bird was fully weight-bearing on the leg. Radiographs performed 4 and 8 weeks after surgery showed good healing of the affected bone with an appropriate callus formation bridging the fracture line. Sixteen weeks after surgery, the patient was readmitted because of lameness exhibited while staying outside exposed to subzero (°C) temperatures. On the basis of this finding, heat conduction was postulated as the possible cause of lameness because it disappeared after implant removal. To the best our knowledge, this case represents the first report of a surgical repair of a tibiotarsal fracture with a locking plate in waterfowl.
一只体重8.1千克的2岁波美拉尼亚鹅（鸿雁）因右肢非负重跛行接受检查。经X光检查，诊断为右胫跗骨远端三分之一处闭合性横行骨干骨折，远端骨折块向颅外侧移位。在全身麻醉下进行手术，用一块14孔、2.7毫米的锁定钢板以双皮质方式用6枚螺钉固定修复骨折。两天后，这只鹅腿部完全负重。术后4周和8周拍摄的X光片显示，受影响的骨骼愈合良好，有适当的骨痂形成，跨越骨折线。术后16周，该患者因在暴露于零下（°C）温度的室外时出现跛行而再次入院。基于这一发现，推测热传导可能是跛行的原因，因为取出植入物后跛行消失。据我们所知，该病例是水禽胫跗骨骨折用锁定钢板进行手术修复的首例报告。
