Yardımcı Cenk, Önyay Taylan, İnal Kamil S, Özbakır Deniz B, Özak Ahmet
Department of Surgery, Ondokuz Mayis University Faculty of Veterinary Medicine, Samsun, Turkey.
Vet Comp Orthop Traumatol. 2018 Jul;31(4):291-297. doi: 10.1055/s-0038-1651486. Epub 2018 Jun 16.
This article presents a novel surgical technique in the management of open complete talocrural luxations and evaluates the results, and clinical benefits with its routine clinical utilization.
Retrospective study.
Seventeen medium- or large-breed client-owned dogs of different breed, age and sex with complete talocrural luxations and radiographic follow-up of at least 24 weeks duration.
Selective talocrural arthrodesis was performed by using a hybrid transarticular external skeletal fixator frame. Clinical and radiographical evaluation was performed regarding the lesion, concomitant injury, duration of the surgery, time to first use of the limb, fixator removal time, complications and clinical outcomes.
Dogs started to use the injured limb between postoperative days 1 to 11. Pin or wire tract related complications were observed in all dogs. Time to fixator removal ranged from 57 to 90 days with a median of 73 days. All of the operated joints with an exception of one dog resulted in talocrural fusion. Mid-term clinical outcomes score was regarded as excellent in 13/17 dogs, good in 3/17 dogs and poor in 1/17 dogs subject to authors' evaluation.
A transarticular hybrid external fixator may allow early use of postoperative limb with an excellent patient compliance and is well tolerated as well. The technique showed a promising opportunity of providing favourable limb use.
本文介绍一种治疗开放性完全距小腿关节脱位的新型手术技术，并评估其效果以及常规临床应用的临床益处。
回顾性研究。
17只不同品种、年龄和性别的中型或大型客户拥有的犬，患有完全距小腿关节脱位，且进行了至少24周的放射学随访。
使用混合式经关节外骨骼固定架进行选择性距小腿关节融合术。对病变、伴随损伤、手术持续时间、肢体首次使用时间、固定架拆除时间、并发症和临床结果进行临床和放射学评估。
犬在术后1至11天开始使用受伤肢体。所有犬均观察到与针或钢丝通道相关的并发症。固定架拆除时间为57至90天，中位数为73天。除1只犬外，所有手术关节均实现距小腿关节融合。根据作者评估，13/17只犬的中期临床结果评分被视为优秀，3/17只犬为良好，1/17只犬为差。
经关节混合外固定器可使术后肢体早期使用，患者依从性良好，耐受性也较好。该技术显示出提供良好肢体使用效果的良好前景。
