Gallego M, Villaluenga J E
Centro Veterinario Madrid Exóticos, 28015, Madrid, Spain.
J Small Anim Pract. 2019 Oct;60(10):631-635. doi: 10.1111/jsap.12866. Epub 2018 Jun 19.
Of the pet rabbits presented at one private practice between August 2011 and August 2016 (n=1369), 5·6% presented with a traumatic orthopaedic injury. Of these, 7·8% (n=6) presented with traumatic coxofemoral luxation, the most frequently observed type of luxation. Three cases of non-traumatic coxofemoral luxation in pet rabbits are also discussed. Eight rabbits presented with craniodorsal luxation and one with caudoventral luxation. Five rabbits were initially treated using closed reduction and an Ehmer sling under sedation. Two rabbits responded satisfactorily to closed reduction; their bandages remained in place for 10 and 14 days, and movement was cage-limited for 1 month after bandage placement. The bandage did not prevent re-luxation in three cases. Therefore, two rabbits received iliofemoral nylon sutures, and three rabbits received a femoral neck and head ostectomy. One rabbit was treated directly using open reduction and an iliofemoral nylon suture due to fractures in the same limb. One rabbit was presented in shock, coxofemoral luxation was noticed as an incidental finding and euthanasia was elected by the owner. In conclusion, of the three rabbits treated via femoral neck and head ostectomy one rabbit had an unsatisfactory outcome and two rabbits have non-assessable outcomes. The three rabbits treated with iliofemoral sutures showed satisfactory long-term outcomes and the two rabbits treated with closed reduction and an Ehmer sling showed satisfactory medium and long-term outcomes.
在2011年8月至2016年8月期间于一家私人诊所就诊的宠物兔（n = 1369只）中，5.6% 因创伤性骨科损伤前来就诊。其中，7.8%（n = 6只）因创伤性髋股关节脱位前来就诊，这是最常观察到的脱位类型。本文还讨论了3例宠物兔非创伤性髋股关节脱位的病例。8只兔子表现为颅背侧脱位，1只表现为尾腹侧脱位。5只兔子最初在镇静状态下采用闭合复位和埃默尔吊带进行治疗。2只兔子对闭合复位反应良好；绷带分别固定了10天和14天，绷带固定后1个月内限制在笼内活动。绷带未能防止3例再次脱位。因此，2只兔子接受了髂股尼龙缝合，3只兔子接受了股骨颈和股骨头切除术。1只兔子因同一肢体骨折直接采用切开复位和髂股尼龙缝合进行治疗。1只兔子出现休克，髋股关节脱位为偶然发现，主人选择了安乐死。总之，在接受股骨颈和股骨头切除术治疗的3只兔子中，1只预后不佳，2只预后无法评估。接受髂股缝合治疗的3只兔子长期预后良好，接受闭合复位和埃默尔吊带治疗的2只兔子中长期预后良好。
