Gjeltema Jenessa, De Voe Ryan S, Minter Larry J, Trumpatori Brian J
Karen C. Drayer Wildlife Health Center and Department of Medicine and Epidemiology, University of California Davis School of Veterinary Medicine, One Shields Ave., Davis, CA 95616, USA.
Environmental Medicine Consortium, North Carolina State University College of Veterinary Medicine, 1060 William Moore Dr., Raleigh, NC 27607, USA.
Case Rep Vet Med. 2017 Dec 10;2017:7373242. doi: 10.1155/2017/7373242. eCollection 2017.
A 32-year-old adult captive male bateleur eagle with a history of laxity, degenerative joint disease, and varus deviation of the distal left hindlimb for several years was presented for evaluation of left hindlimb lameness and was diagnosed with chronic subluxation of the left intertarsal joint. After failing to improve with conservative management and pain medication, surgical stabilization of the joint was performed using a novel application of a braided suture and titanium button system. Unsatisfactory clinical improvement and postsurgical reevaluation indicated that the initial surgical stabilization was unsuccessful. The surgery was repeated, and the animal showed postsurgical improvement in intertarsal joint stability, weight-bearing, and lameness for a period of several years with use and adjustment of chronic pain medications. The novel surgical technique described in this case report represents an additional treatment option for management of avian intertarsal joint subluxations. Presurgical planning should consider the unique anatomic features and variability of the avian tarsometatarsus to avoid surgical complications.
一只32岁的成年圈养雄性短趾雕，有几年左后肢远端松弛、退行性关节病和内翻畸形病史，因左后肢跛行前来评估，被诊断为左跗间关节慢性半脱位。在保守治疗和止痛药物治疗效果不佳后，采用一种新型编织缝线和钛纽扣系统对关节进行手术固定。临床改善不明显和术后重新评估表明，最初的手术固定未成功。再次进行手术，通过使用和调整慢性疼痛药物，该动物在跗间关节稳定性、负重和跛行方面术后改善持续了数年。本病例报告中描述的新型手术技术为鸟类跗间关节半脱位的治疗提供了另一种选择。术前规划应考虑鸟类跗跖骨独特的解剖特征和变异性，以避免手术并发症。
