Longley Mark, Chase Damien, Calvo Ignacio, Hall Jon, Langley-Hobbs Sorrel J, Farrell Mike
School of Veterinary Studies, University of Bristol, Langford House, Langford, Bristol, UK (Longley, Langley-Hobbs); Veterinary Specialist Group, 97 Carrington Road, Mount Albert 1003, Auckland, New Zealand (Chase); Royal Veterinary College, Hawkshead Campus, Hawkshead Lane, Hatfield, Hertfordshire, UK (Calvo); University of Edinburgh, Royal Dick School of Veterinary Studies, Easter Bush, Midlothian, UK (Hall); Davies Veterinary Specialists, Higham Gobion, Hertfordshire, UK (Farrell).
Can Vet J. 2018 Dec;59(12):1299-1304.
Retrospective analysis of case records from dogs and cats diagnosed with supracondylar or distal diaphyseal humeral fractures was performed. Complications were compared and outcome was assessed at final follow-up and by owner questionnaire. A total of 37 cases (25 dogs and 12 cats) were included. Methods used consisted of plates and screws or external skeletal fixator (ESF). The ESF was associated with a significantly higher rate of minor complications (14/22) compared with plates and screws (2/15). There was no difference in major or catastrophic complications between fixation methods. Major complications occurred in 4/37 cases and catastrophic complications occurred in 3/37 cases. Good or excellent outcome was achieved in 24/33 of cases. There was no difference in outcome between dogs and cats. Plates and screws or ESF can be successful methods of managing supracondylar and distal diaphyseal humeral fractures in dogs and cats. Prognosis may be more guarded, however, than previously reported.
对诊断为肱骨髁上或肱骨干远端骨折的犬猫病例记录进行回顾性分析。比较并发症情况，并在最终随访时及通过主人问卷调查评估预后。共纳入37例病例（25只犬和12只猫）。所采用的方法包括钢板螺钉或外固定支架（ESF）。与钢板螺钉固定（2/15）相比，ESF相关的轻微并发症发生率显著更高（14/22）。固定方法之间在严重或灾难性并发症方面无差异。严重并发症发生于4/37例病例，灾难性并发症发生于3/37例病例。24/33例病例预后良好或极佳。犬猫之间在预后方面无差异。钢板螺钉或ESF是治疗犬猫肱骨髁上和肱骨干远端骨折的成功方法。然而，预后可能比先前报道的更谨慎。
