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贯穿针固定与石膏固定(TPC)构型对牛胫骨骨折治疗效果的影响

Influence of transfixation pinning and casting (TPC) configurations on treatment outcomes in bovine tibial fracture.

作者信息

Hatate Kaoru, Tsuzuki Nao, Kajihara Ayako, Devkota Bhuminand, Takehana Kazuya, Sato Reiichiro, Iino Kimie, Aoki Takahiro, Takahashi Eiji, Yamagishi Norio

机构信息

Department of Veterinary Medicine, Obihiro University of Agriculture and Veterinary Medicine, 2-11, Inada, Obihiro, Hokkaido 080-8555, Japan.

Cooperative Department of Veterinary Medicine, Iwate University, 3-18-8, Morioka, Iwate 020-8550, Japan.

出版信息

J Vet Med Sci. 2019 Jun 6;81(6):857-862. doi: 10.1292/jvms.18-0757. Epub 2019 Apr 10.

Abstract

The aim of this study was to examine the treatment outcomes of tibial fracture using different configurations of transfixation pinning and casting (TPC) in eight cattle. After pins were inserted to stabilize the fracture site, cast material was placed from the level of the stifle to the hoof (full TPC) in six cases and from the stifle to the proximal metatarsus (partial TPC) in two cases. Five cattle (three full TPC and two partial TPC cases) underwent TPC removal 36-86 days after surgery and resumed productivity. The other three cattle which underwent full TPC suffered from irreversible orthopedic complications within 5 weeks of surgery, while a prolonged healing process was observed in the partial TPC cases. Although TPC is an effective method for treating bovine tibial fracture, full TPC may result in a guarded prognosis in some cattle. However, partial TPC can delay healing. Surgeons should choose the optimal TPC configuration while considering the various factors that affect the healing process.

摘要

本研究的目的是检查八头牛采用不同构型的贯穿针固定和石膏固定(TPC)治疗胫骨骨折的效果。在插入钢针以稳定骨折部位后,六例从膝关节水平至蹄部放置石膏材料(全TPC),两例从膝关节至跖骨近端(部分TPC)。五头牛(三例全TPC和两例部分TPC)在术后36 - 86天进行了TPC移除并恢复了生产性能。另外三头接受全TPC的牛在术后5周内出现了不可逆的骨科并发症,而部分TPC病例观察到愈合过程延长。虽然TPC是治疗牛胫骨骨折的有效方法,但全TPC在某些牛中可能导致预后不佳。然而,部分TPC会延迟愈合。外科医生在考虑影响愈合过程的各种因素时应选择最佳的TPC构型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef4/6612496/3a1f9ec50c4c/jvms-81-857-g001.jpg

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