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在一只阿拉伯塔尔羊中,植入骨内经皮截肢假体以恢复左胫骨远端截肢后的行走能力()。

Implantation of an Intraosseous Transcutaneous Amputation Prosthesis Restoring Ambulation After Amputation of the Distal Aspect of the Left Tibia in an Arabian Tahr ().

作者信息

Golachowski Andrzej, Al Ghabri Masoud Rashid, Golachowska Barbara, Al Abri Hamood, Lubak Marek, Sujeta Michal

机构信息

Directorate General of Veterinary Services, Royal Court Affairs, Muscat, Oman.

IWET Veterinary Surgical Implants, Kleosin, Poland.

出版信息

Front Vet Sci. 2019 Jun 11;6:182. doi: 10.3389/fvets.2019.00182. eCollection 2019.

Abstract

This document is to report the clinical application and outcome of custom designed Intraosseous Transcutaneous Amputation Prosthesis (ITAP) in the left hind limb in a wildlife Arabian Tahr (). A 4-year-old, 15 kg Arabian female Tahr from the Omani Mammals Breeding Center. The distal aspect of the left tibia was amputated due to trauma. A custom designed ITAP was inserted into the tibia 5 months after amputation. Two weeks after the surgery an exoprosthesis was attached to the limb. The outcome of the surgery was measured by means of assessments of the limb function and radiographic examination. Fourteen days after surgery the exoprosthesis was attached. The animal was walking showing lameness grade 2/5 (AAEP lameness scale). Within three weeks lameness improved to grade 1/5. Skin integration with the ITAP was achieved within 28 days. The Tahr was successfully reunited with the breeding herd. Application of the ITAP to the left tibia of the Arabian Tahr resulted in positive functional outcomes. Six months post-surgery observations confirmed ambulation with grade 1/5 lameness was restored. The animal was reintroduced to the breeding group. ITAP offers a viable option to restore functionality and ambulation in wildlife.

摘要

本文报告了定制的经皮骨内截肢假体(ITAP)在一只野生阿拉伯塔尔羊左后肢的临床应用及结果。这是一只来自阿曼哺乳动物繁殖中心的4岁、体重15千克的阿拉伯雌性塔尔羊。由于外伤,左胫骨远端被截肢。截肢5个月后,将定制的ITAP植入胫骨。术后两周,在肢体上安装了外部假体。通过肢体功能评估和影像学检查来衡量手术效果。术后14天安装了外部假体。该动物行走时表现为2/5级跛行(AAEP跛行评分)。三周内跛行改善至1/5级。28天内实现了皮肤与ITAP的融合。这只塔尔羊成功地与繁殖群团聚。将ITAP应用于阿拉伯塔尔羊的左胫骨产生了积极的功能结果。术后6个月的观察证实,恢复了1/5级跛行的行走能力。这只动物被重新引入繁殖群体。ITAP为恢复野生动物的功能和行走能力提供了一个可行的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b9/6579837/eccc440b3cb8/fvets-06-00182-g0001.jpg

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