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带铝夹板的玻璃纤维管石膏夹板固定术保留了牛桡骨骨折后肢的功能。

Aluminium Splint Incorporated Fibreglass Cast Preserves Limb Function in Bovines with Olecranon Fracture.

机构信息

Department of Veterinary Surgery and Radiology, College of Veterinary Science, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India.

出版信息

Vet Comp Orthop Traumatol. 2020 Nov;33(6):434-442. doi: 10.1055/s-0040-1709727. Epub 2020 Jul 13.

DOI:10.1055/s-0040-1709727
PMID:32659797
Abstract

OBJECTIVE

Olecranon process fractures are rare in bovines. The aim of the study was to put on record satisfactory limb usage in cattle and buffaloes suffering from olecranon fractures and treated conservatively, primarily for carpal contracture or to prevent it, using aluminum splints incorporated within a fiberglass cast along with stall confinement.

STUDY DESIGN

This one year study included 19 olecranon fractures in bovines (15 buffaloes and 4 cattle). Out of 19, 12 bovines (9 buffaloes and 3 cattle) were treated primarily to manage the associated carpal contracture, using external coaptation of aluminium splints incorporated within a fiberglass cast for 6 to 8 weeks. The owners of the remaining 7 bovines (6 buffaloes and 1 bullock) were only advised to keep their animal in stall-confinement, due to various reasons.

RESULTS

Slipping and falling on hard surfaces was the primary aetiology of olecranon fractures (17/19). Most of the fractures (14/19) were presented more than 10 days after a traumatic event, with a mean duration of 24.0 ± 26.6 days. On follow up, all the treated bovines showed satisfactory limb usage whereas all stall-confined buffaloes showed no improvement.

CONCLUSION

Slipping and falling on hard surfaces is a common cause of olecranon fracture in bovines. Olecranon fractures associated carpal contracture can be successfully treated/prevented by applying full limb cast (if possible including elbow) along with aluminum splints leading to satisfactory limb usage in bovines. Further it is concluded that stall confinement alone is insufficient to prevent limb contracture (which usually develops with olecranon fracture in bovines) leading to permanent non-weight bearing disability.

摘要

目的

牛的尺骨鹰嘴骨折很少见。本研究的目的是记录尺骨鹰嘴骨折的牛和水牛的满意肢体使用情况,并采用铝夹板和玻璃纤维石膏固定在牛腿上进行保守治疗,主要是为了治疗腕部挛缩或预防其发生。

研究设计

本为期一年的研究包括 19 例牛的尺骨鹰嘴骨折(15 例水牛和 4 例牛)。在这 19 例中,有 12 例(9 例水牛和 3 例牛)主要是为了治疗相关的腕部挛缩,采用铝夹板和玻璃纤维石膏固定在牛腿上,固定时间为 6-8 周。其余 7 例(6 例水牛和 1 头公牛)的牛的主人由于各种原因,只被建议将其关在牛栏中。

结果

滑倒和摔在坚硬的表面上是尺骨鹰嘴骨折的主要病因(17/19)。大多数骨折(14/19)在创伤事件后 10 天以上出现,平均持续时间为 24.0±26.6 天。在随访中,所有接受治疗的牛的肢体使用情况都令人满意,而所有关在牛栏中的水牛都没有改善。

结论

滑倒和摔在坚硬的表面上是牛尺骨鹰嘴骨折的常见原因。通过应用包括肘部在内的全腿石膏(如果可能的话)和铝夹板,可以成功地治疗/预防尺骨鹰嘴骨折伴发的腕部挛缩,从而使牛的肢体使用情况得到满意的改善。此外,研究还得出结论,仅将牛关在牛栏中不足以预防肢体挛缩(这在牛中通常与尺骨鹰嘴骨折有关),从而导致永久性非承重性残疾。

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