Orthopaedic Department, Willows Referral Service, Solihull, B90 4NH, United Kingdom.
Vet3D, Coventry, United Kingdom.
Vet Comp Orthop Traumatol. 2021 Jan;34(1):74-78. doi: 10.1055/s-0040-1716502. Epub 2020 Oct 31.
The aim of this study was to report the surgical technique and outcomes of dogs with type V central tarsal bone (CTB) fractures stabilized with a bone plate applied to the medial aspect of the tarsus and metatarsus.
This study was a retrospective review of dogs with type V CTB fractures diagnosed with computed tomography and stabilized using a medial bone plate. Follow-up included clinical examination and radiography 8 to 10 weeks postoperatively and/or a long-term owner questionnaire.
Six dogs were identified. All fractures occurred during exercise without external trauma and all dogs had additional tarsal fractures. Five dogs returned for clinical follow-up; all had no or mild lameness and evidence of fracture healing on radiography. A suspected surgical site infection occurred in one dog and resolved with medical management. Suspected contact between the plate and medial malleolus in one dog, and loosening of a talar screw in another, were identified, though not treated. Five owners completed the questionnaire, a median of 88 months postoperatively. No further complications were reported, limb function was reportedly acceptable, and all owners were very satisfied with the surgery.
Medial bone plate stabilization of highly comminuted CTB fractures resulted in evidence of fracture healing, and a low incidence of complications in six non-racing dogs.
本研究旨在报告通过在跗骨和跖骨内侧应用骨板固定,对 V 型中央跗骨(CTB)骨折犬进行手术治疗的技术和结果。
本研究为回顾性研究,纳入了经计算机断层扫描诊断为 V 型 CTB 骨折并通过内侧骨板固定的犬。随访包括术后 8 至 10 周的临床检查和影像学检查,和/或长期的主人问卷调查。
共纳入 6 只犬。所有骨折均发生于运动时,无外部创伤,所有犬均存在其他跗骨骨折。5 只犬返回进行临床随访,均无或轻度跛行,影像学显示有骨折愈合的证据。1 只犬出现疑似手术部位感染,经药物治疗后痊愈。1 只犬疑似存在钢板与内踝接触,另 1 只犬的距骨螺钉松动,但均未进行治疗。5 位主人完成了问卷调查,平均术后 88 个月。无进一步并发症发生,肢体功能被认为可接受,所有主人对手术均非常满意。
在 6 只非运动犬中,高度粉碎性 CTB 骨折的内侧骨板固定可导致骨折愈合,并发症发生率低。