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阿尔及尔犬猫骨盆骨折的保守治疗:发病率及长期临床结果

Conservative management of pelvic fractures in dogs and cats in Algiers: Incidence and long-term clinical outcomes.

作者信息

Bouabdallah Ryhan, Meghiref Fatima-Zohra, Azzag Naouelle, Benmohand Chabha, Zenad Wahiba, Rebouh Myriem

机构信息

Department of Surgery, Higher National Veterinary School, Algiers, Algeria.

Research Laboratory Management of Local Animal Resources (GRAL), Higher National Veterinary School, Algiers, Algeria.

出版信息

Vet World. 2020 Nov;13(11):2416-2421. doi: 10.14202/vetworld.2020.2416-2421. Epub 2020 Nov 12.

Abstract

AIM

We performed a retrospective study to evaluate clinical complications and outcomes associated with non-operative management of pelvic fractures in dogs and cats and described owner satisfaction.

MATERIALS AND METHODS

Based on radiographic findings and fracture location, case records were classified into two groups. Group 1 included animals with acetabulum involvement that underwent conservative treatment plus femoral head-and-neck excision. Group 2 included animals without acetabulum involvement that underwent conservative treatment only. Compliance with rest instructions, time to locomotion recovery, and the evaluation of persistent lameness were data collected from the questionnaire. The level of satisfaction was classified as excellent, good, or bad. Clinical outcome was evaluated at least 10 months after the fracture.

RESULTS

Pelvic injuries included sacroiliac luxations (59.52%) and ilial body (35.7%), acetabular (21.4%), pubic (21.4%), and ischial (14.28%) fractures alone or combined. According to the owners, the proposed strategy yielded good to excellent outcomes in dogs and cats in this study, with 95.23% of animals regaining full function of their hind limbs. Two dogs had slight chronic lameness, and some degree of gait abnormality persisted.

CONCLUSION

Because of financial constraints, the chronicity of fractures, or lack of surgical techniques, the surgical treatment of pelvic fractures may not be possible. Non-operative treatment can then be considered to allow the animal to return to acceptable function.

摘要

目的

我们进行了一项回顾性研究,以评估犬猫骨盆骨折非手术治疗相关的临床并发症和结局,并描述主人的满意度。

材料与方法

根据X线检查结果和骨折部位,将病例记录分为两组。第1组包括髋臼受累且接受保守治疗加股骨头颈切除术的动物。第2组包括未累及髋臼且仅接受保守治疗的动物。从问卷中收集的资料包括对休息指示的依从性、恢复活动的时间以及对持续性跛行的评估。满意度分为优秀、良好或差。骨折后至少10个月评估临床结局。

结果

骨盆损伤包括单独或合并的骶髂关节脱位(59.52%)和髂骨体骨折(35.7%)、髋臼骨折(21.4%)、耻骨骨折(21.4%)和坐骨骨折(14.28%)。根据主人的反馈,在本研究中,所提出的策略在犬猫中产生了良好至优秀的结果,95.23%的动物后肢恢复了全部功能。两只犬有轻微的慢性跛行,且存在一定程度的步态异常。

结论

由于经济限制、骨折的慢性化或缺乏手术技术,骨盆骨折可能无法进行手术治疗。此时可考虑非手术治疗,以使动物恢复到可接受的功能状态。

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本文引用的文献

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Femoral Head and Neck Excision.股骨头颈切除术。
Vet Clin North Am Small Anim Pract. 2017 Jul;47(4):885-897. doi: 10.1016/j.cvsm.2017.03.002.
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Retrospective evaluation of concurrent intra-abdominal injuries in dogs with traumatic pelvic fractures: 83 cases (2008-2013).
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