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猫使用Compact UniLock 2.0锁定钢板系统进行内侧跗骨融合术。

Medial pantarsal arthrodesis with Compact UniLock 2.0 locking plate system in a cat.

作者信息

Pennasilico Luca, Botto Riccardo, Di Bella Caterina, Piccionello Angela Palumbo

机构信息

School of Biosciences and Veterinary Medicine, University of Camerino, Camerino, Italy.

出版信息

Open Vet J. 2021 Jan;10(4):465-470. doi: 10.4314/ovj.v10i4.15. Epub 2020 Dec 23.

Abstract

BACKGROUND

Pantarsal arthrodesis is a salvage procedure carried out for the treatment of tarsal joint disease, including severe osteoarthritis with intractable pain in the tarsocrural joint, tarsal fractures, shearing injuries, tarsocrural joint instability, and failure of the common calcaneal tendon. Although medial plating is preferable, the high incidence of post-surgery complications is possible. Using thin, pre-contouring or easy contouring, locking plates might reduce the incidence of such complications. However, to date, there are no pre-contouring and dedicated locking plates for pantarsal arthrodesis with medial placement.

CASE DESCRIPTION

The case of an 18-month-old female stray European cat has been referred because of a severe tibiotarsal injury improperly treated with an intramedullary pin. The patient was submitted for medial pantarsal arthrodesis, performed with the Compact UniLock 2.0™ locking plate systema (DePuy Synthes, Oberdorf, Switzerland). The authors hypothesized that this particularly innovative osteosynthesis system could present advantages compared to the systems already in use for medial pantarsal arthrodesis and therefore reduce the risk of complications.

CONCLUSION

This innovative titanium locking system, because of its versatile contour function and thinness, allowed the good functional recovery of the limb and showed numerous advantages over traditional systems.

摘要

背景

跗中关节融合术是一种用于治疗跗关节疾病的挽救性手术,包括严重的骨关节炎伴踝关节顽固性疼痛、跗骨骨折、剪切伤、踝关节不稳以及跟腱断裂。尽管内侧钢板固定是首选方法,但术后并发症的发生率仍可能较高。使用薄的、预塑形或易于塑形的锁定钢板可能会降低此类并发症的发生率。然而,迄今为止,尚无用于内侧放置的跗中关节融合术的预塑形专用锁定钢板。

病例描述

一只18个月大的雌性流浪欧洲猫因严重的胫跗关节损伤接受髓内针不当治疗后前来就诊。该患者接受了内侧跗中关节融合术,使用Compact UniLock 2.0™锁定钢板系统(瑞士奥伯多夫的Depuy Synthes公司)进行手术。作者推测,与已用于内侧跗中关节融合术的系统相比,这种特别创新的骨固定系统可能具有优势,从而降低并发症风险。

结论

这种创新的钛锁定系统因其多功能的塑形功能和薄型设计,使肢体功能恢复良好,与传统系统相比具有诸多优势。

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