Bellah J R
Department of Urban Practice, College of Veterinary Medicine, University of Tennessee, Knoxville.
Vet Surg. 1987 Jul-Aug;16(4):278-82. doi: 10.1111/j.1532-950x.1987.tb00953.x.
Attempted stabilization of open, distal radius and ulnar fractures in a 3-year-old German shepherd dog using intramedullary pins and a Schroeder-Thomas splint resulted in malalignment of the limb and osteomyelitis. A double hook plate was used to rigidly stabilize the distal radial fracture after anatomical realignment. An autogenous cancellous bone graft was used where a lateral architectural defect remained after reduction. Culture of the fracture site showed Staphylococcus sp., which responded to chloramphenicol therapy. Fracture union and resolution of osteomyelitis occurred by 9 weeks after surgery, and the dog had no lameness and a normal muscle mass 22 weeks after surgery. The double hook plate provided rigid internal fixation of the radial fracture, allowed a rapid return to function during osteosynthesis, and minimal interference of antebrachiocarpal joint function occurred.
尝试使用髓内针和施罗德-托马斯夹板对一只3岁德国牧羊犬的开放性桡骨远端和尺骨骨折进行固定,结果导致肢体畸形和骨髓炎。在解剖复位后,使用双钩钢板对桡骨远端骨折进行坚强固定。复位后若仍存在外侧结构缺损,则使用自体松质骨移植。骨折部位培养显示有葡萄球菌属,对氯霉素治疗有反应。术后9周骨折愈合且骨髓炎消退,术后22周该犬无跛行且肌肉质量正常。双钩钢板为桡骨骨折提供了坚强的内固定,在骨合成过程中能使其快速恢复功能,且对腕关节功能的干扰最小。