Fitzpatrick Referrals, Godalming, UK.
Fredrikstad Dyrehospital, Wilbergjorde 2, 1605, Fredrikstad, Norway.
J Small Anim Pract. 2022 Jul;63(7):532-541. doi: 10.1111/jsap.13484. Epub 2022 Feb 9.
The objective of this study was to report outcome and postoperative complications following stabilisation of humeral condylar fractures in skeletally immature French bulldogs with a transcondylar screw combined with locking or hybrid locking plates.
Medical records from one referral hospital were reviewed to identify skeletally immature French bulldogs with humeral condylar fractures treated with a transcondylar screw and epicondylar locking or hybrid locking plates crossing the distal humeral physis.
Forty-five fractures in 41 different dogs with a mean age of 4 months (range 3.5 to 5) were identified. Six cases had complications: two (4.4%) minor and four (8.9%) major. Short-term clinical outcome was excellent in 35 (77.8%), good in nine (20%) and poor in one (2.2%) case. Forty-one of 45 fractures reached radiographic union without further surgical intervention; the remaining four cases reached union following revision surgery. Long-term owner assessed outcome by telephone interview was graded as excellent in all available cases (26 of 41 dogs).
This study suggests that the stabilisation of humeral condylar fractures in skeletally immature French bulldogs with combinations of a transcondylar screw and epicondylar locking or hybrid locking plates crossing the distal humeral physis was safe and led comparable outcomes and complication rates to previous reports.
本研究旨在报告使用经髁螺钉联合髁上或混合锁定钢板固定未成年法斗犬肱骨髁骨折的结果和术后并发症。
回顾一家转诊医院的病历，以确定接受经髁螺钉和髁上或混合锁定钢板固定的未成年法斗犬肱骨髁骨折病例。
共 41 只不同犬的 45 处骨折，平均年龄为 4 个月（3.5-5 个月）。6 例出现并发症：2 例（4.4%）为轻度并发症，4 例（8.9%）为重度并发症。35 例（77.8%）短期临床结果为优，9 例（20%）为良，1 例（2.2%）为差。45 处骨折中有 41 处无需进一步手术干预即达到影像学愈合，其余 4 处经revision 手术达到愈合。通过电话访谈评估的长期主人满意度在所有可评估的病例中均为优（41 例犬中的 26 例）。
本研究表明，使用经髁螺钉联合髁上或混合锁定钢板固定未成年法斗犬肱骨髁骨折是安全的，其结果和并发症发生率与既往报道相似。
