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使用空心钻从马的近指(趾)间关节切除关节软骨。

articular cartilage removal from equine proximal interphalangeal joints using cannulated drill bits.

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, Washington State University, 205 Ott Road, Pullman, Washington 99164-7060, USA (Hall, Farnsworth, Ragle); South Valley Equine, 122 W 400 N. Saratoga Springs, Utah 84045, USA (Heaton).

出版信息

Can Vet J. 2022 Sep;63(9):967-970.

PMID:36060488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9377200/
Abstract

OBJECTIVE

This report evaluates the use of 4.5- and 5.5-mm cannulated drill bits for articular cartilage removal from the proximal interphalangeal joints of equine cadaver limbs.

ANIMALS

Limbs from 8 equine cadavers, all with normal proximal interphalangeal joints.

PROCEDURE

Proximal interphalangeal joints of 32 limbs from 8 equine cadavers were drilled using either 4.5- or 5.5-mm cannulated drill bits. Pastern joints were then disarticulated, and intra-articular drilling was evaluated by visual inspection.

RESULTS

Post-drilling evaluation revealed complete intra-articular drilling occurred in all 32 joints.

CONCLUSION

Canulated 4.5- and 5.5-mm drill bits resulted in consistent accurate intra-articular drilling in the proximal interphalangeal joint of horses.

CLINICAL RELEVANCE

Cannulated drill bits provided an effective and consistent modality for articular cartilage removal with potential for improved accuracy of articular drilling and applications in minimally invasive proximal interphalangeal joint arthrodesis.

摘要

目的

本报告评估了在马尸体肢的近侧指间关节中使用 4.5 和 5.5 毫米空心钻头去除关节软骨的效果。

动物

8 具马尸体的肢体,所有都具有正常的近侧指间关节。

手术过程

使用 4.5 或 5.5 毫米空心钻头对 8 具马尸体的 32 个肢体的近侧指间关节进行钻孔。然后离断跗关节,并通过肉眼观察评估关节内钻孔情况。

结果

钻孔后评估显示,所有 32 个关节均完全进行了关节内钻孔。

结论

空心 4.5 和 5.5 毫米钻头可在马的近侧指间关节中实现一致、准确的关节内钻孔。

临床相关性

空心钻头提供了一种有效的、一致的关节软骨去除方法,具有提高关节钻孔准确性的潜力,可应用于微创近侧指间关节融合术。

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本文引用的文献

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A Standing Percutaneous Technique for Proximal Interphalangeal Joint Arthrodesis in Twelve Horses (2014-2017).一种用于12匹马近端指间关节融合术的站立经皮技术(2014 - 2017年)
Vet Comp Orthop Traumatol. 2019 Mar;32(2):165-170. doi: 10.1055/s-0039-1677747. Epub 2019 Mar 7.
2
Comparison of cortical bone drilling induced heat production among common drilling tools.常见钻孔工具皮质骨钻孔产热的比较
J Orthop Trauma. 2015 May;29(5):e188-93. doi: 10.1097/BOT.0000000000000240.
3
Evaluation of ethyl alcohol for use in a minimally invasive technique for equine proximal interphalangeal joint arthrodesis.用于马近端指间关节关节固定术微创技术的乙醇评估。
Vet Surg. 2011 Apr;40(3):291-8. doi: 10.1111/j.1532-950X.2010.00794.x. Epub 2011 Jan 18.
4
Effect of a collateral ligament sparing surgical approach on mechanical properties of equine proximal interphalangeal joint arthrodesis constructs.保留侧副韧带的手术入路对马近端指间关节融合结构力学性能的影响。
Vet Surg. 2011 Jan;40(1):73-81. doi: 10.1111/j.1532-950X.2010.00741.x. Epub 2010 Nov 15.
5
A technique for laser-facilitated equine pastern arthrodesis using parallel screws inserted in lag fashion.一种使用以拉力方式插入的平行螺钉进行激光辅助马跗关节固定术的技术。
Vet Surg. 2010 Feb;39(2):244-53. doi: 10.1111/j.1532-950X.2009.00627.x.
6
Comparison of three drilling techniques for carpometacarpal joint arthrodesis in horses.马掌指关节融合术三种钻孔技术的比较
Vet Surg. 2009 Dec;38(8):990-7. doi: 10.1111/j.1532-950X.2009.00594.x.
7
A limited surgical approach for pastern arthrodesis in horses with severe osteoarthritis.一种用于患有严重骨关节炎马匹的跗关节固定术的有限手术方法。
Vet Comp Orthop Traumatol. 2009;22(4):303-8. doi: 10.3415/VCOT-08-03-0027. Epub 2009 Jun 23.
8
Use of a three-drill-tract technique for arthrodesis of the distal tarsal joints in horses with distal tarsal osteoarthritis: 54 cases (1990-1999).采用三钻孔技术对患有跗关节远端骨关节炎的马进行跗关节远端关节融合术:54例病例(1990 - 1999年)
J Am Vet Med Assoc. 2003 Dec 15;223(12):1800-5. doi: 10.2460/javma.2003.223.1800.
9
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Acta Orthop Scand. 2002 Apr;73(2):186-9. doi: 10.1080/000164702753671786.
10
Proximal interphalangeal arthrodesis in 22 horses.22匹马的近端指间关节融合术
Equine Vet J. 2001 Jul;33(4):360-5. doi: 10.2746/042516401776249552.