Lemaitre Victor, Cote Emeline, Bellon Christophe, Cassard Hervé, Schelcher François, Maillard Renaud, Robcis Rodolphe
Clinic of Ruminants, Ecole Nationale Vétérinaire de Toulouse, 31076 Toulouse, France.
Veterinary Clinic of Decize, 58300 Decize, France.
Vet Sci. 2023 Jul 14;10(7):463. doi: 10.3390/vetsci10070463.
Fractures are common conditions in cattle, including tibial fractures. Physeal tibial fractures are more specific and less frequently met in field conditions. A calf with a Salter-Harris type I distal physeal fracture of the tibia was referred to the National Veterinary School of Toulouse (ENVT), France. Although the use of external fixators in the treatment of tibial fractures is common, distal physeal tibial fractures require a different and specific technique involving them. They were first used as a lever arm to reduce the fracture due to the severe displacement. A hock joint bypass was then performed. Six weeks after treatment, the calf recovered successfully from the use of the affected limb without any adverse sequelae. The present case provides management of a distal tibial fracture using external fixators. This innovative and accessible surgical technique may be used by veterinary practitioners in future similar cases of distal tibial fractures when pins in the distal end cannot be inserted.
骨折在牛中是常见病症，包括胫骨骨折。胫骨骨骺骨折更为特殊，在实际情况中较少见。一头患有胫骨Salter-Harris I型远端骨骺骨折的小牛被转诊至法国图卢兹国立兽医学院（ENVT）。虽然外固定器在胫骨骨折治疗中常用，但胫骨远端骨骺骨折需要不同的特定技术来处理。最初将其用作杠杆臂以复位因严重移位导致的骨折。随后进行了跗关节旁路手术。治疗六周后，小牛患肢恢复良好，未出现任何不良后遗症。本病例介绍了使用外固定器治疗胫骨远端骨折的方法。这种创新且可行的手术技术可供兽医从业者在未来遇到类似远端胫骨骨折且无法插入远端钢针的病例时使用。
