Biggo Morgan R, Jones Stephen C, Wanstrath Audrey W, Tinga Selena, Dyce Jonathan, Carson Brittney A, Schaul Kelsey, Follette Christelle M, Kieves Nina R
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, United States.
Front Vet Sci. 2023 Aug 8;10:1234206. doi: 10.3389/fvets.2023.1234206. eCollection 2023.
The first objective of this study was to describe the type of tarsal injuries sustained, surgery performed, and postoperative complications in greyhounds presenting to a single veterinary hospital. An additional objective of the study was to determine the surgical site infection (SSI) and explantation rate, and if any variables were associated with an increased risk of SSI and/or explantation.
116 greyhounds receiving surgical intervention for a tarsal injury.
Medical records from a single veterinary referral hospital were reviewed retrospectively. Data retrieved included signalment, details regarding the injury, surgical intervention, concurrent castration, surgical/anesthesia times, postoperative management, time to healing, and postoperative complications. In cases that underwent explantation, cause, time from initial surgery, and risk factors were evaluated.
The most frequently diagnosed tarsal injuries were fracture of the central tarsal bone (CTB; 57.8%), calcaneal fracture (56.9%) and proximal intertarsal subluxation (34.5%). The most common injury combination was a CTB fracture with a calcaneal fracture (31.9%). In total 115 (99.1%) survived to discharge. Of these, 46 (40.0%) were diagnosed with an SSI and 59 (51.3%) underwent explantation. The most common indication for explantation was SSI. Concurrent medial and lateral surgical approaches was found to be associated with an increased likelihood of SSI and explantation.
Practitioners performing surgical intervention for tarsal injuries in greyhounds should be aware of the high SSI rate and likelihood that explantation will be required. This risk is elevated for injuries requiring a bilateral surgical approach.
本研究的首要目的是描述就诊于一家兽医医院的灵缇犬跗骨损伤的类型、所施行的手术及术后并发症。本研究的另一个目的是确定手术部位感染（SSI）率和植入物取出率，以及是否有任何变量与SSI和/或植入物取出风险增加相关。
116只因跗骨损伤接受手术干预的灵缇犬。
对一家兽医转诊医院的病历进行回顾性审查。检索的数据包括动物特征、损伤细节、手术干预、同期去势、手术/麻醉时间、术后管理、愈合时间及术后并发症。对于接受植入物取出的病例，评估其原因、初次手术后的时间及风险因素。
最常诊断出的跗骨损伤为中央跗骨骨折（CTB；57.8%）、跟骨骨折（56.9%）和跗骨近端半脱位（34.5%）。最常见的损伤组合是CTB骨折合并跟骨骨折（31.9%）。总共115只（99.1%）存活至出院。其中，46只（40.0%）被诊断为发生SSI，59只（51.3%）接受了植入物取出。植入物取出最常见的指征是SSI。发现同时采用内侧和外侧手术入路与SSI和植入物取出的可能性增加相关。
对灵缇犬跗骨损伤进行手术干预的从业者应意识到SSI率高以及需要取出植入物的可能性。对于需要双侧手术入路的损伤，这种风险会升高。
