frank. Pet Surgeons., Leeds, United Kingdom.
Vet Comp Orthop Traumatol. 2024 Jul;37(4):206-212. doi: 10.1055/s-0043-1777808. Epub 2024 Jan 8.
The aim of this study was to report postoperative complications and long-term outcomes following transcondylar screw placement for humeral intracondylar fissure (HIF).
It was a retrospective single-centre case series. Medical records (2018-2022) were reviewed for dogs with HIF treated with transcondylar screw placement. Data collected included signalment, concurrent orthopaedic disease, partial or complete HIF, surgeon, surgical approach, surgical technique and implant type, transcondylar screw angulation, postoperative complications and outcomes. Long-term outcome was assessed with owner questionnaire, orthopaedic examination and follow-up radiography. Statistical analysis was performed to identify risk factors predisposing to a complication or a poor outcome.
Forty-seven dogs (57 elbows) met the inclusion criteria; long-term follow-up was available in 41 dogs (50 elbows). Minor and major medical complications were noted in seven and three elbows respectively. The total complication rate was 17.5%. Increasing age was significantly associated with a reduced risk of postoperative complications ( = 0.0051). No other risk factors were identified. A postoperative complication was not associated with a less than full outcome ( = 0.5698).
Transcondylar screw placement for HIF is associated with a low complication rate and good outcome.
本研究旨在报告髁间螺钉固定治疗肱骨内髁裂隙(HIF)后的术后并发症和长期结果。
这是一项回顾性单中心病例系列研究。对 2018 年至 2022 年间接受髁间螺钉固定治疗 HIF 的犬进行了病历回顾。收集的数据包括年龄、并发骨科疾病、HIF 部分或完全、外科医生、手术入路、手术技术和植入物类型、髁间螺钉角度、术后并发症和结果。通过主人问卷调查、骨科检查和随访 X 线评估长期结果。进行了统计学分析,以确定易发生并发症或预后不良的危险因素。
47 只犬(57 个肘)符合纳入标准;41 只犬(50 个肘)有长期随访。7 个肘出现轻微医疗并发症,3 个肘出现严重医疗并发症。总并发症发生率为 17.5%。年龄增长与术后并发症风险降低显著相关(=0.0051)。未发现其他危险因素。术后并发症与不完全结果无关(=0.5698)。
髁间螺钉固定治疗 HIF 并发症发生率低,效果好。