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倒置髁上股骨动力加压钢板用于三只犬胫骨颅侧闭合楔形截骨术后内固定失败的翻修。

Inverted supracondylar femoral dynamic compression plates for revision of construct failure following tibial cranial closing wedge ostectomy in three dogs.

作者信息

Wells S, Winter J, Pead M, Meeson R

机构信息

The Queen Mother Hospital for Animals, Royal Veterinary College, Hatfield, UK.

出版信息

J Small Anim Pract. 2025 Apr;66(4):291-295. doi: 10.1111/jsap.13817. Epub 2024 Dec 26.

DOI:10.1111/jsap.13817
PMID:39725595
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12000703/
Abstract

Construct failure is a rare complication of tibial cranial closing wedge ostectomy for the management of cranial cruciate ligament disease. Construct failure can present significant challenges for reconstruction. This case report describes three dogs with construct failure which were successfully revised by the repurposing of an inverted femoral supracondylar femoral plate as part of the revision. Data were obtained from the medical records and telephone update. The use of an inverted supracondylar plate in the proximal tibia generally had good outcomes for the management of bone implant failure following cranial closing wedge ostectomy and offers a hitherto undescribed technique using a low-cost and accessible implant for repair.

摘要

构建失败是用于治疗颅交叉韧带疾病的胫骨近端闭合楔形截骨术的一种罕见并发症。构建失败会给重建带来重大挑战。本病例报告描述了三只出现构建失败的犬,通过重新利用倒置的股骨髁上钢板作为翻修的一部分而成功进行了翻修。数据来自病历和电话随访。在胫骨近端使用倒置髁上钢板通常对治疗颅闭合楔形截骨术后的骨植入物失败有良好效果,并提供了一种迄今未描述的技术,即使用低成本且易于获取的植入物进行修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745e/12000703/606742583ed7/JSAP-66-291-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745e/12000703/1ae9691b323e/JSAP-66-291-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745e/12000703/6a2d7be9943f/JSAP-66-291-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745e/12000703/19b817345ea9/JSAP-66-291-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745e/12000703/606742583ed7/JSAP-66-291-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745e/12000703/1ae9691b323e/JSAP-66-291-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745e/12000703/6a2d7be9943f/JSAP-66-291-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745e/12000703/19b817345ea9/JSAP-66-291-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745e/12000703/606742583ed7/JSAP-66-291-g002.jpg

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本文引用的文献

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Results of a survey of Veterinary Orthopedic Society members on the preferred method for treating cranial cruciate ligament rupture in dogs weighing more than 15 kilograms (33 pounds).对兽医骨科学会成员进行的一项关于治疗体重超过15千克(33磅)犬颅交叉韧带断裂首选方法的调查结果。
J Am Vet Med Assoc. 2018 Sep 1;253(5):586-597. doi: 10.2460/javma.253.5.586.
2
Outcome of Tibial Closing Wedge Osteotomy in 55 Cranial Cruciate Ligament-Deficient Stifles of Small Dogs (<15 kg).55只体重小于15千克的小型犬颅侧交叉韧带缺失 stifles 的胫骨闭合楔形截骨术的结果
Vet Surg. 2016 Nov;45(8):1056-1062. doi: 10.1111/vsu.12558.
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Comparison of complication rates and clinical outcome between tibial plateau leveling osteotomy and a modified cranial closing wedge osteotomy for treatment of cranial cruciate ligament disease in dogs.
胫骨平台水平截骨术与改良颅骨闭合楔形截骨术治疗犬颅交叉韧带疾病的并发症发生率及临床结果比较
Vet Surg. 2013 Aug;42(6):739-50. doi: 10.1111/j.1532-950X.2013.12033.x. Epub 2013 Jul 25.
4
Proposed definitions and criteria for reporting time frame, outcome, and complications for clinical orthopedic studies in veterinary medicine.兽医学临床骨科研究报告时间范围、结果和并发症的拟议定义及标准。
Vet Surg. 2010 Dec;39(8):905-8. doi: 10.1111/j.1532-950X.2010.00763.x.
5
Comparison of tibial plateau angle changes after tibial plateau leveling osteotomy fixation with conventional or locking screw technology.采用传统或锁定螺钉技术进行胫骨平台平整截骨固定后胫骨平台角度变化的比较。
Vet Surg. 2010 Jun;39(4):475-81. doi: 10.1111/j.1532-950X.2010.00656.x. Epub 2010 Mar 24.
6
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Aust Vet J. 2009 Nov;87(11):438-44. doi: 10.1111/j.1751-0813.2009.00482.x.
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Clinical applications of demineralized bone matrix: a retrospective and case-matched study of seventy-five dogs.脱矿骨基质的临床应用:对75只犬的回顾性和病例匹配研究。
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