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犬腕关节融合术后腕掌关节不稳定的修复

Repair of carpometacarpal instability after radiocarpal arthrodesis in a dog.

作者信息

Sexton R L, Hurov L I

出版信息

J Am Vet Med Assoc. 1978 May 15;172(10):1186-9.

PMID:659299
Abstract

A 4-year-old male German Shepherd Dog sustained subluxation of the right radiocarpal joint. A coaptation splint did not adequately stabilize the carpus, and arthrodesis of the radiocarpal joint was undertaken, utilizing a wedge graft and bone plate. Despite successful fusion of the joint, lameness persisted in the affected limb. The lameness was attributed to subsequent carpometacarpal subluxation, which was presumed to result from the added stress of weight bearing on the carpometacarpal joint following the arthrodesis. Arthrodesis of the right intercarpal and carpometacarpal joints, utilizing cortical bone grafts and a bone plate, restored normal gait.

摘要

一只4岁的雄性德国牧羊犬右桡腕关节发生半脱位。一个接合夹板未能充分稳定腕关节,于是采用楔形植骨和接骨板对桡腕关节进行了关节固定术。尽管关节成功融合,但患侧肢体仍持续跛行。跛行归因于随后发生的腕掌关节半脱位,推测这是由于关节固定术后腕掌关节负重增加所致。利用皮质骨移植和接骨板对右侧腕间关节和腕掌关节进行关节固定术,恢复了正常步态。

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