Schneider R K, Bramlage L R, Hardy J
Department of Veterinary Clinical Sciences, Ohio State University, Columbus.
Vet Surg. 1993 Mar-Apr;22(2):122-8. doi: 10.1111/j.1532-950x.1993.tb01685.x.
The distal interphalangeal joint was successfully arthrodesed in two horses using three parallel 5.5-mm cortical screws and an autogenous cancellous bone graft. The screws were directed from the palmar proximal border of the second phalanx dorso-distally across the joint space and into the third phalanx. The technique was first developed on a normal horse. The second horse, a clinical case, ruptured its deep digital flexor tendon with complete luxation of the distal interphalangeal joint. Bony fusion of the distal interphalangeal joint occurred in both horses, but both also had residual lameness at a walk. Twenty-one months after the arthrodesis procedure, the clinical patient died from complications related to a subsolar abscess in the operated limb.
使用三根平行的5.5毫米皮质骨螺钉和自体松质骨移植,成功地对两匹马的远侧指间关节进行了关节固定术。螺钉从第二指骨掌侧近端边缘向背侧远端穿过关节间隙,进入第三指骨。该技术首先在一匹正常马身上开发。第二匹马是一个临床病例,其指深屈肌腱断裂,远侧指间关节完全脱位。两匹马的远侧指间关节均发生了骨融合,但两匹马在行走时仍有残留跛行。关节固定术后21个月,该临床病例的马因手术肢体太阳下脓肿相关并发症死亡。