Zaal M D, Hazewinkel H A
Vakgroep Geneeskunde van Gezelschapsdieren, Universiteit Ultrecht.
Tijdschr Diergeneeskd. 1996 Apr 15;121(8):218-23.
202 Tibial fractures, in 138 dogs and 64 cats, were classified according to the system of Unger. The animals were presented between 1989 and 1994 to four Dutch veterinary orthopaedic referral clinics. In addition to the type of fracture, demographic information was taken into account including the species, the age of the patient, the size of the breed, the treatment, whether it was a open or closed fracture and the orthopaedic clinic. Possible correlation between the type of fracture and the variables, as well as correlations among the latter, were examined statistically. In this study 73% of the tibial fractures in dogs and cats were in the diaphysis, oblique fracture being the most frequent (24%). Proximal tibial fractures in dogs were usually extra-articular and 87% of these involved avulsion of the tibial tubercle. Malleolar fractures accounted for 57% of the distal fractures. A significant correlation was found between the localization of the fracture (proximal, diaphyseal or distal) and the species (cat or dog), between an avulsion fracture of the tibial tubercle and the age in dogs, between an incomplete tibial fracture and the age, between a malleolar fracture and a complicated (i.e., open) fracture, between a butterfly fracture and a complicated fracture, and between the applied therapy and the orthopaedic clinic. The classification system of Unger is very useful for inventory and documentation, but because of the lack of data about physeal fractures, the degree of injury to the surrounding soft tissues, and the influence of differences between surgeons, it cannot be used to determine therapy.
对138只犬和64只猫的202例胫骨骨折,按照翁格尔(Unger)系统进行分类。这些动物于1989年至1994年间被送至荷兰的四家兽医骨科转诊诊所。除了骨折类型外,还考虑了人口统计学信息,包括物种、患者年龄、品种大小、治疗方式、是开放性骨折还是闭合性骨折以及骨科诊所。对骨折类型与这些变量之间以及这些变量之间可能的相关性进行了统计学检验。在本研究中,犬猫胫骨骨折的73%发生在骨干,斜形骨折最为常见(24%)。犬近端胫骨骨折通常为关节外骨折,其中87%涉及胫骨结节撕脱。踝关节骨折占远端骨折的57%。发现骨折部位(近端、骨干或远端)与物种(猫或犬)之间、犬胫骨结节撕脱骨折与年龄之间、不完全胫骨骨折与年龄之间、踝关节骨折与复杂(即开放性)骨折之间、蝶形骨折与复杂骨折之间以及所应用的治疗方法与骨科诊所之间存在显著相关性。翁格尔分类系统对于清查和记录非常有用,但由于缺乏关于骨骺骨折、周围软组织损伤程度以及外科医生差异影响的数据,它不能用于确定治疗方法。