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马的蹄骨骨折

Fractures of the pedal bone in the horse.

作者信息

Pettersson H

出版信息

Equine Vet J. 1976 Jul;8(3):104-9. doi: 10.1111/j.2042-3306.1976.tb03308.x.

Abstract

A series of 79 fractures of the pedal bone in various types of horses are reported and the clinical features described. The fractures were of 3 types--intra-articular or extra-articular, involving the wing of the pedal bone, and fractures of the extensor process. Forty-five horses with a fractured wing of the pedal bone were treated conservatively and 11 by immobilisation of the bony fragment with a compression screw. Conservative treatment was usually successful in the extra-articular fractures. Intra-articular fractures treated conservatively in animals under 3 years had a good prognosis. The results were not so satisfactory in older horses and surgical treatment proved to be the method of choice. All, but one, of the 23 fractures of the extensor process were treated conservatively. The prognosis was not always good, as secondary osteoarthritis of the interphalangeal joint sometimes developed.

摘要

报告了一系列79例不同类型马匹的蹄骨骨折,并描述了其临床特征。骨折有3种类型——关节内或关节外骨折,累及蹄骨翼,以及伸肌突骨折。45例蹄骨翼骨折的马匹采用保守治疗,11例通过用加压螺钉固定骨碎片进行治疗。保守治疗通常对关节外骨折有效。3岁以下动物的关节内骨折采用保守治疗预后良好。年龄较大的马匹结果不太令人满意,手术治疗被证明是首选方法。23例伸肌突骨折中,除1例外均采用保守治疗。预后并非总是良好,因为有时会发生指间关节继发性骨关节炎。

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