Johnson A L, Smith C W, Schaeffer D J
Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana 61802, USA.
J Am Vet Med Assoc. 1998 Oct 15;213(8):1157-61.
To compare fragment reconstruction and bone plate fixation versus bridging plate fixation for treating highly comminuted (> 4 fragments) femoral fractures in dogs.
Retrospective study.
35 dogs with highly comminuted fractures of the femur.
Medical records of all dogs included in this study were reviewed. Dogs had been treated with fragment reconstruction and bone plate application (n = 20) or major fragment alignment and bridging plate fixation (15). Postoperative and follow-up radiographs were evaluated. Operating and hospitalization times, bone alignment, bone healing, and complications were considered.
There were no differences in hospitalization times, limb alignment, and complications between dogs with fractures treated with fragment reconstruction and dogs with fractures treated with bridging plate fixation. Dogs with fractures treated with bridging plate fixation had shorter operative times and faster times to radiographic evidence of bone healing.
Bridging plate fixation is quicker to perform and results in faster healing than fragment reconstruction and bone plate fixation when used to treat comminuted femoral fractures.
比较骨折块重建与接骨板固定和桥接接骨板固定治疗犬高度粉碎性（>4块）股骨干骨折的效果。
回顾性研究。
35只患有高度粉碎性股骨干骨折的犬。
回顾纳入本研究的所有犬的病历。犬接受了骨折块重建与接骨板应用（n = 20）或主要骨折块对线和桥接接骨板固定（15只）治疗。评估术后及随访X线片。考虑手术时间、住院时间、骨对线、骨愈合及并发症情况。
骨折块重建治疗的犬与桥接接骨板固定治疗的犬在住院时间、肢体对线及并发症方面无差异。桥接接骨板固定治疗的骨折犬手术时间较短，X线片显示骨愈合的时间较快。
在治疗粉碎性股骨干骨折时，桥接接骨板固定比骨折块重建与接骨板固定操作更快，愈合也更快。
