Cauvin E R, Munroe G A
Department of Farm Animal and Equine Medicine and Surgery, The Royal Veterinary College, University of London, North Mymms, Hatfield, UK.
Equine Vet J. 1998 Nov;30(6):512-9. doi: 10.1111/j.2042-3306.1998.tb04527.x.
Eighteen cases of septic osteitis of the distal phalanx were diagnosed clinically and confirmed at surgery over a 6 year period (1990-1996). Focal bone lysis was the most common radiographic finding. Sequestra were identified in 4 horses, one of which was associated with a fractured plantar process. All the horses were treated surgically with open debridement. The septic process recurred in 4 horses: one was subjected to euthanasia due to navicular bursa infection, secondary to a pathological fracture, the other 3 horses responded to further debridement. A pathological fracture occurred in another horse. All the survivors were not lame 3 months post operatively, although complete healing took 1-12 months. Long term follow up was available in 14 cases. One was retired, all the other horses were back in work at a similar level of performance. This series indicates that surgical treatment of septic pedal osteitis carries a fair to good prognosis despite a high rate of post operative complications and convalescence period of up to 12 months.
在6年期间（1990 - 1996年），临床上诊断出18例趾骨远端化脓性骨髓炎，并经手术证实。局部骨质溶解是最常见的影像学表现。4匹马发现有死骨，其中1匹与跖骨骨折有关。所有马匹均接受了开放性清创手术治疗。4匹马的感染过程复发：1匹因舟状囊感染继发病理性骨折而实施安乐死，另外3匹马经进一步清创后有反应。另一匹马发生了病理性骨折。所有存活马匹术后3个月均未出现跛行，尽管完全愈合需要1 - 12个月。14例有长期随访记录。1匹马退役，所有其他马匹恢复工作，工作水平相似。该系列表明，尽管术后并发症发生率高且恢复期长达12个月，但化脓性蹄骨骨髓炎的手术治疗预后尚可。
