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1.
Objectives: To report repair of a comminuted distal humeral type II Salter–Harris fracture using an ulnar osteotomy approach and locking compression plates (LCP). Study Design: Case report. Animal: A 3‐month‐old Standardbred filly with a type II Salter–Harris fracture of the distal humerus. Methods: Radiographic and computed tomography examinations were performed to assist surgical planning. The distal humeral fracture was approached by an ulnar osteotomy and repaired using a 7‐hole broad LCP and screws inserted in lag fashion. The osteotomy was subsequently repaired using a 7‐hole narrow LCP. Results: The distal humeral fracture was successfully approached and stabilized by an ulnar osteotomy approach. At 6‐month follow‐up, the filly was ambulating comfortably with a normal cosmetic appearance. Conclusions: An ulnar osteotomy approach was readily performed and allowed for repair of a type II Salter–Harris fracture of the distal humerus. Clinical Relevance: The equine distal humerus can be accessed readily using an ulnar osteotomy approach. LCPs allow for repair of complicated fractures that have previously been associated with a grave prognosis. 相似文献
2.
IAN M. WRIGHT MA VetMB DEO Diplomate ECVS MRCVS MATTHEW R. W. SMITH BVetMed CertES Diplomate ECVS MRCVS 《Veterinary surgery : VS》2009,38(6):689-695
Objectives— To report the technique, observations on fracture configurations and results of treatment by fixation lag screw following the fracture plane determined by an approach to the third metacarpal/metatarsal bone (MC3/MT3) that begins laterally over the metacarpo(metatarso)phalangeal joint and extends dorsally over the diaphysis of the bone.
Study Design— Case series.
Animals— Thoroughbred horses (n=18) with propagating fractures of the medial condyle of MC3/MT3.
Methods— Retrospective analysis of case records of horses with fractures of the medial condyle of MC3/MT3 that propagated sagittaly or in a spiral configuration into the diaphysis, repaired surgically under general anesthesia by screw fixation in lag fashion through a lateral approach with periosteal reflection.
Results— Fractures were readily identified at surgery, enabling screw fixation in lag fashion following the fracture plane. Fracture configurations varied and could be classified as sagittal and spiral fractures with fractures within each group generally following a similar course. All horses recovered relatively uneventfully from general anesthesia and surgery, and all fractures healed well. Thirteen horses returned to training; 5 subsequently raced.
Conclusions— Repair of propagating sagittal and spiral fractures of the medial condyle of MC3/MT3 with diaphyseal involvement, through a lateral approach with periosteal reflection permits stable fixation with minimal complications. In this series there were no catastrophic failures.
Clinical relevance— Fractures of the medial condyle of MC3/MT3 that propagate either sagittaly or in a spiral configuration into the diaphysis can be successfully repaired with screw fixation in lag fashion using a lateral approach with periosteal reflection. 相似文献
Study Design— Case series.
Animals— Thoroughbred horses (n=18) with propagating fractures of the medial condyle of MC3/MT3.
Methods— Retrospective analysis of case records of horses with fractures of the medial condyle of MC3/MT3 that propagated sagittaly or in a spiral configuration into the diaphysis, repaired surgically under general anesthesia by screw fixation in lag fashion through a lateral approach with periosteal reflection.
Results— Fractures were readily identified at surgery, enabling screw fixation in lag fashion following the fracture plane. Fracture configurations varied and could be classified as sagittal and spiral fractures with fractures within each group generally following a similar course. All horses recovered relatively uneventfully from general anesthesia and surgery, and all fractures healed well. Thirteen horses returned to training; 5 subsequently raced.
Conclusions— Repair of propagating sagittal and spiral fractures of the medial condyle of MC3/MT3 with diaphyseal involvement, through a lateral approach with periosteal reflection permits stable fixation with minimal complications. In this series there were no catastrophic failures.
Clinical relevance— Fractures of the medial condyle of MC3/MT3 that propagate either sagittaly or in a spiral configuration into the diaphysis can be successfully repaired with screw fixation in lag fashion using a lateral approach with periosteal reflection. 相似文献
3.
María Delclaux Covadonga Talavera Manuel López Jose Miguel Sánchez María Isabel García 《Journal of zoo and wildlife medicine》2002,33(3):283-285
A 17-mo-old captive-born female red panda (Ailurus fulgens fulgens) presented with a sudden onset of lameness in its left hind leg was diagnosed radiographically as having possible severe, bilateral Legg-Calve-Perthes disease with fracture of the great trochanter of the left femur. Surgical repair of the fracture was performed using pins and a tension band wire through a lateral approach to the hip. This is the first case reported at Madrid Zoo-Aquarium, where 63 individuals have been bred over 15 yr. 相似文献
4.
D J McCoy P K Shires R Beadle 《Journal of the American Veterinary Medical Association》1984,185(5):545-549
Atlantoaxial subluxation secondary to odontoid fracture in a 30-day-old foal was corrected by alignment of the atlantoaxial joint and stabilization with 2 ventrally placed dynamic compression plates. At 90 days after surgery, healing of the fracture, with adequate alignment of the atlantoaxial joint, was confirmed radiographically. The foal was only slightly tetraparetic at that time. At 1 year after surgery, the gait was normal. It was concluded that the technique has advantages over the use of Steinmann's pins or external coaptation for stabilization. The ventral approach allows decompression, anatomic alignment, and immediate stabilization of the subluxation. Potential complications of the ventral approach include laryngeal paralysis. 相似文献
5.
Kuemmerle JM Auer JA Rademacher N Lischer CJ Bettschart-Wolfensberger R Fürst AE 《Veterinary surgery : VS》2008,37(2):193-200
Objective— To describe short incomplete sagittal fractures of the proximal phalanx (type Ia P1 fractures) in horses not used for racing and report outcome.
Study Design— Retrospective study.
Animals— Horses (n=10) with type Ia P1 fractures.
Methods— Retrieved data of horses with type Ia P1 fractures were signalment, history and results of orthopedic examination. Radiographs were re-evaluated for position and length of the fracture line, presence of osteoarthritis or subchondral cystic lesions (SCL), periosteal new bone formation and subchondral sclerosis. Conservative treatment (n=4) included box confinement for 2 months followed by 1 month of hand walking. Surgical therapy (n=6) consisted of internal fixation by screws inserted in lag fashion in 5 horses. Concurrent SCL were debrided by curettage via a transcortical drilling approach. In 1 horse, only SCL curettage but not internal fixation was performed. Outcome was assessed on a clinical and radiographic follow-up examination in all horses.
Results— Mean follow-up time was 27 months (median, 13.5 months; range, 9 months to 9 years). All horses treated with internal fixation were sound at follow-up and had radiographic fracture healing. Of the 4 horses managed conservatively, 3 remained lame and only 1 horse had radiographic evidence of fracture healing. Catastrophic fracture propagation occurred in 2 horses not treated by internal fixation, 20 and 30 months after diagnosis, respectively.
Conclusions— Horses with a type Ia P1 fracture treated surgically had a better outcome than those managed conservatively and lack of fracture healing seemingly increases the risk of later catastrophic fracture.
Clinical Relevance— Surgical repair of type Ia P1 fractures should be considered to optimize healing and return to athletic use. 相似文献
Study Design— Retrospective study.
Animals— Horses (n=10) with type Ia P1 fractures.
Methods— Retrieved data of horses with type Ia P1 fractures were signalment, history and results of orthopedic examination. Radiographs were re-evaluated for position and length of the fracture line, presence of osteoarthritis or subchondral cystic lesions (SCL), periosteal new bone formation and subchondral sclerosis. Conservative treatment (n=4) included box confinement for 2 months followed by 1 month of hand walking. Surgical therapy (n=6) consisted of internal fixation by screws inserted in lag fashion in 5 horses. Concurrent SCL were debrided by curettage via a transcortical drilling approach. In 1 horse, only SCL curettage but not internal fixation was performed. Outcome was assessed on a clinical and radiographic follow-up examination in all horses.
Results— Mean follow-up time was 27 months (median, 13.5 months; range, 9 months to 9 years). All horses treated with internal fixation were sound at follow-up and had radiographic fracture healing. Of the 4 horses managed conservatively, 3 remained lame and only 1 horse had radiographic evidence of fracture healing. Catastrophic fracture propagation occurred in 2 horses not treated by internal fixation, 20 and 30 months after diagnosis, respectively.
Conclusions— Horses with a type Ia P1 fracture treated surgically had a better outcome than those managed conservatively and lack of fracture healing seemingly increases the risk of later catastrophic fracture.
Clinical Relevance— Surgical repair of type Ia P1 fractures should be considered to optimize healing and return to athletic use. 相似文献
6.
J Cabassu P Moissonnier 《Veterinary and comparative orthopaedics and traumatology》2007,20(3):227-230
A seven-month-old Rottweiler was referred for a diagnosed femoral neck fracture and a suspected vertebral fracture. The simplified neurological examination revealed an acute paraplegia. A discospondyilitis associated with a pathologic fracture of Th11 and a spinal compression, and a haematogenous epiphysitis of the femoral neck were diagnosed based on radiographic and computed tomographic examinations. The vertebral fracture was stabilised using screws and polymethylmetacrylate with gentamycin by a lateral intercostal approach. The dog was able to walk seven days later. A femoral head and neck ostectomy was performed two weeks later. Staphylococcus intermedius was isolated from both sites, which confirmed the diagnosis. The dog was treated with cephalexin (30 mg/kg/d) for six weeks. A telephone interview with owners indicated that no more clinical signs were present four months after the second surgery. Discospondylitis associated with haematogenous osteomyelitis has only been reported in two cases. Paraplegia is an unusual clinical presentation for discospondylitis. The lateral approach (which allowed a direct access to the infected site) and the technique (screws associated with antibiotic-impregnated cement) are unique for surgical treatment of discospondylitis. Although applying cement to an infected area may pose a risk, antibiotic-loaded cement is successfully used in the treatment of chronic osteomyelitis in humans. 相似文献
7.
K F Bowman C L Sweeney L P Tate 《Journal of the American Veterinary Medical Association》1987,190(3):305-307
A medial condylar fracture of the third metatarsal bone in a 2-year-old Thoroughbred filly was repaired successfully by use of compression bone plating. At discharge from the hospital, thickening of the metatarsus was evident, and proliferative changes were associated with the site of bone plate application. It was expected that these changes would limit the filly's use as a racehorse, and a return to training was not recommended. Especially in horses that may return to racing, use of compression bone plating initially should not replace stall rest or lag screw fixation treatment of this type of injury. However, the use of a similar approach in selected cases of medial condylar fracture of the third metatarsal bone is encouraged, especially when additional fissure lines are evident on radiographs. 相似文献
8.
R. L. PANKOWSKI dvm B. D. GRANT dvm ms Diplomateacvs R. SANDE dvm PhD Diplomateacvr F. A. NICKELS dvm ms Diplomateacvs 《Veterinary surgery : VS》1986,15(1):33-39
Five horses with fractures of the supraglenoid tubercle (tuber scapulae) were presented from 6 weeks to 1 year after injury. Clinical signs included lameness characterized by a shortened cranial phase of the stride and shoulder muscle atrophy. Radiographically, the fractures differed in the degree of cranioventral displacement of the fragment as well as the extent of joint involvement. Three horses were treated by resection of the fractured tubercle, including one using a new grid approach to the area of the fracture. Two of these horses have returned to athletic activity and one was euthanized due to postoperative infection. One horse with minimal displacement and joint involvement was treated with rest and raced successfully. One horse seen with a fracture of 1 year duration also was treated with rest and was a pasture sound broodmare. 相似文献
9.
K A Johnson J F Dee D L Piermattei 《Journal of the American Veterinary Medical Association》1989,194(11):1618-1625
Fractures of the accessory carpal bone in 12 racing Greyhounds were repaired by use of internal fixation with screws. All dogs had a sprain-avulsion fracture of the distal margin of the articular surface of the accessory carpal bone, where the accessorioulnar ligament inserts (type I). Two dogs had a second avulsion fracture at the proximal margin of the articular surface, where the palmar ulnocarpal ligament inserts (type II), and 2 dogs had a second fracture at the caudal end of the bone at the insertion of the accessoriometacarpal ligaments (type III). Fractures were exposed surgically, using a palmarolateral approach between the fourth and fifth accessoriometacarpal ligaments, and were repaired using 1.5-mm or 2-mm cortical screws. Eight dogs were evaluated radiographically to monitor fracture healing. Union of fractures, with bridging of the fracture gap, usually developed by 5 to 8 weeks after surgery. Follow-up evaluation after surgical repair was possible in 11 dogs; 10 (91%) returned to training or racing, and 5 (45%) of those won 1 or more races. 相似文献
10.
A patellar fracture was identified radiographically in the right stifle of a mature Tennessee Walking Horse stallion. The horse was markedly lame (grade IV/V) on the right hindlimb. Due to the articular nature and small size of the fragment, surgical removal via arthrotomy was selected. A dorsomedial approach to the femoropatellar joint was used. The horse recovered well and has returned to training as a show horse by 8 months following surgery. 相似文献
11.
《The Journal of small animal practice》1999,40(4):190-191
Book reviewed in this article:
User-friendly guide to fracture management Edited by Andrew Coughlan and Andrew Miller
Problem-orientated approach to dermatology A Colour Handbook of Skin Diseases of the Dog and Cat By Richard G. Harvey and Patrick J. McKeever 相似文献
User-friendly guide to fracture management Edited by Andrew Coughlan and Andrew Miller
Problem-orientated approach to dermatology A Colour Handbook of Skin Diseases of the Dog and Cat By Richard G. Harvey and Patrick J. McKeever 相似文献
12.
P H Haudiquet P H Rochereau 《Veterinary and comparative orthopaedics and traumatology》2007,20(4):331-334
Acute traumatic fracture of the medial coronoid process is rarely reported and has previously only been described in three dogs to date. A three-year-old Schapendoes was presented for an acute non weight-bearing lameness. The definitive diagnosis of a medial coronoid process fracture was delicate and based on the disto-medial proximo-lateral oblique radiographic view (Di35M-PrLO). The surgical removal of the fragment was performed using a medial arthroscopic approach. The outcome was rapidly favourable. Lameness disappeared and the follow-up radiographs three months later revealed minimal reactions of osteoarthrosis. 相似文献
13.
Alvaro G. Bonilla Elizabeth M. Santschi 《The Canadian veterinary journal. La revue veterinaire canadienne》2015,56(2):157-161
A 16-year-old American paint horse gelding was presented for evaluation of a left forelimb lameness grade III/V. Radiographs and computed tomography revealed a comminuted fracture of the accessory carpal bone involving the entire articulation with the distal radius and the proximal aspect of the articulation with the ulnar carpal bone. Multiple fragments were present in the palmar pouch of the antebrachiocarpal joint. An arthroscopic-assisted open approach was necessary to remove all fractured fragments. Subsequently the horse was re-admitted for lameness and was treated successfully with antibiotics and long-term supportive bandaging. 相似文献
14.
T. Vlahos 《Equine Veterinary Education》2020,32(7):e83-e86
This report describes a case of pantarsal arthrodesis for the treatment of a comminuted fracture and luxation of the equine tarsus using a locking compression plate (LCP). A 20-year-old, 250-kg Welsh Pony cross presented with a severely comminuted fracture of the right tarsus. A dorsal approach to the tarsus was made and a 14-hole, 5.5-mm LCP was used to achieve arthrodesis. The pony was maintained in a full-limb cast for 30 days post-operatively. The incision healed by primary intention, and no surgical complications developed. The pony maintained excellent use of the limb and returned to pasture soundness. 相似文献
15.
REASONS FOR PERFORMING STUDY: The relationship of conformation to future potential injury is a standard approach in practise but, at present, is largely based on subjective observations. OBJECTIVE: To measure conformation in 3-year-old Thoroughbreds and objectively test its relationship with the occurrence of musculoskeletal problems. METHODS: Conformation measurements were taken from photographs using specific reference points marked on the horses and processed on the computer. Clinical observations were recorded for each horse on a regular basis. Stepwise (forward) logistic regression analysis was performed to investigate the relationship between the binary response of the clinical outcomes probability and the conformation variables by the method of maximum likelihood. RESULTS: Clinical outcomes significantly (P<0.05) associated with conformational variables included effusion of the front fetlock, effusion of the right carpus, effusion of the carpus, effusion of the hind fetlock, fracture of the left or right carpus, right front fetlock problem and hind fetlock problem. CONCLUSIONS: Offset knees (offset ratio) contributed to fetlock problems. Long pasterns increased the odds of a fracture in the front limb. An increase in the carpal angle as viewed from the front (carpal valgus) may serve as a protective mechanism, as the odds for a carpal fracture and carpal effusion decreased with an increase in the carpal angle. POTENTIAL RELEVANCE: This study demonstrates relationships between conformation and musculoskeletal disease in the racehorse. The information may be useful in selection and management of the racing Thoroughbred. 相似文献
16.
17.
Corr S 《Journal of Feline Medicine and Surgery》2012,14(1):55-64
CLINICAL CHALLENGES: Cats often present with traumatic injuries of the limbs, including complex and open fractures, frequently as a result of road traffic accidents. On initial assessment, complex and open fractures may appear to require expertise beyond the experience of the general practitioner and, in some cases, referral to a specialist may be indicated or amputation should be considered. PRACTICAL RELEVANCE: Many cases, however, can be managed using straightforward principles. This review describes a logical and practical approach to treating such injuries. It discusses general principles of fracture management, highlights the treatment of open fractures, and describes the use of external skeletal fixation for stabilisation of both open and complex fractures. EQUIPMENT: Most fractures can be stabilised using equipment and expertise available in general practice if the basic principles of fracture fixation are understood and rigorously applied. EVIDENCE BASE: Many textbooks and journal articles have been published on the management of fractures in companion animals, presenting case studies, case series and original biomechanical research. The simple strategy for managing complex injuries that is provided in this review is based on the published literature and the author's clinical experience. 相似文献
18.
H R Denny 《Equine veterinary journal》1976,8(1):20-25
Methods of treating fractures of the olecranon in the horse are reviewed. A further 4 cases are recorded in which the fracture was treated by open reduction and fixation with a heavy duty Venable's plate placed on the caudal aspect of the ulna. Three cases had an oblique fracture through the semilunar notch; this was complicated in one by a fracture of the lateral half of the radial head which resulted in subluxation of the radio-humeral joint. The fracture of the radial head was treated by open reduction and fixation with a lag screw. The fourth case had an oblique fracture of the olecranon just proximal to the semilunar notch, complicated by a fracture of the anconeal process which was removed. The fractures healed within 10 weeks and the plates were removed in all 4 cases. During follow-up periods ranging from 10 to 26 months, all 4 animals became sound. 相似文献
19.
PETER C. RAKESTRAW ma vmd ALAN J. NIXON bvsc ms Diplomateacvs ROBERT E. KADERLY dvm PhD Diplomateacvs NORM G. DUCHARME dmv msc Diplomateacvs 《Veterinary surgery : VS》1991,20(1):1-8
A cranial approach to the humerus was developed for application of a compression plate for repair of comminuted humeral fractures in a weanling foal, a calf, a heifer, and a mature cow. An incision was made from the cranial portion of the greater tubercle of the humerus to the radius. The cranial aspect of the humerus was exposed by retraction of the brachiocephalicus muscle and blunt dissection between the biceps brachii and brachialis muscles. A second plate was applied laterally in the heifer and cow by retraction of the brachialis muscle and elevation of the extensor carpi radialis muscle. Successful fracture reduction, alignment, and stabilization were achieved in all four animals. 相似文献
20.
T. B. Lescun 《Equine Veterinary Education》2015,27(2):71-74
The case report by Elce and Goodrich in the current issue highlights 3 aspects of fracture management related to the soft tissues. The soft tissues are not always easily and completely assessed at initial fracture evaluation, and can be a source of ongoing pain, dysfunction and treatment failure even following successful fracture healing, and will be a vital component of the structural stability of some fracture repairs. This commentary explores these 3 aspects of fracture management in the horse. 相似文献