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1.
A retrospective study of 119 cases of fracture of the proximal phalanx is described. The short incomplete sagittal fracture (split pastern) was most common and carried a good prognosis for a return to racing following conservative treatment. Longer incomplete fractures also had a good prognosis but complete fractures, either through the lateral cortex of the proximal phalanx or through the bone into the proximal interphalangeal joint, required internal fixation. Careful assessment of these and comminuted fractures was essential before surgery was undertaken. Most comminuted fractures were treated with a view to the animal retiring to stud rather than racing again. Humane destruction was considered to be justifiable for such fractures in colts or geldings of no stud value or if the fracture was severely comminuted.  相似文献   

2.
A survey of bone fractures in the cat   总被引：1，自引：0，他引：1  
A survey of 108 bone fractures in the cat was made over a 1 year period in a city practice in south west England. Seventy-three per cent involved the pelvic limb. The three bones most commonly affected were femur (38%), pelvis/sacrum (22%) and mandible (16%). Forty-five cases were the result of road accidents and 75% of cats were 2 years old or less.
Treatment of femoral shaft fractures by intramedullary pinning gave good results. The majority of proximal epiphyseal separations and femoral neck fractures responded well to conservative treatment. 'Cage rest' was used successfully to treat severely comminuted femoral shaft fractures. All cases of pelvic fracture were treated conservatively (up to 3 weeks 'cage rest'). Separation of the mandibular symphysis and fracture of the horizontal ramus healed readily. Repair of tibial (10%) and humeral (5%) fractures was without complications.  相似文献   

3.
The examination of 70 cattle with haematogenous osteomyelitis resulted in the classification of the bone lesions into two main groups: the physeal type, in which an infection, usually of metaphyseal bone, originated at or near the growth plate, usually in the distal metacarpus, metatarsus, radius or tibia, and the epiphyseal type, in which an infection originated near the junction of the subchondral bone and the immature epiphyseal joint cartilage, most often in the distal femoral condyle epiphysis, the patella and the distal radius. Combinations of physeal and epiphyseal defects and even diaphyseal involvement were occasionally seen. Epiphyseal osteomyelitis was mostly caused by salmonella infection, physeal by Corynebacterium pyogenes, salmonella and other bacteria. The salmonella affected animals were with one exception less than 12 weeks old and the majority had had some previous illness or came from a problem herd. The C pyogenes affected calves were in almost all cases more than six months old. The prognosis of the metaphyseal infection was in general satisfactory, and surgical intervention (osteotomy or sequestrectomy) was often required. The prognosis of the epiphyseal type was grave but two of the three animals in which physeal and epiphyseal defects were accompanied by diaphyseal lesions recovered.  相似文献   

4.
Clinical cases of pelvic disease in the cat were surveyed over a 5 year period and were classified into proximal femoral epiphyseal separation and femoral neck fracture (19-6%), anterodorsal hip luxation (19-6%), pelvic fracture (34%), sacroiliac separation (16%), sacral and coccygeal fracture separation (7-2%) and neoplasia (3-1%).
Treatment of proximal femoral epiphyseal separation and femoral neck fracture by excision arthroplasty gave a more rapid return to soundness compared with conservative treatment. The majority of hip luxations responded well to external reduction and restricted exercise for 2-4 days. All cases of pelvic fract. ure were treated conservatively (2-14 days of 'cage-rest') and showed marked improvement within 2 weeks. Radiographic and clinical assessment of these revealed that the fractured bones eventually stabilized in their displaced positions. Sacral and coccygeal fracture separations required careful evaluation for bladder function and some cases needed tail amputation. Certain complications associated with conservative treatment of pelvic injuries in cats have been considered although in no case did these prove a serious clinical problem. Two cases of giant cell sarcoma and one of spindle cell sarcoma, of periosteal origin, were included in the survey.  相似文献   

5.
Fractures of the distal phalanx in the horse   总被引：1，自引：0，他引：1  
Fractures of the distal phalanx are an important cause of lameness referrable to the foot. Depending on the fracture configuration and articular involvement, conservative or surgical treatment may be required. Fractures of the distal phalanx have been divided into six categories based on fracture configuration. Discussion of clinical features, management, and prognosis for horses with distal phalangeal fractures is presented for each fracture type.  相似文献   

6.
A multicentre study of 285 cases was performed to enhance the management of distal phalangeal fractures on the basis of clinical evidence. The outcome after treatment was available for 223 of the cases. Horses with a non-articular type I fracture had a better prognosis (91.7%) for return to original or expected level of use than horses with an articular type II or III fracture (69.6% and 74.1%, respectively). The prognosis for types IV and V fractures was fair (57.7% and 57.1%, respectively) and for type VI good (80%). Horses with a hindlimb fracture had a significantly greater chance of a successful outcome. No significant association between age or time to start treatment and success rate was noted. The best treatment option for types I-III fractures was a conservative approach (box rest). Type IV fractures were best treated by arthroscopic removal of the fragment. Immobilisation of the hoof did not seem to influence outcome. Radiological findings and clinical healing were not accurately correlated and the re-commencement of training should be based on clinical rather than radiological findings. Complete osseous union of the fracture was not essential for a successful return to athletic activity.  相似文献   

7.
REASONS FOR PERFORMING STUDY: Previous olecranon fracture reports contain a small proportion of type 5 fractures, mostly treated with conservative therapy. OBJECTIVES: To evaluate the clinical details and outcome of type 5 olecranon fractures in a large group of horses treated by tension band plate fixation and to compare results with other treatment methods. METHODS: Medical records of 97 cases, including 32 (33%) classified as type 5, were reviewed. Subject details, history, radiographic findings, treatment and follow-up results (2-146 months post operatively) were recorded. RESULTS: Treatment included open reduction and internal fixation using a narrow or broad dynamic compression plate (n = 20), conservative therapy (n = 7) and euthanasia (n = 5). Long-term follow-up was available in 15 cases treated surgically, of which 2 were sound and in training, 11 sound and performing athletically and 2 unsound. Distal semilunar notch involvement, comminution or open status did not appear to affect prognosis. CONCLUSIONS: Internal plate fixation provides an excellent prognosis for an animal to be capable of athletic performance. POTENTIAL RELEVANCE: Describing tension band plate fixation and results offers a method of fracture repair that should improve treatment and prognosis for type 5 olecranon fractures.  相似文献   

8.
OBJECTIVE: To describe a surgical technique for treatment of biologically inactive nonunions using en bloc ostectomy and compression plate fixation and clinical outcome in 17 dogs. STUDY DESIGN: Retrospective clinical study. SAMPLE POPULATION: Seventeen dogs. METHODS: A transverse ostectomy was performed adjacent and parallel to the nonunion to eliminate nonviable tissue and provide a new, viable fracture surface with a minimum circumferential contact area of 315 degrees. With most of the bony column anatomically reconstructed, compression plate fixation was used to stabilize the fracture. Autogenous cancellous bone grafting was used if a fracture gap was present (<45 degrees of missing circumferential bone contact). Resection of bone was limited so that bone shortening was less than 20% of the overall bone length. Clinical and radiographic follow-up evaluations were obtained whenever possible. RESULTS: Complete circumferential bone contact and compression plate fixation was achieved after ostectomy in 12 dogs; cancellous bone graft was used in 5 dogs. En bloc ostectomy sites were radiographically healed in a median time of 2.5 months after surgery in 11 dogs that returned for complete in-hospital follow-up, and progressive healing was observed in 3 other dogs, where in-hospital follow-up was obtained up to 2 months after surgery. These dogs had a median follow-up time of 2 months, at which time 6 dogs had no lameness, 4 had minimal lameness, and one had moderate lameness. No complications occurred, and no implants were removed. CONCLUSIONS: En bloc ostectomy with compression plate fixation was considered successful for the treatment of biologically inactive nonunions. A good to excellent prognosis can be expected with minimal complications. CLINICAL RELEVANCE: Use of an en bloc ostectomy technique for the treatment of biologically inactive nonunions permits easy resection of nonviable tissue. Subsequent fracture stabilization with compression plate fixation resulted in rapid bone healing without complications.  相似文献   

9.
A fourth tarsal bone fracture was treated conservatively in an adult draft horse. Seven months after the injury, the horse had no evidence of lameness and was able to compete in athletic events. It has been suggested that conservative management of these fractures be considered for brood animals or animals used for less strenuous activities. The outcome of this case suggests that fourth tarsal bone fractures can be successfully treated in athletic animals with conservative management.  相似文献   

10.
The case histories of three young thoroughbred racehorses with displaced lateral condylar fractures combined with an axial fracture of the lateral sesamoid bone are described. In two cases the condylar fracture was repaired surgically but both horses developed severe degenerative joint disease and remained lame. The third horse was destroyed humanely. It is important that axial fractures of the sesamoid bone are recognised so that a poorer prognosis can be given for treatment of condylar fractures in racing thoroughbreds.  相似文献   

11.
In the horse, diaphyseal tibial fractures are generally comminuted, spiral, and open; they are related to a high-energy accident, which makes them, in general, a catastrophic injury. The major comminution and the open component make of this fracture a real challenge when surgically repaired. For the owner, the costly treatment and the often poor prognosis are two major factors to consider, particularly when dealing with an adult horse. We describe the case of a severe comminuted and spiral, closed fracture of the tibia, with diaphyseal and distal metaphyseal involvement in a pleasure pony. The owner could not afford a surgical intervention, but he refused categorically to euthanize the animal. Considering the closed status of the fracture, a conservative treatment option was offered as a very last option. The tibial fracture was managed successfully with a cross-tied cast.  相似文献   

12.
Two kittens aged between four and five months were presented having sustained patellar fractures. In both cases, healing was subsequently documented radiographically; this has not been reported previously in the literature. One kitten had bilateral patellar fractures - the symptomatic right stifle was treated with a pin and tension-band-wire which later failed, at which point partial patellectomy was performed. The fracture of the left patella was minimally displaced and was treated conservatively. A radiograph of the left patella taken eleven months after initial presentation showed complete healing of the fracture. The second case was treated surgically with a circumferential wire; healing of the fracture was demonstrated radiographically at twelve weeks postoperatively. Radiographic images taken five weeks postoperatively had shown some narrowing of the fracture gap. These two cases demonstrate that bony union of patellar fractures can be documented, given a long enough duration of radiographic follow-up; circumferential wire was an effective treatment in a displaced fracture, and conservative treatment resulted in complete healing of a minimally displaced fracture.  相似文献   

13.
Fifteen longitudinal fractures involving the medial condyle of the third metatarsal bone were diagnosed in racing Thoroughbreds and Standardbreds. Twelve were repaired surgically with lag screws placed through stab incisions. Two of the horses suffered catastrophic fracture of the third metatarsal bone during recovery from anesthesia, and 3 more sustained complete fractures within 4 days of the repair. Of 3 horses with fractures treated without surgery, 2 healed without complication. Preoperative radiography did not demonstrate a nonlongitudinal fracture component in any of the horses that sustained complete fractures. The complete fractures were uniformly "Y" shaped. Horses in which the fractures healed had a good prognosis for return to racing.  相似文献   

14.
Temporohyoid osteoarthropathy (THO) is a progressive bilateral disease of unknown aetiology that most commonly affects adult horses. Irrespective of aetiology, THO frequently results in pain or fracture of the petrous temporal bone during normal movement of the tongue and larynx. In an effort to decrease pain and reduce the likelihood of petrous temporal bone fracture, partial stylohyoidectomy and ceratohyoidectomy have been developed. Serious complications have been reported following stylohyoidectomy and therefore the current recommendation is to perform unilateral ceratohyoidectomy. Benefits of ceratohyoidectomy include a lower risk of vascular and nerve damage and a reduced risk of clinical signs recurrence when compared with stylohyoidectomy. This report describes a case of THO in which clinical signs recurred approximately 2 years after unilateral ceratohyoidectomy was performed. Due to this complication, resection of the contralateral ceratohyoid bone was performed, which resulted in complete resolution of clinical signs. Although the clinical signs are frequently unilateral, the disease is most commonly a progressive bilateral condition and some horses may not have complete resolution of clinical signs when unilateral ceratohyoidectomy is performed. Therefore, if clinical signs persist after unilateral ceratohyoidectomy, a therapeutic consideration should include bilateral ceratohyoidectomy. This report suggests a favourable short‐term prognosis for a horse treated with bilateral ceratohyoidectomy.  相似文献   

15.
The current study identified 124 lateral condylar fractures of the distal metacarpus or metatarsus over a 6-year period. Thirty of 124 lateral condylar fractures were classified as displaced. Eight of 30 displaced lateral condylar fractures and 1/86 incomplete lateral condylar fractures had concurrent sagittal axial fracture of the lateral proximal sesamoid bone. A 20-degree DMPLO view is the most sensitive radiographic projection to identify sagittal axial fracture of the lateral proximal sesamoid bone. A flexed 20-degree DMPLO projection demonstrates displacement of complete sagittal axial sesamoid fractures. Radiographic identification of axial sesamoid fracture is critical to provide the most accurate prognosis for return to racing. Arthroscopic assessment of the axial sesamoid fracture and cartilage injury on the lateral proximal sesamoid bone, as well as post-operative progression, are described in four surgical cases.  相似文献   

16.
Minimally displaced, spiral, radial fractures were diagnosed in three adult horses. Two horses had open fractures and in one horse the fracture was closed. A diagnosis was made on radiographs taken 24 h, 5, and 9 days after the fracture. There was minimal displacement of the fracture fragments despite the considerable time which had elapsed between fracture and diagnosis and an unfavourable prognosis with internal fixation, so conservative therapy was the preferred method of treatment. One horse developed a sequestrum and draining sinus, which was treated surgically under general anaesthesia 3 months after diagnosis of the fracture. Other complications were minimal and transient. Two horses were being used for pleasure riding 12 months after fracture and one horse was pasture sound at 8 months.  相似文献   

17.
Minimally displaced, spiral, radial fractures were diagnosed in three adult horses. Two horses had open fractures and in one horse the fracture was closed. A diagnosis was made on radiographs taken 24 h, 5, and 9 days after the fracture. There was minimal displacement of the fracture fragments despite the considerable time which had elapsed between fracture and diagnosis and an unfavourable prognosis with internal fixation, so conservative therapy was the preferred method of treatment. One horse developed a sequestrum and draining sinus, which was treated surgically under general anaesthesia 3 months after diagnosis of the fracture. Other complications were minimal and transient. Two horses were being used for pleasure riding 12 months after fracture and one horse was pasture sound at 8 months.  相似文献   

18.
Results of plate fixation of type 1b olecranon fractures in 24 horses   总被引：1，自引：0，他引：1  
REASONS FOR PERFORMING STUDY: Previous olecranon fracture reports contain a small proportion of type 1b fractures, with only a few repaired by tension band plate fixation. OBJECTIVES: To evaluate subject details, history, clinical findings and outcome of type 1b olecranon fractures in a large group of horses treated by tension band plate fixation. METHODS: Medical records of 77 horses diagnosed with an olecranon fracture were reviewed. Twenty-four horses (31%) were classified as having type 1b olecranon fractures. Clinical details and follow-up results (4-128 months post operatively) were recorded. RESULTS: Treatment included open reduction and internal fixation using a narrow dynamic compression plate (n = 20), conservative therapy (n = 2) and euthanasia (n = 2). Long-term follow-up was available for 16 plated horses. Four were sound and in training and 9 were sound and performing athletically. Articular surface involvement, comminution, open status or removal of anconeal process fragments did not appear to affect prognosis or soundness. CONCLUSIONS: Internal plate fixation provides an excellent prognosis for an animal capable of athletic performance. POTENTIAL RELEVANCE: Describing tension band plate fixation and results offers a method of fracture repair that will improve the treatment and prognosis for type 1b olecranon fractures.  相似文献   

19.
Fifteen clinical cases of gunshot fractures were studied. A radiographic classification of the fractures was developed to aid in fracture evaluation. Type I fractures involved a simple transverse or oblique fracture with minimal soft tissue damage. Type II fractures were severely comminuted with no cortical bone defect and minimal soft tissue damage. Type III fractures were "shatter" fractures, characterized by severe comminution, cortical bone defects, and extensive soft tissue damage. Type I and Type II fractures (combined 26.7%) healed in 8 weeks or less. Eleven of the 15 cases evaluated (73.3%) were found to be Type III fractures, requiring more than 14 weeks for complete cortical healing. Osteomyelitis was associated with 3 cases of Type III tibial fractures, 2 of which developed after a second surgical intervention. Management, complications, and prognosis of gunshot fractures are discussed.  相似文献   

20.
A mixed population of 11 cattle (7 dairy, 4 beef; 9 male, 2 female) were examined because of acute onset of non-weightbearing hind limb lameness. Radiography revealed slipped capital femoral epiphyseal fracture in all cattle, with the exception of one large bull. Ten of the 11 cattle were treated with open reduction and internal fixation, using intramedullary pins. Cattle affected with slipped capital femoral epiphyseal fracture in previous reports typically have been calves that required forced extraction during dystocia. Cattle in this report were in the following 2 age groups in which trauma was the likely cause: 3 to 5 months and 1.5 to 2.3 years. Follow-up information was provided for 7 of the 10 cattle. Four of the 7 were functional and had no clinical signs of arthritis, abnormal gait, atrophy, scarring, contralateral compensation, breakdown, or other difficulty 6 months after surgical correction. If early diagnosis is achieved, it appears that reduction with intramedullary pinning can provide a good long-term prognosis in cattle when function as breeding animals is important to their future value.  相似文献   

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