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1.
Seventy physeal fractures in horses were initially managed by euthanasia (18), stall confinement (25), application of a cast (7), or internal fixation (20). Of the 52 physeal fractures initially managed with stall confinement, a cast, or internal fixation, 23 (44%) healed and 13 (25%) of these horses became sound. The number of horses less than 4.5 months of age with pressure physeal fractures that became sound was significantly higher (p < 0.05) than the number of horses greater than 4.5 months of age. The number of horses with functional, pain-free limbs (sound horses) or functional limbs (lame horses) was not significantly different (p > 0.05) for Salter-Harris Type I, II, III, or IV pressure physeal fractures; however, critical examination for growth disturbances was not performed. The number of horses with pressure or traction physeal fractures of less than 5 days duration prior to presentation that healed or became sound was not significantly different (p > 0.05) when compared with those horses with fractures of greater than or equal to 5 days duration.  相似文献   
2.
The medical records from 95 cases of coxofemoral luxation in dogs and cats were reviewed. Unilateral craniodorsal luxation was most common, (78.1% of dogs, 72.7% of cats). Trauma from being struck by an automobile was the most frequent cause (59.0%). Treatment was closed (manual) or open (surgical) reduction. The failure rate following single closed reduction was 64.8%. The surgical reduction procedure included capsular repair (capsulorrhaphy) via a craniolateral approach to the hip or via trochanteric osteotomy or gluteal tenotomy. The success rate following reduction via the craniolateral approach was 82%; no failure was recorded with trochanteric transposition, but reluxa-tion followed the single gluteal tenotomy. The Ehmer sling was the most common external fixation and was kept in place an average of 12.5 days. Thirty-three animals were available for follow-up, and no difference was recorded in limb function between the two groups of animals treated by closed vs surgical reduction. Patients with degenerative joint disease at the time of luxation were less likely to be successfully reduced; 64.3% of these animals were eventually treated by femoral head and neck excision. Thirty-eight patients had associated major injuries. Long-term follow-up results were better in those patients with concomitant orthopedic injuries than in those without other injuries.  相似文献   
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Electrosurgical arthrotomy and excision of infra-articular soft tissue masses from the metacarpophalangeal joint was performed in 12 horses. In six of the 12 horses, osteochondral fragments from the dorsoproximal aspects of the first phalanx were also removed. The electrosurgical scalpel afforded excellent intraoperative efficacy for arthrotomy and relatively bloodless excision of soft tissue masses without the need for a tourniquet. There were no complications associated with healing in 11 of the 12 horses. A retraction technique that used careful positioning of a Langenbeck periosteal elevator relative to the collateral ligaments provided access to both medial and lateral margins of intra-articular masses. With this technique, all masses could be removed through one central arthrotomy incision.  相似文献   
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Intravenous diazepam and ketamine were used to induce anesthesia in four dogs with complete heart block while cardiac and hemodynamic measurements were made. Immediately after induction there were minor changes in the measured variables. However, 5 minutes after injection, with the dogs supine and mechanically ventilated, cardiac output was reduced 41%. An additional 20 dogs with heart block had uncomplicated induction when this drug combination was used. The combination of diazepam and ketamine appears useful for inducing anesthesia in dogs with heart lesions, although further studies must be done to establish its value in such patients.  相似文献   
7.
Six middle and distal humeral shaft fractures in dogs were repaired by the application of a bone plate along the medial shaft of the humerus. In all animals, clinical and radiographic evidence of normal bone healing was observed. The bone plate and ancillary implants were removed from five dogs by 10 months. In none of the six dogs were any untoward effects of placing the bone plate along the medial shaft of the humerus detected nor were there any difficulties encountered with the medial humeral soft tissues.  相似文献   
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Eight cases of pharyngeal mucoceles were diagnosed in 49 dogs with salivary mucoceles over a 7 year period. Five of the eight pharyngeal mucoceles were seen in Miniature Poodles. The presenting complaint in all eight dogs was labored breathing, with or without coughing upon excitement or exercise. Diagnosis was made by aspirating a thick mucoid fluid from the pharyngeal swelling. Treatment consisted of resection of the mandibular and sublingual salivary glands on the affected side and aspiration of the mucocele in all eight dogs, and resection of redundant pharyngeal tissue in five dogs. Time to follow-up ranged from 1.5 to 7.5 years. There were no postsurgical complications or recurrences of the mucocele.  相似文献   
9.
A technique using a third bar and guide clamp was developed to permit reduction and stabilization of distal limb fractures with full pins and two connecting bars, one on each side of the bone. The system uses only single Kirschner clamps. Four distal limb fractures were stabilized using this technique. Closed reduction was used in three dogs to avoid devitalization of fragments and avoid contamination of a closed fracture. The fracture site stability achieved with this configuration allowed early return to weight bearing and rapid bone healing.  相似文献   
10.
A 15-year-old Morgan mare presented with a draining tract associated with osteomyelitis and sequestration of the medullary cancellous bone of the right scapula. Moderate lameness and muscle atrophy were present. Partial resection of the lateral cortex allowed exploration and debridement of the medullary cavity of the scapula. The mare returned to soundness, the muscle mass returned, but a small discharging sinus persisted.  相似文献   
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