Treatment of 30 Angular Limb Deformities of the Antebrachium and the Crus in the Dog Using Circular External Fixators

G. L. Rovesti, G. Schwarz, P. Bogoni
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引用次数: 9

Abstract

Objective: To evaluate frame constructs, surgical technique, postoperative care, complications, treatment duration, and outcome of circular external fixation (CEF) for treatment of 30 antebrachial and crural angular deformities in dogs. Study Design : Retrospective study. Sample Population: Twenty-seven dogs with limb deformities. Methods: Medical records of dogs that underwent surgery with CEF for angular deformities were examined for kind of deformity, frame configuration, surgical technique, treatment duration, complications and outcome. Results: Thirty angular deformities in twenty-seven dogs were corrected using CEF. The mean time of external fixation was 72 days (median ± SD, 65 ± 27 days). Minor and/or major complications were recorded in 26 out of 30 cases. Functional and cosmetic outcomes were considered excellent in 14 cases (46.2%), good in 14 cases (46.2%), and fair in two cases (6.6%). Radiographic outcomes were considered excellent in 14 cases (46.2%), good in 15 cases (49.5%), and fair in one case (3.3%). Conclusion: Although complications were present in 26 out 30 cases, the functional and radiographic outcomes of circular external fixation was considered excellent or good in 92% of cases treated for limb deformities. Clinical Relevance: CEF is an effective treatment modality for antebrachial and crural angular deformities and bone lengthening in dogs. Progressive correction is required for severe angular deformities and lengthening, thus reducing the risk of vascular and/or neurological damage to soft tissues. Complications are frequent, but can be successfully managed in most instances.
圆形外固定架治疗犬前脚角状肢体畸形30例
目的:评价环形外固定架(CEF)治疗30例犬前臂和脚角畸形的框架结构、手术技术、术后护理、并发症、治疗时间和疗效。研究设计:回顾性研究。样本人群:27只肢体畸形的狗。方法:回顾性分析应用CEF治疗犬角畸形的病历资料,包括畸形种类、框架结构、手术方法、治疗时间、并发症及转归。结果:27只犬的30个角形畸形均采用CEF矫正。外固定时间平均72天(中位数±标准差,65±27天)。30例中有26例出现轻微和/或严重并发症。14例(46.2%)认为功能和美容结果非常好,14例(46.2%)认为良好,2例(6.6%)认为一般。影像学结果为优14例(46.2%),良15例(49.5%),一般1例(3.3%)。结论:30例肢体畸形患者中有26例出现并发症,92%的患者认为环形外固定架的功能和影像学结果优良或良好。临床意义:CEF是治疗犬前臂和脚角畸形和骨延长的有效方法。严重的角度畸形和延长需要渐进式矫正,从而降低血管和/或神经损伤软组织的风险。并发症是常见的,但在大多数情况下可以成功地管理。
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