Clinical and radiological evaluation of metacarpal fractures in calves: A retrospective study: 72 cases

U. Aydın, Ö. Aksoy, Uğur Yıldız, İ. Özaydın, E. Kılıç, C. S. Ermutlu, Ersin Tanriverdi̇, M. Turan, Alican Yilmaz
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Abstract

Metacarpal fractures are frequently encountered in calves especially due to dystocia. In this study, it was aimed to evaluate metacarpus fractures in calves from many aspects especially the causes of the fracture, the location and classification of the fracture and to determine the most appropriate treatment option. 72 calves diagnosed with metacarpus fracture, aged between 1 and 15 days, regardless of gender and breed, were included in the study. Calves were classified according to fracture types and treatment method. In the treatment, external fixation with Steinman pins, polyvinylchloride-fiberglass plaster supported closed or windowed bandage methods were preferred. According to the radiological examination findings, it was determined that the fractures were distal diaphyseal in 40 (55%) cases, epiphyseal in 20 (27%) cases, and middle diaphyseal in 12 (18%) cases. It was learned that 46 of 51 cases with closed fractures and bandages healed without any problem, and 5 cases died due to comorbidities (calf diarrhea, aspiration pneumonia). 5 out of 7 patients which had external fixation using Steinmann pins had an recovery without complication, meanwhile 2 patients died due to infection. Full recovery was observed in 12 of 14 patients who underwent window bandage, meanwhile it was learned that 2 patients died due to secondary infection. As a result, subtantial data that will contribute to clinical practice and literature knowledge in the causes, location, classification, and treatment of metacarpal fractures, which are frequently encountered in calves and cause loss in terms of both economic and productivity, have been revealed.
72例小腿掌骨骨折的临床和影像学评价:回顾性研究
掌骨骨折常见于小腿,尤其是难产所致。本研究旨在从骨折的原因、骨折的部位和分型等多个方面对小腿掌骨骨折进行评估,并确定最合适的治疗方案。72头小牛被诊断为掌骨骨折,年龄在1至15天之间,不分性别和品种,纳入研究。根据骨折类型和治疗方法对小腿进行分类。在治疗中,首选Steinman针外固定,聚氯乙烯玻璃纤维石膏支持封闭或开窗绷带方法。根据影像学检查结果,确定骨折位于干骺端40例(55%),骺端20例(27%),干骺端12例(18%)。据了解,51例闭合性骨折经绷带包扎后46例愈合无问题,5例因合并症(小牛腹泻、吸入性肺炎)死亡。Steinmann针外固定7例患者中5例恢复无并发症,2例因感染死亡。14例患者中12例完全恢复,2例因继发感染死亡。因此,大量的数据将有助于临床实践和文献知识掌骨骨折的原因,位置,分类和治疗,这是在小腿经常遇到的,造成经济和生产力方面的损失,已经揭示。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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12 weeks
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