[6周龄犊牛保守治疗或骨合成后掌骨斜截骨术后骨愈合]。

Chirurgie pediatrique Pub Date : 1989-01-01
O E Illi, J Briner, U G Stauffer, S Produit
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引用次数: 0

摘要

采用AO型刚性骨合成治疗的婴儿骨愈合主要表现为明显的骨膜和骨膜内骨痂形成。成人很少见骨痂形成,骨愈合主要依靠Havarian通道的直接传导。骨膜骨痂的形成甚至被认为是成人不稳定的标志。我们对48只6周龄的小牛进行了 2:1的右掌骨截骨术。治疗包括复位和石膏(6),用AO型金属螺钉(6)或聚乳酸可生物降解螺钉(36)进行骨固定。术后1-6周处死动物,根据骨学和创伤学文献中最常见的标准,以比较的方式进行组织学研究。即使采用保守治疗或术后前两周出现进行性脱位,小腿骨愈合也需要约4-6周。骨膜和骨膜内骨痂形成在每个病例中都可见,即使在金属或可生物降解螺钉的碎片间压迫后也是如此。生物可降解螺钉的所有结果至少与金属螺钉一样好,至少在生长的骨骼中是这样。施加于碎片间压缩的力不能导致初生牛犊骨骼的初级骨愈合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Bone healing after oblique osteotomy of the metacarpus in 6-week-old calves after conservative treatment or osteosynthesis].

Bone healing in infants treated by a rigid osteosynthesis of AO type showed mostly a marked periosteal and endosteal callus formation. In adults a callus formation is seldom seen and primary bone healing is mainly based on direct conduction of Havarian channels. Periosteal callus formation is even judged as a sign of instability in adults. We did à 2:1 osteotomy of the right metacarpal bone in 48 calves of 6 weeks of age. The treatment consisted in reposition and a plaster (6) in osteosynthesis with a metal screw of AO type (6) or a biodegradable screw of polylactid (36). The animals were sacrified 1-6 weeks postoperatively and a histological study was done in a comparative way based on the most common criteria in the literature of osteology and traumatology. In calves bones healing takes about 4-6 weeks even if the treatment is conservative or if there is a progressive dislocation in the first two postoperative weeks. A periosteal and endosteal callus formation is seen in every instance, even after interfragmentary compression by metal or biodegradable screws. All the results of biodegradable screws are at least as good as with metallic screws, at least in the growing skeleton. The force applied for interfragmentary compression does not lead to primary bone healing in the growing skeleton of young calvess.

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