股骨髁上钢板(J型钢板/曲棍球棒钢板)修复猫股骨髁上骨折的临床研究

K. JaganMohanReddy
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摘要

本研究旨在评估股骨髁上钢板修复猫股骨髁上骨折的临床疗效。在临床病例中,1%的猫病例对应于骨折,其中25%对应于股骨髁上骨折。本研究对6只年龄在4-11个月之间的猫进行了研究,其中5只母猫和1只公猫被送到海德拉巴兽医学院兽医外科和放射学系,主要症状是从高处坠落。通过临床表现、骨科检查及影像学检查对6例骨折进行诊断。在接受治疗的猫中观察到的症状是操作时疼痛,创伤后立即出现异常角度和跛行,肿胀,不承重,肢体悬垂和骨折部位的震颤。术前x线平片,即颅尾片和中侧位片显示所有猫的髁上骨折。这些骨折用2.0 mm股骨髁上钢板固定,1个在右股骨,5个在左股骨。在整个治疗期间,所有猫均获得了良好的种植体稳定性,无任何并发症。在本研究的所有6只猫中,术后第一天均出现部分负重。所有猫在休息时的负重正常,从术后第2天开始,患肢行走时的负重正常。所有猫在术后第15天达到完全负重。术后第30天的x线片显示,所有6只猫的骨折位置正确,骨折间隙减小,出现渐进式桥接骨痂,放射密度足够,第60天显示完整的皮质髓腔连续性和竞争性骨形成,无任何并发症,愈合迅速。根据目前的研究,我们认为股骨髁上钢板治疗猫股骨髁上骨折是成功的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical study on the use of supracondylar femur plate (J plate/ hockey stick plate) for repair of supracondylar femur fractures in cats
The current study was undertaken to evaluate the clinical efficacy of Supracondylar femur plate for repair of supracondylar femur fractures in cats. Out of the clinical cases presented, 1% of cases in cats correspond to fractures, in which 25% correspond to supracondylar femur fractures. This study was conducted on six cats with age ranging from 4-11months, in 5 female and 1 male cat presented to the Department of Veterinary Surgery and Radiology at the College of Veterinary Science, Hyderabad with the chief complaint of falling from an height. These six cases of fractures were diagnosed by clinical signs, orthopaedic examination and survey radiography. The symptoms observed in the cats presented for treatment were pain on manipulation, abnormal angulation and lameness immediately after trauma, swelling, non-weight bearing, dangling of the limb and crepitation at the fracture site. Pre-operative radiographic examination in plain orthogonal views, i.e., cranio-caudal and medio-lateral radiographs revealed supracondylar fractures in all cats. These fractures were stabilized with 2.0 mm supracondylar femur plate 1 in right femur and 5 in left femur. Good implant stability throughout the treatment period without any complications was achieved all cats. In all six cats in the present study showed partial weight bearing on the 1st post- operative day. All cats showed normal weight bearing at rest, the weight bearing of the affected limb while walking from 2nd Post-operative day. All cats achieved complete weight bearing by 15th post-operative day. i.e. from Grade V to Grade I. The radiographs obtained on 30th day Post-operative day revealed proper apposition, decreased fracture gap, appearance of progressive bridging callus with adequate radio-density in all 6 cats, and on 60th day revealed continuity of complete corticomedullary cavity and compete bone formation without any complications with fast healing. Based on present study, it was concluded that supracondylar femur plate was successful in the treatment of supracondylar femur fractures in cats.
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