用于稳定山羊股骨骨折的克氏针和改良铬钒长螺钉的血液生化反应

Ahmad Salisu, Abubakar Adamu Abdul, Buhari Salisu, A. Salisu, Yakubu Abubakar Sadiq, Peter Charles
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引用次数: 0

摘要

用于治疗各种骨折内固定的不锈钢骨科植入物非常昂贵,因此在食用动物中使用这些植入物相对不划算。因此,有必要开发一种更便宜的简易植入物,供食用动物用于处理需要切开复位和内固定的复杂骨折。本研究的目的是评估使用传统(Kirschner 针)和简易铬钒涂层长套管对山羊稳定股骨骨折进行复位后的血液学和生化变化。本研究使用了 12 只明显健康的红色索科托公山羊,随机分为两组,每组 6 只(n=6)。两组均使用矫形钢丝造成股骨二骺横向骨折。A 组使用尺寸为 4.0x125 mm 2、单套管、无螺纹的传统克氏针固定骨折,B 组使用尺寸为 2.3 mm 的简易试验铬钒(长螺钉)固定骨折。骨折诱导前在基线处采集血样作为对照。在术后 0 周(术后即刻)以及术后 2、4、6、8、10 和 12 周进行血液和生化评估。评估的指标包括包装细胞容积(PCV%)、血红蛋白浓度(Hb)、红细胞计数(RBCs)、白细胞计数(WBCs)和白细胞差异计数(中性粒细胞、淋巴细胞和单核细胞)。此外,还检测了血清碱性磷酸酶(ALP)、丙氨酸氨基转移酶(ALT)和天门冬氨酸氨基转移酶(AST)的活性。此外,还评估了血清钙、磷和肌酐水平。两组患者的 PCV、血红蛋白、红细胞、白细胞和中性粒细胞无明显差异,均在正常范围内。然而,淋巴细胞和单核细胞在第 2 周和第 6 周分别有显著差异(p<0.05)。生化指标显示,在术后的一些间隔期,血清谷丙转氨酶(第 0、2、4 周)、谷草转氨酶(第 6 周)、肌酐(第 10 和 12 周)和血钙(第 2 周)均有明显变化(p<0.05)。不过,血清谷草转氨酶和磷没有变化,均在正常范围内。简易铬钒(长螺钉)可安全地用于山羊稳定型股骨骨折的治疗,在十二周内不会对血液生化指标产生明显的不良变化。
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Haemato-biochemical Response to Kirschner Pin and Improvised Chrome Vanadium Long Screw Used for the Stabilization of Femoral Fracture in Goats
The stainless-steel orthopaedic implants used for the management of various types of fracture internal fixations are very expensive; this makes their utilization in food animals relatively noneconomical. There is a need to have an improvised implant that is cheaper and available for use in food animals to manage complicated fractures requiring open reduction and internal fixation. The objective of this study is to evaluate the haematological and biochemical changes following the reduction of stable femoral fractures in goats using conventional (Kirschner pin) and improvised chrome vanadium-coated long crews. Twelve apparently healthy Red Sokoto bucks were randomly divided into two groups of six (n=6) were used for this study. A transverse femoral diaphyseal fracture was created using orthopaedic wire in both groups. In group A, a conventional Kirschner pin size 4.0x125 mm 2 , single trocar, non-threaded, was used to immobilize the fracture, while in group B, an improvised test chrome vanadium (long screw) size 2.3 mm was used for the fracture immobilizations. Blood samples were collected before fracture induction at the base line, serving as a control. The haematological and biochemical assessments were performed at 0 weeks (immediate postoperative) and subsequently at 2, 4, 6, 8, 10 and 12 weeks postoperatively. Packed cell volume (PCV%), haemoglobin concentration (Hb), red blood cell count (RBCs), white blood cell count (WBCs) and differential leukocytic count (neutrophils, lymphocytes and monocytes) were evaluated. Also, serum activity of alkaline phosphatase (ALP), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) was detected. Besides, serum calcium, phosphorous and creatinine levels were evaluated. There were no significant differences between the two groups in PCV, haemoglobin, RBCs, WBCs and neutrophils, and the values were within the normal range. However, lymphocytes and monocytes were significantly (p<0.05) different at weeks 2 and 6, respectively. Biochemical parameters revealed significant (p<0.05) changes in serum ALT (weeks 0, 2, 4), ALP (week 6), creatinine (weeks 10 and 12), and calcium (week 2) at some postoperative intervals. However, no variations were observed in serum AST and phosphorous, which were within the normal range. The improvised chrome vanadium (Long screw) can be used safely in goats for the management of stable femoral fractures without significant adverse changes to hemato-biochemical profiles within twelve weeks.
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