使用正交钢板稳定腕关节的狗的疗效、并发症和随访。

IF 1.5 4区 农林科学 Q2 VETERINARY SCIENCES Journal of the American Animal Hospital Association Pub Date : 2024-11-01 DOI:10.5326/JAAHA-MS-7421
Alba Rial García, Charlie Brincin, Andrew Craig
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引用次数: 0

摘要

对21只狗进行了腕骨关节置换术,使用的是正交(颅骨/背骨和内侧)钢板,术后未使用硬质外固定。通过对病例记录和 X 光片进行回顾性审查,对短期和长期疗效、关节置换术进展和并发症进行了评估。21只狗中有3只(14.2%)需要进行翻修手术:2只需要将植入物全部取出,1只需要将螺钉取出。其他并发症都得到了成功的药物治疗。21 条狗中有 1 条(4.8%)证实手术部位深部感染,需要移除植入物,21 条狗中有 4 条(19%)怀疑手术部位表皮感染(微生物学未证实),通过药物治疗后感染得到缓解。通过犬主问卷(犬简易疼痛量表)评估长期疗效,9 只犬在术后平均 26.78 个月时进行了评估。第一部分(疼痛评估)的平均得分为 7.83/40,属于无痛至轻微疼痛。第二部分(功能评估)的平均得分为 12.67/60,属于非常好。最后一部分(总体印象)有四只狗(44.44%)被评为 "优秀",一只狗(11.11%)被评为 "非常好",另外四只狗(44.44%)被评为 "良好"。这项回顾性研究记录了一种适用于腕骨损伤犬的腕骨关节置换术技术。
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Outcome, Complications, and Follow-Up in Dogs Treated with Pancarpal Arthrodesis Stabilized with Orthogonal Plates.

Pancarpal arthrodesis was performed in 21 dogs, using orthogonal (cranial/dorsal and medial) plates without postoperative rigid external coaptation. Short-term and long-term outcomes, arthrodesis progression, and complications were assessed using a retrospective review of case records and radiographs. Three of 21 (14.2%) dogs required a revision surgery: 2 had total implant explantation and 1 had a screw removed. Other complications were managed successfully medically. One of 21 (4.8%) dogs had confirmed deep surgical site infection requiring implant removal, and 4 of 21 (19%) had suspected (not confirmed on microbiology) superficial surgical site infections that resolved with medical management. Long-term outcomes were assessed via owner questionnaire (Canine Brief Pain Inventory) and were available for nine dogs at a mean of 26.78 mo after surgery. The mean score for the first part (assessment of pain) was 7.83/40, which is classified as no pain to mild pain. The mean score for the second part (assessment of function) was 12.67/60, which is classified as very good. The last part (overall impression) was defined as excellent in four dogs (44.44%), very good in one dog (11.11%), and good in the other four dogs (44.44%). This retrospective study documents a suitable technique for pancarpal arthrodesis in dogs with carpal injuries.

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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
57
审稿时长
18-36 weeks
期刊介绍: The purpose of the JAAHA is to publish relevant, original, timely scientific and technical information pertaining to the practice of small animal medicine and surgery.
期刊最新文献
2022 AAHA Canine Vaccination Guidelines (2024 Update). 2024 AAHA Community Care Guidelines for Small Animal Practice. Long-term Outcome of a Chihuahua With Idiopathic Syndrome of Inappropriate Antidiuretic Hormone Secretion. Outcome, Complications, and Follow-Up in Dogs Treated with Pancarpal Arthrodesis Stabilized with Orthogonal Plates. Successful Management of Incompletely Resected Transitional Cell Carcinoma with Sorafenib Tosylate in a Dog.
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