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Outcome of Pelvic Fractures Identified in 75 Horses in a Referral Centre: A Retrospective Study.
Veterinary and Comparative Orthopaedics and Traumatology ( IF 1.3 ) Pub Date : 2019-07-19 , DOI: 10.1055/s-0039-1688774
Claire H Moiroud 1 , Virginie Coudry 1 , Jean-Marie Denoix 1
Affiliation  

OBJECTIVE  The aim of this study was to evaluate the reliability of fracture location and horse sporting discipline as prognostic indicators after a pelvic fracture in a referral centre caseload. MATERIALS AND METHODS  Data were collected for the short- and long-term follow-up of all cases with a diagnosis of pelvic fracture in a 7-year period. Information was obtained for 75 horses through a postal and internet survey. The proportion of horses returning to competition following fractures was compared between groups according to the competition discipline and the characteristics of the fracture. RESULTS  Forty-six of 75 horses returned to or began their intended activity. This proportion was significantly lower in the group of horses that sustained a comminuted fracture irrespective of the fracture location (11/25, p = 0.05). The proportion of Standardbred trotter racehorses returning to a sporting career after pelvic fracture (9/20) was not significantly different from horses competing in other disciplines (37/55). Cases of multiple pelvic fractures in the study population, and particularly those involving the acetabulum, had the worst sports prognosis (2/8 and 0/4). Nevertheless, two foals and one yearling (3/5) with isolated fracture of the acetabulum went on to race. CLINICAL SIGNIFICANCE  A clear characterization of the fracture is essential for prognosis, as comminuted fractures seem to entail a poorer athletic prognosis. Despite a lack of significance, prognosis seems poorer for Standardbred trotter racehorses and for cases with acetabulum involvement in multiple fractures. These results should be confirmed in larger samples.

中文翻译:

转诊中心发现的75匹马的骨盆骨折结果:回顾性研究。

目的本研究的目的是评估在转诊中心病例中骨盆骨折后骨折位置和马匹运动学科作为预后指标的可靠性。材料与方法收集数据,对7年内诊断为骨盆骨折的所有病例进行短期和长期随访。通过邮政和互联网调查获得了有关75匹马的信息。根据比赛纪律和骨折特征,比较了骨折后恢复比赛的马匹比例。结果75匹马中有46匹返回或开始了预定的活动。在发生粉碎性骨折的马组中,无论骨折位置如何,这一比例均显着较低(11/25,p = 0.05)。骨盆骨折后恢复职业生涯的标准猪蹄赛马的比例(9/20)与其他学科的马匹(37/55)没有显着差异。在研究人群中,尤其是累及髋臼的多处骨盆骨折病例的运动预后最差(2/8和0/4)。尽管如此,两只小马驹和一岁一岁(3/5)髋臼孤立性骨折仍继续比赛。临床意义明确的骨折特征对于预后至关重要,因为粉碎性骨折似乎意味着较差的运动预后。尽管缺乏意义,但对于标准猪蹄赛马和髋臼多发骨折病例,预后似乎较差。这些结果应在更大的样本中得到证实。
更新日期:2019-11-01
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