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Elbow Arthrodesis Using a Medially Positioned Plate in 6 Dogs.
Veterinary and Comparative Orthopaedics and Traumatology ( IF 1.0 ) Pub Date : 2019-08-30 , DOI: 10.1055/s-0039-1694783
Jessica McCarthy 1 , Eithne J Comerford 2 , John F Innes 3 , Rob A Pettitt 2
Affiliation  

OBJECTIVE  The aim of this study was to report the surgical technique, associated complications and clinical outcome of elbow arthrodesis using a medially positioned plate. STUDY DESIGN  This was a retrospective case series. RESULTS  Six cases met the inclusion criteria. In all cases, the elbow was approached medially without the requirement for ulnar osteotomy. A non-locking 2.7/3.5- mm pre-contoured elbow arthrodesis plate was applied in 5/6 cases and a 2.0-mm String of Pearls plate applied in one case. The mean angle of arthrodesis was 118° (range: 113-130°). One major intraoperative complication occurred. Three minor and 3 major postoperative complications occurred. Postoperative imaging was available for 5/6 cases. Complete arthrodesis was confirmed by imaging in 4/5 cases, partial progression of arthrodesis was documented in 1/5 cases and no further images were deemed necessary. Postoperative Liverpool Osteoarthritis in Dogs score was available for two cases with scores of 20/52 and 10/52, respectively. Subjective outcomes in the remaining three cases were rated as acceptable more than 1 year postoperatively. CONCLUSION  Positioning the plate medially for elbow arthrodesis simplified the surgical approach, could be performed with a pre-contoured plate and allowed successful revision of an arthrodesis previously stabilized with a caudally positioned plate. The cases in this series had acceptable outcomes despite a high risk of complications.

中文翻译:

在6只狗中使用医疗定位板进行肘关节固定术。

目的本研究的目的是报告使用内侧定位板的肘关节固定术的手术技术,相关并发症和临床结果。研究设计这是一个回顾性案例系列。结果6例符合纳入标准。在所有情况下,都无需进行尺骨截骨就可以向内接近肘部。5/6例使用非锁定的2.7 / 3.5-mm轮廓弯曲肘关节固定板,一例使用2.0-mm的珍珠串板。关节固定的平均角度为118°(范围:113-130°)。发生了一项主要的术中并发症。发生了3例轻微和3例严重的术后并发症。术后影像学可用于5/6例。通过影像学检查证实完全关节固定4/5例,在1/5例中记录了关节固定术的部分进展,认为没有必要进一步影像。犬的术后利物浦骨关节炎评分为2分,分别为20/52和10/52。其余3例患者的主观结果在术后1年以上被评为可接受。结论将肘板固定在内侧可简化手术方法,可使用预先成形的钢板进行手术,并能成功翻修先前用尾椎固定的钢板稳定的固定术。尽管发生并发症的风险很高,但该系列病例的预后仍可接受。其余3例患者的主观结果在术后1年以上被评为可接受。结论将肘板固定在内侧可简化手术方法,可使用预先成形的钢板进行手术,并能成功翻修先前用尾椎固定的钢板固定的固定术。尽管发生并发症的风险很高,但该系列病例的预后仍可接受。其余3例患者的主观结果在术后1年以上被评为可接受。结论将肘板固定在内侧可简化手术方法,可使用预先成形的钢板进行手术,并能成功翻修先前用尾椎固定的钢板稳定的固定术。尽管发生并发症的风险很高,但该系列病例的预后仍可接受。
更新日期:2019-11-01
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