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Medial Bone Plating for Management of Type V Central Tarsal Bone Fractures in Six Dogs
Veterinary and Comparative Orthopaedics and Traumatology ( IF 1.3 ) Pub Date : 2020-10-31 , DOI: 10.1055/s-0040-1716502
Tim G Easter 1 , Jonathan J Pink 1 , Bill Oxley 2 , Alexis Bilmont 1
Affiliation  

Objective The aim of this study was to report the surgical technique and outcomes of dogs with type V central tarsal bone (CTB) fractures stabilized with a bone plate applied to the medial aspect of the tarsus and metatarsus.

Study Design This study was a retrospective review of dogs with type V CTB fractures diagnosed with computed tomography and stabilized using a medial bone plate. Follow-up included clinical examination and radiography 8 to 10 weeks postoperatively and/or a long-term owner questionnaire.

Results Six dogs were identified. All fractures occurred during exercise without external trauma and all dogs had additional tarsal fractures. Five dogs returned for clinical follow-up; all had no or mild lameness and evidence of fracture healing on radiography. A suspected surgical site infection occurred in one dog and resolved with medical management. Suspected contact between the plate and medial malleolus in one dog, and loosening of a talar screw in another, were identified, though not treated. Five owners completed the questionnaire, a median of 88 months postoperatively. No further complications were reported, limb function was reportedly acceptable, and all owners were very satisfied with the surgery.

Conclusion Medial bone plate stabilization of highly comminuted CTB fractures resulted in evidence of fracture healing, and a low incidence of complications in six non-racing dogs.



中文翻译:

内侧骨板治疗 6 只犬 V 型中央跗骨骨折

目的 本研究的目的是报告使用骨板固定在跗骨和跖骨内侧的 V 型中央跗骨 (CTB) 骨折犬的手术技术和结果。

研究设计 本研究是对通过计算机断层扫描诊断出并使用内侧接骨板进行稳定的 V 型 CTB 骨折的狗进行的回顾性审查。随访包括术后 8 至 10 周的临床检查和放射学检查和/或长期主人问卷调查。

结果 鉴定出6只狗。所有骨折均发生在运动期间,无外伤,所有狗都有额外的跗骨骨折。五只狗返回进行临床随访;所有患者均无或轻度跛行,且 X 线摄影有骨折愈合迹象。一只狗发生疑似手术部位感染,并通过医疗管理解决。一只狗的骨板和内踝之间疑似接触,另一只狗的距骨螺钉松动,虽然没有得到治疗,但已被确定。五位业主完成了问卷,术后中位数为 88 个月。没有进一步的并发症报告,据报告肢体功能可以接受,所有业主对手术都非常满意。

结论 高度粉碎 CTB 骨折的内侧骨板固定导致骨折愈合的证据,并且六只非赛犬的并发症发生率较低。

更新日期:2020-11-02
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