Leczenie złamań kości promieniowej i kości łokciowej u psów rasowych przy użyciu okólnego zewnętrznego mocowania szkieletowego – badanie retrospektywne
Discussion
This retrospective clinical study evaluated the use of the CESF technique as treatment of distal radial and ulnar fractures in toy and small breed dogs. Different techniques for treatment of distal radial and ulnar fractures in toy and small breed dogs have been reported, with varying union and complication rates (8, 13, 14, 18-20, 22, 30, 45, 46). Bone healing rates of 89% to 100% were reported for bone plates, 93% for external skeletal fixation, 50% for intramedullary pins, and 43% for external coaptation (8, 13, 14, 18, 19, 20, 22, 45, 46). In our study, union was achieved in all fractures, validating the applicability and effectiveness of CESF for the treatment of distal radial and ulnar fractures in toy and small breed dogs. Bone plating and intramedullary pinning require open reduction of the fracture, therefore increasing the damage to soft tissues and blood supply. Closed reduction preserves the local blood supply and minimizes iatrogenic soft tissue damage. The CESF frames are compression-distraction systems that facilitate indirect closed reduction. If the fracture reduction, as obtained by manual distraction of the distal ring, is not satisfactory, an arched wire or olive wire can be employed to improve it, allowing distal fragment translation with minimal damage to bone and soft tissues (10). The use of external skeletal fixation has proved to be successful in the treatment of these fractures, as has the modified technique of using transfixation pins and acrylic [...]
którzy są subskrybentami naszego portalu.
i ciesz się dostępem do bazy merytorycznej wiedzy!
POSTĘPOWANIA
w weterynarii




