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2016 | 72 | 03 |

Tytuł artykułu

Stabilizator zewnętrzny własnej konstrukcji do leczenia złamań trzonu kości śródręcza III u koni

Warianty tytułu

EN
Own-design external fixator for the treatment of diaphyseal fractures of the third metacarpal bone in horses

Języki publikacji

PL

Abstrakty

EN
The most popular method of repairing diaphyseal fractures of the third metacarpal bone is the use of two plates attached directly to the bone. However, the closing of tissue over the plates may be difficult. Moreover, many such fractures are open and therefore contaminated and infected. In such situations, plates cannot be applied. The use of implants fixed in the bone with polymer-coated dressing (cast transfixation) is promising, but the stabilization of bone fragments is insufficient, which can lead to the loosening of the connection between the implant and the dressing. The use of external fixators in the treatment of bone fractures, although quite common in human medicine, is still very rare in horses, No solution for diaphyseal fractures of the third metacarpal bone is currently available on the veterinary market. One possible option might be the use of an external fixator developed by the authors of the present study. The main part of the fixator consists of three metal rods with a diameter of 8 mm and a length of 23 cm, parallel to each other and placed along the long axis of the bone. In the proximal and distal parts of the device, the rods are connected by crescent-shaped plates. On these three metal rods, arms with implant connectors are mounted, attaching the fixator to the bone. It is attached to the third metacarpal bone by 6-8 self-tapping Apex pins with a diameter of 6 mm. The device was designed to meet the following requirements: ease of application and removal, small tissue trauma associated with these operations, adjustable flexibility of fixation and possible correction during treatment, low weight, easy access to the operated area and the possibility of treating an existing wound, good stabilization of bone fragments, and suitability for different types of fractures. The new fixator fully satisfies all these requirements The fixation achieved by means of the device has successfully passed strength tests, and this solution is planned to be implemented in the treatment of selected fractures in horses, especially transverse diaphyseal fractures of the third metacarpal bone.

Wydawca

-

Rocznik

Tom

72

Numer

03

Opis fizyczny

s.197-202,fot.,bibliogr.

Twórcy

autor
  • Katedra Chorób Dużych Zwierząt z Kliniką, Wydział Medycyny Weterynaryjnej, Szkoła Główna Gospodarstwa Wiejskiego w Warszawie, ul.Nowoursynowska 166, 02-787 Warszawa
autor
  • Wydział Mechatroniki, Politechnika Warszawska, ul.Św. Andrzeja Boboli 8, 02-525 Warszawa
  • Katedra Chorób Dużych Zwierząt z Kliniką, Wydział Medycyny Weterynaryjnej, Szkoła Główna Gospodarstwa Wiejskiego w Warszawie, ul.Nowoursynowska 166, 02-787 Warszawa

Bibliografia

  • Aithal H. P., Kinjavdekar P., Amarpal, Pawde A. M., Singh G. R., Setia H. Ch.: Management of tibial fractures using a circular external fixator in two calves. Vet. Surg. 2010, 39, 621-626.
  • Aithal H. P., Singh G. R., Hogue M., Maiti S. K., Kinjavdekar P., Pawde A. M., Setia H. C. Amarpal: The use of a circular external skeletal fixation device for management of long bone osteotomies in large ruminants: an experimental study. J. Vet. Med. A. Physiol. Pathol. Clin. Med. 2004, 51, 284-293.
  • Auer J. A.: Principles of fracture treatment, [w:] Auer J. A., Stick J. A. (red.): Equine Surgery. Saunders Elsevier, St. Louis 2006, s. 1000-1029.
  • Bilgili H., Kurum B., Captug O.: Use of a circular external skeletal fixator to treat comminuted metacarpal and tibial fractures in six calves. Vet. Rec. 2008, 163, 683-687.
  • Bischofberger A. S., Furst A., Auer J., Lischer C.: Surgical management of complete diaphyseal third metacarpal and metatarsal bone fractures: clinical outcome in 10 mature horses and 11 foals. Equine Vet. J. 2009, 9, 465-473.
  • Cervantez C., Madison J. B., Miller G. J., Casar R. S.: An in vitro biomechanical study of a multiplanar circular external fixator applied to equine third metacarpal bones. Vet. Surg. 1996, 25, 1-5.
  • Fitch G. L., Galuppo L. D., Stover S. M., Willits N. H.: An in vitro biomechanical investigation of an intramedullary nailing technique for repair of third metacarpal and metatarsal fractures in neonates and foals. Vet. Surg. 2001, 30, 422-431.
  • Galuppo L. D., Stover S. M., Aldridge A., Hewes C., Tylor K. T.: An in vitro biomechanical investigation of an MP35N intramedullary interlocking nail system for repair of third metacarpal fractures in adult horses. Vet. Surg. 2002, 31, 211-225.
  • Godoy R. F. De, Filgueiras R. R., Gontijo L. A., Ximenes F. H., De Gouvea L. V., Pereira C. S., Almeida R. M., Leite C. R., Neto A. R., Borges J. R.: Treatment of a Periarticular Tibial Fracture in a Foal with a Hybrid External Fixator. Vet. Surg. 2009, 38, 650-653.
  • Herthel D. J.: Aplication of the interlockoing intramedullary nail, [w:] Nixon A. J. (red.): Equine Fracture Repair. W. B. Saunders, Philadelphia 1996, s. 371-376.
  • Joyce J., Baxter G. M., Sarrafian T. L., Stashak T. S., Trotter G., Frisbie D.: Use of transfixation pin casts to treat adult horses with comminuted phalangeal fractures: 20 cases (1993-2003). J. Am. Vet. Med. Assoc. 2006, 229, 725-730.
  • Leskun T. B., McClure S. R., Ward M. P., Downs C., Wilson D. A., Adams S. B., Hawkins J. F., Reinertson E. L.: Evaluation of transfixation casting for treatment of third metacarpal, third metatarsal, and phalangeal fractures in horses: 37 cases (1994-2004). J. Am. Vet. Med. Assoc. 2007, 230, 1340-1349.
  • McClure S. R., Watkins J. P., Ashman R. B.: In vitro comparison of the effect of parallel and divergent transfixation pins on breaking strength of equine third metacarpal bones. Am. J. Vet. Res. 1994 a, 55, 1327-1330.
  • McClure S. R., Watkins J. P., Bronson D. G., Ashman R. B.: In vitro comparison of the standard short limb cast and three configurations of short limb transfixation casts in equine forelimbs. Am. J. Vet. Res. 1994 b, 55, 1331-1334.
  • McClure S. R., Watkins J. P., Glickman N. W., Hawkins J. F., Glickman L. T.: Complete fractures of the third metacarpal or metatarsal bone in horses: 25 cases (1980-1986). J. Am. Vet. Med. Assoc. 1998, 213, 847-850.
  • McDuffee L., Stover S., Taylor K., Les C.: An in vitro biomechanical investigation of an interlocking nail for fixation of diaphyseal tibial fractures in adult horses. Vet. Surg. 1994, 23, 219-230.
  • Nunamaker D. M., Nash R. A.: A tapered-sleeve transcortical pin external skeletal fixation device for use in horses: development, application, and experience. Vet. Surg. 2008, 37, 725-732. 1986, 15, 345-355.
  • Nemeth F., Back W.: The use of the walking cast to repair fractures in horses and ponies. Equine Vet. J. 1991, 23, 32-36.
  • Ramotowski W., Granowski R., Bielawski J.: Osteosynteza metodą Zespol. Teoria i praktyka kliniczna., PZWL, Warszawa 1988, s. 9-15.
  • Richardson D. M.: External skeletal fixation in horses. Mat. 76. AO kursu Davos 2002, s. 29-30.
  • Richardson D. M.: The metacarpal and metatarsal bones, [w:] Auer J. A., Stick J. A. (red.): Equine Surgery Saunders Elsevier, St. Louis 2006, s. 1238-1253.
  • Sullins K. E., McIlwraith C. W.: Evaluation of 2 Types of External Skeletal Fixation for Repair of Experimental Tibial Fractures in Foals. Vet. Surg. 1987, 16, 255-264.
  • Watkins J. P.: Transfixation casting: Indications and techniques. Mat. 76. AO kursu, Davos, Szwajcaria 2002, s. 27-28.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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