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1.
J Am Vet Med Assoc ; 229(5): 725-30, 2006 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-16948586

RESUMO

OBJECTIVE: To determine the clinical applications, short and long-term survival, and complications of using transfixation pin casts for treatment of comminuted phalangeal fractures in adult horses. DESIGN: Retrospective case series. ANIMALS: 20 horses. PROCEDURES: Medical records were reviewed to obtain information regarding signalment, fracture location, treatment methods, complications, and short-term survival (discharge from hospital). Long-term follow-up information was obtained via contact with owners or trainers. RESULTS: 12 fractures were in a hind limb, and 8 were in a forelimb. Fourteen fractures occurred in a middle phalanx, and 6 occurred in a proximal phalanx. Eleven fractures were treated with internal fixation combined with transfixation pin casts, and 9 fractures were treated with transfixation pin casts alone. Transfixation pin casts were maintained for a mean of 52 days (median, 49 days; range, 1 to 131 days). Fourteen (70%) horses were discharged from the hospital, whereas 6 (30%) were euthanized during the treatment period. Reasons for euthanasia included secondary fracture of the third metacarpal or metatarsal bone, avascularity of the distal aspect of the limb associated with an open fracture, and displacement of the fracture after transfixation pin cast removal. A significantly greater number of horses was discharged from the hospital when the transfixation pin cast was maintained for > 40 days, compared with those in which the transfixation pin cast was maintained for < 40 days. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that horses should be maintained in a transfixation pin cast for a minimum of 40 days, as this was associated with an increase in short-term survival without an increased risk of catastrophic failure.


Assuntos
Moldes Cirúrgicos/veterinária , Fixação Interna de Fraturas/veterinária , Fraturas Cominutivas/veterinária , Cavalos/lesões , Dedos do Pé/lesões , Animais , Feminino , Membro Anterior/lesões , Membro Anterior/cirurgia , Fixação Interna de Fraturas/instrumentação , Fixação Interna de Fraturas/métodos , Fraturas Cominutivas/cirurgia , Membro Posterior/lesões , Membro Posterior/cirurgia , Cavalos/cirurgia , Masculino , Estudos Retrospectivos , Taxa de Sobrevida , Dedos do Pé/cirurgia , Resultado do Tratamento
2.
J Am Vet Med Assoc ; 223(12): 1800-5, 2003 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-14690210

RESUMO

OBJECTIVE: To assess the long-term clinical outcome of horses with distal tarsal osteoarthritis (OA) in which a 3-drill-tract technique was used to induce arthrodesis of the affected joints, identify any preoperative or operative factors associated with outcome, and describe any complications associated with the technique. DESIGN: Retrospective study. ANIMALS: 54 horses. PROCEDURE: Medical records were reviewed for information on signalment, use, history, physical and lameness examination findings, surgical technique, and postoperative care. Radiographs were examined, and severity of OA was graded. Follow-up information was obtained through telephone interviews with owners at least 13 months after the procedure. RESULTS: 32 (59%) horses had a successful outcome, 6 (11%) improved but were not sound after surgery, and 16 (30%) did not improve following surgery. Outcome was negatively associated with the previous use of intra-articular injections. Few postoperative complications were evident. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that distal tarsal OA in horses can be successfully treated by means of distal tarsal arthrodesis with a 3-drill-tract technique. Horses with advanced distal tarsal OA are likely to have poorer outcomes, and the procedure will likely be of minimal benefit in horses with concomitant causes of hind limb lameness prior to surgery and in horses with preexisting proximal intertarsal joint disease.


Assuntos
Artrodese/veterinária , Doenças dos Cavalos/cirurgia , Osteoartrite/veterinária , Articulações Tarsianas/cirurgia , Animais , Artrodese/métodos , Feminino , Seguimentos , Cavalos , Coxeadura Animal/cirurgia , Masculino , Osteoartrite/cirurgia , Estudos Retrospectivos , Resultado do Tratamento
3.
Buenos Aires; Inter-Médica; . xiv, 236 p. ilus. (79953).
Monografia em Espanhol | BINACIS | ID: bin-79953
4.
Buenos Aires; Inter-Médica; . xiv, 236 p. ilus.
Monografia em Espanhol | LILACS-Express | BINACIS | ID: biblio-1202964
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