한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제29권1호
  • /
  • Pages.8-11
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  • 2012
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

골반 골절의 수술적 교정을 실시한 31두 개에서의 후향연구

Retrospective Study on Surgical Repair of 31 Canine Pelvic Fracture Cases

  • 이승훈 (서울대학교 수의과대학 수의외과학교실) ;
  • 박성수 (서울대학교 수의과대학 수의외과학교실) ;
  • 강병재 (서울대학교 수의과대학 수의외과학교실) ;
  • 김용선 (서울대학교 수의과대학 수의외과학교실) ;
  • 김완희 (서울대학교 수의과대학 수의외과학교실) ;
  • 권오경 (서울대학교 수의과대학 수의외과학교실)
  • Lee, Seung-Hoon (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Park, Sung-Su (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kang, Byung-Jae (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Yong-Sun (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Wan-Hee (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kweon, Oh-Kyeong (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University)
  • 심사 : 2012.02.09
  • 발행 : 2012.02.29
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초록

본 조사는 골반골절을 수술적으로 교정한 31두 개에서의 결과를 분석한 것이다. 파행과 부중의 정도가 후지의 기능개선 평가에 이용되었다. 단순골절은 천장관절과 장골에서 발생하였으며, 골반골절은 관골절구의 골절을 포함하는 것과 포함하지 않는 경우가 있었다. 관골절구의 골절은 추가적인 대퇴골 머리 및 목 절제술 또는 관골절구 둘레 고정 만을 실시하였다. 단순골절은 복합골절에 비해 초기 회복시간과 완전한 회복시간 모두 짧았다. 관골절구를 포함하지 않는 골절에서는 포함한 골절에 비해 회복시간이 유의적으로 짧았다(p < 0.05). 또한 대퇴골 머리 및 목 절제술을 추가로 실시한 경우에서 실시하지 않은 것 보다 짧은 회복시간을 보였다. 소형견에서 관골절구의 골절 발생 시 대퇴골 머리 및 목 절제술을 이용한 수술적 교정은 대체 가능한 방법으로 생각된다.

The results of surgical repair for pelvic factures in 31 dogs were reviewed. Lameness and weight bearing scores were used to evaluate functional recovery of the hind limbs. Simple fracture occurred in sacroiliac joint (n = 5) and ilium (n = 3). Pelvic fractures had acetabular (n = 7) and non-acetabular fractures (n = 23). Acetabular fracture cases were composed of additional surgical treatments with femoral head and neck ostectomy (FHNO) (n = 4) and only acetabular rim fixation (n = 3). Simple fractures had more rapid initial and complete recovery times than multiple fractures. Non-acetabular fracture cases (initial recovery time: 2.7 weeks, complete recovery time: 9.1 weeks) had more rapid initial and complete recovery times than acetabular fracture cases (8.4, 12.5 weeks) (p < 0.05). In addition, the cases of additional surgical treatment with FHNO (5.3, 7 weeks) had more rapid mean recovery times than surgical treatment without FHNO (11.1, 16.3 weeks). Surgical approach with FHNO in acetabular fracture was an alternative method to treat pelvic fractures in small breed dogs.

키워드

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