양측 전완앞발목관절 탈구의 관절고정술을 위한 돼지뼈 해면골이식의 적용

The Use of a Porcine Cancellous Bone Graft for Arthrodesis of Bilateral Antebrachiocarpal Luxation in a Dog

  • Heo, Su-Young (College of Veterinary Medicine, Chonbuk National University) ;
  • Lee, Ki-Chang (College of Veterinary Medicine, Chonbuk National University) ;
  • Kim, Nam-Soo (College of Veterinary Medicine, Chonbuk National University)
  • 심사 : 2012.06.14
  • 발행 : 2012.06.30

초록

일곱살령, 체중 2.1 kg, 요크셔테리어종이 2개월전 부터 양측 전지의 심한 파행과 관절의 불안정을 주 증상으로 본 원에 내원하였다. 일반 신체검사 및 방사선 검사에서 양측 전완앞발목관절의 후방탈구로 진단되었다. 대부분의 작은 견종에서의 양측 전완앞발목관절 탈구 치료는 광범위한 발목관절고정술을 실시한다. 폴리메칠메타크리레이트를 적용한 개선된 외부고정법은 유용한 치료법이 될 수 있는데 본 증례에서는 앞발목관절 간극에 돼지뼈 해면골의 충진을 동시에 실시 하였다. 시술 후 임상검사 및 방사선 평가에서 돼지뼈 해면골의 적용은 자가골 해면골이식의 대안으로서 유용성이 있는것으로 평가 되었다.

A seven-year-old Yorkshire terrier 2.1 kg was admitted with a 2 months history of sever bilateral forelimb lameness and joint instability. Examination and radiographs revealed caudal luxation of bilateral antebrachiocarpal joint. Luxation of bilateral antebrachiocarpal (ABC) joint in a toy breed dog was treated with pancarpal arthrodesis. Modified external skeletal fixator (ESF) (type IIb) with polymethylmethacrylate (PMMA) was utilized in this case. Porcine cancellous bone graft (PCBG) was inserted to fill the joint space in carpus. The clinical and radiographic assessments of joint after the surgical procedure proved that PCBG can be used a promising alternative to Autogenous cancellous bone graft (ACBG).

키워드

참고문헌

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