한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제29권4호
  • /
  • Pages.339-343
  • /
  • 2012
  • /
  • 1598-298X(pISSN)
  • /
  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

경골 골간 골절에서의 최소 침습적 금속판 고정술의 이용 3례

Use of Minimally Invasive Plate Osteosynthesis for Tibial Diaphyseal Fracture in Three Dogs

  • 허수영 (전북대학교 수의과대학 생체안전성연구소) ;
  • 이기창 (전북대학교 수의과대학 생체안전성연구소) ;
  • 이해범 (전북대학교 수의과대학 생체안전성연구소)
  • Heo, Su-Young (Bio-Safty Research Institute, College of Veterinary Medicine, Chonbuk National University) ;
  • Lee, Ki-Chang (Bio-Safty Research Institute, College of Veterinary Medicine, Chonbuk National University) ;
  • Lee, Hae-Beom (Bio-Safty Research Institute, College of Veterinary Medicine, Chonbuk National University)
  • 심사 : 2012.08.20
  • 발행 : 2012.08.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

교통사고를 원인으로 3마리의 개가 경골 골간 골절로 내원하였다. 신체검사와 정형외과 검사상 이들 골절은 경골주위에 연조직 손상을 동반한 폐쇄성 골절을 보여 주었다. 방사선검사상 단순 경사골절 (증례1), 복잡 나선형골절 (증례 2), 단순 나선형골절 (증례 3)로 진단되었다. 이들 골절은 수의 절단성 금속판이나 잠김 금속판을 이용하여 최소 침습적 금속판 고정술을 적용하였다. 수술은 성공적으로 이루어지고 7주 (증례 1), 10주 (증례 2) 그리고 8주 (증례3) 후 부작용 없이 골절 치유를 확인할 수 있었다. 수술 후 모든 환자들은 빠른 골치유와 체중 지지를 관찰할 수 있었다. 최소 침습적 금속판 고정술은 수의정형외과영역에서 경골 골간 골절의 유용한 수술법으로 생각된다.

Three dogs were presented with diaphyseal fracture of the tibia following separate motor vehicle accidents. On physical and orthopedic examinations, the dogs were noted to have soft-tissue swelling and a closed fracture in these tibia sites. Radiographs revealed a simple, short oblique fracture (case 1), a comminuted, spiral fracture (case 2), and a simple, spiral fracture (case 3) in tibia. Minimally invasive percutaneous plate osteosynthesis (MIPO) using a veterinary cuttable plate or locking plate was applied for the treatment of these fractures. The surgery was successful, and the fractures healed without any complications by 7 weeks (case 1), 10 weeks (case 2) and 8 weeks (case 3) after surgery. Our patients showed fast bone healing times and early weight-bearing during the treatment of their tibia fractures. Therefore, MIPO was a useful procedure for diaphyseal fracture of the tibia in veterinary orthopedics.

키워드

참고문헌

  1. Boone E, Johnson A, Montavon P, Hohn R. Fractures of the tibial diaphysis in dogs and cats. J Am Vet Med Assoc 1986; 188: 41-45.
  2. Brinker WO, Piermattei DL, Flo GL, DeCamp CE, Giddings FD. Fractures of the tibia and fibula. In: Brinker, piermattei, and flo's handbook of small animal orthopedics and fracture repair, 4th ed. St. Louis: Saunders Elsevier. 2006: 633-660.
  3. Dismukes DI, Tomlinson JL, Fox DB, Cook JL, Song KJE. Radiographic measurement of the proximal and distal mechanical joint angles in the canine tibia. Vet Surg 2007; 36: 699-704. https://doi.org/10.1111/j.1532-950X.2007.00323.x
  4. Dudley M, Johnson AL, Olmstead M, Smith CW, Schaeffer DJ, Abbuehl U. Open reduction and bone plate stabilization, compared with closed reduction and external fixation, for treatment of comminuted tibial fractures: 47 cases (1980-1995) in dogs. J Am Vet Med Assoc 1997; 211: 1008-1012.
  5. Gardner MJ, Brophy RH, Campbell D, Mahajan A, Wright TM, Helfet DL, Lorich DG. The mechanical behavior of locking compression plates compared with dynamic compression plates in a cadaver radius model. J Orthop Trauma 2005; 19: 597-603. https://doi.org/10.1097/01.bot.0000174033.30054.5f
  6. Guiot LP, Dejardin LM. Prospective evaluation of minimally invasive plate osteosynthesis in 36 nonarticular tibial fractures in dogs and cats. Vet Surg 2011; 40: 171-182. https://doi.org/10.1111/j.1532-950X.2010.00783.x
  7. Hayashi K, Kapatkin AS. Fracture of the tibia and fibula. In: Veterinary surgery: Small animal. St. Louis: Elsevier. 2012: 999-1013.
  8. Hudson CC, Pozzi A, Lewis DD. Minimally invasive plate osteosynthesis: Applications and techniques in dogs and cats. Vet Comp Orthop Traumatol 2009; 22: 175-182.
  9. Johnson A. Current concepts in fracture reduction. Vet Comp Orthop Traumatol 2003; 16: 59-66.
  10. Johnson AL, Smith CW, Schaeffer DJ. Fragment reconstruction and bone plate fixation versus bridging plate fixation for treating highly comminuted femoral fractures in dogs: 35 cases (1987-1997). J Am Vet Med Assoc 1998; 213: 1157-1161.
  11. Mizuno K, Mineo K, Tachibana T, Sumi M, Matsubara T, Hirohata K. The osteogenetic potential of fracture haematoma. Subperiosteal and intramuscular transplantation of the haematoma. J Bone Joint Surg Br 1990; 72: 822-829.
  12. Morgan SJ, Jeray KJ. Minimally invasive plate osteosynthesis in fractures of the tibia. Oper Tech Orthop 2001; 11: 195-204. https://doi.org/10.1016/S1048-6666(01)80006-9
  13. Perren SM. Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: Choosing a new balance between stability and biology. J Bone Joint Surg Br 2002; 84: 1093-1110. https://doi.org/10.1302/0301-620X.84B8.13752
  14. Pozzi A, Lewis D. Surgical approaches for minimally invasive plate osteosynthesis in dogs. Vet Comp Orthop Traumatol 2009; 22: 316-320.
  15. Schmokel H, Hurter K, Schawalder P. Percutaneous plating of tibial fractures in two dogs. Vet Comp Orthop Traumatol 2003; 16: 191-195.
  16. Schmokel HG, Stein S, Radke H, Hurter K, Schawalder P. Treatment of tibial fractures with plates using minimally invasive percutaneous osteosynthesis in dogs and cats. J Small Anim Pract 2007; 48: 157-160. https://doi.org/10.1111/j.1748-5827.2006.00260.x
  17. Seaman JA, Simpson AM. Tibial fractures. Clin Tech Small Anim Pract 2004; 19: 151-167. https://doi.org/10.1053/j.ctsap.2004.09.007
  18. Williams THD, Schenk W. Bridging-minimally invasive locking plate osteosynthesis (bridging-milpo): Technique description with prospective series of 20 tibial fractures. Injury 2008; 39: 1198-1203. https://doi.org/10.1016/j.injury.2008.05.008