Kirschner-Ehmer創外固定器を用いて関節可動型整復術を行った犬の外傷性股関節脱臼2例  [in Japanese] Movable Extra-articular Arthrodesis Using the Kirschner-Ehmer External Fixation System for Treating Traumatic Coxofemoral Luxation in Two Dogs  [in Japanese]

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Author(s)

    • 左近允 巌 SAKONJU Iwao
    • 北里大学獣医畜産学部獣医外科学講座 Department of Veterinary Surgery, School of Veterinary Medicine and Animal Sciences, Kitasato University
    • 伊藤 博 ITOH Hiroshi
    • 北里大学獣医畜産学部獣医外科学講座 Department of Veterinary Surgery, School of Veterinary Medicine and Animal Sciences, Kitasato University
    • 高瀬 勝晤 TAKASE Katsuaki
    • 北里大学獣医畜産学部獣医外科学講座 Department of Veterinary Surgery, School of Veterinary Medicine and Animal Sciences, Kitasato University

Abstract

犬の外傷性股関節脱臼2例に対してKirschner-Ehmer創外固定器を用いた関節可動型整復術を実施し, 良好な結果を得た. 麻酔下にて股関節の徒手整復を行った後, 腸骨仙腸関節の外側方および坐骨結節の後背方より1本ずつ刺入したハーフピンを, 平行に並ぶ2本のエクスターナルバーで連結した. さらにこの2本のエクスターナルバー問に転子窩より大腿骨骨髄内へ順行性刺入したキルシュナーワイヤーが挟まるように固定した. 両症例とも術後数日以内に患肢を使用した歩行が観察され, 1例は術後13日目に, 他方は23日目にすべてのピンを抜去した. 本法では大腿骨と腸骨に刺入したピンを直接固定しない構造から, 固定後の関節可動域が非常に広く, 治療中よりピンに負担をかけない歩行運動が可能となる

Movable extra-articular arthrodesis using a Kirschner-Ehmer external fixation system was applied as a new method for treating traumatic coxofemoral luxation in 2 dogs. After manipulative reduction of the hip under anesthesia, a Kirschner wire was orthodromically inserted into the femur from the fossa <I>trochanterica</I>. Then two half pins were inserted into the ilium and the ischiadic tuber and connected with two external parallel bars using two single and two double clamps so that the intramedullary pin lay between the two externalbars. Both animals were able to walk within a few days, and all external fixators were removed 13 and 23 days after surgery. Since the pin inserted into the femur is not fixed to the external bar, this method allows an extensive range of hip-joint motion during treatment.

Journal

  • Journal of the Japan Veterinary Medical Association

    Journal of the Japan Veterinary Medical Association 54(11), 851-855, 2001-11-20

    Japan Veterinary Medical Association

References:  7

Codes

  • NII Article ID (NAID)
    10008023911
  • NII NACSIS-CAT ID (NCID)
    AN00191857
  • Text Lang
    JPN
  • Article Type
    SHO
  • ISSN
    04466454
  • NDL Article ID
    5995160
  • NDL Source Classification
    ZR22(科学技術--農林水産--畜産)
  • NDL Call No.
    Z18-352
  • Data Source
    CJP  NDL  J-STAGE  JASI 
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