한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제32권4호
  • /
  • Pages.359-362
  • /
  • 2015
  • /
  • 1598-298X(pISSN)
  • /
  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지
DOI QR코드

DOI QR Code

고라니에서 발생한 손허리뼈 개방 복합골절의 원형 외부골격고정법 적용

Management of an Open Comminuted Fracture of the Metacarpus using Circular External Skeletal Fixation in a Korean Water Deer (Hydropotes inermis argyopus)

  • Heo, Su-Young (College of Veterinary Medicine, Chonbuk National University) ;
  • Jeong, Seongmok (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Haebeom (College of Veterinary Medicine, Chungnam National University)
  • 심사 : 2015.06.10
  • 발행 : 2015.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

고라니가 교통사고 후 구조되었다. 임상검사와 방사선검사에서 손허리뼈에 심한 연부조직손상을 동반한 3형의 개방골절로 진단되었다. 골절은 4개의 원형 외부고정 링을 이용하여 비개방정복으로 비침습적으로 정복 후 고정하였다. 술 후 고라니는 성공적으로 자연으로 복귀되었다. 고라니에서 원형 외부골격고정술을 이용하여 심한 감염성 상처와 개방골절을 치료 할 수 있었다. 원형 외부골격고정술은 고라니에서 부작용 없이 사용할 수 있을 것으로 사료된다.

A Korean water deer was rescued after being hit by a motor vehicle. Clinical and radiographic examination revealed a grade III open fracture of the right metacarpus with severe soft tissue injury. The water deer underwent closed reduction of the fracture, which was stabilized by the application of the Ilizarov method of 4-ring circular external skeletal fixation (CESF) as a minimally invasive technique. The water deer was successfully released into the wild. CESF was advantageous for the stabilization of open comminuted fracture and the management of a severely contaminated wound in a Korean water deer. CESF can be used successfully in wild deer with good tolerance and minimal complications.

키워드

참고문헌

  1. Butt TD, Cruz AM, Bailey JV, Crawford WH. Outcome of limb amputations in wapiti: 13 cases (1995-2001). Can Vet J 2001; 42: 936-939.
  2. Coomer AR, Lewis DD, Wiedner E, Isaza R, Winter MD, Aloisio F, Pool R. Stabilization of juxta-physeal distal tibial and fibular fractures in a juvenile tiger using a hybrid circular-linear external fixator. Vet Surg 2012; 41: 248-253.
  3. Cruz A, Bailey J, Fretz P. Management of limb fractures in wapiti (cervus elaphus): 22 cases (1993-1997). J Am Vet Med Assoc 1999; 214: 1829-1832.
  4. Erdikmen DO, Ozsoy S, Aydin D. Partially forelimb amputation and application of an artificial limb (prosthetics) in a free-ranging red deer (cervus elaphus). Kafkas Univ Vet Fak Derg 2012; 18: 347-350.
  5. Etter C, Burri C, Claes L, Kinzl L, Raible M. Treatment by external fixation of open fractures associated with severe soft tissue damage of the leg. Biomechanical principles and clinical experience. Clin Orthop Relat Res 1983: 80-88.
  6. Marcellin-Little DJ. Fracture treatment with circular external fixation. Vet Clin North Am Small Anim Pract. 1999; 29: 1153-1170. https://doi.org/10.1016/S0195-5616(99)50107-1
  7. Mills ML, Holland M, Cooper R. Use of a type-III trilateral external skeletal fixation device in three deer with comminuted fractures. J Am Vet Med Assoc 1996; 208: 559-561.
  8. Mullineaux E, Best D, Cooper JE. Deer. In: BSAVA Manual of wildlife casualties. Gloucester: British Small Animal Veterinary Association. 2003: 166-181.
  9. Nisbet HO, Ozak A, Yardlmcl C, Sir . in . YS. Treatment results of traumatic injuries in 20 roe deer (capreolus capreolus): A retrospective study. Kafkas Univ Vet Fak Derg 2010; 16: 617-622.
  10. Phelps HA, Lewis DD, Aiken-Palmer C, Winter MD. Use of a linear-circular hybrid external skeletal fixator for stabilization of a juxta-physeal proximal radial fracture in a deer (odocoileus virginianus). J Zoo Wildl Med 2010; 41: 688-696. https://doi.org/10.1638/2009-0114.1
  11. Rubio-Martinez LM, Koenig JB, Halling KB, Wilkins K, Schulz K. Use of a circular external skeletal fixator for stabilization of a comminuted diaphyseal metatarsal fracture in an alpaca. J Am Vet Med Assoc 2007; 230: 1044-1048. https://doi.org/10.2460/javma.230.7.1044
  12. Singh K, Kumar A, Mahajan S, Saini N. Successful forelimb amputation procedure on a sambar deer (cervus unicolor niger). J Wildlife Rehab 2010; 30: 21-24.
  13. Toews AR, Bailey JV, Theore C. External skeletal fixation for treatment of comminuted fractures in wapiti: 5 cases. Can Vet J 1998; 39: 370-372.