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Komplikation bei einem Pferd nach partieller Griffelbeinresektion mittels oszillierender Knochensäge

机译：使用摆动式骨锯在部分触针切除后的马并发症

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摘要

An unusual complication following partial lateral splint bone ectomy is described. Four weeks following the surgery, the horse fell onto the surgery site and from that point on showed a lameness on that limb. Despite a positive local anesthesia, the re-evaluation did not reveal any abnormal ultrasonographic and radiographic findings. The local steroid injection reduced the lameness only slightly. The clinical evaluation at our clinic revealed the potential presence of a fracture in the lateropalmar cortex. The horse was scheduled for surgery and the special fluoroscopic examination prior to surgery confirmed the tentative diagnosis. The origin of the fracture turned out to be the horizontal saw cut in the lateropalmar cortex of McIII, which occurred accidentally during the osteotomy of the fractured splint bone. The fall of the horse onto the partially amputated splint bone in association with the horizontal cut in the lateropalmar cortex of McIII, resulted in this avulsion fracture associated with significant pain. The splint bone and the fracture were stabilized with the help of a 9-hole 3.5 mm DCP applied over the splint bone and with the screws traversing the entire lateropalmar cortex of McIII. The horse responded positively to this treatment and 10 weeks postoperatively the plate was removed. An additional reason for this relatively early plate removal was the presence of an additional suspensory problem, which demanded a prolonged recovery period.
机译：描述了部分外侧夹板骨切除术后的异常并发症。手术后四个星期，这匹马跌落到手术部位，从那一点开始显示出limb脚。尽管局部麻醉呈阳性，但重新评估并未发现任何异常的超声检查和影像学检查结果。局部类固醇注射仅轻微降低me行。我们诊所的临床评估显示，后乳op皮质可能存在骨折。这匹马已安排好手术时间，在手术前进行的特殊透视检查证实了初步诊断。骨折的根源是在McIII的后乳al皮质中水平锯切，这是在夹板骨折的截骨术中偶然发生的。由于与McIII的后乳al皮质的水平切开相关，马摔倒在部分截肢的夹板骨头上，导致该撕脱性骨折伴有明显的疼痛。借助于在夹板骨上施加的9孔3.5 mm DCP并用螺钉横穿McIII的整个蝶al皮层来稳定夹板骨和骨折。马对这种治疗反应良好，术后10周取下钢板。相对较早地去除板的另一个原因是存在另外的悬架问题，这需要延长恢复期。

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