Ứng dụng phương pháp phẫu thuật cố định ngoài để điều trị gãy xương trên chó=The application of external fixation for bone fracture treatment in dogs

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Tác giả: Ngọc Trúc Diệp, Quang Thông Lê, Trần Hồng Hạnh Lê

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học kỹ thuật Thú y, 2018

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Bộ sưu tập: Metadata

ID: 464889

Thêm vào giỏ

Mục tiêu của nghiên cứu này nhằm đánh giá hiệu quả điều trị gãy xương trên chó bằng phương phápcố định ngoài so với phương pháp bó bột. Kết quả nghiên cứu cho thấy phương pháp cố định ngoài có thờigian cố định và thời gian chân thú chạm đất chậm hơn phương pháp bó bột. Đánh giá tình trạng đau sau khicố định bằng phương pháp Glasgow cho thấy với cố định ngoài, thú có biểu hiện đau nhiều hơn là bó bột.Các biến chứng của mỗi phương pháp là khác nhau, nhưng phương pháp cố định ngoài có thể xử lý đượcvà đem lại kết quả điều trị tốt, còn phương pháp bó bột thì phải tháo khung bó và thay thế bằng một phươngpháp cố định khác. Thời gian lành xương được đánh giá bằng phim X-quang qua các thời điểm 7, 14, 30 và60 ngày sau khi cố định, cho thấy tiến trình lành xương của phương pháp cố định ngoài là tốt. Trong khi đóphương pháp bó bột, do có các biến chứng nên khung không giữ được quá 15 ngày, dẫn đến việc đánh giálành xương không chính xác và có một trường hợp di lệch xương được ghi nhận vào ngày thứ 7 sau khi cốđịnh. Chi phí để thực hiện cố định xương gẫy bằng phương pháp cố định ngoài cao hơn phương pháp bó bột.This study aimed at evaluating efficiency of the external fixation method in comparison with theplaster cast method for bone fracture treatment. The studied result showed that the external fixationmethod needed more time for stabilizing and starting to use the limbs compared with the plaster castmethod. Through Glasgow scale for pain assessment showed that the dogs were suffered with morepain in the external fixation method compared to the plaster cast method. Both methods exposedthe different complications but the complications from external fixation method could be solved andbrought with good results. Otherwise, in order to solve the complications from plaster cast method, thecast needed to be removed and replaced by another stabilizing method. Time for bone healing wasassessed by X-ray films on the day 7th, 14th, 30th and 60th after stabilization and through that, the healingprocess of the external fixation method was better. Besides, due to the complication, the cast was notheld more than 15 days, leading to the healing evaluation was not accurate and there was one case ofbone deviation on the day 7th after stabilization. The cost for bone fracture treatment by external fixationmethod was higher than by plaster cast method.

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