咨询描述:家里泰迪后脚掌被压伤导致掌骨断开错位。后面采用内固定手术。宠物医院内固定采用了克氏针。术后X光片发现克氏针穿过了关节。这算不算是操作不当,本可以使用更短的植入物避免穿过关节吧?
症状描述:前脚掌骨折,已进行内固定
患病时长:
回复总结:狗狗内固定后留下一条尾巴,狗狗这种做髓内针固定的方法,,由于髓内针都是整根的,在植入之后,进行剪切。所以会留下一些尾巴,这个是不可避免的,一般不影响狗狗正常行走,是没有任何问题的。.如果留下的尾巴不长,那么一般不会影响狗狗行走的。可以现在简单进行测试一下,弯曲狗狗的关节位置,看看是否有摩擦的感觉,如果没有,那么一般不会有什么影响。
问题大致一样,细节不同?
陈奕达
执业兽医师
您好,从您上传的x光片来看,狗狗这种做髓内针固定的方法,确实就是像图片上的这个样子,由于髓内针都是整根的,在植入之后,进行剪切。所以会留下一些尾巴,这个是不可避免的,一般不影响狗狗正常行走,是没有任何问题的。
但是穿过关节不久影响以后的活动了吗?是不是还可能导致关节感染,关节纤维强直?这个部位狗行走的时候必须弯曲吧
陈奕达
执业兽医师
您好,1.如果留下的尾巴不长,那么一般不会影响狗狗行走的。您可以现在简单进行测试一下,弯曲狗狗的关节位置,看看是否有摩擦的感觉,如果没有,那么一般不会有什么影响。2.如果有影响的情况下,我们可以在狗狗骨折位置愈合之后,二次手术进行植入物的拆除即可。3.如果植入物留下的尾巴过长,确实会影响狗狗行走,并且由于长期的刺激,引发局部关节发炎,病变。这个位置行走的时候一般不会特别的弯曲,但是也会有一定的角度,大概60-70度左右。
这个位置的克氏针要如何取出?取出的时候会不会对骨头再次造成严重的伤害?
陈奕达
执业兽医师
您好,1.需要手术取出。2.如果尾巴留的长,直接破个小口子,然后使用工具直接夹出来就行。3.如果比较深,那么可能需要对关节进行一定的切开,这个是比较麻烦的事情。不过总体来讲,还是需要根据当时的情况下,主治医生来进行方案的制定以及实施。
手术以后,小狗要如何静养?患肢一侧朝下侧躺可以吗?
陈奕达
执业兽医师
您好,1.如果狗狗非常淘气,可以考虑配合外部夹板固定,减少患肢活动。然后静养,需要人为看护,以及笼养狗狗,尽可能减少狗狗的活动即可。2.如何侧躺,主要看狗狗怎么舒服。可以患肢朝下的侧躺。
要防止在静养的过程中发生克氏针断裂,应该注意哪些事项?狗狗的患肢不着地就行了吗?
陈奕达
执业兽医师
您好,1.静养的情况下,髓内针不会断裂。除非狗狗剧烈运动。2.可以考虑给予狗狗进行一下外部夹板固定,以免狗狗突然剧烈运动。3.是的,患肢不着地也是一个很好的方法。不过需要每天给予狗狗进行腿部肌肉按摩,防止腿部肌肉由于长时间不运动,出现萎缩的问题。
谢谢医生。请问后续给小狗补充什么营养可以最好地支持断骨的康复?多大的量?
陈奕达
执业兽医师
您好,根据狗狗的情况,我给宝贝开个处方。
处方里面
1. 补钙口服液,补充钙质,可以起到促进骨头愈合的效果。
2. ****,宠物专用营养关节骨骼用药,促进骨骼,关节疾病恢复。
您可以根据需求自行选择购买。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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