RESUMEN

CASE REPORT: An atlanto-occipital instability secondary to a dog bite was diagnosed in a 4-year-old Persian cat. Dorsal stabilisation of the instability was made with two OrthoFiber prostheses (Securos), which were used as tension bands between the nuchal crests of the occipital bone and the spinous process of the axis. Total recovery was achieved 4 days after surgery. Normal alignment of the atlanto-occipital joint was observed on survey radiographs taken 6 weeks post-surgery. Although the right loop had failed, the alignment was still normal and no neurological after-effects could be identified. CONCLUSION: Dorsal divergent tension bands between the nuchal crests of the occipital bone and the spinous process of the axis can be used to stabilise traumatic atlanto-occipital instability.

Asunto(s)

Articulación Atlantooccipital/cirugía , Gatos/lesiones , Gatos/cirugía , Vértebras Cervicales/cirugía , Procedimientos Ortopédicos/veterinaria , Animales , Articulación Atlantooccipital/lesiones , Mordeduras y Picaduras/cirugía , Mordeduras y Picaduras/veterinaria , Vértebras Cervicales/lesiones , Perros , Masculino , Procedimientos Ortopédicos/métodos , Resultado del Tratamiento

RESUMEN

Objective To investigate the clinical applications of the chain locking-type tension bands. Methods89 cases with patellar bone fractures,27 olecranal fractures patients,18 patients with fractures of surgical neck of humerus,16 patients with dislocation of the acromioclavicular joints and 12 patients with clavicular lateral fractures were treated with chain locking-type tension bands. ResultsTheResultsshowed that all patients wound were postoperative first intention.The healing time of the fractures were 6 ～ 18 months(average 10 months).The Kirschner's pins lapping,steel wire breaks and tension bands out of control were not found. ConclusionCompared with the traditional tension bands,the chain locking-type tension bands had stronger stability,stress distribution more even and less complications.