重大抉择:创新的评价如何转变马骨折的治疗

故事玛格丽特preigh

A horse running
选择无限

在1998年,发现在该领域的马配踝部骨折联合是一个严峻的事情,尤其是像刹车埃里克森,谁说他的马是更多的家庭成员比动物的所有者。

不幸的是,这就是发生在那年的6月19日,当埃里克森得知他的马,选择无限的,在他的右后腿脚腕被打碎的骨(蹄上述联合)。受伤最早是由埃里克森的主要兽医,医生诊断。康拉德夜莺,山国的兽医医院在班德拉。

埃里克森还记得他与夜莺那天的谈话。

“Dr. Nightingale told me, ‘Ake, the short pastern bone is in multiple pieces, and I cannot save your horse. However, I have explained the situation to Dr. Watkins at Texas A&M和 he believes that he can help us. I will be up at your ranch in 30 minutes and when I get there you must decide on one of two options—either I put him down or we splint his leg and get him to A&M,’” Eriksson recalls.

新技术

那时候, 博士。杰弗里·沃特金斯, a professor of large animal surgery at the Texas A&M College of Veterinary Medicine & Biomedical Sciences (CVMBS)和 his colleagues at the Texas A&M 兽医教学医院(vmth) 已精制的新技术,以重建和允许骨使用两个金属骨板和策略性地放置螺钉愈合。

在他与夜莺谈话,沃特金斯说,他相信这个过程可以节省埃里克森的马。埃里克森在船上立即。

“我告诉他我并不需要30分钟,作出这样的决定,”埃里克森说。 “我们夹板他的腿,并让他到博士。沃特金斯“。

根据沃特金斯,当时最常见的治疗选择是投马的腿,一个经常失败和痛苦的补救措施。

“与技术,其中伤肢是简单地把在铸造,有并发症,其中许多导致马不生存率高,”沃特金斯说。 “如果靠运气,马活了下来,他们通常是为自己的后半生很蹩脚的;只有很少能将它们再次缠身“。

6月25日,选择成为与在vmth双钢板固定待处理的11匹马。该过程是成功的,并且选择仍然是功能健全,今天表现不俗,22岁以后。

一路领先

Jeff Watkins headshot
博士。杰弗里·沃特金斯

While Watkins said that Texas A&M veterinarians were not the first to perform a double plate fixation to repair severe fractures of the middle phalanx (short pastern bone), “collectively, I think Texas A&M can take a lot of credit for validating this procedure, refining it和 teaching it to the vast majority of equine surgeons in the country.”

这是很重要的,因为它已经采取了这一类型的伤害从具有预后极差,以可固定。

“不仅是一个双钢板固定的结果显着好于铸造,但它也导致了远并发症少,马有一个更短的恢复时间,更舒适的更快,”沃特金斯说。

“因为通过重构断裂和融合使用两个板脚腕关节,稳定性被恢复到区域,从而所述片段被刚性地固定在适当位置这过程是比较成功的。能恢复舒适的马和减少了很多的并发症,”他说。 “此外,这有利于愈合骨折,并且一旦愈合,增加的可能性,马可再次骑”。

双钢板固定,现在是照顾,为中节指骨骨折严重的标准,而沃特金斯和他的同事在vmth倾注的时间和精力大量工作提出这一治疗选择的认识。

“Texas A&M was at the front end of the curve, from the standpoint of the procedure becoming known to the general practicing veterinary population,” Watkins said. “I’ve presented this material and taught this technique to virtually every equine surgeon who has taken an equine fracture fixation course in the U.S. over the past 25 years. In addition, I’ve taught the technique at courses in Europe as well and given webinars on it, which have been viewed by veterinary surgeons worldwide.”

知识共享

今日连,沃特金斯的工作继续教育兽医谁可能不知道在这些类型的伤害的治疗进步。

“我们最大的挑战,今日连一个,就是还有兽医,甚至有些谁是受过训练的外科医生,谁都有意见,这些裂缝都是不可修复的或不知道这种技术的,”沃特金斯说。

这是沃特金斯一个令人沮丧的现实,谁说,他看到马去没有治疗,只是因为它们的主人并不知道的可用选项。

“我们需要继续努力教育有关可用选项在马治疗这些和其他部位骨折两马主及兽医,”沃特金斯说。 “那里仍然是一个看法,即当一匹马打破他的腿,没有什么可以做,但也有今天可以修复很多骨折。”

就像是与选择的情况下,简单的询问揭示了处理,允许他的主人做出简单的决定寻求治疗的选项。三级护理医院,在那里专门知识,设备和设施,既可以是信息大来源,并提供护理,否则可能无法使用。

“At Texas A&M, we are extremely fortunate to have the expertise, equipment和 facilities to manage these most difficult cases,” Watkins said.

持久信任

埃里克森,谁说,他会为他的动物做任何事情,仍然满足于他决定采取的选择,沃特金斯在1998年夏天的所有回来的路上。

“I swear by Texas A&M, but my whole experience is with Dr. Watkins and Choices,” Eriksson said. “I would trust him on anything after what he had accomplished with my horse. That was the reason why Dr. Nightingale in Bandera contacted him. He must have known that Dr. Watkins knew what he was doing.”

埃里克森因为移动的选择,他的秃头鹰牧场操作南卡罗来纳州,吹嘘自1994年他的农场的结合,他从来没有卖过一匹马。他的动物确实是家庭,一个家庭,他相信沃特金斯治疗。

“If I had a horse with a broken leg here in Camden, I would still take that horse to Texas A&M to Dr. Jeff Watkins,” Eriksson said. “I have absolutely, totally, 100% confidence in Dr. Watkins.”

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For more information about the Texas A&M College of Veterinary Medicine & Biomedical Sciences, please visit our website at vetmed.tamu.edu 或加入我们的 Facebook的Instagram的和 推特.

联系信息: Jennifer Gauntt, Director of CVM 通讯, Texas A&M College of Veterinary Medicine & Biomedical Sciences; jgauntt@cvm.tamu.edu; 979-862-4216