摘要
髋臼病理性骨折是一种临床诊疗较为棘手的骨科疾病。本文报道了首例在大熊猫(Ailuropoda melanoleuca)中成功治愈的病例。该大熊猫因髋臼局部遭受高能量撞击致闭合性创伤,后继发急性骨髓炎。由于野生动物发病隐匿,早期日常活动未见明显异常,随着病情进展为慢性骨髓炎并诱发局部病理性骨折,其活动能力才明显受限。在诊疗过程中,综合应用DR和CT三维重建技术精确定位病灶,经周密术前规划,成功实施病灶清除与内固定术,重建了受损髋臼,术后患兽恢复良好。本病例为大熊猫骨科疾病的诊疗方案优化与健康管理提供了重要的理论依据和实践参考。
Acetabular pathological fracture is a clinically challenging orthopedic disease.This study reports the first suc⁃cessfully treated case in a giant panda(Ailuropoda melanoleuca).The fracture was secondary to acute osteomyelitis result⁃ing from closed trauma caused by a local high-energy impact on the acetabulum.However,due to the insidious onset in wild animals,daily activities showed no significant impact during the early stage,but became markedly restricted as the dis⁃ease progressed to chronic osteomyelitis accompanied by local pathological fracture.In this case,comprehensive utiliza⁃tion of DR and CT three-dimensional reconstruction techniques precisely localized the lesion.Through meticulous preopera⁃tive planning,thorough debridement of the local lesion was achieved,followed by successful installation of internal fixation to reconstruct the affected acetabulum,resulting in favorable postoperative outcomes.This case provides an important theoretical basis and practical reference for optimizing diagnostic and therapeutic strategies and improving orthopedic health management in giant pandas.
作者
陈欣
包利帅
黄文俊
王小兰
李碧
刘礼
廖礼慧
兰景超
罗娌
CHEN Xin;BAO Lishuai;HUANG Wenjun;WANG Xiaolan;LI Bi;LIU Li;LIAO Lihui;LAN Jingchao;LUO Li(Chengdu Research Base of Giant Panda Breeding,The Conservation of Endangered Wildlife Key Laboratory of Sichuan Province,Chengdu 610081,China;The Second Affiliated Hospital of Chengdu Medical College·China National Nuclear Corporation 416 Hospital,Chengdu 610081,China)
出处
《野生动物学报》
北大核心
2025年第4期863-868,共6页
CHINESE JOURNAL OF WILDLIFE
基金
2020年国合定向大熊猫保护资金项目(2020GHG001)。
关键词
大熊猫
髋臼
病理性骨折
骨髓炎
三维重建
内固定
Giant panda(Ailuropoda melanoleuca)
Acetabulum
Pathological fracture
Osteomyelitis
Three-dimensional reconstruction
Internal fixation
