采用外侧缝合技术治疗颅侧十字韧带损伤性 stifles 的犬中胫骨平台坡度与肢体功能的关系
Relationship of tibial plateau slope to limb function in dogs treated with a lateral suture technique for stabilization of cranial cruciate ligament deficient stifles.
作者信息
Havig Marc E, Dyce Jonathan, Kowaleski Michael P, Reynolds Lisa R, Budsberg Steven C
机构信息
Department of Small Animal Medicine and Surgery, University of Georgia College of Veterinary Medicine, Athens, GA 30602, USA.
出版信息
Vet Surg. 2007 Apr;36(3):245-51. doi: 10.1111/j.1532-950X.2007.00258.x.
OBJECTIVE
To evaluate the effect of a lateral suture technique (LST) on tibial plateau angle (TPA) measurement and to compare TPA with functional outcome in dogs treated for cranial cruciate ligament (CrCL) rupture with LST.
STUDY DESIGN
Prospective clinical study.
SAMPLE POPULATION
Dogs (n=34) with unilateral CrCL instability.
METHODS
All dogs had lameness examination, survey stifle radiographs, and force plate analysis before and at 6, 12, 24, and 48 weeks after surgery. Radiographic osteoarthritis (OA) scores and lameness scores were assigned using previously reported methods. Preoperative radiographs were performed in all dogs, and postoperative serial radiographs were performed in 6 dogs for measurement of TPA. Differences in TPA measurements were evaluated with a random effects repeated measures model. The significance of LST on TPA measurement was established in 6 dogs and the effect of TPA on vertical impulse, peak vertical force, progression of radiographic scores, and lameness score were analyzed by general linear models in all dogs. Differences were considered significant if P<.05.
RESULTS
Significant differences were not noted between pre- and serial postoperative measurements of TPA. A significant correlation was not established between TPA and postoperative vertical impulse, peak vertical force, lameness score, or radiographic OA scores.
CONCLUSIONS
TPA values were unchanged after LST and TPA does not affect outcome measures in dogs treated with LST.
CLINICAL RELEVANCE
TPA has no predictive value on clinical outcome in dogs treated with LST for stabilization of CrCL deficient stifles.
目的
评估外侧缝合技术(LST)对犬胫骨平台角(TPA)测量的影响,并比较接受LST治疗的颅侧十字韧带(CrCL)断裂犬的TPA与功能预后情况。
研究设计
前瞻性临床研究。
样本群体
单侧CrCL不稳定的犬(n = 34)。
方法
所有犬在手术前以及术后6周、12周、24周和48周均进行跛行检查、膝关节X线平片检查和测力板分析。使用先前报道的方法进行X线骨关节炎(OA)评分和跛行评分。所有犬均进行术前X线检查,6只犬进行术后系列X线检查以测量TPA。采用随机效应重复测量模型评估TPA测量值的差异。在6只犬中确定LST对TPA测量的意义,并通过通用线性模型分析所有犬中TPA对垂直冲量、垂直峰值力、X线评分进展和跛行评分的影响。若P <.05,则认为差异具有统计学意义。
结果
TPA术前测量值与术后系列测量值之间未发现显著差异。TPA与术后垂直冲量、垂直峰值力、跛行评分或X线OA评分之间未建立显著相关性。
结论
LST术后TPA值未改变,且TPA不影响接受LST治疗犬的预后指标。
临床意义
对于接受LST治疗以稳定CrCL缺失膝关节的犬,TPA对临床预后无预测价值。