Sissener T R, Whitelock R G, Langley-Hobbs S J
Calgary Animal Referral and Emergency Centre Animal Hospital, 7140 12th Street SE, Calgary, Alberta T2H 2Y4, Canada.
J Small Anim Pract. 2009 Mar;50(3):112-7. doi: 10.1111/j.1748-5827.2008.00625.x.
The objective of this study was to describe initial and long-term results of open reduction and transarticular pinning for treatment of coxofemoral luxations in cats.
Cats were treated by open reduction and transarticular pinning for coxofemoral luxation over a five year period at two institutions. Follow-up assessment included orthopaedic examination, radiography and owner questionnaires.
Twenty cats were included in the study (14 males and six females). One cat was affected bilaterally. Mean time to follow-up was 21 months. Seventeen joints were stabilised with a 1.6 mm pin, three with 2.0 mm pins and a 1.2 mm pin was used in the remaining joint. An Ehmer sling was not utilised in any case. All transarticular pins except one were removed (mean 3.5 weeks), with all hips still in reduction The overall success rate was 77 per cent, with two reluxations and one resorbed femoral head noted on radiographs of 13 joints followed long term. All 20 owners reported good to excellent long-term functional outcome for their cats.
Results from this study indicate that transarticular pinning for stabilisation of coxofemoral luxation in cats can provide a good long-term outcome without sacrificing the integrity of the coxofemoral joint.
本研究的目的是描述开放性复位和经关节穿针治疗猫股髋关节脱位的初始和长期结果。
在两家机构对猫股髋关节脱位进行了为期五年的开放性复位和经关节穿针治疗。随访评估包括骨科检查、放射照相和主人问卷调查。
20只猫纳入研究(14只雄性和6只雌性)。1只猫双侧患病。平均随访时间为21个月。17个关节用1.6毫米的针固定,3个用2.0毫米的针固定,其余关节用1.2毫米的针固定。所有病例均未使用埃默尔吊带。除1根外,所有经关节穿针均已取出(平均3.5周),所有髋关节仍保持复位状态。总体成功率为77%,在13个长期随访关节的放射照片上,发现2例再脱位和1例股骨头吸收。所有20位主人均报告其猫的长期功能结果良好至优秀。
本研究结果表明,经关节穿针固定猫股髋关节脱位可提供良好的长期结果,而不牺牲股髋关节的完整性。