Andreoni A A, Rytz U, Vannini R, Voss K
Vetsuisse Faculty, University of Zurich, Clinic of Small Animal Surgery, Zurich, Switzerland.
Vet Comp Orthop Traumatol. 2010;23(1):1-6. doi: 10.3415/VCOT-09-03-0030. Epub 2009 Dec 8.
To evaluate and compare long-term functional outcome after partial carpal arthrodesis and pancarpal arthrodesis in dogs using kinetic gait analysis.
Fourteen dogs with 19 partial carpal or pancarpal arthrodeses were retrospectively examined and underwent force-plate gait analysis. Mean times since surgery were 29.4 and 24.4 months for pancarpal and partial carpal arthrodesis respectively. Vertical and braking-propulsive ground reaction force profiles were compared between treatment groups, and to those of normal dogs (control group) using Kruskal-Wallis one-way analysis of variance.
With the exception of time to vertical peak that occurred earlier in dogs with pancarpal than in dogs with partial carpal arthrodesis (p <0.01), there was no difference between the two treatment groups. Several parameters differed significantly between operated and healthy dogs (p <0.01): vertical impulses were significantly lower in both treatment groups, braking forces and impulses were also reduced after both techniques. Propulsive forces and impulses were only reduced in dogs with pancarpal arthrodesis. When comparing gait parameters of sound limbs of unilateral operated dogs to those of control dogs, braking forces and impulses (p <0.01; p <0.05) were significantly higher in the sound legs of unilateral operated dogs.
Long-term outcome after partial carpal and pancarpal arthrodesis is good and comparable to each other. Propulsive action may be altered more in dogs with pancarpal arthrodesis.
采用动力学步态分析评估和比较犬腕关节部分融合术和全腕关节融合术后的长期功能结局。
对14只接受了19次腕关节部分或全腕关节融合术的犬进行回顾性检查,并进行测力板步态分析。全腕关节融合术和腕关节部分融合术后距手术的平均时间分别为29.4个月和24.4个月。使用Kruskal-Wallis单因素方差分析比较治疗组之间以及与正常犬(对照组)的垂直和制动-推进地面反作用力曲线。
除了全腕关节融合术的犬垂直峰值出现时间早于腕关节部分融合术的犬(p<0.01)外,两个治疗组之间没有差异。手术犬和健康犬之间的几个参数存在显著差异(p<0.01):两个治疗组的垂直冲量均显著降低,两种技术后制动力量和冲量也降低。推进力和冲量仅在全腕关节融合术的犬中降低。将单侧手术犬健全肢体的步态参数与对照犬的步态参数进行比较时,单侧手术犬健全腿的制动力和冲量显著更高(p<0.01;p<0.05)。
腕关节部分融合术和全腕关节融合术后的长期结局良好且相互可比。全腕关节融合术的犬推进动作可能改变更大。