Cetinkaya M A, Olcay B
Hacettepe Univesity, Faculty of Medicine, Medical and Surgical Research Lab, 06100 Sihhiye, Ankara, Turkey.
Vet Comp Orthop Traumatol. 2010;23(2):114-8. doi: 10.3415/VCOT-09-03-0027. Epub 2010 Feb 11.
The coxofemoral joint is the most commonly luxated joint in dogs and cats. Coxofemoral luxations are generally craniodorsal; caudoventral coxofemoral luxations are relatively rare occurrences and may be accompanied by fracture of the greater trochanter. The aim of our study was to report the results of a modified Knowles toggle pin application in two caudoventral hip luxations for which closed reduction had not been achieved. Medical records of dogs and cats, which had been presented at our institution between September 1999 and October 2007, were reviewed for cases of coxofemoral luxation. In total, the case records of 67 cats and 147 dogs were found. Of these cases, there was one cat and one dog with caudoventral coxofemoral luxation. For both cases, the toggle pin technique was the method of treatment. The cat had a good clinical recovery within three days after surgery. The dog, which also had a cruciate ligament rupture in the same limb and medial patellar luxation in the contralateral limb, was presented with severe lameness and pain approximately two and a half months after surgery, at which time fracture of the femoral head was diagnosed. Functional recovery was achieved after a femoral head and neck ostectomy had been performed.
髋关节是犬猫最常发生脱位的关节。髋关节脱位通常为颅背侧脱位；尾腹侧髋关节脱位相对少见，且可能伴有大转子骨折。我们研究的目的是报告改良的诺尔斯肘节销应用于两例未能通过闭合复位成功治疗的尾腹侧髋关节脱位的结果。回顾了1999年9月至2007年10月间在我们机构就诊的犬猫的病历，以查找髋关节脱位病例。总共发现了67只猫和147只犬的病例记录。在这些病例中，有一只猫和一只犬发生了尾腹侧髋关节脱位。对于这两个病例，肘节销技术均为治疗方法。这只猫在术后三天内临床恢复良好。这只犬在同一肢体还患有十字韧带断裂，对侧肢体患有内侧髌骨脱位，术后约两个半月出现严重跛行和疼痛，此时诊断为股骨头骨折。在进行股骨头和颈切除术后实现了功能恢复。
