Bright S R
Northwest Surgeons, Delamere House, Ashville Point, Sutton Weaver, Cheshire, WA7 3FW, UK.
J Small Anim Pract. 2010 Apr;51(4):219-23. doi: 10.1111/j.1748-5827.2009.00890.x.
An 11-month-old, male neutered, domestic short-haired cat presented for evaluation of sudden onset right pelvic limb lameness. Radiography showed features consistent with unilateral osteochondritis dissecans (OCD) of the lateral femoral condyle in the right stifle. Arthroscopic examination of the stifle was used to confirm the presence of an articular cartilage lesion and the presence of loose cartilage within the joint. The loose cartilage fragments were removed arthroscopically. One arthroscopy portal was extended into a limited arthrotomy, which was necessary to ensure complete debridement of the defect. Removal of the fragments led to complete resolution of the clinical signs. This case report documents a more minimally invasive technique for the management of stifle OCD in the cat than previously documented and helps to establish a protocol for arthroscopic surgery in the feline stifle.
一只11个月大、已绝育的雄性家养短毛猫因突发右后肢跛行前来评估。X线检查显示特征符合右侧 stifle（膝关节）外侧股骨髁的单侧剥脱性骨软骨炎（OCD）。对 stifle 进行关节镜检查以确认关节软骨损伤的存在以及关节内游离软骨的存在。通过关节镜切除游离软骨碎片。一个关节镜入口扩大为有限的关节切开术，这对于确保缺损的彻底清创是必要的。碎片的清除导致临床症状完全缓解。本病例报告记录了一种比以前记录的更微创的猫 stifle OCD 治疗技术，并有助于建立猫 stifle 关节镜手术的方案。
