Cervi M, Brebner N, Liptak J
Veterinary Surgical Associates, Small Animal Surgery, 1410 Monument Boulevard, Suite 100, Concord, CA 94520, USA.
Vet Comp Orthop Traumatol. 2010;23(5):348-53. doi: 10.3415/VCOT-09-10-0109. Epub 2010 Aug 25.
To evaluate the short- and long-term outcomes of surgically repaired Achilles tendons in cats.
Twenty-one cats that underwent surgical repair of Achilles tendon injuries were retrospectively examined. Signalment, type of injury, time from injury to surgery, the surgical repair, complications, and long-term outcomes were recorded. Statistical comparisons were made between traumatic and atraumatic injuries using Student's paired t-tests.
Both traumatic and atraumatic causes of disruption were equally represented and female cats were significantly over-represented. Type I and Type IIc injuries were found in cats, but the type did not affect short- or long-term outcome. A complication rate of 33% was identified and was always attributable to the method of external coaptation. None of the cats that were augmented with a splint developed complications, however complications did occur in those with transarticular external skeletal fixators. Long-term clinical outcome found an 84% overall success rate and a 79% success rate for cats with Type IIc injuries. A significantly shorter time from injury to surgery was identified for traumatic injuries, but not for age, weight, or long-term outcome.
Surgical correction resulted in excellent functional outcome in all cases but one, and should be considered in both complete and partial disruption of the Achilles mechanism in cats. A direct comparison between surgical and conservative management of Type IIc injuries in cats should be considered to determine which method is most appropriate to manage these injuries.
评估猫跟腱手术修复的短期和长期效果。
对21只接受跟腱损伤手术修复的猫进行回顾性检查。记录品种、损伤类型、受伤至手术的时间、手术修复情况、并发症及长期效果。使用配对t检验对创伤性和非创伤性损伤进行统计学比较。
创伤性和非创伤性断裂原因出现的比例相同,母猫的比例显著过高。在猫中发现了I型和IIc型损伤,但损伤类型不影响短期或长期效果。确定并发症发生率为33%,且总是归因于外部固定方法。使用夹板固定的猫均未出现并发症,然而使用经关节外固定器的猫出现了并发症。长期临床结果显示总体成功率为84%,IIc型损伤的猫成功率为79%。创伤性损伤从受伤到手术的时间明显更短,但年龄、体重或长期效果方面则不然。
手术矫正除1例之外在所有病例中均产生了良好的功能效果,对于猫跟腱结构的完全和部分断裂均应考虑手术矫正。应考虑对猫IIc型损伤的手术治疗和保守治疗进行直接比较,以确定哪种方法最适合处理这些损伤。