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猫原发性跟腱修复的短期和长期结果:21例

Short- and long-term outcomes of primary Achilles tendon repair in cats: 21 cases.

作者信息

Cervi M, Brebner N, Liptak J

机构信息

Veterinary Surgical Associates, Small Animal Surgery, 1410 Monument Boulevard, Suite 100, Concord, CA 94520, USA.

出版信息

Vet Comp Orthop Traumatol. 2010;23(5):348-53. doi: 10.3415/VCOT-09-10-0109. Epub 2010 Aug 25.

DOI:10.3415/VCOT-09-10-0109
PMID:20740261
Abstract

OBJECTIVES

To evaluate the short- and long-term outcomes of surgically repaired Achilles tendons in cats.

METHODS

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.

RESULTS

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.

CLINICAL SIGNIFICANCE

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.

摘要

目的

评估猫跟腱手术修复的短期和长期效果。

方法

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。

结果

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。

临床意义

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。

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