全髋关节置换术作为犬猫股骨头骨骺骨折的一种治疗选择。
Total hip replacement as a treatment option for capital physeal fractures in dogs and cats.
作者信息
Kalis Russell H, Liska William D, Jankovits Daniel A
机构信息
Gulf Coast Veterinary Specialists, Houston, TX, USA.
出版信息
Vet Surg. 2012 Jan;41(1):148-55. doi: 10.1111/j.1532-950X.2011.00919.x. Epub 2011 Nov 21.
OBJECTIVES
To evaluate outcome of capital physeal fractures (CPFs) treated by total hip replacement (THR) in dogs and cats.
STUDY DESIGN
Retrospective phase II nonrandomized efficacy study.
ANIMALS
Dogs (n = 21), cats (n = 4).
METHODS
Medical records (1991-2009) and radiographs of dogs and cats with CPF treated by THR were reviewed. Physical examination findings, radiographs, thigh circumference (TC), force plate gait analysis, and an owner questionnaire were reviewed.
RESULTS
Signalment and median interval between CPF and THR of all 25 animals had no clinical correlation with post-THR outcome. Force plate gait analysis and TC were available for 12 dogs. No significant difference in TC or force plate analyses between the THR limb and the normal contralateral limb was identified. Owner questionnaires (13 dogs) revealed improvement after THR with minimal (n = 2) or no lameness (n = 11).
CONCLUSION
Animals with CPF treated by THR did not have statistically significant differences in any subjective (21 dogs, 4 cats) or objective (12 dogs) variable when compared with the normal contralateral limb.
目的
评估全髋关节置换术（THR）治疗犬猫股骨头骨骺骨折（CPF）的疗效。
研究设计
回顾性II期非随机疗效研究。
动物
犬（n = 21），猫（n = 4）。
方法
回顾1991年至2009年间接受THR治疗的CPF犬猫的病历和X光片。对体格检查结果、X光片、大腿周长（TC）、测力板步态分析和主人问卷进行回顾。
结果
所有25只动物的CPF与THR之间的特征和中位间隔与THR术后结果无临床相关性。12只犬可进行测力板步态分析和TC测量。THR侧肢体与对侧正常肢体之间的TC或测力板分析无显著差异。主人问卷（13只犬）显示，THR术后有所改善，极少跛行（n = 2）或无跛行（n = 11）。
结论
与对侧正常肢体相比，接受THR治疗的CPF动物在任何主观（21只犬，4只猫）或客观（12只犬）变量上均无统计学显著差异。
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