Pratesi A, Grierson J, Moores A P
Anderson Moores Veterinary Specialists, Bunstead Barns, Hursley, Winchester, Hampshire, SO21 2LL.
J Small Anim Pract. 2012 May;53(5):260-6. doi: 10.1111/j.1748-5827.2012.01199.x. Epub 2012 Apr 10.
To describe the surgical technique and to report outcomes in cats with coxofemoral luxation treated with open reduction and toggle rod stabilisation.
Retrospective study of cats with coxofemoral luxation stabilised via the toggle rod method. Short-term follow-up included clinical examination and radiographs. Long-term follow-up was via owner questionnaire.
Fourteen cats were included. All of the cats had reported unilateral craniodorsal hip luxation. Nine cats (64·3%) had additional orthopaedic injuries. Luxations were stabilised with a 3·2-mm toggle rod (2·7-mm toggle rod in one cat) and two loops of four-metric polydioxanone (five-metric polydioxanone in one cat and three loops of four-metric polydioxanone in two cats). Success rate, in terms of maintenance of reduction, was 86%. Reluxation occurred in two cats (14%), both of which had multiple limb injuries. Eleven owner questionnaires (mean follow-up time 15·5 months) reported a functional outcome of "very good" to "excellent". Although the diameter of the pelvic canal was reduced by the presence of the toggle rod (mean narrowing 16.2%), none of the cats had defaecatory issues.
Toggle rod stabilisation is an effective method for the treatment of coxofemoral luxation in cats. Injuries to multiple limbs may be a risk factor for reluxation.
描述手术技术,并报告采用切开复位和肘节杆固定治疗猫股髋关节脱位的结果。
对采用肘节杆法固定的猫股髋关节脱位进行回顾性研究。短期随访包括临床检查和X光片。长期随访通过主人问卷调查进行。
纳入14只猫。所有猫均报告为单侧颅背侧髋关节脱位。9只猫(64.3%)有其他骨科损伤。脱位用3.2毫米的肘节杆(1只猫用2.7毫米的肘节杆)和两圈四毫米的聚二氧六环酮(1只猫用五毫米的聚二氧六环酮,2只猫用三圈四毫米的聚二氧六环酮)固定。就维持复位而言,成功率为86%。2只猫(14%)发生再脱位,均有多肢体损伤。11份主人问卷(平均随访时间15.5个月)报告功能结果为“非常好”至“优秀”。尽管肘节杆的存在使盆腔管径缩小(平均缩小16.2%),但没有一只猫出现排便问题。
肘节杆固定是治疗猫股髋关节脱位的有效方法。多肢体损伤可能是再脱位的危险因素。