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使用逆动力学方法比较临床正常犬与患有前交叉韧带损伤的 stifle 关节的犬在胫骨平台水平截骨术或外侧腓骨-胫骨缝合稳定术后骨盆肢的三维运动。

Use of an inverse dynamics method to compare the three-dimensional motion of the pelvic limb among clinically normal dogs and dogs with cranial cruciate ligament-deficient stifle joints following tibial plateau leveling osteotomy or lateral fabellar-tibial suture stabilization.

作者信息

Headrick Jason F, Zhang Songning, Millard Ralph P, Rohrbach Barton W, Weigel Joseph P, Millis Darryl L

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN 37996.

出版信息

Am J Vet Res. 2014 Jun;75(6):554-64. doi: 10.2460/ajvr.75.6.554.

Abstract

OBJECTIVE

To compare the 3-D motion of the pelvic limb among clinically normal dogs and dogs with cranial cruciate ligament (CCL)-deficient stifle joints following tibial plateau leveling osteotomy (TPLO) or lateral fabellar-tibial suture (LFS) stabilization by use of an inverse dynamics method.

ANIMALS

6 clinically normal dogs and 19 dogs with CCL-deficient stifle joints that had undergone TPLO (n = 13) or LFS (6) stabilization at a mean of 4 and 8 years, respectively, prior to evaluation.

PROCEDURES

For all dogs, an inverse dynamics method was used to describe the motion of the pelvic limbs in the sagittal, frontal, and transverse planes. Motion and energy patterns for the hip, stifle, and tibiotarsal (hock) joints in all 3 planes were compared among the 3 groups.

RESULTS

Compared with corresponding variables for clinically normal dogs, the hip joint was more extended at the beginning of the stance phase in the sagittal plane for dogs that had a TPLO performed and the maximum power across the stifle joint in the frontal plane was greater for dogs that had an LFS procedure performed. Otherwise, variables in all planes were similar among the 3 groups.

CONCLUSIONS AND CLINICAL RELEVANCE

Gait characteristics of the pelvic limb did not differ between dogs that underwent TPLO and dogs that underwent an LFS procedure for CCL repair and were similar to those of clinically normal dogs. Both TPLO and LFS successfully provided long-term stabilization of CCL-deficient stifle joints of dogs with minimal alterations in gait.

摘要

目的

采用逆动力学方法比较临床正常犬与患有颅交叉韧带(CCL)损伤的 stifle 关节且接受胫骨平台水平截骨术(TPLO)或外侧腓骨-胫骨缝合术(LFS)稳定术的犬的后肢三维运动。

动物

6 只临床正常犬和 19 只患有 CCL 损伤 stifle 关节的犬,在评估前分别平均于 4 岁和 8 岁时接受了 TPLO(n = 13)或 LFS(6 只)稳定术。

步骤

对所有犬,采用逆动力学方法描述后肢在矢状面、额面和横断面的运动。比较三组在所有三个平面上髋关节、stifle 关节和胫跗关节(跗关节)的运动和能量模式。

结果

与临床正常犬的相应变量相比,接受 TPLO 的犬在矢状面站立期开始时髋关节伸展更多,接受 LFS 手术的犬在额面通过 stifle 关节的最大功率更大。否则,三组在所有平面上的变量相似。

结论及临床意义

接受 TPLO 的犬与接受 LFS 手术修复 CCL 的犬的后肢步态特征无差异,且与临床正常犬相似。TPLO 和 LFS 均成功地为犬 CCL 损伤的 stifle 关节提供了长期稳定,且步态改变最小。

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