Clerfond P, Huneault L, Dupuis J, Moreau M, Auger J
Pierre Clerfond, DEDV, Chief Resident, Small Animal Surgery, Centre Vétérinaire Rive-Sud, 7415 Bd Taschereau, Brossard, QC, J4Y 1A2, Canada, Phone: +1 450 656 3660, Fax: +1 450 656 5708, E-mail:
Vet Comp Orthop Traumatol. 2014;27(6):484-90. doi: 10.3415/VCOT-14-03-0035. Epub 2014 Aug 27.
To compare complication rates as well as the short and long-term function of surgical limbs in small dogs with bilateral medial patellar luxation (MPL) undergoing unilateral or single-session bilateral surgery.
Dogs weighing less than 12 kg with bilateral MPL that underwent unilateral (group U) or single-session bilateral surgery (group B) were retrospectively analysed. Data analysed included signalment, grades of luxation, surgical procedures, duration of surgery and anaesthesia, use of antibiotic medications, hospitalization time, complications, function at short-term follow-up, bone healing, and long-term assessment of function by means of a questionnaire.
Twenty-four dogs were included in group U and 27 in group B. Groups were similar in signalment and procedures performed. No significant difference was found in overall, minor, and major complication rates between Group U and Group B, nor in the short and long-term function of surgical limbs. Nine out of 21 dogs developed clinical signs on the contralateral stifle in Group U, of which only three underwent corrective surgery.
Single-session bilateral surgery could be offered for dogs with bilateral MPL with complication rates and function of operated limbs similar to unilateral surgery.
比较单侧或单次双侧手术治疗双侧内侧髌骨脱位(MPL)的小型犬的并发症发生率以及手术肢体的短期和长期功能。
对体重小于12 kg且患有双侧MPL并接受单侧手术(U组)或单次双侧手术(B组)的犬进行回顾性分析。分析的数据包括特征、脱位等级、手术程序、手术和麻醉持续时间、抗生素药物的使用、住院时间、并发症、短期随访时的功能、骨愈合情况以及通过问卷调查进行的长期功能评估。
U组纳入24只犬,B组纳入27只犬。两组在特征和所进行的手术程序方面相似。U组和B组在总体、轻微和严重并发症发生率以及手术肢体的短期和长期功能方面均未发现显著差异。U组21只犬中有9只对侧 stifle 出现临床症状,其中只有3只接受了矫正手术。
对于双侧MPL的犬,单次双侧手术的并发症发生率和手术肢体功能与单侧手术相似,可以采用。