Mullen H S, Matthiesen D T
Department of Surgery, Animal Medical Center, New York, NY 10021.
J Am Vet Med Assoc. 1989 Nov 1;195(9):1267-71.
Over a 5-year period, fibular head transposition was performed in 85 stifles in 80 dogs with rupture of a cranial cruciate ligament. The most common complication during surgery was iatrogenic fracture of the fibular head or neck (10 dogs; 12.5%), and the most common postoperative complication was seroma formation at the lateral aspect of the proximal portion of the tibia overlying the pin (6 dogs; 7.5%). Sixty-nine of 80 owners were contacted for follow-up evaluation of lameness 6 months to 5 years after surgery; 51% reported excellent results, 39% good results, and 10% fair results. Fifty-six dogs were available for long-term follow-up examination; all dogs had some degree of medical thickening of the stifle, 27 (48%) had crepitus, 4 (7%) had signs of pain, and 2 (3.5%) had moderate cranial drawer instability on manipulation of the joint. Results were good or excellent in 90% of the dogs.
在5年期间，对80只患有前交叉韧带断裂的犬的85个膝关节进行了腓骨头移位术。手术期间最常见的并发症是腓骨头或颈部医源性骨折（10只犬；12.5%），术后最常见的并发症是位于针上方胫骨近端外侧的血清肿形成（6只犬；7.5%）。80只犬的主人中有69位在术后6个月至5年接受了随访评估跛行情况；51%报告效果极佳，39%效果良好，10%效果尚可。56只犬可进行长期随访检查；所有犬的膝关节均有一定程度的医学增厚，27只（48%）有摩擦音，4只（7%）有疼痛迹象，2只（3.5%）在关节手法检查时有中度前抽屉不稳定。90%的犬效果良好或极佳。
