Ramirez J, Barthélémy N, Noël S, Claeys S, Etchepareborde S, Farnir F, Balligand M
Juan M. Ramirez, Parque Empresarial Laurotorre 25, 29130 Alhaurín de la Torre, Málaga, Spain, Phone: +34 952 426 974, Fax: +34 952 426 974, E-mail:
Vet Comp Orthop Traumatol. 2015;28(5):339-46. doi: 10.3415/VCOT-14-10-0153. Epub 2015 Jul 29.
To describe the complications, short and long-term outcome and owner satisfaction of dogs with cranial cruciate ligament rupture treated with a recently described new osteotomy for the modified Maquet technique (N-MMT).
Medical records and radiographs of 82 dogs (84 stifles) were reviewed. Details regarding short-term outcome and complications were recorded from the medical records. Long-term follow-up information was obtained by telephone interview. Historical data and complications were statistically analysed.
Major complications occurred in 34/84 stifles. Intra-operative complications occurred in 26/84 stifles, all of which were fissures or fractures of the cortical hinge. Twenty-one of these fractures or fissures were repaired with a figure-of-eight wire. The second most common major complication was late meniscal tears in 3/84 stifles. One dog sustained a complete tibial fracture. Non-displaced fracture of the cortical hinge was the most common postoperative minor complication, which occurred in 5/84 stifles. The median preoperative lameness score was 3 out of 6. Final in-hospital re-evaluation of limb function was available in 58 dogs. The median lameness score at that time was 0 out of 6. Development of osteotomy related complications was not associated with a significant change in the postoperative lameness score.
Subjectively assessed clinical outcome with the N-MMT was good to excellent in this cohort of dogs. However, a high rate of intra- and postoperative complications of the N-MMT procedure was also present in these dogs.
描述采用最近描述的改良 Maquet 技术的新型截骨术（N-MMT）治疗的颅交叉韧带断裂犬的并发症、短期和长期预后以及主人满意度。
回顾了 82 只犬（84 个 stifles）的病历和 X 光片。从病历中记录了关于短期预后和并发症的详细信息。通过电话访谈获得长期随访信息。对历史数据和并发症进行了统计分析。
84 个 stifles 中有 34 个出现主要并发症。术中并发症发生在 84 个 stifles 中的 26 个，均为皮质铰链的裂缝或骨折。其中 21 处骨折或裂缝用 8 字钢丝修复。第二常见的主要并发症是 84 个 stifles 中有 3 个出现晚期半月板撕裂。1 只犬发生了完全性胫骨骨折。皮质铰链的无移位骨折是最常见的术后轻微并发症，发生在 84 个 stifles 中的 5 个。术前跛行评分中位数为 6 分中的 3 分。58 只犬有最终的住院肢体功能重新评估。当时的跛行评分中位数为 6 分中的 0 分。截骨术相关并发症的发生与术后跛行评分的显著变化无关。
在这组犬中，主观评估的 N-MMT 临床预后良好至优秀。然而，这些犬中 N-MMT 手术的术中和术后并发症发生率也很高。
