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犬肩关节剥脱性骨软骨炎的关节镜治疗

Arthroscopic treatment of osteochondritis dissecans in the canine shoulder.

作者信息

Person M W

机构信息

Department of Veterinary Clinical Medicine and Surgery, College of Veterinary Medicine, Washington State University, Pullman 99164-6610.

出版信息

Vet Surg. 1989 May-Jun;18(3):175-89. doi: 10.1111/j.1532-950x.1989.tb01068.x.

DOI:10.1111/j.1532-950x.1989.tb01068.x
PMID:2773279
Abstract

Twenty-three shoulders of 21 dogs were treated arthroscopically for osteochondritis dissecans (OCD). Thirteen dogs had bilateral lesions detectable radiographically; however, only two dogs had arthroscopic surgery on both shoulders. Arthroscopic procedures included removal of the osteochondral flap, curettage of the subchondral defect, and partial synovectomy. Fourteen dogs were using the treated limb within 1 day and eight dogs within 2 days, although some lameness may have persisted for several weeks. Force plate evaluation was effective for comparison of preoperative and postoperative mean peak force/body weight (PF/BW) values. Improvement was detected objectively in 9 of the 10 dogs returned for postoperative force plate analysis. All owners were satisfied with the cosmetic results and the rapid return to function.

摘要

对21只犬的23个肩部进行了关节镜下剥脱性骨软骨炎(OCD)治疗。13只犬在X线片上可检测到双侧病变;然而,只有2只犬双侧肩部都接受了关节镜手术。关节镜手术包括切除骨软骨瓣、刮除软骨下缺损以及部分滑膜切除术。14只犬在1天内开始使用治疗的肢体,8只犬在2天内开始使用,尽管有些跛行可能持续了几周。测力板评估对于比较术前和术后平均峰值力/体重(PF/BW)值是有效的。在返回进行术后测力板分析的10只犬中,有9只客观上检测到了改善。所有主人对美容效果和功能的快速恢复都很满意。

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