犬双侧髌骨内侧脱位治疗中单侧、分期双侧和单次双侧手术并发症发生率的比较。
Comparison of complication rates of unilateral, staged bilateral, and single-session bilateral surgery for the treatment of bilateral medial patellar luxation in dogs.
作者信息
Fullagar Bronwyn A, Rajala-Schultz Päivi, Hettlich Bianca F
机构信息
Department of Veterinary Clinical Sciences (Fullagar, Hettlich) and Department of Veterinary Preventative Medicine (Rajala-Schultz), College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, USA.
出版信息
Can Vet J. 2017 Jan;58(1):39-44.
This retrospective study compared complication rates in 93 client-owned dogs (119 stifles) undergoing single-session bilateral, staged bilateral, or unilateral surgery for bilateral medial patellar luxation. Clinical characteristics and complication rates were compared and risk factors for major complications were explored. Sixty-five dogs had unilateral, 16 staged bilateral and 11 single-session bilateral surgery. Complications occurred in 28/119 stifles (24%), 11 (9%) of which required revision surgery. Patellar reluxation occurred in 7/119 (6%) stifles, with no revision required. There was no significant association between timing of surgery and incidence of complications. In dogs < 10 kg with bilateral medial patellar luxation, single-session bilateral surgery is a feasible treatment option with a complication rate comparable to staged bilateral or unilateral medial patellar luxation surgery.
这项回顾性研究比较了93只宠物犬（119个 stifles）接受单次双侧、分期双侧或单侧手术治疗双侧内侧髌骨脱位的并发症发生率。比较了临床特征和并发症发生率，并探讨了主要并发症的危险因素。65只犬接受单侧手术，16只接受分期双侧手术，11只接受单次双侧手术。119个 stifles 中有28个（24%）出现并发症，其中11个（9%）需要翻修手术。119个 stifles 中有7个（6%）出现髌骨复发，无需翻修。手术时机与并发症发生率之间无显著关联。对于体重<10kg 的双侧内侧髌骨脱位犬，单次双侧手术是一种可行的治疗选择，其并发症发生率与分期双侧或单侧内侧髌骨脱位手术相当。
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