Dycus David L, Levine David, Marcellin-Little Denis J
Department of Orthopedic Surgery, Veterinary Orthopedic and Sports Medicine Group (VOSM), 10975 Guilford Road, Annapolis Junction, MD 20701, USA.
Department of Physical Therapy, University of Tennessee at Chattanooga, 615 McCallie Avenue, Chattanooga, TN 37403, USA.
Vet Clin North Am Small Anim Pract. 2017 Jul;47(4):823-850. doi: 10.1016/j.cvsm.2017.02.006.
Hip dysplasia is among the most common orthopedic conditions affecting dogs. Joint laxity is responsible for abnormal development of the femoral head and acetabulum, leading to excessive wear of the articular cartilage. Wear leads to secondary osteoarthritis. Rehabilitation is either conservative or after surgical management. Conservative rehabilitation therapies are directed at decreasing pain, improving hip range of motion (ROM), and building or maintaining muscle mass. Postoperatively, rehabilitation focuses on decreasing postoperative pain and inflammation, improving comfort and limb use, and protecting the surgical site. Once the patient has healed, rehabilitation is directed at improving ROM and promoting muscle mass.
髋关节发育不良是影响犬类的最常见骨科疾病之一。关节松弛导致股骨头和髋臼异常发育,进而导致关节软骨过度磨损。磨损会引发继发性骨关节炎。康复治疗分为保守治疗或手术治疗后进行。保守康复治疗旨在减轻疼痛、改善髋关节活动范围(ROM)以及增强或维持肌肉质量。术后,康复重点在于减轻术后疼痛和炎症、提高舒适度和肢体使用能力以及保护手术部位。一旦患者痊愈,康复则致力于改善活动范围和促进肌肉生长。