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2003年至2014年期间13例犬猫肱三头肌腱断裂的并发症及预后情况

Complications and outcomes associated with 13 cases of triceps tendon disruption in dogs and cats (2003-2014).

作者信息

Earley Naomi Frances, Ellse Gemma, Wallace Adrian M, Parsons Kevin J, Voss Katja, Pugliese Lauren C, Moores Andy P, Whitelock Richard, Stork Christoph, Langley-Hobbs Sorrel J, Radke Heidi

机构信息

Queen's Veterinary School Hospital, University of Cambridge, Cambridge, UK.

Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, UK.

出版信息

Vet Rec. 2018 Jan 27;182(4):108. doi: 10.1136/vr.104280. Epub 2017 Nov 2.

Abstract

This study reports data from a larger number of cases of triceps tendon disruption. Records from 10 veterinary referral hospitals between 2003 and 2014 were searched for canine and feline cases diagnosed with triceps tendon disruption, based on orthopaedic examination confirmed during surgery. Long-term follow-up and owner satisfaction were assessed using a questionnaire. There were 13 cases of triceps tendon disruption diagnosed across seven hospitals (nine dogs, four cats). Trauma, history or presence of a wound, surgery in the region of tendon attachment or corticosteroid treatment preceded triceps tendon disruption. Radiographic signs or histopathology suggestive of a chronic tendinopathy was common. All cases underwent surgical repair involving a tendon suture pattern, 12 of which were secured through bone tunnels. Immobilisation was used in all cases in the form of transarticular external skeletal fixation (TAESF) (8/9 dogs) or spica splint (four cats, two dogs; in one dog a TAESF was applied after complications associated with the spica splint). Complications occurred in 11 cases (17 total complications), frequently associated with the immobilisation method. One case had traumatic tendon rerupture two years following surgery. A wound at presentation was associated with the development of multiple complications. Nine cases had long-term follow-up; five achieved normal function, four achieved acceptable function. Despite the complications, overall return to subjective normal or acceptable function, as assessed by the owners, was achieved in the majority of cases.

摘要

本研究报告了大量肱三头肌腱断裂病例的数据。检索了2003年至2014年间10家兽医转诊医院的记录,以查找经手术中骨科检查确诊为肱三头肌腱断裂的犬猫病例。使用问卷评估长期随访情况和主人满意度。七家医院共诊断出13例肱三头肌腱断裂病例(9只狗,4只猫)。肱三头肌腱断裂之前有创伤、伤口病史或存在伤口、肌腱附着区域的手术或皮质类固醇治疗。提示慢性肌腱病的放射学征象或组织病理学表现很常见。所有病例均接受了涉及肌腱缝合模式的手术修复,其中12例通过骨隧道固定。所有病例均采用经关节外骨骼固定(TAESF)(8/9只狗)或人字形夹板(4只猫,2只狗;1只狗在与人字形夹板相关的并发症发生后应用了TAESF)的形式进行固定。11例出现并发症(共17种并发症),常与固定方法有关。1例在术后两年出现创伤性肌腱再次断裂。就诊时的伤口与多种并发症的发生有关。9例进行了长期随访;5例功能恢复正常,4例功能恢复可接受。尽管有并发症,但大多数病例经主人评估总体恢复到主观正常或可接受的功能。

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