Bertocci Gina E, Brown Nathan P, Mich Patrice M
Department of Bioengineering, J.B. Speed School of Engineering, University of Louisville, Louisville, KY.
Department of Bioengineering, J.B. Speed School of Engineering, University of Louisville, Louisville, KY.
Top Companion Anim Med. 2017 Dec;32(4):130-138. doi: 10.1053/j.tcam.2017.10.002. Epub 2017 Oct 31.
The objective of this study was to describe the patient population of dogs with cranial cruciate ligament (CrCL) deficiency that were prescribed a stifle orthosis. A total of 215 client-owned dogs with previously diagnosed CrCL deficiency were prescribed a stifle orthosis at a veterinary pain management and mobility clinic. Patient intake data collected included dog signalment, chief medical complaint, home environment and activity description, medical and surgical history, and diagnosing veterinarian. An orthopedic examination was conducted to assess pelvic limb function and determine pelvic limb morphologic measures. Spayed females (57.2%) were most common in our sample. Median age, body weight, and body condition score were 9.00 ± 3.23 years, 32.98 ± 13.37kg, and 6.00 ± 1.04, respectively. Most common breeds prescribed stifle orthoses included Labrador Retriever, Golden Retriever, and German Shepherd. Right and left limbs were equally affected, and 19.5% of dogs previously had stifle stabilization surgery. Primary reasons for seeking a stifle orthosis consultation were surgical concerns, advanced age, and surgery cost. Most common chief complaints included altered gait, decreased weight bearing, and pain following activity. Reduced stifle extension, increased cranial drawer score, and decreased 3-leg stance time characterized the CrCL-deficient stifle. Stifle orthosis represents an alternative approach to surgical stabilization and management of CrCL deficiency. CrCL-deficient dogs prescribed stifle orthoses were generally large breeds of advanced age with above ideal body condition score. Owners commonly sought a stifle orthosis for CrCL deficiency due to reservations regarding surgical management.
本研究的目的是描述被开具 stifle 矫形器的患有颅交叉韧带（CrCL）缺损的犬类患者群体。共有215只此前被诊断为 CrCL 缺损的客户拥有的犬只在一家兽医疼痛管理与运动诊所被开具了 stifle 矫形器。收集的患者入院数据包括犬只的特征、主要医疗诉求、家庭环境和活动描述、医疗和手术史以及诊断兽医。进行了骨科检查以评估后肢功能并确定后肢形态学指标。在我们的样本中，绝育雌性犬（57.2%）最为常见。中位年龄、体重和身体状况评分分别为9.00±3.23岁、32.98±13.37千克和6.00±1.04。开具 stifle 矫形器的最常见犬种包括拉布拉多寻回犬、金毛寻回犬和德国牧羊犬。左右肢受影响程度相同，19.5%的犬只此前接受过后肢稳定手术。寻求 stifle 矫形器咨询的主要原因是手术担忧、年龄较大和手术费用。最常见的主要诉求包括步态改变、负重减少和活动后疼痛。CrCL 缺损的后肢表现为后肢伸展减少、颅抽屉评分增加和三足站立时间减少。stifle 矫形器是 CrCL 缺损手术稳定和管理的一种替代方法。被开具 stifle 矫形器的 CrCL 缺损犬通常是年龄较大、身体状况评分高于理想水平的大型犬种。由于对手术管理有所保留，主人通常会为 CrCL 缺损的犬只寻求 stifle 矫形器。
