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胫骨平台平整截骨术对膝关节伸肌机制负荷的影响:一项犬离体研究。

The Effect of Tibial Plateau Levelling Osteotomy on Stifle Extensor Mechanism Load: A Canine Ex Vivo Study.

作者信息

Drew Jarrod O, Glyde Mark R, Hosgood Giselle L, Hayes Alex J

机构信息

School of Veterinary and Life Sciences, Murdoch University, Murdoch, Western Australia, Australia.

Department of Medical Engineering and Physics, Royal Perth Hospital, Perth, Western Australia, Australia.

出版信息

Vet Comp Orthop Traumatol. 2018 Feb;31(2):131-136. doi: 10.1055/s-0038-1627476. Epub 2018 Mar 13.

Abstract

OBJECTIVE

To evaluate the effect of tibial plateau levelling osteotomy on stifle extensor mechanism load in an cruciate-intact canine cadaveric model.

STUDY DESIGN

mechanical testing study.

ANIMALS

Cadaveric canine pelvic limbs ( = 6).

MATERIALS AND METHODS

A 21-mm tibial radial osteotomy was performed on pelvic limbs ( = 6) prior to being mounted into a load-bearing limb press. The proximal tibial segment was incrementally rotated until the anatomical tibial plateau angle had been rotated to at least 1°. The proportional change in stifle extensor mechanism load between the anatomical tibial plateau angle and the neutralized (∼6.5 degrees) and over-rotated (∼1°) tibial plateau angle was analysed using a one-sample -test against a null hypothesis of no change. A -value ≤0.05 was considered significant.

RESULTS

There was no significant change in the stifle extensor mechanism load from the anatomical tibial plateau angle (308 N [261-355 N]) to the neutralized tibial plateau angle (313 N [254-372 N]; =.81), or from the anatomical tibial plateau angle to the over-rotated tibial plateau angle (303 N [254-352 N;  = 0.67).

CONCLUSION

Tibial plateau levelling osteotomy does not significantly alter stifle extensor mechanism load at either a neutralized or over-rotated tibial plateau angle in our cruciate-intact model.

摘要

目的

在没有交叉韧带损伤的犬类尸体模型中,评估胫骨平台平整截骨术对 stifle 伸肌机制负荷的影响。

研究设计

力学测试研究。

动物

犬类尸体的骨盆肢体(n = 6)。

材料与方法

在将骨盆肢体(n = 6)安装到承重肢体压力机之前,进行21毫米的胫骨桡骨截骨术。逐渐旋转胫骨近端节段,直到解剖学胫骨平台角度至少旋转了1°。使用单样本t检验分析解剖学胫骨平台角度与中和(约6.5度)和过度旋转(约1°)胫骨平台角度之间stifle伸肌机制负荷的比例变化,零假设为无变化。P值≤0.05被认为具有统计学意义。

结果

从解剖学胫骨平台角度(308 N [261 - 355 N])到中和胫骨平台角度(313 N [254 - 372 N];P = 0.81),或从解剖学胫骨平台角度到过度旋转胫骨平台角度(303 N [254 - 352 N];P = 0.67),stifle伸肌机制负荷均无显著变化。

结论

在我们的无交叉韧带损伤模型中,胫骨平台平整截骨术在中和或过度旋转的胫骨平台角度下均不会显著改变stifle伸肌机制负荷。

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