Montasell Xavier, Dupuis Jacques, Huneault Louis, Ragetly Guillaume R
Centre Hospitalier Universitaire Vétérinaire, Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, 1525 Rue des Vétérinaires, Saint Hyacinthe, Québec J2S 8H5 (Montasell); Centre Vétérinaire Rive-Sud, Brossard, Québec (Dupuis, Huneault); Centre Hospitalier Vétérinaire Frégis, Arcueil, France (Ragetly).
Can Vet J. 2018 Mar;59(3):277-283.
This study reports short- and long-term clinical outcomes following excision arthroplasty in 7 small breed dogs with shoulder pathology. Lameness and pain were scored before surgery, and reassessed at short- and long-term follow-ups with measurements of range of motion (ROM), scapulo-humeral angles of extension (EA) and flexion (FA), and muscle girth (MG) of the operated and contralateral limbs. All dogs improved clinically for lameness and pain. Range of motion, EA, and FA of the operated limb were not significantly different compared with the contralateral limb at short-term follow-up, but ROM and EA were significantly decreased at long-term examination. Muscle girth was not significantly different than the contralateral limb. Radiographic re-evaluations showed bony proliferation around osteotomies without interosseous union in most dogs and all owners were satisfied with the surgery outcome. Excision arthroplasty seems to be an effective treatment for chronic shoulder pathologies in small dogs. Range of motion and EA were decreased and a mild lameness remained present at long-term follow-up.
本研究报告了7只患有肩部疾病的小型犬行关节切除成形术后的短期和长期临床结果。术前对跛行和疼痛进行评分，并在短期和长期随访时重新评估，测量手术侧和对侧肢体的活动范围（ROM）、肩肱伸展角（EA）和屈曲角（FA）以及肌肉周长（MG）。所有犬的跛行和疼痛在临床上均有改善。短期随访时，手术侧肢体的活动范围、EA和FA与对侧肢体相比无显著差异，但在长期检查时，ROM和EA显著降低。肌肉周长与对侧肢体无显著差异。影像学重新评估显示，大多数犬的截骨周围有骨质增生，无骨间愈合，所有主人对手术结果均满意。关节切除成形术似乎是治疗小型犬慢性肩部疾病的有效方法。长期随访时，活动范围和EA降低，仍存在轻度跛行。
