Di Dona Francesco, Della Valle Giovanni, Fatone Gerardo
Department of Veterinary Medicine and Animal Productions, University of Napoli "Federico II", Naples, Italy,
Vet Med (Auckl). 2018 May 31;9:23-32. doi: 10.2147/VMRR.S142545. eCollection 2018.
Patellar luxation is a common orthopedic problem in dogs. Medial luxation is more common than lateral luxation and is usually diagnosed in dogs of small breed. Diagnosis is based on clinical evidence of patellar instability; however, diagnostic imaging is required to assess the amount of skeletal deformity and then the most appropriate method of treatment. Surgical options include both soft tissue and osseous techniques, however, in most of the cases, a combination of more procedures is used to achieve the correction of the luxation. Complication rate is generally low and the most common complications include reluxation and implant-associated complications. Prognosis is generally favorable, with most of the dogs returning to normal limb function. This article describes patellar luxation features in dogs, including clinical presentation, diagnosis, and treatment options available.
髌骨脱位是犬类常见的骨科问题。内侧脱位比外侧脱位更常见,通常在小型犬中被诊断出来。诊断基于髌骨不稳定的临床证据;然而,需要进行诊断性成像来评估骨骼畸形的程度,进而确定最合适的治疗方法。手术选择包括软组织和骨技术,然而,在大多数情况下,会采用多种手术相结合的方式来实现脱位的矫正。并发症发生率一般较低,最常见的并发症包括复发和植入物相关并发症。预后通常良好,大多数犬只的肢体功能会恢复正常。本文描述了犬类髌骨脱位的特征,包括临床表现、诊断和可用的治疗选择。