Dunlap Anna E, Mathews Kyle G, Walters Bethany L, Bruner Kent A, Ru Hongyu, Marcellin-Little Denis J
Am J Vet Res. 2018 Nov;79(11):1217-1225. doi: 10.2460/ajvr.79.11.1217.
OBJECTIVE To evaluate the 3-D geometry of canine pelves and to characterize the long-term effects of juvenile pubic symphysiodesis (JPS) on pelvic geometry by comparing the pelvic configuration between littermates that did and did not undergo the procedure. ANIMALS 24 Labrador Retriever, Golden Retriever, or Labrador Retriever-Golden Retriever crossbred service dogs from 13 litters. PROCEDURES At 16 weeks old, puppies with a hip joint distraction index ≥ 0.5 were randomly assigned to undergo thermal JPS (n = 9), mechanical JPS (7), or a sham (control) surgical procedure (8). Ten years later, each dog underwent a CT scan of the pelvic region. Modeling software was used to create 3-D reconstructions from the CT scans, and various pelvic measurements were made and compared among the 3 treatments. RESULTS Compared with the control treatment, thermal and mechanical JPS increased the hemipelvis acetabular angle by 4°, the acetabular angle of lateral opening by 5°, and the orientation of the medial acetabular wall in a transverse plane by 6°, which indicated that JPS increased dorsal femoral head coverage by the acetabulum. Both JPS procedures decreased the pelvic canal area by approximately 20% and acetabular inclination by 6° but did not alter acetabular retroversion. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that thermal and mechanical JPS were equally effective in altering the 3-D pelvic geometry of dogs. These findings may help guide future studies of alternatives for optimizing canine pelvic anatomy to minimize the risk of hip dysplasia and associated osteoarthritis.
目的 通过比较接受和未接受幼年耻骨联合固定术(JPS)的同窝幼犬的骨盆形态,评估犬类骨盆的三维几何结构,并确定JPS对骨盆几何结构的长期影响。动物 来自13窝的24只拉布拉多寻回犬、金毛寻回犬或拉布拉多寻回犬与金毛寻回犬的杂交服务犬。方法 在16周龄时,将髋关节牵张指数≥0.5的幼犬随机分配接受热JPS(n = 9)、机械JPS(7只)或假手术(对照)手术(8只)。10年后,对每只犬进行骨盆区域的CT扫描。使用建模软件从CT扫描创建三维重建,并进行各种骨盆测量,并在三种治疗方法之间进行比较。结果 与对照治疗相比,热JPS和机械JPS使半骨盆髋臼角增加4°,外侧开口髋臼角增加5°,髋臼内侧壁在横平面内的方向增加6°,这表明JPS增加了髋臼对股骨头背侧的覆盖。两种JPS手术均使骨盆管面积减少约20%,髋臼倾斜度减少6°,但未改变髋臼后倾。结论和临床意义 结果表明,热JPS和机械JPS在改变犬类三维骨盆几何结构方面同样有效。这些发现可能有助于指导未来关于优化犬类骨盆解剖结构以最小化髋关节发育不良和相关骨关节炎风险的替代方法的研究。