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胫骨平台水平截骨术治疗颅交叉韧带撕裂犬的敏捷性比赛恢复率。

Rate of return to agility competition for dogs with cranial cruciate ligament tears treated with tibial plateau leveling osteotomy.

作者信息

Heidorn Shannon N, Canapp Sherman O, Zink Christine M, Leasure Christopher S, Carr Brittany J

出版信息

J Am Vet Med Assoc. 2018 Dec 1;253(11):1439-1444. doi: 10.2460/javma.253.11.1439.

Abstract

OBJECTIVE To determine rate of and factors associated with return to agility competition for dogs with cranial cruciate ligament (CrCL) rupture treated with tibial plateau leveling osteotomy (TPLO). DESIGN Retrospective case series with nested case-control study. ANIMALS 31 dogs involved in agility competition with CrCL tears treated by TPLO at a private veterinary clinic from 2007 through 2013. PROCEDURES Medical records were reviewed to collect information on dog signalment, lesion characteristics, and surgical data. Owners completed a survey regarding whether and when their dog returned to agility competition after TPLO and, if so, how the dog performed. Performance data before and after TPLO were compared. RESULTS 20 of 31 (65%) dogs returned to agility competition after TPLO, 16 (80%) of which returned within 9 months after TPLO. The mean convalescent period for returning dogs was 7.5 months (range, 3 to 12 months). No dog that returned to competition sustained an injury to the affected limb during the follow-up period. No significant difference was identified between dogs that returned or did not return to agility competition regarding severity of osteoarthritis or proportions with meniscal injury or partial (vs complete) CrCL tears. CONCLUSIONS AND CLINICAL RELEVANCE These data suggested that the prognosis for returning to agility competition was good for dogs undergoing TPLO. None of the evaluated lesion characteristics were associated with return to competition. Rate of return to competition and duration of the convalescent period may be useful outcome variables for future investigations involving orthopedic procedures in dogs.

摘要

目的 确定接受胫骨平台水平截骨术(TPLO)治疗的颅侧十字韧带(CrCL)断裂犬恢复敏捷性比赛的比例及相关因素。 设计 带有巢式病例对照研究的回顾性病例系列。 动物 2007年至2013年期间在一家私人兽医诊所接受TPLO治疗的31只参与敏捷性比赛且患有CrCL撕裂的犬。 程序 查阅病历以收集有关犬的特征、损伤特点和手术数据的信息。主人完成一项关于其犬在TPLO术后是否以及何时恢复敏捷性比赛的调查,若恢复,则了解犬的表现情况。比较TPLO术前和术后的性能数据。 结果 31只犬中有20只(65%)在TPLO术后恢复了敏捷性比赛,其中16只(80%)在TPLO术后9个月内恢复。恢复比赛的犬的平均恢复期为7.5个月(范围为3至12个月)。在随访期间,恢复比赛的犬没有一只患肢再次受伤。在恢复或未恢复敏捷性比赛的犬之间,骨关节炎严重程度、半月板损伤比例或部分(相对于完全)CrCL撕裂比例方面未发现显著差异。 结论及临床意义 这些数据表明,接受TPLO治疗的犬恢复敏捷性比赛的预后良好。所评估的损伤特征均与恢复比赛无关。恢复比赛的比例和恢复期的长短可能是未来涉及犬骨科手术研究的有用结果变量。

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