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采用环缝肌腱缝合技术和自体白细胞减少富血小板血浆对犬常见跟腱断裂进行修复后的临床结果

Clinical outcomes after common calcanean tendon rupture repair in dogs with a loop-suture tenorrhaphy technique and autogenous leukoreduced platelet-rich plasma.

作者信息

Schulz Kurt S, Ash Krisitan J, Cook James L

机构信息

Department of Surgery, Peak Veterinary Referral Center at Ethos, Williston, Vermont.

Thompson Laboratory for Regenerative Orthopaedics & Mizzou BioJoint® Center, Missouri Orthopedic Institute, Columbia, Missouri.

出版信息

Vet Surg. 2019 Oct;48(7):1262-1270. doi: 10.1111/vsu.13208. Epub 2019 Apr 4.

DOI:10.1111/vsu.13208
PMID:30950083
Abstract

OBJECTIVE

To report outcomes of dogs with common calcanean tendon (CCT) ruptures treated with a platelet-rich plasma (PRP) enhanced nonabsorbable loop-suture technique.

STUDY DESIGN

Retrospective case series.

ANIMALS

Client-owned dogs (n = 12).

METHODS

Medical records (2015-2017) of dogs with CCT ruptures repaired with a loop-suture tenorrhaphy and autogenous leukoreduced PRP were reviewed for signalment, history, type of injury, treatment, and clinical follow-up. Outcomes were assessed by functional anatomic measurements and Canine Orthopedic Index (COI) scores transformed to percentages, with 100% representing no problems.

RESULTS

Twelve tendons were treated. Two dogs had major complications that were successfully revised. Follow-up was available in 11 of 12 dogs, with a median time of 12 months (range, 4-36), including COI for 11 dogs and anatomic measurements for 6 dogs. Anatomic measurements did not differ between treated and normal contralateral limbs (midthigh muscle mass P > .99, cranial tibial muscle mass P = .37, CCT diameter P = .08, tibiotarsal joint angle P > .99). Owners scored function (COI) as 96.4% (range, 93.3%-97.8%) and quality of life as 94.6% (range, 92%-98.2%).

CONCLUSION

Loop-suture tenorrhaphy with application of autogenous leukoreduced PRP at the repair site resulted in restoration of functional anatomic measurements, high COI, and client satisfaction.

CLINICAL SIGNIFICANCE

Loop-suture tenorrhaphy with local application of autogenous leukoreduced PRP appears to offer an acceptable option to treat CCT injuries in dogs.

摘要

目的

报告采用富含血小板血浆(PRP)增强的不可吸收环缝技术治疗犬常见跟腱(CCT)断裂的结果。

研究设计

回顾性病例系列。

动物

客户拥有的犬(n = 12)。

方法

回顾2015年至2017年采用环缝肌腱缝合术和自体白细胞减少PRP修复CCT断裂的犬的病历,记录其特征、病史、损伤类型、治疗方法及临床随访情况。通过功能解剖测量和转化为百分比的犬骨科指数(COI)评分评估结果,100%表示无问题。

结果

共治疗12条肌腱。2只犬出现严重并发症,但成功进行了修复。12只犬中有11只进行了随访,中位随访时间为12个月(范围4 - 36个月),其中11只犬有COI评分,6只犬有解剖测量数据。治疗侧肢体与对侧正常肢体的解剖测量结果无差异(大腿中部肌肉质量P > 0.99,胫骨前肌肌肉质量P = 0.37,CCT直径P = 0.08,胫跗关节角度P > 0.99)。主人对功能(COI)的评分平均为96.4%(范围93.3% - 97.8%),生活质量评分为94.6%(范围92% - 98.2%)。

结论

在修复部位应用自体白细胞减少PRP的环缝肌腱缝合术可恢复功能解剖测量结果,获得较高的COI评分,并使客户满意。

临床意义

在犬CCT损伤治疗中,局部应用自体白细胞减少PRP的环缝肌腱缝合术似乎是一种可接受的选择。

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