Schulz Kurt S, Ash Krisitan J, Cook James L
Department of Surgery, Peak Veterinary Referral Center at Ethos, Williston, Vermont.
Thompson Laboratory for Regenerative Orthopaedics & Mizzou BioJoint® Center, Missouri Orthopedic Institute, Columbia, Missouri.
Vet Surg. 2019 Oct;48(7):1262-1270. doi: 10.1111/vsu.13208. Epub 2019 Apr 4.
To report outcomes of dogs with common calcanean tendon (CCT) ruptures treated with a platelet-rich plasma (PRP) enhanced nonabsorbable loop-suture technique.
Retrospective case series.
Client-owned dogs (n = 12).
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.
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%).
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.
Loop-suture tenorrhaphy with local application of autogenous leukoreduced PRP appears to offer an acceptable option to treat CCT injuries in dogs.
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。
回顾性病例系列。
客户拥有的犬(n = 12)。
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。
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%)。
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。
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。