Trostel C Todd, Fox Derek B
From Inland Valley Veterinary Specialists & Emergency Center, Upland, California (C.T.T.); and Comparative Orthopedic Laboratory, College of Veterinary Medicine, University of Missouri, Columbia, Missouri (D.B.F.).
J Am Anim Hosp Assoc. 2020 Mar/Apr;56(2):83-91. doi: 10.5326/JAAHA-MS-6937. Epub 2020 Jan 21.
Coxofemoral luxation is the most common type of joint luxation observed clinically in dogs. This retrospective study determines the complications and outcomes of open reduction and internal fixation of coxofemoral luxations using a toggle rod stabilization in 58 dogs. The purpose of the study was to compare the results with previous studies to ascertain commonalities and differences. A majority of the canine luxations were stabilized using a 4.0 or 3.2 mm commercial toggle rod and either one or two strands of OrthoFiber, FiberWire, or monofilament nylon suture. Postoperative complications developed in 25 of the 58 (43%) dogs, with major complications in 9 cases (15.5%). The most common major complication was reluxation, which occurred in 6 dogs (10%). Five of the 6 cases of reluxation received monofilament suture, although there was not a statistically significant relationship between suture type and reluxation. Owner responses to a questionnaire reported good to excellent results for satisfaction with the procedure in 90% of cases. Results of the present study suggest that toggle rod stabilization remains an effective method for the treatment of coxofemoral joint luxation in dogs.
髋臼股骨头脱位是临床上在犬类中观察到的最常见的关节脱位类型。这项回顾性研究确定了58只犬采用肘节杆稳定术进行髋臼股骨头脱位切开复位内固定术的并发症和结果。该研究的目的是将结果与之前的研究进行比较,以确定共同点和差异。大多数犬类脱位采用4.0或3.2毫米的商用肘节杆以及一股或两股Orthofiber、FiberWire或单丝尼龙缝线进行稳定。58只犬中有25只(43%)出现术后并发症,9例(15.5%)出现严重并发症。最常见的严重并发症是再脱位,6只犬(10%)出现这种情况。6例再脱位病例中有5例使用了单丝缝线,尽管缝线类型与再脱位之间没有统计学上的显著关系。主人对问卷的回答显示,90%的病例对该手术的满意度为良好至优秀。本研究结果表明,肘节杆稳定术仍然是治疗犬髋臼股骨头关节脱位的有效方法。