Department for Companion Animals and Horses, University Clinic for Small Animals, Small Animal Surgery, University of Veterinary Medicine, Vienna, Austria.
Department for Small Animal Surgery and Reproductive Medicine, Ludwig-Maximilians-University, Munich, Germany.
J Feline Med Surg. 2021 Apr;23(4):302-309. doi: 10.1177/1098612X20948143. Epub 2020 Aug 14.
The objective of this study was to compare ground reaction forces (GRFs) of a group of cats after femoral head and neck ostectomy (FHO) with those of a historical control group.
We searched the database of the Small Animal Clinic of the Veterinary University in Vienna for cats that had undergone unilateral FHO at least 1 year previously. Owners were telephoned and invited to the clinic with their cats for a re-examination. An in-house owner questionnaire-based evaluation, complete orthopaedic examination, hip radiography and gait analysis with a pressure-sensitive plate were performed, and results were compared within and between groups (FHO group and control group [CG]).
Seventeen cats that had undergone FHO (FHO group) at least 1 year previously and 15 healthy cats (CG) from a previous study were included. Measured GRFs (peak vertical force and vertical impulse [IFz] normalised to total force [%TF]) of the FHO legs were lower than those of the other legs of the FHO group and the legs of the CG. Results of the owner questionnaire were generally good and did not match the results of the GRF comparison. Furthermore, the gaits evaluated during the orthopaedic examination did not correlate with the measured GRFs where we identified a certain degree of lameness (reduced IFz, %TF) in all cats. Cats with limb shortening (dorsally displaced major trochanter major) were not revealed to have different GRF measurements.
This is the first study to assess GRFs in a large group of cats that had undergone FHO, comparing findings with those in healthy cats. Even if the differences are statistically significant, but rather small, our findings point to a long-term residual gait abnormality that could be detected using a pressure-sensitive plate but not always with an orthopaedic examination, in cats 1 year after FHO.
本研究旨在比较一组行股骨头和颈部切除术(FHO)的猫与历史对照组猫的地面反力(GRF)。
我们在维也纳兽医大学小动物诊所的数据库中搜索了至少 1 年前接受过单侧 FHO 的猫。通过电话联系主人,并邀请他们带着猫到诊所进行复查。进行了内部的基于主人问卷的评估、完整的骨科检查、髋关节射线照相和压力敏感板步态分析,并在组内(FHO 组和对照组 [CG])和组间进行了比较。
共纳入 17 只至少 1 年前接受过 FHO(FHO 组)的猫和 15 只来自先前研究的健康猫(CG)。FHO 腿的测量 GRF(峰值垂直力和垂直脉冲 [IFz] 相对于总力 [%TF] 归一化)低于 FHO 组的另一条腿和 CG 的腿。主人问卷的结果通常较好,与 GRF 比较结果不匹配。此外,在骨科检查中评估的步态与测量的 GRF 不相关,我们发现所有猫都存在一定程度的跛行(IFz 降低,%TF)。肢体缩短(背侧移位的大转子)的猫没有显示出不同的 GRF 测量值。
这是第一项评估大量接受 FHO 的猫的 GRF 的研究,将研究结果与健康猫进行比较。即使差异在统计学上是显著的,但相对较小,我们的发现表明 FHO 后 1 年猫存在长期残留的步态异常,这可以通过压力敏感板检测到,但在骨科检查中并不总是能检测到。