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两种用于评估犬被动髋关节松弛度的牵引装置的比较

Comparison of Two Distraction Devices for Assessment of Passive Hip Laxity in Dogs.

作者信息

Santana Ana, Alves-Pimenta Sofia, Martins João, Colaço Bruno, Ginja Mário

机构信息

Faculty of Veterinary Medicine, Lusófona University, Lisbon, Portugal.

CITAB-Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal.

出版信息

Front Vet Sci. 2020 Aug 19;7:491. doi: 10.3389/fvets.2020.00491. eCollection 2020.

Abstract

Canine hip dysplasia is the most common orthopedic developmental condition in the dog and early hip laxity is the main risk factor. The importance of hip laxity in young animals in the development of hip dysplasia is unanimously recognized among researchers and veterinarians due to its medical applicability in terms of disease control and prevention. In the market, there is some certified hip distractors to promote joint laxity. However, the clinical use of some of these distractors complies with a set of usage rules, that can limit its medical application. In this study was compared the technical quality of radiographs and hip distraction using a certified hip distractor (CertD) and Dis-UTAD in 104 dogs (208 joints). The mean pelvic tilting of 1.5 ± 1.6° and 1.5 ± 1.8° were similar when using the CertD and the Dis-UTAD distractors, respectively ( > 0.05). In the CertD sample, the mean hip distraction index (DI) was 0.46 ± 0.17 and in the Dis-UTAD 0.46 ± 0.16; the mean DI differences was 0.001 ± 0.045, resulting in a non-significant paired -test ( = 0.65) and a significant intraclass correlation coefficient of 0.96, with the 95% lower limit confidence interval of 0.95 ( < 0.05). The statistical power analysis showed a very low distraction index difference effect size. The results suggest that the statistical reproducibility of CertD hip distraction by the Dis-UTAD and the DI mean differences of 0.001 might be considered without clinical importance. The Dis-UTAD might be considered adequate to promote dog hip laxity.

摘要

犬髋关节发育不良是犬类最常见的骨科发育性疾病,早期髋关节松弛是主要风险因素。由于髋关节松弛在疾病控制和预防方面的医学适用性,研究人员和兽医一致认为其在幼龄动物髋关节发育不良发展过程中具有重要性。市场上有一些经认证的髋关节撑开器可促进关节松弛。然而,其中一些撑开器的临床使用需遵循一系列使用规则,这可能会限制其医学应用。在本研究中,对104只犬(208个关节)使用经认证的髋关节撑开器(CertD)和Dis-UTAD进行髋关节撑开时的X线片技术质量进行了比较。使用CertD和Dis-UTAD撑开器时,平均骨盆倾斜度分别为1.5±1.6°和1.5±1.8°,二者相似(>0.05)。在CertD样本中,平均髋关节撑开指数(DI)为0.46±0.17,在Dis-UTAD样本中为0.46±0.16;平均DI差异为0.001±0.045,配对检验无显著性差异(=0.65),组内相关系数为0.96且具有显著性,95%置信区间下限为0.95(<0.05)。统计功效分析显示撑开指数差异效应量非常低。结果表明,Dis-UTAD对CertD髋关节撑开的统计可重复性以及DI平均差异0.001可能不具有临床重要性。Dis-UTAD可能被认为足以促进犬髋关节松弛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c1/7466428/781b9c87108c/fvets-07-00491-g0001.jpg

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