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犬十字韧带断裂改良 Maquet 术应用柠檬酸盐基生物材料楔块的前瞻性评估

Prospective Evaluation of a Citrate-Based Biomaterial Wedge for a Modified Maquet Procedure in the Treatment of Cranial Cruciate Ligament Rupture in Dogs.

机构信息

Ohio Veterinary Surgery and Neurology, Metropolitan Veterinary Hospital, Akron, Ohio, United States.

出版信息

Vet Comp Orthop Traumatol. 2021 Mar;34(2):137-143. doi: 10.1055/s-0040-1719058. Epub 2020 Nov 6.

Abstract

OBJECTIVE

The aim of this study was to describe short- and mid-term outcomes, complications, implant bioabsorption and owner satisfaction for a modified Maquet procedure (MMP) in which a novel bioabsorbable citrate-based implant is used as the wedge component to treat cranial cruciate ligament rupture in client-owned dogs.

STUDY DESIGN

Prospective clinical study of dogs ( = 13) undergoing MMP ( = 15). Intraoperative complications, postoperative complications, clinical follow-up using a 5-point lameness score and radiographs at 8 weeks and 6 months postoperatively were obtained. Mid-term outcome was assessed via physical examination, radiographs, canine orthopaedic index and owner satisfaction questionnaires.

RESULTS

No catastrophic complications occurred. Major complications occurred in 3/15 stifles. All were surgical site infections and one case required implant removal. Minor complications occurred in 9/15 stifles. Non-displaced cortical hinge fractures were the most common minor complication, and these occurred intraoperatively (4/15) or postoperatively (2/15). Three dogs achieved full function, eight dogs acceptable function and the outcome was unacceptable in two dogs. Most owners were satisfied with the procedure (11/13). Complete implant bioabsorption was not confirmed on mid-term radiographs.

CONCLUSION

The described MMP with a citrate-based implant can produce satisfactory mid-term results. However, the long-term outcome of this procedure must be evaluated and technical modifications need to be implemented prior to larger-scale use of this implant.

摘要

目的

本研究旨在描述一种改良 Maquet 手术(MMP)的短期和中期结果、并发症、植入物生物吸收和犬主人满意度,该手术使用一种新型可生物吸收的柠檬酸盐基植入物作为楔形物成分,用于治疗患有十字韧带断裂的犬。

研究设计

对接受 MMP(n=13)的犬进行前瞻性临床研究(n=15)。获得术中并发症、术后并发症、使用 5 分跛行评分的临床随访以及术后 8 周和 6 个月的 X 线片。通过体格检查、X 线片、犬骨科指数和犬主人满意度问卷评估中期结果。

结果

未发生灾难性并发症。3/15 个膝关节发生重大并发症。均为手术部位感染,其中 1 例需要取出植入物。9/15 个膝关节发生轻微并发症。未移位的皮质铰链骨折是最常见的轻微并发症,这些并发症发生在术中(4/15)或术后(2/15)。3 只狗完全恢复功能,8 只狗功能可接受,2 只狗功能不可接受。大多数犬主人对手术过程满意(11/13)。中期 X 线片未证实完全的植入物生物吸收。

结论

描述的 MMP 联合柠檬酸盐基植入物可产生令人满意的中期结果。然而,必须评估该手术的长期结果,并在大规模使用这种植入物之前进行技术改进。

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