LeadER Animal Specialty Hospital, Cooper City, Florida, United States of America.
Department of Clinical Sciences, Kansas State University, Manhattan, Kansas, United States of America.
PLoS One. 2021 Feb 25;16(2):e0247555. doi: 10.1371/journal.pone.0247555. eCollection 2021.
The purpose of this retrospective study was to evaluate the risk factors for short-term postoperative complications in the 8 weeks after unilateral tibial plateau leveling osteotomy (TPLO) for cranial cruciate ligament rupture in small dogs weighing less than 15 kg. Medical records were retrospectively reviewed for 90 dogs weighing <15 kg that underwent medial parapatellar arthrotomy with inspection of the meniscus and TPLO performed by the same surgeon between January 2012 and December 2017. The overall complication rate was 4.44% (4/90 dogs). There were four cases of partial incisional dehiscence, none of which required surgical revision. Complications were significantly more likely in dogs that had undergone placement of a 2.4-mm TPLO plate. Overall, the complication rate was less than that in previous studies of dogs weighing > 15kg. In this study, patients in which 2.4-mm TPLO plates were used were more likely to develop postoperative complications. Dogs weighing <15 kg that underwent TPLO had good short-term outcomes with minimal complications. In our study, the overall complication rate after TPLO in dogs weighing <15 kg is less than that historically reported in heavier dogs. Our data suggests that TPLO is a safe treatment option in small dogs with cranial cruciate ligament rupture.
本回顾性研究旨在评估体重小于 15 公斤的小型犬施行单侧胫骨平台平整化截骨术(TPLO)治疗十字韧带断裂后 8 周内短期术后并发症的风险因素。对 2012 年 1 月至 2017 年 12 月间由同一位外科医生施行内侧髌旁关节切开术并检查半月板以及施行 TPLO 的 90 只体重小于 15 公斤的小型犬的医疗记录进行了回顾性分析。总体并发症发生率为 4.44%(4/90 只狗)。有 4 例部分切口裂开,均无需手术修正。使用 2.4 毫米 TPLO 板的犬发生并发症的可能性显著更高。总体而言,并发症发生率低于以往对体重超过 15 公斤犬的研究。在本研究中,使用 2.4 毫米 TPLO 板的患者更有可能发生术后并发症。施行 TPLO 的体重小于 15 公斤犬的短期预后良好,并发症极少。在我们的研究中,体重小于 15 公斤犬施行 TPLO 后的总体并发症发生率低于以往报告的较大型犬。我们的数据表明,TPLO 是治疗十字韧带断裂小型犬的一种安全治疗选择。