Elefterescu Horia, Ober Ciprian Andrei, Timen Andrei, Yiapanis Christos, McCartney William, Milgram Joshua
Clinica de Chirurgie si Ortopedie Veterinara, Bucuresti, Romania.
Department of Surgery, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania.
Front Vet Sci. 2021 May 13;8:669680. doi: 10.3389/fvets.2021.669680. eCollection 2021.
Triple pelvic osteotomy (TPO) is a prophylactic surgical procedure performed on dogs with canine hip dysplasia. The procedure is indicated in skeletally immature dogs without secondary osteoarthritis (OA). It has been suggested that 60° of rotation is excessive and is associated with poor outcome. The objective of the study was to assess the medium term outcome in dogs having undergone triple pelvic osteotomy (TPO) using 60° dedicated plates. Nine TPOs were performed in seven dogs with hip dysplasia. Eight of nine hips had 72-100% osseous union at the time of revisit. The mean time to final radiographic recheck was 200 days (range, 185-229 days). The mean time to follow-up was 11.5 months (range 11-12 months). All 7 dogs had regained full function and did not require supplemental analgesia. Pelvic canal narrowing was noted in the two dogs with bilateral surgeries, but no clinical consequences were noted according to owner's statement.If more than 40 degrees reduction angles at Ortolani test, 60° of rotation of the acetabulum can be used successfully in dogs with hip dysplasia. At the time of mid-term follow-up, all dogs in this case series had full function.
三联骨盆截骨术(TPO)是一种针对患有犬髋关节发育不良的犬只进行的预防性外科手术。该手术适用于骨骼未成熟且无继发性骨关节炎(OA)的犬只。有人认为60°的旋转角度过大且与不良预后相关。本研究的目的是评估使用60°专用钢板进行三联骨盆截骨术(TPO)的犬只的中期预后。对7只患有髋关节发育不良的犬只进行了9次TPO手术。复查时,9个髋关节中有8个实现了72%-100%的骨愈合。最终影像学复查的平均时间为200天(范围为185-229天)。随访的平均时间为11.5个月(范围为11-12个月)。所有7只犬只均恢复了全部功能,且无需补充镇痛治疗。接受双侧手术的两只犬只出现了骨盆管狭窄,但据主人称未观察到临床后果。如果奥托拉尼试验中的复位角度超过40度,60°的髋臼旋转可成功用于患有髋关节发育不良的犬只。在中期随访时,该病例系列中的所有犬只均恢复了全部功能。