Valiño-Cultelli Victoria, Varela-López Óscar, González-Cantalapiedra Antonio
Department of Anatomy, Animal Production and Veterinary Clinical Sciences, Veterinary Faculty, Universidad de Santiago de Compostela, 15705 Lugo, Spain.
Vet Sci. 2022 Apr 10;9(4):180. doi: 10.3390/vetsci9040180.
Patellar desmopathy can lead to desmitis, discomfort, and lameness. In the traditional MMT, a pin is used for the fixation of the fragment of the osteotomized tibia to the implant and the tibial diaphysis; this pin needs to be placed below the insertion of the patellar ligament to avoid damaging it. Considering the differences between TTA and MMT, the authors consider it important to determine the incidence of patellar desmopathy in the MMT. This is a prospective study that enrolled 53 owned dogs that underwent MMT and were followed up by a complete examination and radiograph controls to establish the patellar tendon thickening and the presence of clinical desmitis. The PRGF were administrated to 29 of those patients, in order to determine if PRGF's action could decrease ligament desmitis. The conclusions in this study were that the desmopathy produced by the MMT is similar to that generated by the TTA if the pin is carefully placed; in addition, the PRGF did not decrease the inflammation and the thickening of the ligament.
髌骨韧带病可导致韧带炎、不适和跛行。在传统的改良胫骨结节前移术（MMT）中，使用一根钢针将截骨后的胫骨碎片固定到植入物和胫骨干上；这根钢针需要放置在髌韧带附着点下方，以避免损伤它。考虑到改良胫骨结节前移术（TTA）和改良胫骨结节前移术（MMT）之间的差异，作者认为确定改良胫骨结节前移术（MMT）中髌骨韧带病的发生率很重要。这是一项前瞻性研究，纳入了53只接受改良胫骨结节前移术（MMT）的家养犬，并通过全面检查和X线片对照进行随访，以确定髌腱增厚情况和临床韧带炎的存在。其中29只犬接受了富血小板生长因子（PRGF）治疗，以确定PRGF是否能减轻韧带炎。该研究的结论是，如果小心放置钢针，改良胫骨结节前移术（MMT）产生的韧带病与胫骨结节前移术（TTA）产生的韧带病相似；此外，富血小板生长因子（PRGF）并没有减轻韧带的炎症和增厚。
