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犬踇长屈肌腱浅表脱位的磨锉跟骨成形术与原发性伸肌支持带修复

Superficial digital flexor tendon luxation repaired with abrasion calcaneoplasty and primary retinaculum repair in dogs.

机构信息

Surgery Specialty Intern (Johnson), Department of Small Animal Surgery (Davis), Red Bank Veterinary Hospital, Tinton Falls, New Jersey 007724, United States.

出版信息

Can Vet J. 2022 Nov;63(11):1141-1146.

Abstract

Surgical treatment of a superficial digital flexor tendon luxation is the treatment of choice, since nonsurgical treatment has been shown to be unsuccessful in dogs in which it has been attempted. The objectives of this study were to report complications and short- to long-term outcomes in dogs with superficial digital flexor tendon luxation treated with abrasion calcaneoplasty, an adjunctive surgical technique, in addition to traditional repair. In total, 12 client-owned dogs with superficial digital flexor tendon luxations were examined in this retrospective case series (from 2010 to 2020) of a novel surgical technique using abrasion calcaneoplasty, in addition to retinaculum imbrication. Records were reviewed for signalment, chronicity of clinical signs, preoperative diagnostics tests, surgical techniques, postoperative complications, and outcomes. Abrasion calcaneoplasty, in addition to traditional primary retinaculum repair, was successfully performed in 12 dogs, with ultimate resolution of clinical lameness in all patients, despite short-term reluxation in 1 patient. Based on the findings of this case series, we inferred that abrasion calcaneoplasty can be considered in addition to traditional repair as an option to treat luxation of the superficial digital flexor, with a 58% short-term complication rate, and no evidence of long-term complications.

摘要

手术治疗浅层屈指深肌腱脱位是首选治疗方法,因为在尝试过非手术治疗的狗中,这种治疗方法并未成功。本研究的目的是报告采用附加手术技术(跟骨磨蚀术)治疗浅层屈指深肌腱脱位的狗的并发症和短期至长期结果,除了传统修复之外,还报告了采用附加手术技术(跟骨磨蚀术)治疗浅层屈指深肌腱脱位的狗的并发症和短期至长期结果。在这个回顾性病例系列研究(2010 年至 2020 年)中,总共检查了 12 只患有浅层屈指深肌腱脱位的患犬,这些狗都接受了跟骨磨蚀术联合传统屈指深肌腱鞘修复术的新型手术技术。对这些狗的一般情况、临床症状的慢性程度、术前诊断测试、手术技术、术后并发症和结果进行了回顾。尽管 1 只狗出现短期复发,但 12 只狗均成功接受了跟骨磨蚀术联合传统屈指深肌腱鞘修复术,所有患者的临床跛行均最终得到缓解。基于该病例系列研究的结果,我们推断可以考虑在传统修复术的基础上,将跟骨磨蚀术作为治疗浅层屈指深肌腱脱位的一种选择,短期并发症发生率为 58%,无长期并发症的证据。

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