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127 例犬只单次双侧胫骨平台平整截骨术后的结果和主人评估。

Outcome and owner assessment after single-session bilateral tibial plateau leveling osteotomy in 127 dogs.

机构信息

Anderson Moores Veterinary Specialists. The Granary, Bunstead Barns, Poles Ln, Hursley, Winchester SO21 2LL, UK (Montaño, Grierson); The Moores Orthopaedic Clinic, Upton Grey, Hampshire, UK (Moores).

出版信息

Can Vet J. 2023 Feb;64(2):153-158.

Abstract

OBJECTIVE

To retrospectively evaluate complication rates following bilateral tibial plateau leveling osteotomy (TPLO) as well as owner assessment of outcomes and post-operative management.

METHODS

Medical records of dogs presenting with bilateral cranial cruciate ligament (CCL) disease that underwent single-session bilateral TPLO from 2015 to 2019 in 1 referral practice were retrospectively reviewed. A non-validated questionnaire was sent to the owners to assess their ability to cope during the rehabilitation period, as well as procedure outcome.

RESULTS

In total, 127 dogs were included for analysis. The overall complication rate was 16.5% (minor complication rate 9.4% and major complication rate 10.2%). Of the 50 owners that answered the questionnaire, 31 (62%) did not need to use sling support at home at any time and 10 (20%) used sling support for < 1 wk. Furthermore, only 1 owner indicated that they would not choose to do a bilateral TPLO surgery again.

CLINICAL SIGNIFICANCE

Bilateral single-session TPLO surgery performed by an experienced surgeon had a similar outcome and complication rate to that of unilateral TPLO surgery. Most owners reported that postoperative care of their dog was not difficult.

摘要

目的

回顾性评估双侧胫骨平台平整化截骨术(TPLO)后的并发症发生率,以及主人对手术结果和术后管理的评价。

方法

对 2015 年至 2019 年期间,在一家转诊医院接受单次双侧 TPLO 的双侧前十字韧带(CCL)病变犬的病历进行了回顾性分析。向主人发送了一份非验证问卷,以评估他们在康复期间的应对能力以及手术结果。

结果

共纳入 127 只犬进行分析。总体并发症发生率为 16.5%(轻度并发症发生率为 9.4%,重度并发症发生率为 10.2%)。在回答问卷的 50 位主人中,31 位(62%)在任何时候都不需要在家中使用吊带支撑,10 位(20%)使用吊带支撑的时间<1 周。此外,只有 1 位主人表示他们不会选择再次进行双侧 TPLO 手术。

临床意义

由经验丰富的外科医生进行的双侧单次手术 TPLO 具有与单侧 TPLO 手术相似的结果和并发症发生率。大多数主人报告说,他们的狗的术后护理并不困难。

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