多韧带 stifle 损伤，26 只狗的多中心回顾性研究。

Multiligament stifle injury, a multicenter retrospective study in 26 dogs.

机构信息

Fitzpatrick Referrals, Eashing, Godalming, UK.

Davies Veterinary Specialists, Higham Gobion, UK.

出版信息

Vet Med Sci. 2023 May;9(3):1093-1102. doi: 10.1002/vms3.1122. Epub 2023 Mar 17.

DOI:10.1002/vms3.1122

PMID:36930812

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10188087/

Abstract

OBJECTIVES

To describe multiligament stifle injury in dogs and report complications and long-term outcomes.

METHODS

Medical records of dogs surgically treated for multiligament stifle injury were reviewed from six veterinary hospitals. Long-term follow-up was collected from referring veterinarians.

RESULTS

Twenty-six client-owned dogs and 26 stifles were included. Road traffic accidents and limb entrapment were the most common causes of injury. Cranial cruciate and lateral collateral ligament rupture was the most common combination of injury (10 cases). The caudal cruciate ligament was damaged in 12/23 cases but was surgically addressed in only 2 cases. Cranial cruciate ligament rupture was present in all cases and was managed using TPLO (6 cases), extracapsular suture (15 cases) and TTA (2 cases). Postoperative immobilisation with a transarticular external skeletal fixator was used in 4/26 cases. Intraoperative complications were reported in 2/23 cases, short-term complications in 17/25 cases, of which eight were major, and long-term complications in 7/18, of which two were major. Patella luxation was seen in one case and is a previously unreported complication. The overall outcome was excellent in 9/24 cases, good in 5/24 cases, fair in 7/24 cases and poor in 3/24 cases. Follow-up time ranged from 1.5 months to 9 years with the median (IQR) of 9.5 (4.0 to 28.5) months.

CONCLUSIONS

Multiligament stifle injury in dogs is associated with a high rate of major complications. The overall outcome was good to excellent in just over half of the dogs.

摘要

目的

描述犬多韧带后肢损伤，并报告其并发症和长期预后。

方法

对六家兽医医院接受多韧带后肢损伤手术治疗的犬的病历进行了回顾性研究。从转诊兽医处收集了长期随访数据。

结果

共纳入 26 只患犬和 26 个后肢。道路交通伤和肢体嵌压是最常见的损伤原因。最常见的损伤组合是前十字韧带和外侧副韧带同时断裂（10 例）。23 例中有 12 例后十字韧带损伤，但仅 2 例接受了手术治疗。所有病例均存在前十字韧带断裂，采用 TPLO（6 例）、关节囊外缝合（15 例）和 TTA（2 例）进行处理。4/26 例术后采用关节内外固定器进行固定。23 例中有 2 例术中出现并发症，25 例中有 17 例出现短期并发症，其中 8 例为严重并发症，18 例中有 7 例出现长期并发症，其中 2 例为严重并发症。1 例出现髌骨脱位，这是一种以前未报道过的并发症。24 例中，9 例总体预后良好，5 例预后较好，7 例预后一般，3 例预后较差。随访时间为 1.5 个月至 9 年，中位数（IQR）为 9.5（4.0 至 28.5）个月。