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两种术前影像学方法用于评估犬胫骨结节前移以达到术后髌腱角90°的比较

Comparison of Two Preoperative Radiographic Methods for Assessing Tibial Tuberosity Advancement to Achieve a Postoperative Patella Tendon Angle of 90° in Dogs.

作者信息

Aragosa Federica, Della Valle Giovanni, Caterino Chiara, Lamagna Barbara, Buonocore Sara, Lamagna Francesco, Fatone Gerardo

机构信息

Department of Veterinary Medicine and Animal Production, University of Naples "Federico II", 80137 Naples, Italy.

Freelance Consultant, 80137 Naples, Italy.

出版信息

Animals (Basel). 2023 Jul 14;13(14):2310. doi: 10.3390/ani13142310.


DOI:10.3390/ani13142310
PMID:37508088
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10376114/
Abstract

Previous studies have suggested that the preoperative methods used to plan tibial tuberosity advancement in dogs may result in under-advancement. Therefore, this cadaveric study compared the effectiveness of the common tangent method and the tibial-anatomy-based method for achieving a target patellar tendon angle (PTA) of 90° after the modified Maquet procedure. Twenty stifle joints of mesomorphic dogs were randomly assigned to the two measurement methods. Radiographs taken in the mediolateral projection were used to measure tibial tuberosity advancement, and the wedge size was selected accordingly. For each surgical procedure, a custom-made three-dimensional wedge matched to an OrthoFoam wedge was used as a spacer. Postoperative radiographs were used to measure the PTA and to evaluate the position of the wedge. The measured advancement was not significantly different between the two methods. For 60% of the cases, the advancement measured using the common tangent method was <5.3 mm and the wedge size was increased to match that of commercially available wedges. Consequently, there was a significant difference between the measurements and wedges selected between the two procedures. The postoperative PTA did not differ significantly between the two methods and was 90° ± 5° in 80% of the stifles. The position of the wedge relative to the osteotomy was not significantly different between the methods. In conclusion, the advancement determined using the tibial-anatomy-based method was generally consistent with the size of commercially available wedges, and the method yielded a mean postoperative PTA of 90°.

摘要

先前的研究表明,用于规划犬胫骨结节前移的术前方法可能会导致前移不足。因此,这项尸体研究比较了改良Maquet手术后,使用公切线法和基于胫骨解剖学方法实现目标髌腱角(PTA)90°的有效性。将20个中形犬的膝关节随机分配到两种测量方法中。使用内外侧位投照的X线片测量胫骨结节前移,并据此选择楔形块大小。对于每个手术过程,使用与OrthoFoam楔形块匹配的定制三维楔形块作为垫片。术后X线片用于测量PTA并评估楔形块的位置。两种方法测得的前移量无显著差异。在60%的病例中,使用公切线法测得的前移量<5.3 mm,并且将楔形块大小增加以匹配市售楔形块。因此,两种手术之间在测量值和所选楔形块方面存在显著差异。两种方法术后的PTA无显著差异,80%的膝关节术后PTA为90°±5°。两种方法中楔形块相对于截骨术的位置无显著差异。总之,使用基于胫骨解剖学方法确定的前移量通常与市售楔形块的大小一致,并且该方法术后平均PTA为90°。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98fd/10376114/7956b14c1a55/animals-13-02310-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98fd/10376114/e6e48e317575/animals-13-02310-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98fd/10376114/4414f8af2d56/animals-13-02310-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98fd/10376114/7956b14c1a55/animals-13-02310-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98fd/10376114/e6e48e317575/animals-13-02310-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98fd/10376114/4414f8af2d56/animals-13-02310-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98fd/10376114/7956b14c1a55/animals-13-02310-g003.jpg

相似文献

[1]
Comparison of Two Preoperative Radiographic Methods for Assessing Tibial Tuberosity Advancement to Achieve a Postoperative Patella Tendon Angle of 90° in Dogs.

Animals (Basel). 2023-7-14

[2]
Comparison of desired radiographic advancement distance and true advancement distance required for patellar tendon-tibial plateau angle reduction to the ideal 90° in dogs by use of the modified Maquet technique.

Am J Vet Res. 2016-12

[3]
Planned wedge size compared to achieved advancement in dogs undergoing the modified Maquet procedure.

Vet Comp Orthop Traumatol. 2015

[4]
Evaluation of a new method to determine the tibial tuberosity advancement distance required to reduce the patellar tendon-tibial plateau angle to 90° with the modified Maquet technique in dogs.

Am J Vet Res. 2017-4

[5]
Effect of tibial tuberosity advancement on cranial tibial subluxation in canine cranial cruciate-deficient stifle joints: an in vitro experimental study.

Vet Surg. 2007-2

[6]
Comparison and interobserver reliability of three different methods for measuring the amount of the tibial tuberosity advancement in the preoperative planning of TTAT.

PLoS One. 2023

[7]
Measurement of the patellar tendon-tibial plateau angle and tuberosity advancement in dogs with cranial cruciate ligament rupture. Reliability of the common tangent and tibial plateau methods of measurement.

Vet Comp Orthop Traumatol. 2013

[8]
Effect of tibial plateau levelling osteotomy on patellar tendon angle: a prospective clinical study.

Vet Comp Orthop Traumatol. 2014

[9]
Effect of proximal translation of the osteotomized tibial tuberosity during tibial tuberosity advancement on patellar position and patellar ligament angle.

BMC Vet Res. 2017-1-9

[10]
The effect of preoperative planning method on recommended tibial tuberosity advancement cage size.

Vet Surg. 2014-11

本文引用的文献

[1]
Determination of the Stifle Angle at Standing Position in Dogs.

Vet Sci. 2022-11-21

[2]
Tibial Tuberosity Advancement Techniques (TTAT): A Systematic Review.

Animals (Basel). 2022-8-17

[3]
Immunoexpression of Relaxin and Its Receptors in Stifle Joints of Dogs with Cranial Cruciate Ligament Disease.

Animals (Basel). 2022-3-23

[4]
Outcome after Modified Maquet Procedure in dogs with unilateral cranial cruciate ligament rupture: Evaluation of recovery limb function by use of force plate gait analysis.

PLoS One. 2021

[5]
41 Cases of Treatment of Cranial Cruciate Ligament Rupture with Porous TTA: Three Years of Follow Up.

Vet Sci. 2019-2-20

[6]
Discrepancy between true distance of tibial tuberosity advancement and cage size: An ex vivo study.

Vet Surg. 2019-2

[7]
Evaluation, Description of the Technique, and Clinical Outcomes After Tibial Tuberosity Advancement With Cranial Fixation (TTA CF) for Cranial Cruciate Ligament Rupture in 22 Dogs.

Top Companion Anim Med. 2018-9

[8]
Relationship between Tibial conformation, cage size and advancement achieved in TTA procedure.

BMC Vet Res. 2018-3-20

[9]
Genome-wide association analysis in dogs implicates 99 loci as risk variants for anterior cruciate ligament rupture.

PLoS One. 2017-4-5

[10]
Evaluation of a new method to determine the tibial tuberosity advancement distance required to reduce the patellar tendon-tibial plateau angle to 90° with the modified Maquet technique in dogs.

Am J Vet Res. 2017-4

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