Aragosa Federica, Della Valle Giovanni, Caterino Chiara, Lamagna Barbara, Buonocore Sara, Lamagna Francesco, Fatone Gerardo
Department of Veterinary Medicine and Animal Production, University of Naples "Federico II", 80137 Naples, Italy.
Freelance Consultant, 80137 Naples, Italy.
Animals (Basel). 2023 Jul 14;13(14):2310. doi: 10.3390/ani13142310.
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°.
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°。
Vet Comp Orthop Traumatol. 2015
Vet Comp Orthop Traumatol. 2014
Vet Sci. 2022-11-21
Animals (Basel). 2022-8-17