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改良假体囊技术治疗犬颅背侧髋关节脱位的疗效及并发症。

Outcome and complications following modified prosthetic capsule technique for treatment of craniodorsal hip luxation in dogs.

机构信息

École Nationale Vétérinaire d'Alfort, Unité de chirurgie, 7, avenue du Général de Gaulle, 94700 Maisons-Alfort, France (Garnier); Clinique vétérinaire Olliolis, 40, chemin du clos du haut, 83190 Ollioules, France (Garnier, Cabon, Collard, Guillaumot, Dembour).

出版信息

Can Vet J. 2023 Aug;64(8):758-764.

Abstract

OBJECTIVE

The objective of this retrospective study was to report the clinical outcome of dogs with craniodorsal hip luxation (CDHL) treated with a modified prosthetic capsule technique (mPCT).

ANIMALS AND PROCEDURE

Retrospective study of medical records from dogs with CDHL treated with mPCT between 2012 and 2018.

RESULTS

Sixty-four dogs were included. All luxations were reduced successfully. No intraoperative complications were observed. The postoperative complication rate was 28% ( = 18), with 14% ( = 9) major and 14% ( = 9) minor complications, and the majority occurring within 1 mo after surgery. Complications included reluxation (9.4%), severe lameness (3%), osteomyelitis (1.6%), and intermittent lameness or stiffness (14%). Of dogs without major complication (33/55 dogs), long-term owner follow-up assessment (> 6 mo) (median: 39 mo, range: 19 to 51 mo) revealed an excellent or good quality of life, although 5 dogs had intermittent lameness or stiffness. Radiographs of 13/33 dogs (median: 27 mo, range: 10 to 46 mo) showed no or mild osteoarthritis progression.

CONCLUSION AND CLINICAL RELEVANCE

The mPCT is an effective technique for surgical treatment of CDHL in dogs. Further studies are required to objectively evaluate limb use and long-term radiographic changes.

摘要

目的

本回顾性研究的目的是报告采用改良假体囊技术(mPCT)治疗颅背髋脱位(CDHL)犬的临床结果。

动物和程序

对 2012 年至 2018 年间采用 mPCT 治疗 CDHL 的犬的病历进行回顾性研究。

结果

共纳入 64 只犬。所有脱位均成功复位。未观察到术中并发症。术后并发症发生率为 28%(=18),其中 14%(=9)为主要并发症,14%(=9)为次要并发症,大多数发生在术后 1 个月内。并发症包括再脱位(9.4%)、严重跛行(3%)、骨髓炎(1.6%)和间歇性跛行或僵硬(14%)。无主要并发症的犬(55 只中的 33 只),长期主人随访评估(>6 个月)(中位数:39 个月,范围:19 至 51 个月)显示生活质量良好或优秀,但 5 只犬有间歇性跛行或僵硬。13/33 只犬(中位数:27 个月,范围:10 至 46 个月)的 X 线片未见或轻度骨关节炎进展。

结论和临床相关性

mPCT 是治疗犬 CDHL 的有效手术技术。需要进一步的研究来客观评估肢体使用和长期的影像学变化。

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