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).
Can Vet J. 2023 Aug;64(8):758-764.
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).
Retrospective study of medical records from dogs with CDHL treated with mPCT between 2012 and 2018.
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.
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.
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。
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。
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。
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。
