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病例报告:在一只患有慢性髋关节脱位和对侧骨盆肢体截肢的犬中使用Inoplant系统进行全髋关节置换。

Case report: Total hip replacement using Innoplant system in a dog with chronic hip luxation and contralateral pelvic limb amputation.

作者信息

McCartney William, Ober Ciprian

机构信息

NOAH, Dublin, Ireland.

Department of Surgery and Intensive Care, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania.

出版信息

Front Vet Sci. 2023 Oct 4;10:1219617. doi: 10.3389/fvets.2023.1219617. eCollection 2023.

DOI:10.3389/fvets.2023.1219617
PMID:37859947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10582927/
Abstract

A 6-year-old female neutered Border Collie presented with an inability to walk. The patient had undergone pelvic limb amputation over a year prior. Orthopedic examination revealed discomfort during hip manipulation, and radiographic examination revealed chronic hip luxation. Total hip replacement was performed using the InnoPlant system, which includes modular screw-in cementless pieces to improve implant stability. Cage rest was for the first four postoperative weeks. Subsequently, assistance was provided while standing until the patient could stand unassisted at 10 postoperative weeks. The clinical and radiological outcomes were excellent 3 months postoperatively. Since it is a new system, there are no data regarding the use of the components of the Innoplant system in dogs with a contralateral amputated pelvic limb. This is the first report describing the use of the Innoplant system for total hip replacement in a dog with a contralateral amputated pelvic limb. Based on the clinical outcomes of this case, the use of an Innoplant prosthesis can be an effective treatment option for dogs with contralateral amputated limbs.

摘要

一只6岁已绝育的边境牧羊犬出现无法行走的症状。该患者在一年多前接受了骨盆肢体截肢手术。骨科检查发现髋关节手法检查时有不适,影像学检查显示慢性髋关节脱位。使用InnoPlant系统进行了全髋关节置换,该系统包括模块化的拧入式非骨水泥部件,以提高植入物的稳定性。术后前四周需笼养休息。随后,在站立时提供辅助,直到术后10周患者能够独立站立。术后3个月临床和放射学结果均极佳。由于这是一个新系统,尚无关于InnoPlant系统组件在对侧骨盆肢体截肢犬中使用的数据。这是第一份描述InnoPlant系统用于对侧骨盆肢体截肢犬全髋关节置换的报告。基于该病例的临床结果,InnoPlant假体的使用对于对侧肢体截肢的犬可能是一种有效的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d6f/10582927/66a4b5bc9cd8/fvets-10-1219617-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d6f/10582927/680eedb197e2/fvets-10-1219617-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d6f/10582927/66a4b5bc9cd8/fvets-10-1219617-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d6f/10582927/680eedb197e2/fvets-10-1219617-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d6f/10582927/66a4b5bc9cd8/fvets-10-1219617-g002.jpg

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本文引用的文献

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Modified Tibial Tuberosity Advancement Rapid in a Dog with One Contralateral Amputated Limb.改良胫骨结节前移术在一只对侧肢体截肢犬中的快速应用
Vet Sci. 2022 Sep 2;9(9):476. doi: 10.3390/vetsci9090476.
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Open hip reduction using a novel transarticular suture stabilisation technique in 24 dogs: a retrospective study of technique, outcome and complications.采用新型经关节缝合稳定技术对24只犬进行开放性髋关节复位:技术、结果及并发症的回顾性研究
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Total hip replacement in dogs with contralateral pelvic limb amputation: A retrospective evaluation of 13 cases.
犬对侧后肢截肢行全髋关节置换术:13 例回顾性评估。
Vet Surg. 2020 Dec;49(8):1487-1496. doi: 10.1111/vsu.13513. Epub 2020 Sep 11.
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Total hip arthroplasty to address chronic hip luxation with pseudoacetabulum formation in seven dogs.全髋关节置换术治疗7只患有伴有假髋臼形成的慢性髋关节脱位的犬。
Vet Surg. 2019 Nov;48(8):1530-1539. doi: 10.1111/vsu.13317. Epub 2019 Aug 26.
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Analysis of outcomes following treatment of craniodorsal hip luxation with closed reduction and Ehmer sling application in dogs.犬颅背侧髋关节脱位采用闭合复位及应用埃默尔吊带治疗后的疗效分析
J Am Vet Med Assoc. 2019 Jun 15;254(12):1436-1440. doi: 10.2460/javma.254.12.1436.
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Postamputation Orthopedic Surgery in Canine Amputees: Owner Satisfaction and Outcome.犬截肢术后矫形外科手术:主人满意度与结果
Top Companion Anim Med. 2018 Sep;33(3):89-96. doi: 10.1053/j.tcam.2018.07.001. Epub 2018 Jul 19.
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Canine total hip replacement using a cementless threaded cup and stem: a review of 55 cases.使用非骨水泥型带螺纹髋臼杯和股骨柄进行犬全髋关节置换:55例病例回顾
J Small Anim Pract. 2018 Jun;59(6):350-356. doi: 10.1111/jsap.12827. Epub 2018 Mar 25.
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