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11只犬和5只猫外伤性髌骨脱位的临床表现、手术治疗及预后:2011年至2022年单中心回顾性研究

Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022.

作者信息

Boullenger Julien, Beyer Clémentine, Sériot Paul, Griffeuille Emilien, Gibert Sophie, Dunié-Mérigot Antoine

机构信息

Department of Surgery, Centre Hospitalier Vétérinaire Languedocia, Montpellier, France.

出版信息

Vet Comp Orthop Traumatol. 2025 Jan;38(1):41-48. doi: 10.1055/s-0044-1790220. Epub 2024 Sep 3.

Abstract

OBJECTIVE

Patellar luxation (PL) is commonly diagnosed in dogs and cats; however, a traumatic cause is poorly reported in the literature. The aim of this study was to report the clinical presentation, surgical treatment, and outcome in dogs and cats surgically treated for traumatic PL.

STUDY DESIGN

This is a retrospective study. Medical records of dogs and cats operated for traumatic PL were reviewed. Short- and long-term follow-ups were assessed with medical records and telephone interviews with owners and referring veterinarians. Data on signalment, lameness, PL characteristics, surgery, complications, and outcome were recorded.

RESULTS

Eleven dogs and 5 cats were included. Both species had a median lameness grade of 4/5 and a median PL grade of 3/4. PL was medial in most cases (13/16). Joint capsule lesions were identified in 15 cases, 4 cases had trochlear ridge cartilage damage. All cases had a capsular imbrication, 12 cases had a fabello-patellar suture (FPS). Mean long-term follow-up time was 70.8 ± 42.5 months in 9 dogs and 4 cats. Ten cases out of 13 had no lameness at the 2-month follow-up, and 11/13 cases had no long-term lameness. Eleven cases out of 13 had no PL at the 2-month follow-up. No long-term PL was reported by owners. Complications were mild in 5 cases, moderate in 1, severe in 3. Functional outcome was full in 10 cases and acceptable in 3.

CONCLUSION

Soft tissue techniques and FPS were effective in the surgical treatment of traumatic PL in dogs and cats, resulting in acceptable to full long-term function in all cases, with limited severe complications.

摘要

目的

髌骨脱位(PL)在犬猫中较为常见;然而,文献中关于创伤性病因的报道较少。本研究的目的是报告接受手术治疗的创伤性PL犬猫的临床表现、手术治疗及预后情况。

研究设计

这是一项回顾性研究。回顾了因创伤性PL接受手术的犬猫的病历。通过病历以及与主人和转诊兽医的电话访谈对短期和长期随访情况进行评估。记录了有关品种、跛行、PL特征、手术、并发症及预后的数据。

结果

纳入11只犬和5只猫。两个物种的跛行分级中位数均为4/5,PL分级中位数均为3/4。大多数病例(13/16)的PL为内侧脱位。15例发现关节囊病变,4例有滑车嵴软骨损伤。所有病例均进行了关节囊重叠缝合,12例进行了腓肠豆-髌骨缝合(FPS)。9只犬和4只猫的平均长期随访时间为70.8±42.5个月。13例中有10例在2个月随访时无跛行,13例中有11例无长期跛行。13例中有11例在2个月随访时无PL。主人未报告长期PL情况。5例并发症为轻度,1例为中度,3例为重度。10例功能预后良好,3例可接受。

结论

软组织技术和FPS对犬猫创伤性PL的手术治疗有效,所有病例长期功能均可接受或良好,严重并发症有限。

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