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32只接受胫骨平台水平截骨术的犬的摇摆现象。

Rock back phenomenon in 32 dogs that underwent tibial plateau levelling osteotomy.

作者信息

de Souza Erica Siqueira, Minto Bruno Watanabe, Luis Jose Paulo Sales, Nobile Matheus, Lins Bruno Testoni, de Lucena Dayvid Vianeis Farias, Gouveia Marcelo Candido Portilho, Dias Luis Gustavo Gosuen Goncalves

机构信息

Department of Clinic, University of Lisboa, Lisboa, Portugal.

Department of Veterinary Clinic and Surgery, UNESP - Faculty of Agricultural and Veterinary Sciences, Jaboticabal, Brazil.

出版信息

Vet Med (Praha). 2021 Feb 28;66(2):58-65. doi: 10.17221/128/2020-VETMED. eCollection 2021 Feb.

Abstract

The aim of this study was to evaluate the postoperative temporal changes in the tibial plateau angle (TPA) after a tibial plateau levelling osteotomy (TPLO) in dogs. The TPA of thirty-two dogs were measured before surgery (TPA), immediately after the TPLO (TPA), and later at the healing of the osteotomy site (TPA). Three observers carried out three TPA measurements for each patient at the time of the evaluation. TPA changes were observed over the bone healing (2.05 ± 3.05°); however, no statistical significance was noted when comparing TPA and TPA. There were no statistical differences in the inter-observer measurements among TPA, TPA, and TPA ( > 0.05). The comparison between the preoperative TPA and the rock back showed a low positive correlation ( = 4 735.9,  = 0.471 5,  = 0.131 976 9). There was also a low positive correlation between the body weight (kg) and the change in the TPA during the bone healing ( = 4 581.8,  = 0.381,  = 0.160 234 7). Although changes in the TPA have been observed over the time of the bone healing, they were not influenced by the preoperative and postoperative TPA, or by the body weight. The magnitude of the variation in the TPA is not determined by the previous inclination or by the degree of rotation in the plateau.

摘要

本研究的目的是评估犬胫骨平台平整截骨术(TPLO)后胫骨平台角(TPA)的术后时间变化。在手术前(TPA)、TPLO术后即刻(TPA)以及截骨部位愈合后期(TPA)测量了32只犬的TPA。三名观察者在评估时对每只犬进行了三次TPA测量。在骨愈合过程中观察到TPA有变化(2.05±3.05°);然而,比较TPA和TPA时未发现统计学意义。TPA、TPA和TPA之间观察者间测量结果无统计学差异(P>0.05)。术前TPA与后倾之间的比较显示出低正相关性(r = 4735.9,P = 0.4715,R² = 0.1319769)。体重(kg)与骨愈合期间TPA的变化之间也存在低正相关性(r = 4581.8,P = 0.381,R² = 0.1602347)。尽管在骨愈合期间观察到了TPA的变化,但它们不受术前和术后TPA或体重的影响。TPA变化的幅度不由先前的倾斜度或平台的旋转程度决定。

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本文引用的文献

1
Tibial Plateau Leveling Osteotomy for Cranial Cruciate Ligament Rupture in Canines: Patient Selection and Reported Outcomes.
Vet Med (Auckl). 2019 Dec 27;10:249-255. doi: 10.2147/VMRR.S204321. eCollection 2019.
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Extracorporeal shock wave therapy improves short-term limb use after canine tibial plateau leveling osteotomy.
Vet Surg. 2019 Nov;48(8):1382-1390. doi: 10.1111/vsu.13320. Epub 2019 Aug 30.
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Risk factors for fibular fracture after TPLO.
Vet Surg. 2011 Aug;40(6):687-93. doi: 10.1111/j.1532-950X.2011.00844.x. Epub 2011 Jun 23.
10
Long-term outcomes of thigh circumference, stifle range-of-motion, and lameness after unilateral tibial plateau levelling osteotomy.
Vet Comp Orthop Traumatol. 2010;23(1):37-42. doi: 10.3415/VCOT-09-04-0043. Epub 2009 Dec 8.

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