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犬颅侧交叉韧带缺失性 stifle 关节稳定的腘肌腱转位术:一项实验研究

Popliteal tendon transposition for stabilization of the cranial cruciate ligament deficient stifle joint in dogs: an experimental study.

作者信息

Monnet E, Schwarz P D, Powers B

机构信息

Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80525, USA.

出版信息

Vet Surg. 1995 Nov-Dec;24(6):465-75. doi: 10.1111/j.1532-950x.1995.tb01357.x.

Abstract

Popliteal tendon transposition was performed in five dogs with surgically induced cranial cruciate ligament rupture. After a lateral approach to the stifle joint, the popliteal tendon was severed distal to the sesamoid bone and transposed cranially onto the tibial crest to mimic the sagittal orientation of the cranial cruciate ligament. The origin of the popliteal tendon on the lateral femoral condyle was preserved. Lameness was not clinically detectable 2 months after surgery. At 6 months postoperatively, there was minimal radiographic and histopathologic evidence of degenerative joint disease in the stifle joints that had underwent surgery. There was no gross or microscopic evidence of meniscal damage found at necropsy 6 months after surgery. Biomechanical studies are warranted before recommending the procedure.

摘要

对5只通过手术造成颅侧十字韧带断裂的犬进行了腘肌腱转位术。经膝关节外侧入路后,在籽骨远端切断腘肌腱,并将其向头侧转位至胫骨嵴,以模拟颅侧十字韧带的矢状位方向。保留了腘肌腱在股骨外侧髁的起点。术后2个月临床上未检测到跛行。术后6个月,接受手术的膝关节出现退行性关节病的影像学和组织病理学证据极少。术后6个月尸检时未发现半月板损伤的大体或微观证据。在推荐该手术之前,有必要进行生物力学研究。

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