高级检索+

31例犬前十字韧带断裂手术治疗的调查报告

Investigation report on surgical treatment of 31 cases of canine cranial cruciate ligament rupture

  • 摘要: 为了了解外侧籽骨胫骨缝合术(LFTS)和胫骨平台水平化截骨术(TPLO)的手术效果,调查统计了2018年11月份—2019年9月份来中国农业大学动物医院接受前十字韧带断裂(CrCLR)治疗的31例发生单侧或双侧CrCLR患犬的相关基础信息及术后治疗效果,记录患犬的就诊日期、品种、性别、年龄、体重、绝育与否、体况评分、手术方法、关节内情况及术后转归,并在术后6周及3个月时电话回访。结果表明:调查的31例CrCLR病例中,最常见的发病品种为迷你贵宾犬,占总病例数的25.8%(8/31);中老年犬(>2岁)占比93.5%;74.2%的患犬属于肥胖体型(9分制体况评分为7~9分);接受LFTS的患犬主要是体重较小的患犬平均体重为(11.68±9.31)kg,接受TPLO的患犬主要是体重较大的患犬平均体重为(25.70±6.37)kg;发生前十字韧带(CrCL)完全断裂的病例数(34例)远大于部分断裂的病例数(6例),且双侧发生CrCLR的病例出现CrCL完全断裂的病例数明显高于单侧发病的病例;进行LFTS的病例术后主要并发症的发病率为7.1%,进行TPLO的病例术后主要并发症的发病率为8.3%;两种手术方案对患肢运动功能均有良好的改善效果。说明发生CrCLR的患犬进行LFTS或TPLO后,预后均良好,患肢运动功能可得到明显的改善。

     

    Abstract: In order to understand the surgical effect of lateral fabellotibial suture(LFTS) and tibial plateau leveling osteotomy(TPLO), the basic information and postoperative effects of 31 dogs with unilateral or bilateral cranial cruciate ligament rupture(CrCLR) who were treated with CrCLR in the Veterinary Teaching Hospital of China Agricultural University from November 2018 to September 2019 were investigated. The date of visit, breed, sex, age, weight, spayed or not, body condition score, surgical method of each case, intra-articular condition and postoperative outcome of the dogs were recorded, and at 6 weeks and 3 months after the operation telephone interviews were carried out. The results showed that among the 31 CrCLR cases investigated, the most common breed was the miniature poodle, accounting for 25.8%(8/31) of the total cases; middle-aged and elderly dogs(>2 years old) accounting for 93.5%; 74.2% of the dogs were obese(body condition score of 7 to 9 on a 9-point scale). The dogs who underwent LFTS were mainly smaller dogs(mean body weight was 11.68±9.31 kg), and the patients who underwent TPLO were mainly heavier dogs(average body weight was 25.70±6.37 kg). The number of cases with complete rupture of the cranial cruciate ligament(CrCL, 34 cases) was much larger than that with partial rupture(6 cases), and the number of cases with complete rupture of CrCL in cases with bilateral CrCLR was significantly higher than that in cases with unilateral disease; the incidence of major postoperative complications was 7.1% in patients undergoing LFTS, and 8.3% in patients undergoing TPLO. Both surgical options had a good effect on improving the motor function of the affected limb. The results indicated that dogs with CrCLR had good prognosis after LFTS or TPLO surgery, and the motor function of the affected limbs could be significantly improved.

     

/

返回文章
返回