Innowacyjna prowadnica triangularna w zabiegach osteotomii u psów z zerwanym więzadłem krzyżowym doczaszkowym

• Autorzy: Aleksiewicz R. , Lutnicki K. , Kirstein J. , Kielbowicz M. , Pszczola M.

Warianty tytułu

EN

Innovative triangular cutting guide in cranial tibial wedge osteotomy in dogs with a cranial cruciate ligament rupture

• Języki publikacji: PL

Abstrakty

EN

Damage of the cranial cruciate ligament is a frequent cause of limb lameness in dogs. The aim of the study was to present the usefulness of a new guide for the blade of the oscillating saw in the Cranial Tibial Wedge Osteotomy (CTWO) technique. CTWO procedures using a proprietary triangular guide were performed on 62 dogs of both sexes. Radiological evaluation of the formation of bone scars in the Hammer scale showed that 3 months after the surgery most patients had a solid 2nd or 3rd degree of osteotomy consolidation. Lameness rating by the Functional Stifle Scale showed an improvement in the clinical condition of the dogs. This was reflected in the opinions of the owners expressed in Canine Brief Pain Inventory questionnaires, as presented in the chart. Values of the Pearson and Kendall correlation coefficients and statistical significance coefficients confirmed the relationship between the owners’ satisfaction and the results of the therapy and improvement in clinical trials. The triangular guide of the oscillating saw blade facilitates the transfer of the osteotomy angle determined on a digital radiogram onto the operating field, ensures precise orthogonal osteotomy incisions in the course of CTWO, significantly affects the time of callus formation, and accelerates the recovery of limb function.

• Wydawca: -
• Czasopismo: Medycyna Weterynaryjna
• Rocznik: 2020
• Tom: 76
• Numer: 07
• Opis fizyczny: s.406-410,rys.,fot.,tab.,bibliogr.

Twórcy

autor

Aleksiewicz R.

• Zakład Chirurgii i Diagnostyki Obrazowej, Wydział Medycyny Weterynaryjnej i Nauk o Zwierzętach, Uniwersytet Przyrodniczy w Poznaniu, ul. Wołyńska 35, 60-637 Poznań

autor

Lutnicki K.

• Katedra i Klinika Chorób Wewnętrznych Zwierząt, Wydział Medycyny Weterynaryjnej, Uniwersytet Przyrodniczy w Lublinie, ul. Głęboka 30, 20-612 Lublin

autor

Kirstein J.

• Specjalistyczna Przychodnia Weterynaryjna, INTERWET, ul. Ślężna 136, 53-110 Wrocław

autor

Kielbowicz M.

• Zakład Chirurgii i Diagnostyki Obrazowej, Wydział Medycyny Weterynaryjnej i Nauk o Zwierzętach, Uniwersytet Przyrodniczy w Poznaniu, ul. Wołyńska 35, 60-637 Poznań

autor

Pszczola M.

• Katedra Genetyki i Podstaw Hodowli Zwierząt, Wydział Medycyny Weterynaryjnej i Nauk o Zwierzętach, Uniwersytet Przyrodniczy w Poznaniu, ul. Wołyńska 33, 60-637 Poznań

Bibliografia

• 1. Adamiak Z., Brzeski W., Szałecki P., Holak P.: Comparison of the therapeutic value of two surgical techniques for cranial cruciate ligament rupture in dogs. Med. Weter. 2003, 59, 588-591.
• 2. Aertsens A., Rincon Alvarez J., Poncet C. M., Beaufrere H., Ragetly G. R.: Comparison of the tibia plateau angle between small and large dogs with cranial cruciate ligament disease. Vet. Comp. Orthop. Traumatol. 2015, 28, 385-390.
• 3. Arican M., Parlak K., Şahin H.: Evaluation and application of the TTA-rapid method in dogs with cranial cruciate ligament rupture. Acta VeterinariaBeograd 2017, 67, 238-253.
• 4. Arnoczky S. P., Marshall J. L.: Pathomechanics of cruciate and meniscal injuries, [w:] Bojrab M. J. (red.): Pathophysiology of small animal surgery. Lea & Febiger, Philadelphia 1981, s. 590-603.
• 5. Barnes D. C., Owen M. R.: Indirect assessment of stifle angle for improved accuracy of preoperative planning of tibial osteotomy procedures in dogs. Vet. Rec. 2015, 177, 99.
• 6. Baroncelli B. A., Peirone B., Winter M. D., Reese D. J., Pozzi A.: Retrospective comparison between minimally invasive plate osteosynthesis and open plating for tibial fractures in dogs. Vet. Comp. Orthop. Traumatol. 2012, 5, 410-417.
• 7. Brown D. C., Boston R., Farrar J. T.: Comparison of force plate gait analysis and owner assessment of pain using the Canine Brief Pain Inventory in dogs with osteoarthritis. J. Vet. Intern. Med. 2013, 27, 22-30.
• 8. Brown D. C., Boston R. C., Coyne J. C., Farrar J. T.: Development and psychometric testing of an instrument designed to measure chronic pain in dogs with osteoarthritis. Am. J. Vet. Res. 2007, 68, 631-637.
• 9. Collins J. E., Degner D. A., Hauptman J. G., DeCamp C. E.: Benefits of preand intraoperative planning for tibial plateau leveling osteotomy. Vet. Surg. 2014, 43, 142-149.
• 10. Corr S. A., Brown C.: A comparison of outcomes following tibial plateau levelling osteotomy and cranial tibial wedge osteotomy procedures. Vet. Comp. Orthop. Traumatol. 2007, 20, 312-319.
• 11. Damur D., Guerrero T., Montavon P. M., Tepic S.: Advancement of the tibial tuberosity for the treatment of cranial cruciate stifle: short guide for the operating room. Zurique: Clinic for Small Animal Surgery, Vetsuisse Faculty University of Zurich 2005, 1-6.
• 12. Denny H. R., Butterwoth S. J.: A Guide to Canine and Feline Orthopaedic Surgery. Blackwell Science, Oxford 2000, s. 532.
• 13. Hoffmann D. E., Miller J. M., Ober C. P., Lanz O. I., Martin R. A., Shires P. K.: Tibial tuberosity advancement in 65 canine stifles. Vet. Comp. Orthop. Traumatol. 2006, 19, 219-227.
• 14. Kim S. E., Lewis D. D., Pozzi A.: Effect of tibial plateau leveling osteotomy on femorotibial subluxation: in vivo analysis during standing. Vet. Surg. 2012, 41, 465-470.
• 15. Kowaleski M. P., Apelt D., Mattoon J. S., Litsky A. S.: The Effect of Tibial Plateau Leveling Osteotomy Position on Cranial Tibial Subluxation: An In Vitro Study. Vet. Surg. 2005, 34, 332-336.
• 16. Kowaleski M. P., McCarthy R. J.: Geometric analysis evaluating the effect of tibial plateau leveling osteotomy position on postoperative tibial plateau slope. Vet. Comp. Orthop. Traumatol. 2004, 1, 30-34.
• 17. Lister S. A., Roush J. K., Renberg W. C.: Digital measurement of radiographic tibial plateau angle. A comparison to measurement on printed digital images. Vet. Comp. Orthop. Traumatol. 2008, 21, 129-132.
• 18. Lozier S. M.: Tibial plateau levelling osteotomy: two years of clinical experience and findings. Proce. of the 7th ACVS Symposium. Florida, Orlando 1997, s. 161.
• 19. Millis D. L.: Assessing and measuring outcomes, [w:] Canine Rehabilitation & Physical Therapy. St. Louis, MO, USA. E. Saunders 2014, s. 220-242.
• 20. Priddy N. H., Tomlinson J. L., Dodam J. R., Hornbostel J. E.: Complications with and owner assessment of the outcome of tibial plateau levelling osteotomy for treatment of cranial cruciate ligament rupture in dogs: 193 cases (1997- 2001). J. Am. Vet. Med. Assoc. 2003, 222, 1726-1732.
• 21. Shahar R., Milgram J.: Biomechanics of tibial plateau leveling of the canine cruciate-deficient stifle joint: a theoretical model. Vet. Surg. 2006, 35, 144-149.
• 22. Slocum B., Devine T.: Cranial tibial thrust: a primary force in the canine stifle. J. Am. Vet. Med. Assoc. 1983, 183, 456-459.
• 23. Slocum B., Devine T.: Cranial tibial wedge osteotomy: a technique for eliminating cranial tibial thrust in cranial cruciate ligament repair. J. Am. Vet. Med. Assoc. 1984, 184, 564-569.
• 24. Su L., Townsend K. L., Au J., Wittum T. E.: Comparison of tibial plateau angles in small and large breed dogs. Can. Vet. J. 2015, 56, 610-614.
• 25. Talaat M. B., Kowaleski M. P., Boudrieau R. J.: Combination of tibial plateau levelling osteotomy and cranial closing wedge osteotomy of the tibia for the treatment of cranial cruciate ligament-deficient stifles with excessive tibial plateau angle. Vet. Surg. 2006, 35, 729-739.
• 26. Warzee C. C., Dejardin L. M., Arnoczky S. P., Perry R. L.: Effect of tibial plateau leveling on cranial and caudal tibial thrusts in canine cranial cruciate-deficient stifles: an in vitro experimental study. Vet. Surg. 2001, 30, 278-286.
• 27. Wheeler J. L., Cross A. R., Gingrich W.: In vitro effects of osteotomy angle and osteotomy reduction on tibial angulation and rotation during the tibial plateau-leveling osteotomy procedure. Vet. Surg. 2003, 32, 371-377.
• 28. Wilke V. L., Conzemius M. G., Besancon M. F., Evans R. B., Ritter M.: Comparison of tibial plateau angle between clinically normal Greyhounds and Labrador Retrievers with and without rupture of the cranial cruciate ligament. J. Am. Vet. Med. Assoc. 2002, 221, 1426-1429.

Identyfikatory

DOI

10.21521/mw.6414