38 kg, 7년령의 골든리트리버가 대퇴관절 탈구증으로 의뢰되었다. 신체검사에서는 왼쪽 뒷다리를 신전시킬 때 통증과 염발음이 확인되었다. 방사선 검사를 통해 왼쪽 대퇴관절 탈구증 및 경도의 퇴행성 골변화가 관찰되었다. 치료로서 TightRope$^{(R)}$를 이용한 최소침습 관절경적 정복을 하였으나, 수술 후 한달이 지나 재탈구가 발생하였다. 이에 대해 무시멘트형 대퇴관절 전치환술을 실시하였다. 수술 후 10개월 경과된 결과, 환자는 정상적으로 앉기, 서기, 보행을 보였으며, 특이한 파행없이 편안하게 뛸 수 있었다. 수술한 뒷다리의 허벅지둘레는 반대쪽 다리의 그것에 비해 108.6%였다. 이 증례를 통해 대퇴관절 전치환술은 대퇴관절 정복이 실패하여 재탈구된 개의 대퇴관절 탈구 치료에 효과적인 수술법이 될 수 있다.
38 kg, 7년령의 골든리트리버가 대퇴관절 탈구증으로 의뢰되었다. 신체검사에서는 왼쪽 뒷다리를 신전시킬 때 통증과 염발음이 확인되었다. 방사선 검사를 통해 왼쪽 대퇴관절 탈구증 및 경도의 퇴행성 골변화가 관찰되었다. 치료로서 TightRope$^{(R)}$를 이용한 최소침습 관절경적 정복을 하였으나, 수술 후 한달이 지나 재탈구가 발생하였다. 이에 대해 무시멘트형 대퇴관절 전치환술을 실시하였다. 수술 후 10개월 경과된 결과, 환자는 정상적으로 앉기, 서기, 보행을 보였으며, 특이한 파행없이 편안하게 뛸 수 있었다. 수술한 뒷다리의 허벅지둘레는 반대쪽 다리의 그것에 비해 108.6%였다. 이 증례를 통해 대퇴관절 전치환술은 대퇴관절 정복이 실패하여 재탈구된 개의 대퇴관절 탈구 치료에 효과적인 수술법이 될 수 있다.
A 7-year-old, intact female Golden Retriever weighing 38 kg was referred for left coxofemoral joint luxation. On physical examination, pain and crepitus were noted atthe left hip joint during joint extension. Radiological examination revealed coxofemoral joint luxation and mild degenerative bone cha...
A 7-year-old, intact female Golden Retriever weighing 38 kg was referred for left coxofemoral joint luxation. On physical examination, pain and crepitus were noted atthe left hip joint during joint extension. Radiological examination revealed coxofemoral joint luxation and mild degenerative bone changes in the left hip joint. We performed minimally invasive arthroscopy-assisted reduction with TightRope$^{(R)}$ as a treatment option; however, the left coxofemoral joint was reluxated after one month postoperatively. We performed cementless total hip replacement (THR) of the luxated left coxofemoral joint. At tenmonths after surgery, the dog could sit, stand, walk normally and jump comfortably without lameness. The thigh girth measurement of the operated limb was 108.6% of the contralateral limb. Based on the present case, THR can be a successful treatment for coxofemoral joint luxation in dogs with failed coxofemoral joint reduction.
A 7-year-old, intact female Golden Retriever weighing 38 kg was referred for left coxofemoral joint luxation. On physical examination, pain and crepitus were noted atthe left hip joint during joint extension. Radiological examination revealed coxofemoral joint luxation and mild degenerative bone changes in the left hip joint. We performed minimally invasive arthroscopy-assisted reduction with TightRope$^{(R)}$ as a treatment option; however, the left coxofemoral joint was reluxated after one month postoperatively. We performed cementless total hip replacement (THR) of the luxated left coxofemoral joint. At tenmonths after surgery, the dog could sit, stand, walk normally and jump comfortably without lameness. The thigh girth measurement of the operated limb was 108.6% of the contralateral limb. Based on the present case, THR can be a successful treatment for coxofemoral joint luxation in dogs with failed coxofemoral joint reduction.
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문제 정의
While a cemented THR system use acrylic bone cement to form to form a mantle between the stem and to the bone, implant fixation with a cementless THR system is a biological osteointegration into a porous cup surface and anchors the stem to the medial cortex of the femur with locking screws (6). The purpose of this paper is to describe the successful treatment of coxofemoral joint luxation in a dog with failed reduction of coxofemoral joint luxation using a cementless THR.
가설 설정
A: Preoperatively. B: Immediately postoperatively. C: Ten months postoperatively.
대상 데이터
A 7-year-old, intact female Golden Retriever weighing 38 kg was referred to the Chonbuk Animal Medical Center with left hip luxation. Close reduction was performed by the referral hospital but was not effective.
성능/효과
In conclusion, THR can be a successful treatment for coxofemoral joint luxation in dogs with failed coxofemoral joint reduction.
One month after surgery, radiographs showed good congruity between the femoral head and the acetabular cup. At ten months after surgery, the patient could sit, stand, walk normally and jump comfortably without lameness.
참고문헌 (17)
Anderson A. Hip dysplasia is a common orthopaedic developmental disorder of dogs. This paper reviews the treatment options available for management of the condition in the skeletally immature and adult dog. J Small Anim Prac 2011; 52: 182-189.
Beckham HP, Smith MM, Kern DA. Use of a modified toggle pin for repair of coxofemoral luxation in dogs with multiple orthopedic injuries: 14 cases (1986-1994). J Am Vet Med Assoc 1996; 208: 81-84.
Bojrab MJ. Hip joint, In: Mechanisms of disease in small animall surgery. 3rd ed. Jackson: Teton New Media 2010: 698-699.
Brinker WO, Piermattei DL, Flo GL. The hip joint. In: Handbook of small animal orthopedics and fracture treatment. 2nd ed. Philadelphia: WB Saunders 1990: 342-377.
Guerrero. TG. Zurich cementless total hip replacement: Retrospective evaluation of 2nd generation implants in 60 dogs. Vet Surg 2009; 38: 70-80.
Harasen G. The femoral head and neck ostectomy. Can Vet J 2004; 24: 163-164.
Go HG, Jeong SW, Kim JY, Jeong MB, Han HY, Kim JS. Application and healing process of femoral head and neck ostectomy on retriever dogs with hip dysplasia. J Vet Clin 2003; 20: 104-109.
Kim NS, Alam MR, Jeong IS, Lee JI, Choi IH. Total hip replacement in a dog. J Vet Sci 2005; 6: 169-171.
Off W, Matis U. Excision arthroplasty of the hip joint in dogs and cats. Clinical, radiographic, and gait analysis finding from the Department of Surgery, Veterinary Faculty of the Ludwig-Maximilians-University of Munich, Germany. 1997. Vet Comp Orthop Traumatol 2010; 23: 297-305.
Olmstead ML, Hohn BR, Turner TM. A five year study of 221 total hip replacements in dog. J Am Vet Med Assoc 1983; 183: 191-194.
Ota J, Cook JL, Lewis DD, Tomlinson JL, Fox DB, Cook CR, Schultz LG, Brumitt J. Short-term aseptic loosening of the femoral component in canine total hip replacement: Effects of cementing technique on cement mantle grade. Vet Surg 2005; 34: 345-352.
Pozzi A, Kowaleski MP, Dyce J, Johnson KA. Treatment of traumatic coxo-femoral luxation by cemented total hip arthroplasty. Vet Comp OrthopTraumatol 2004; 17: 198-203.
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