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Tibial Plateau Leveling Osteotomy Combined with Tibial Tuberosity Transposition in a Dog with Medial Patellar Luxation and Cranial Cruciate Ligament Rupture 원문보기

Journal of veterinary clinics = 한국임상수의학회지, v.34 no.5, 2017년, pp.366 - 369  

Kim, Ji-hye (College of Veterinary Medicine, Chungnam National University) ,  Park, Jiyoung (College of Veterinary Medicine, Chungnam National University) ,  Jeong, Seong Mok (College of Veterinary Medicine, Chungnam National University) ,  Lee, Haebeom (College of Veterinary Medicine, Chungnam National University)

Abstract ▼ AI-Helper 아이콘AI-Helper

A 30 kg, 6-year-old spayed female Samoyed dog was referred with a history of intermittent weight-bearing lameness in her right hindlimb for 3 weeks. The patient hadsurgery to correct a medial patellar luxation in the same limb 3 years prior. Based on the physical examination and radiographic finding...

주제어

#Cranial cruciate ligament rupture   #medial patellar luxation   #Tibial plateau leveling osteotomy   #Tibia tuberosity transposition  

AI 본문요약
AI-Helper 아이콘 AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

제안 방법

  • The patient was positioned in dorsal recumbency, and surgery began with the stifle arthroscopy. Severe synovitis, medial meniscal injury on the caudal pole, and complete cranial cruciate ligament rupture were observed.
  • The purpose of this case report is to describe the surgical technique and the clinical outcome of a tibial plateau leveling osteotomy with tibial tuberosity transposition in a patient with cranial cruciate ligament rupture and concomitant medial patellar luxation.
  • The possibility of a meniscal injury could not be excluded. Therefore, the following surgical procedures were planned: arthroscopy for evaluation and treatment of the meniscus and cranial cruciate ligament, trochlear block recession to correct the MPL, tibial plateau leveling osteotomy to correct the CCLR, and tibial tuberosity transposition for realigning the quadriceps mechanism.

대상 데이터

  • A six-year-old, 30 kg, spayed female Samoyed dog presented with a history of right hindlimb lameness. The patient had surgery 3 years earlier to correct medial patellar luxation.
본문요약 정보가 도움이 되었나요?

참고문헌 (16)

  1. Bergh MS, Rajala-Schultz P, Johnson KA. Risk factors for tibial tuberosity fracture after tibial plateau leveling osteotomy in dogs. Vet Surg 2008; 37: 374-382. 

    상세보기 crossref

  2. Boudrieau RJ. Tibial plateau leveling osteotomy or tibial tuberosity advancement? Vet Surg 2009; 38: 1-22. 

    상세보기 crossref

  3. Case J, Hulse D, Kerwin S, Peycke L. Meniscal injury following initial cranial cruciate ligament stabilization surgery in 26 dogs (29 stifles). Vet Comp Orthop Traumatol 2008; 21: 365-367. 

    상세보기

  4. Christopher SA, Beetem J, Cook JL. Comparison of longterm outcomes associated with three surgical techniques for treatment of cranial cruciate ligament disease in dogs. Vet Surg 2013; 42: 329-334. 

    상세보기 crossref

  5. Ferreira MP, Ferrigno CR, de Souza AN, Caquias DF, de Figueiredo AV. Short-term comparison of tibial tuberosity advancement and tibial plateau levelling osteotomy in dogs with cranial cruciate ligament disease using kinetic analysis. Vet Comp Orthop Traumatol 2016; 29: 209-213. 

    상세보기 crossref

  6. Gibbons S, Macias C, Tonzing M, Pinchbeck G, McKee W. Patellar luxation in 70 large breed dogs. J Small Anim Pract 2006; 47: 3-9. 

    상세보기 crossref

  7. Hoffmann D, Miller J, Ober C, Lanz O, Martin R, Shires P. Tibial tuberosity advancement in 65 canine stifles. Vet Comp Orthop Traumatol 2006; 19: 219-227. 

    상세보기 crossref

  8. Kim SE, Pozzi A, Banks SA, Conrad BP, Lewis DD. Effect of tibial tuberosity advancement on femorotibial contact mechanics and stifle kinematics. Vet Surg 2009; 38: 33-39. 

    상세보기 crossref

  9. Kim SE, Pozzi A, Kowaleski MP, Lewis DD. Tibial osteotomies for cranial cruciate ligament insufficiency in dogs. Vet Surg 2008; 37: 111-125. 

    상세보기 crossref

  10. Krotscheck U, Nelson SA, Todhunter RJ, Stone M, Zhang Z. Long term functional outcome of tibial tuberosity advancement vs. tibial plateau leveling osteotomy and extracapsular repair in a heterogeneous population of dogs. Vet Surg 2014; 43.6: 176-177. 

  11. Langenbach A, Marcellin-Little DJ. Management of concurrent patellar luxation and cranial cruciate ligament rupture using modified tibial plateau levelling. J Small Anim Pract 2010; 51: 97-103. 

    상세보기 crossref

  12. Leonard KC, Kowaleski MP, Saunders WB, McCarthy RJ, Boudrieau RJ. Combined tibial plateau levelling osteotomy and tibial tuberosity transposition for treatment of cranial cruciate ligament insufficiency with concomitant medial patellar luxation. Vet Comp Orthop Traumatol 2016; 29: 536-540. 

    상세보기 crossref

  13. Monk ML, Preston CA, McGowan CM. Effects of early intensive postoperative physiotherapy on limb function after tibial plateau leveling osteotomy in dogs with deficiency of the cranial cruciate ligament. Am J Vet Res 2006; 67: 529-536. 

    상세보기 crossref

  14. Priddy NH, Tomlinson JL, Dodam JR, Hornbostel JE. Complications with and owner assessment of the outcome of tibial plateau leveling osteotomy for treatment of cranial cruciate ligament rupture in dogs: 193 cases (1997-2001). J Am Vet Med Assoc 2003; 222: 1726-1732. 

    상세보기 crossref

  15. Witsberger TH, Villamil JA, Schultz LG, Hahn AW, Cook JL. Prevalence of and risk factors for hip dysplasia and cranial cruciate ligament deficiency in dogs. J Am Vet Med Assoc 2008; 232: 1818-1824. 

    상세보기 crossref

  16. Yeadon R, Fitzpatrick N, Kowaleski M. Tibial tuberosity transposition-advancement for treatment of medial patellar luxation and concomitant cranial cruciate ligament disease in the dog. Vet Comp Orthop Traumatol 2011; 24: 18-26. 

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