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CORA Based Leveling Osteotomy with Tibial Tuberosity Transposition for Cranial Cruciate Ligament Rupture with Concurrent Medial Patellar Luxation in Two Small Breed Dogs 원문보기

Journal of veterinary clinics = 한국임상수의학회지, v.36 no.5, 2019년, pp.285 - 288  

Shin, Seo-Hyun (College of Veterinary Medicine, Chonbuk National University) ,  Kang, Jin-Su (College of Veterinary Medicine, Chonbuk National University) ,  Lee, Dong-bin (College of Veterinary Medicine, Chonbuk National University) ,  Lee, Hae-Beom (College of Veterinary Medicine, Chungnam National University) ,  Kim, Nam-Soo (College of Veterinary Medicine, Chonbuk National University) ,  Heo, Su-Young (College of Veterinary Medicine, Chonbuk National University)

Abstract ▼ AI-Helper 아이콘AI-Helper

A 5-year-old 6 kg male mongrel (case 1) and a 7-year-old 4.3 kg male yorkshire terrier (case 2) were presented to Chonbuk animal medical center (CAMC). Both animals had non-weight bearing hind limb lameness. Case 1 had complete rupture of cranial cruciate ligament with grade 3 medial patellar luxati...

주제어

#CORA based leveling osteotomy   #tibial tuberosity transposition   #cranial cruciate ligament rupture   #medial patellar luxation   #small breed dog  

AI 본문요약
AI-Helper 아이콘 AI-Helper

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제안 방법

  • Based on results of the evaluation, the dogs were diagnosed as a case of CCLR and MPL of the right (case 1) and left hind limb (case 2), respectively. Based on the diagnosis, the following surgical procedures were planned: trochlear block recession to correct MPL, CBLO to correct the CCLR, TTT to realign the quadriceps mechanism and soft tissue reconstruction.
  • Case 2 had complete cranial cruciate ligament rupture with grade 4 medial patellar luxation. On physical examination, both animals had non-weight bearing at stance or walk, joint effusion, pain during extension and flexion on stifle joint, positive cranial drawer sign and tibial compression test, and grade 3 and 4 medial patellar luxation, respectively. Plain radiographs of the two animals revealed medial dislocation of the patella with loss of definition of the fat pad and osteophyte formation along the trochlear ridge.
  • The purpose of this case report was to describe the relatively new combination surgical technique (CBLO + TTT) and its clinical outcome in two small breed dogs with concurrent CCLR and MPL.

대상 데이터

  • Weight bearing pressure mapping exam (Kitronix Sensor Mat, Kitronix, Korea) revealed non-weight bearing of the symptomatic leg in both cases. Based on results of the evaluation, the dogs were diagnosed as a case of CCLR and MPL of the right (case 1) and left hind limb (case 2), respectively. Based on the diagnosis, the following surgical procedures were planned: trochlear block recession to correct MPL, CBLO to correct the CCLR, TTT to realign the quadriceps mechanism and soft tissue reconstruction.
본문요약 정보가 도움이 되었나요?

참고문헌 (14)

  1. 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: 365-366. 

    상세보기 crossref

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

    상세보기 crossref

  3. 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

  4. 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

  5. CORA based leveling osteotomy for treatment of the CCL deficient stifle. In: Hulse D, Beale B, Kowaleski M, eds. Proceedings of the world orthopaedic veterinary congress. Bologna, 2010. 

  6. Kim JH, Park JY, Jeong SM, Lee HB. Tibial Plateau Leveling Osteotomy Combined with Tibial Tuberosity Transposition in a Dog with Medial Patellar Luxation and Cranial Cruciate Ligament Rupture. J Vet Clin 2017; 34: 366-369. 

    원문보기 상세보기 crossref

  7. 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 2016; 45: 261-268. 

    상세보기 crossref

  8. 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

  9. 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

  10. Noone TJ, Millis DL, Korvick DL, Athanasiou K, Cook JL, Kuroki K, Buonomo F. Influence of canine recombinant somatotropin hormone on biomechanical and biochemical properties of the medial meniscus in stifles with altered stability. Am J Vet Res 2002; 63: 419-426. 

    상세보기 crossref

  11. 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

  12. Raske M, Hulse D, Beale B, Saunders WB, Kishi E, Kunze C. Stabilization of the CORA based leveling osteotomy for treatment of cranial cruciate ligament injury using a bone plate augmented with a headless compression screw. Vet Surg 2013; 42: 759-764. 

    상세보기 crossref

  13. 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

  14. 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. 

    상세보기 crossref
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