[논문]Center of rotation of angulation‐based leveling osteotomy for stifle stabilization in skeletally immature dogs

Peycke, Laura E.; McDougall, Renee; Roca, Rodrigo; Dycus, David; Hulse, Don A.

doi:10.1111/vsu.13767

Center of rotation of angulation‐based leveling osteotomy for stifle stabilization in skeletally immature dogs

Veterinary surgery, v.51 no.3, 2022년, pp.528 - 535

Peycke, Laura E. (Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences Texas A & M University College Station Texas USA) , McDougall, Renee (Department of Surgery Animal Medical Center New York City New York USA) , Roca, Rodrigo (Austin Veterinary and Emergency Specialty Center Austin Texas USA) , Dycus, David (Department of Orthopedic Surgery Veterinary Orthopedic and Sports Medicine Group Annapolis Junction Maryland USA) , Hulse, Don A. (Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences Texas A & M University College Station Texas USA)

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AbstractObjectiveTo describe short‐term outcomes of center of rotation of angulation (CORA)‐based leveling osteotomy (CBLO) in skeletally immature dogs with cranial cruciate ligament (CrCL) injury.Study designRetrospective case series.AnimalsFifteen skeletally immature dogs (16 stifles).MethodsMedical records of dogs with CrCL injury and radiographically documented open proximal tibial physis and tibial tuberosity apophysis managed with CBLO were reviewed. Clinical assessment, radiographic assessment, and complications were reviewed.ResultsFifteen dogs (16 stifles) with radiographically documented open proximal tibial physis and tibial tuberosity apophysis and CrCL injury underwent a CBLO. Mean tibial plateau angle (TPA) was 26° preoperatively, 9° postoperatively, and 9° at final recheck. One dog developed 10° recurvatum of the proximal tibia secondary to inadvertent over rotation of the tibial plateau (TPA 3°) to protect primary repair of an insertional CrCL avulsion. Correction of the recurvatum was declined as the dog had full limb function. Two dogs developed a valgus deformity secondary to a plate screw engaging the distolateral aspect of the proximal tibial physis. Owners of these dogs reported normal function but requested surgical revision to prevent long‐term problems secondary to abnormal weight bearing. Both dogs regained full function following recovery from revision surgery. At a mean time of 23 months following surgery, all dogs continued to have full function as per phone conversation with owners.ConclusionWith proper preoperative planning, CBLO is an option for skeletally immature dogs with CrCL injury.

참고문헌 (17)

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Center of rotation of angulation‐based leveling osteotomy for stifle stabilization in skeletally immature dogs

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