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2024/06/05
使用雙孔囊外固定手術治療38隻狗的前十字韌帶斷裂
Two-hole extracapsular technique for the repair of canine cranial cruciate ligament rupture in thirty-eight dogs
使用雙孔囊外固定手術治療38隻狗的前十字韌帶斷裂
Mitsuhiro Isaka, Masahiko Befu, Nami Matsubara, Mayuko Ishikawa, Yurie Arase, Akiko Doi, Shinichi Namba Marble Veterinary Medical Center, Fujisawa, Japan
Abstract
Extracapsular technique with lateral fabellar suture (LFS) is one of the commonest surgical techniques for canine cranial cruciate ligament (CRCL) rupture.
Among LFS methods,parallel double holes in the tibia are the most
effective for the repair of canine stifle joint.
The aim of this study was to evaluate the effectiveness of two-hole LFS for canine CRCL rupture. We retrospectively evaluated the outcome
of canine CRCL rupture treated with two-hole LFS technique performed by two surgeons from October 2011 to September 2013.
Breeds included Beagle (n=5), Yorkshire terrier (n=5), German shepherd (n=4), and so on. Mean body weight was 14.0±11.6 kg (>10kg: n=16, <10 kg: n=22). Body condition score (5 scales) was as follows: 1 (n=0), 2 (n=1), 3(n=18), 4 (n=18), and 5 (n=1). There were 18 males [neutered (n=11)] and 20 females [spayed (n=12)]. Mean age was 83.4±44.8 months (>12 months: n=35, <12 months: n=3). The type of rupture was partial (n=17) and complete (n=21). The affected site was right (n=20), left (n=18), and bilateral (n=4).
Rehabilitation after operation was needed in 8 cases. There were 12 cases of previous medial patellar luxation operation, and 6 cases of
opposite site CRCL surgery. Start of weight bearing and resolution of extension function was on day 1 (n=30), day 2 (n=0), and after day 2 (n=8). There was no evidence of surgical site infection/inflammation in any cases. The results of this study showed that two-hole LFS is an easy and effective technique for the
repair of canine CRCL.
Two-hole extracapsular technique for the repair of canine cranial cruciate ligament rupture in thirty-eight dogs
使用雙孔囊外固定手術治療38隻狗的前十字韌帶斷裂
囊外固定技術是犬前十字韌帶（CRCL）斷裂最常見的手術技術之一。囊外固定技術中以脛骨平行雙孔囊外固定為最多且有效的手術方式。本研究的目的是評估兩孔囊外固定技術治療犬前十字韌帶斷裂的有效性。我們回顧性評估了結果2011 年 10 月至 2013 年 9 月期間，兩名外科醫師採用兩孔囊外固定技術治療犬前十字韌帶斷裂。
1.品種包括米格魯犬有五隻、約克夏犬有五隻、狼犬有四隻還有其他品種等等。
2.平均體重為14.0±11.6 kg（>10kg：有16隻，<10kg：有22隻）。
3.性別:有 18 隻雄性 [已絕育 有11隻] 和 20 隻雌性 [已絕育 有12隻]。
4.平均年齡為 83.4±44.8 個月（>12 個月：有35隻，<12 個月：有3隻）。
5.斷裂類型為部分斷裂有17隻和完全斷裂有21隻。
6.受影響部位為右側有20隻、左側有18隻 及雙側有4隻。
7.術後需復健治療8例。
8.其中之前有動過膝蓋骨內側異位手術12例，而有6例另一隻腳也動過前十字韌帶手術。
9.可以開始負重和能夠關節伸展功能在第1天有30隻、和第2天之後有8隻。
10.所有病例沒有手術部位感染(發炎)的證據。
本研究的結果顯示囊外固定技術是一種簡單而有效作為犬前十字韌帶斷裂的修復手術技術。
依照本篇文獻的說明，囊外固定術優勢無須將骨頭切開用骨板固定，就可以達到固定的方式，對於許多動物來說疼痛度大大的下降。術後照顧容易，更不用擔心骨板斷裂或是螺絲鬆動造成二次骨折的併發症
此翻譯內容出處如下(如果想要看原文的朋友可以點入觀看):
https://typeset.io/pdf/two-hole-extracapsular-technique-for-the-repair-of-canine-28mt87aabx.pdf