Evaluation of Combination of Retinacular Imbrication, Trochleoplasty and Tibia Tuberosity Transposition in Dogs with Patellar Luxation

슬개골 탈구 환견에서 지대 중첩, 활차구 성형 및 경골결절변위술의 복합수술 평가

  • 정만복 (건국대학교 수의과대학 외과학교실) ;
  • 정순욱 (건국대학교 수의과대학 외과학교실) ;
  • 김준영 (건국대학교 수의과대학 외과학교실) ;
  • 한현정 (건국대학교 수의과대학 외과학교실) ;
  • 김지선 (건국대학교 수의과대학 외과학교실)
  • Published : 2003.03.01

Abstract

The purpose of this study is to evaluate the results obtained from three surgical techniques (retinacular imbrication, trochleoplasty and tibia tuberosity transposition), which were simultaneously applied for correction of patellar luxation. Eleven, (6 to 108 months) old dogs were presented. The dogs showed, medial patellar luxation (17 stifle joint) and lateral patellar luxation (2 stifle joint) ranging from grade 1 to 4. By palpation and radiographic view, all 11 dogs were diagnosed as patellar luxation. Bilateral patellar luxation was diagnosed in 8 dogs. After operation, the dogs were monitored daily for 7 days and on the 10th, 15th, 20th, 25th and 30th days. Lameness progressively decreased in all dogs around 30 days after surgery, and the patients were showed normal walking. Normal walking was possible in 2 dogs after 4 days, in a dog after 5 days, a dog after 7 days, 3 dogs after 10 days,2 dogs after 15 days, a dog after 25 days and a dog after 30 days (Mean$\pm$S.E: 12.27$\pm$2.57). The recovery took 14 days in dogs with bilateral patellar luxation, and 9 days in dogs with unilateral patellar luxation. Trend of decrease of lameness grade in bilateral patellar corrected dogs were similar to that in unilateral patellar corrected dogs. Swelling, pain and fever disappeared on 7 days. In conclusion, combination of tibial tuberosity transposition, retinacular imbrication and trochleoplasty is appropriate for dogs with patellar luxation.

Keywords

References

  1. Leonard's orthopedic surgery of the dog and cat(3rd ed.) Alexander JW
  2. J Bone & Joint Surg v.38-A no.Oct. The effects of pressure on epiphyseal growth, a mechanism of plasticity of growing bone Arkin AM
  3. Current techniques in small animal surgery(4th ed.) Surgical repair of patellar luxations and fracture Arnoczky SP;Tarvin GB
  4. J Am Vet Med Assoc Evaluation of surgical correction of canine patellar luxation in 142 cases Deangelis M;Hohn RB
  5. J Small Anim Pract v.14 The long term results of surgery of canine stifle disorders Denny HR https://doi.org/10.1111/j.1748-5827.1973.tb06408.x
  6. Vet Med Small Anim Clin v.76 Pathophysiology and management of medial patellar luxation in the dog Donald A;Hulse
  7. J Am Vet Med Assoc v.174 Surgical treatment of gradeⅣ patellar luxation in the neoambulatory dog Hammer DL
  8. Complications in small animal surgery(1st ed.) Stifle joint Herron MR
  9. An atlas of Veterinary surgery(3th ed.) Stifle joint Hickman J
  10. J Am Vet Med Assoc v.202 Congential abnormalities in immature dogs from a pet store: 253 cases (1987-1988) Hird DW
  11. J. Sm. Anim. Prac. v.4 Abnormalities and defects in pedigree Dogs-Ⅰ. An investigation into the existence of abnormalities in pedigree dogs in the British Isles Hodgmen SF
  12. Vet Med Small Anim Clin v.66 Canine patellar luxation (A review) Horne RD
  13. Small animal surgery(1st ed.) Diseases affecting the joint Hulse DA
  14. Vet Med Small Anim Clin v.66 Surgical palliation of bilateral congenital medial patellar luxation in a dog Kaplan B
  15. Vet Med Small Anim Clin Surgery of the canine stifle joint Mccurnin DM
  16. Handbook of small animal orthopedics & fracture treatment(3rd ed.) Piermattei DL;Flo GL
  17. A thesis presented to the faculty of graduate studies of the University of Guelph Patellar luxation in the dog Putnam RW
  18. Vet Surg v.21 Medial patellar luxation in 16 large dogs Remedios AM https://doi.org/10.1111/j.1532-950X.1992.tb00003.x
  19. Vet Clin North Am Small Anim Pract v.23 Canine patellar luxation Roush JK https://doi.org/10.1016/S0195-5616(93)50087-6
  20. Vet Surg v.21 A retrospective evaluation of stifle osteoarthritis in dogs with bilateral medial patellar luxation and unilateral surgical repair Roy RG https://doi.org/10.1111/j.1532-950X.1992.tb00084.x
  21. J Sm Anim. Prac. v.10 The surgical correction of stifle deformities in the dog Singleton WB https://doi.org/10.1111/j.1748-5827.1969.tb04021.x
  22. Vet Clin North Am Small Anim Pract v.23 Trochlear wedge recession for medial patellar luxation. An update Slocum B https://doi.org/10.1016/S0195-5616(93)50088-8
  23. Handbook of small animal practice(2nd ed.) Joint disease Tangner CH
  24. Vet Med v.89 Repair of medial patellar luxation Tomlinson J;Constantinescu GM
  25. Textbook of small animal surgery(2nd ed.) Stifle joint Vasseur PB
  26. 한국임상수의학회지 v.16 선천성 슬개골탈구를 지닌 자견의 조기 진단법 및 외과적 수술법 확립 정순욱;박수현