한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제31권6호
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  • Pages.483-489
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  • 2014
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

소형견에서 전 십자인대 단열의 치료를 위한 경골 고평부 평탄 골절단술의 평가

Tibial Plateau Leveling Osteotomy for Treatment of Naturally Occurring Cranial Cruciate Ligament Rupture in Small Breed Dogs - Case Series

  • Kim, Choong-Sup (College of Veterinary Medicine, Chonbuk National University) ;
  • Heo, Su-Young (College of Veterinary Medicine, Chonbuk National University) ;
  • Kim, Min-Su (College of Veterinary Medicine, Chonbuk National University) ;
  • Kim, Nam-Soo (College of Veterinary Medicine, Chonbuk National University) ;
  • Lee, Hae-Beom (College of Veterinary Medicine, Chungnam National University)
  • 심사 : 2014.12.09
  • 발행 : 2014.12.31
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초록

본 연구는 소형견에서 전 십자인대 단열에서 경골 고평부 평탄 골절단술로 치료된 증례의 예후와 수술적 기법에 대해 보고하고자 한다. 5 kg 미만의 7 마리의 성견에서 편측 전 십자인대 단열에서의 경골 고평부 평탄 골절단술을 이용한 증례를 본 연구에서 이용하였다. 임상적 관찰, 파행 지수, 관절의 운동 범위, 대퇴 둘래 길이를 측정하고 수술 후 부작용에 대해 기록하였다. 모든 환자에서 수술 후 1주에 파행 지수 1을 8주 이후에는 파행 지수 0를 보여 주었다. 수술한 다리의 펴짐각은 다른 쪽 정상 다리와 비교하여 4주에 98.11%로 8주에 99.07%로 12주에 98.73%로 측정되었고 굽힘각은 4주에 98.07%로 8주에 95.88%로 12주에 96.35%로 측정되었다. 수술 후 대퇴 둘레 길이는 다른쪽 정상 다리와 비교하여 4주에 92.95%를 8주에 93.68%를 12주에 95.44%를 보여 주었다. 우리가 수술 한 결과는 이전에 보고된 대형견에서 경골 고평부 평탄 골절단술의 이용 결과들과 비교하여 나쁘지 않은 결과를 보여 주었다. 본 증례를 바탕으로 대형견에서와 같이 소형견에서도 경골 고평부 평탄 골절단술이 전 십자인대 단열에서 성공적으로 사용될 수 있다고 사료된다.

This study describes a surgical technique and evaluates the clinical outcomes in small breed dogs with cranial cruciate ligament rupture (CCLR) treated with tibial plateau leveling osteotomy (TPLO). Seven skeletally mature dogs weighing less than 15 kg underwent unilateral TPLO to stabilize the stifle joint with CCLR. Clinical evaluation was performed via visual lameness score, range of motion (ROM), and thigh girth circumference (TC). Postoperative complications were recorded. All patients reached a grade 1 score at 1 week and grade 0 at 8 weeks postoperatively. The mean operated limb extension angle was 98.11%, 99.07%, and 98.73% of the mean extension angle of the contralateral limb at 4 weeks, 8 weeks, and 12 weeks postoperatively, respectively. The mean operated limb flexion angle was 98.07%, 95.88%, and 96.35% of the mean flexion angle of the contralateral limb at 4 weeks, 8 weeks, and 12 weeks postoperatively, respectively. The mean TC of the operated limb was 92.95%, 93.68%, and 95.44% of the mean TC of the normal limb at 4 weeks, 8 weeks, and 12 weeks postoperatively, respectively. Our outcomes for TPLO in small breed dogs are not worse than those previously reported for large breed dogs. Based on the result in the present study, CCLR in small dogs can be successfully managed with TPLO, as done in large breed dogs.

키워드

참고문헌

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