한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제31권2호
  • /
  • Pages.121-124
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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

등쪽 관골절구 결손을 가진 진도견의 인공 대퇴 관절 전치환술

Total Hip Replacement in a Jindo Dog with Dorsal Acetabular Rim Deficiency: a Case Report

  • Heo, Su-Young (College of Veterinary Medicine, Chonbuk National University) ;
  • Lee, Hae-Beom (College of Veterinary Medicine, Chonbuk National University)
  • 심사 : 2014.03.27
  • 발행 : 2014.04.30
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초록

7년령의 암컷 진도견이 뒷다리 파행을 주증으로 내원하였다. 신체검사상에서 대퇴관절의 신전시 염발음과 통증을 보였고 방사선 검사상에서 양측 대퇴 관절 이형성증에 의한 퇴행성 관절염과 오른쪽 부위의 전측 대퇴 탈구를 보여 주었다. 오른쪽 관절의 탈구의 치료를 위해 인공 대퇴 관절 전치환 술을 실시하였다. 수술 중 오른쪽 등쪽 관절절구의 결손으로 인한 인공 관절절구 컵의 탈구의 위험성을 확인하고 등쪽 관절절구의 결손을 잠김 금속판과 골시멘트를 이용하여 보강하였다. 수술 후 환자는 성공적인 결과를 보여주었다. 또한 오른쪽 대퇴관절의 관절 운동 범위과 근육량이 개선 되었다. 등쪽 관골절구 결손을 가진 대퇴 관절 탈구에서 잠김 금속판과 골시멘트 이용하여 인공 대퇴관절 전치환술을 성공적으로 실시하였다. 본 증례와 같은 수술 기법이 등쪽 관골절구 결손이 있을 시 사용될 수 있다고 생각된다.

A 7-year-old, intact female Jindo dog was presented for assessment of weight-bearing lameness of the right hindlimb. On physical examination, crepitus and pain was noted in the right coxofemoral joint upon extension. Radiographs revealed a craniodorsal luxation of the right coxofemoral joint and degenerative joint disease (DJD) of both coxofemoral joints. Total hip replacement (THR) was performed for the right coxofemoral joint. Intraoperatively, dorsal acetabular rim (DAR) deficiency was noted, which can be related to a high risk for acetabular cup implant dislocation. Deficiency of the dorsal acetabular rim realigned with the acetabular cup using universal locking plate (ULP) and polymethylmethacrylate (PMMA) bone cement. After surgery, the patient had an uneventful course and a successful outcome. The ROM and thigh girth were dramatically improved. There were no complications associated with prosthesis implants. Hip luxation with dorsal acetabular rim deficiency in a dog was successfully repaired with THR and dorsal acetabular rim augmentation using ULP and PMMA bone cement. This technique should be considered when conventional THR is precluded by dorsal acetabular rim deficiency.

키워드

참고문헌

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