DOI QR코드

DOI QR Code

Measurement of the Tibial Plateau Angle in Normal Small Breed Dogs

정상 소형 견에서 경골 고평부각의 측정

  • Kim, Choong-sup (College of Veterinary Medicine, Chonbuk National University) ;
  • Heo, Su-Young (College of Veterinary Medicine, Chonbuk National University) ;
  • Seol, Jae-Won (College of Veterinary Medicine, Chonbuk National University) ;
  • Kim, Min-Su (College of Veterinary Medicine, Chonbuk National University) ;
  • Lee, Sang-Hoon (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)
  • Accepted : 2015.05.18
  • Published : 2015.06.30

Abstract

This study measured the tibial plateau angle (TPA), a value that predicts cranial cruciate ligament rupture (CCLR) and a prerequisite for dynamic stabilization, in small breed dogs. The cadavers of 32 skeletally mature small breed dogs without CCLR were used to measure TPA. Differences were evaluated between males and females, left and right limbs, and among breeds. The mean TPA of all dogs was $26.13^{\circ}{\pm}2.33^{\circ}$. The mean TPAs of left and right limbs were $26.00^{\circ}{\pm}2.23^{\circ}$ and $26.26^{\circ}{\pm}2.45^{\circ}$, respectively, which was not a significant difference. The mean TPAs of male and female dogs were $26.01^{\circ}{\pm}1.57^{\circ}$ and $26^{\circ}.22{\pm}2.80^{\circ}$, respectively, which was also not significant difference. The mean TPAs in Maltese, Poodle, Shih Tzu, and Yorkshire terrier were $26.06^{\circ}{\pm}2.96^{\circ}$, $25.21^{\circ}{\pm}1.38^{\circ}$, $26.65^{\circ}{\pm}2.96^{\circ}$, and $26.27^{\circ}{\pm}1.61^{\circ}$, respectively. Differences in these means were not statistically significant. The TPA measured from this study could provide important information for further investigation of the pathogenesis of and surgical techniques for CCLR in small breed dogs.

본 연구에서는 소형견종에서 전 십자인대 단열과 동적 안정화를 이용한 치료법에서 사용되는 경골 고평부각(the tibial plateau angle)을 측정하였다. 경골 고평부각을 측정하기 위해 성장이 끝난 소형견종 32마리의 사체의 양측 뒷다리를 이용하였다. 성별, 각 양측다리(왼쪽, 오른쪽), 그리고 견종별로 구분하여 경골 고평부각을 평가하였다. 전체 소형견종의 평균 경골 고평부각은 $26.13^{\circ}{\pm}2.33^{\circ}$이었다. 왼쪽 다리와 오른쪽 다리는 각각 $26.00^{\circ}{\pm}2.23^{\circ}$$26.26{\pm}2.45$로 측정되었고 성별에 따른 측정에서는 암컷은 $26^{\circ}.22{\pm}2.80^{\circ}$로 수컷은 $26.01^{\circ}{\pm}1.57^{\circ}$로 평가 되었다. 견종별로는 말티즈는 $26.06^{\circ}{\pm}2.96^{\circ}$로 푸들은 $25.21^{\circ}{\pm}1.38^{\circ}$로 시추는 $26.65^{\circ}{\pm}2.96^{\circ}$로 요크셔 테리어는 $26.27^{\circ}{\pm}1.61^{\circ}$로 측정되었다. 모른 측정치의 확률적 유의적 차이는 없었다. 본 연구에서 측정된 소형견의 경골 고평부각은 전 십자인대의 병적 상태평가와 수술 과정에서 중요한 정보를 제공할 수 있다고 사료된다.

Keywords

References

  1. Arnoczky SP, Marshall JL. The cruciate ligaments of the canine stifle: An anatomical and functional analysis. Am J Vet Res 1977; 38: 1807-1814.
  2. Braz ier J, Migaud H, Gougeon F, Cotten A, Fontaine C, Duquennoy A. Evaluation of methods for radiographic measurement of the tibial slope: A study of 83 healthy knees. Rev Chir Orthop Reparatrice Appar Mot 1996; 82: 195-200.
  3. Caylor KB, Zumpano CA, Evans LM, Moore RW. Intra- and interobserver measurement variability of tibial plateau slope from lateral radiographs in dogs. J Am Anim Hosp Assoc 2001; 37: 263-268. https://doi.org/10.5326/15473317-37-3-263
  4. Chiu KY, Zhang SD, Zhang GH. Posterior slope of tibial plateau in chinese. J Arthroplasty 2000; 15: 224-227. https://doi.org/10.1016/S0883-5403(00)90330-9
  5. Duerr FM, Duncan CG, Savicky RS, Park RD, Egger EL, Palmer RH. Risk factors for excessive tibial plateau angle in large-breed dogs with cranial cruciate ligament disease. J Am Vet Med Assoc 2007; 231: 1688-1691. https://doi.org/10.2460/javma.231.11.1688
  6. Duval JM, Budsberg SC, Flo GL, Sammarco JL. Breed, sex, and body weight as risk factors for rupture of the cranial cruciate ligament in young dogs. J Am Vet Med Assoc 1999; 215: 811-814.
  7. Guastella D, Fox D, Cook J. Tibial plateau angle in four common canine breeds with cranial cruciate ligament rupture, and its relationship to meniscal tears. Vet Comp Orthop Traumatol 2008; 21: 125-128.
  8. Headrick J, Cook J, Helphrey M, Crouch D, Fox D, Schultz L, Cook C, Kunkel J. A novel radiographic method to facilitate measurement of the tibial plateau angle in dogs: A prospective clinical study. Vet Comp Orthop Traumatol 2007; 20: 24-28. https://doi.org/10.1055/s-0037-1616583
  9. Henderson R, Milton J. The tibial compression mechanism: A diagnostic aid in stifle injuries. J Am Anim Hosp Assoc 1978; 14: 474-479.
  10. Johnson JA, Austin C, Breur GJ. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet Comp Orthop Traumatol 1994; 7: 56-69. https://doi.org/10.1055/s-0038-1633097
  11. Kim SE, Pozzi A, Kowaleski MP, Lewis DD. Tibial osteotomies for cranial cruciate ligament insufficiency in dogs. Vet Surg 2008; 37: 111-125. https://doi.org/10.1111/j.1532-950X.2007.00361.x
  12. Morris E, Lipowitz AJ. Comparison of tibial plateau angles in dogs with and without cranial cruciate ligament injuries. J Am Vet Med Assoc 2001; 218: 363-366. https://doi.org/10.2460/javma.2001.218.363
  13. Petazzoni M. TPLO in the small dog: 18 cases. In Proceedings of the 12th ESVOT Congress, Munich, Germany, 2004; 258.
  14. Read RA, Robins GM. Deformity of the proximal tibia in dogs. Vet Rec 1982; 111: 295-298. https://doi.org/10.1136/vr.111.13.295
  15. Reif U, Dejardin LM, Probst CW, DeCamp CE, Flo GL, Johnson AL. Influence of limb positioning and measurement method on the magnitude of the tibial plateau angle. Vet Surg 2004; 33: 368-375. https://doi.org/10.1111/j.1532-950X.2004.04053.x
  16. Reif U, Hulse DA, Hauptman JG. Effect of tibial plateau leveling on stability of the canine cranial cruciate-deficient stifle joint: An in vitro study. Vet Surg 2002; 31: 147-154. https://doi.org/10.1053/jvet.2002.31041
  17. Vasseur PB. Stifle joint. In: Textbook of small animal surgery, 3th ed. Philadelphia: Saunders. 1993: 2090-2132.
  18. Slocum B, Devine T. Cranial tibial thrust: A primary force in the canine stifle. J Am Vet Med Assoc 1983; 183: 456-459.
  19. Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin North Am Small Anim Pract 1993; 23: 777-795. https://doi.org/10.1016/S0195-5616(93)50082-7
  20. Stokes I. Mechanical effects on skeletal growth. J Musculoskelet Neuronal Interact 2002; 2: 277-280.
  21. Warzee CC, Dejardin LM, Arnoczky SP, Perry RL. Effect of tibial plateau leveling on cranial and caudal tibial thrusts in canine cranial cruciate-deficient stifles: An in vitro experimental study. Vet Surg 2001; 30: 278-286. https://doi.org/10.1053/jvet.2001.21400
  22. Wilke VL, Conzemius MG, Besancon MF, Evans RB, Ritter M. Comparison of tibial plateau angle between clinically normal greyhounds and labrador retrievers with and without rupture of the cranial cruciate ligament. J Am Vet Med Assoc 2002; 221: 1426-1429. https://doi.org/10.2460/javma.2002.221.1426