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Bilateral Patellar Groove Replacement in a Dog with Iatrogenic Trochlear Groove Damage

  • Kim, Yongrak (College of Veterinary Medicine, Chungnam National University) ;
  • Park, Yunsik (College of Veterinary Medicine, Chungnam National University) ;
  • Park, Jiyoung (College of Veterinary Medicine, Chungnam National University) ;
  • Jeong, Seong Mok (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Haebeom (College of Veterinary Medicine, Chungnam National University)
  • Received : 2016.06.13
  • Accepted : 2016.08.16
  • Published : 2016.10.31

Abstract

A 2-year-old, 1.94 kg spayed female Toy Poodle was referred for revision surgery for patellar reluxation following surgery for bilateral medial patellar luxation (MPL). Intermittent non-weight-bearing lameness of the right hindlimb and weight-bearing lameness of the left hindlimb were evident on general inspection. A physical examination revealed that there was a bilateral grade 4 MPL. On radiographs, the medial and lateral trochlear ridge was bilaterally worn out. Patellar groove replacement (PGR) was performed in two stages to replace the bilateral femoral trochlea that had a severely worn out groove. Corrective femoral osteotomy with increasing anteversion angle, tibial tuberosity transposition, medial releasing, lateral imbrications and PGR were performed on the right hindlimb. Six months after surgery on the right hindlimb, a PGR prosthesis was positioned medially on the frontal plane and tibial tuberosity transposition and lateral imbrications were performed on the left hindlimb. Two weeks after surgery, reluxation of the patella occurred on the left hindlimb. The tibial tuberosity transposition was performed to realign the patella more laterally than the previous surgery, and a patellar sling was applied. Two years after the last surgery, the patient showed no pain on the stifle joint and satisfactory weight-bearing ambulation. Reluxation did not recur. PGR maybe a successful treatment for dogs with iatrogenically damaged and/or worn out patellar grooves.

Keywords

References

  1. Arthurs GI, Langley-Hobbs SJ. Complications associated with corrective surgery for patellar luxation in 109 dogs. Vet Surg 2006; 35: 559-566. https://doi.org/10.1111/j.1532-950X.2006.00189.x
  2. Boone EG, Hohn RB, Weisbrode SE. Trochlear recession wedge technique for patella luxation: An experimental Study. J Am Anim Hosp Assoc 1983; 19: 735-742.
  3. Bound N, Zakai D, Butterworth SJ, Pead M. The prevalence of canine patellar luxation in three centers. Vet Comp Orthop Traumatol 2009; 22: 32-37.
  4. Brinker WO, Pierrmattei DL, Flo GL. Diagnosis and treatment of orthopaedic conditions of the hindlimb. In: Brinker, Piermattei and Flo's Handbook of Small Animal Orthopaedics and Fracture Treatment, 2nd ed. Philidelphia: Saunders. 1990: 377-397.
  5. Chase, D, Farrell, M. Fracture of the lateral trochlear ridge after surgical stabilisation of medial patellar luxation. Vet Comp Orthop Traumatol 2010; 23: 203-208.
  6. Dokic Z, Lorinson D, Weigel J, Vezzoni A. Patellar groove replacement in patellar luxation with severe femoro-patellar osteoarthritis. Vet Comp Orthop Traumatol 2015; 28: 124-130. https://doi.org/10.3415/VCOT-14-07-0106
  7. Eskelinen EV, Liska WD, Hyytainen HK, Hielm-Bjorkman A. Canine total knee replacement performed due to osteoarthritis subsequent to distal femur fracture osteosynthesis. Vet Comp Orthop Traumatol 2012; 25: 427-432. https://doi.org/10.3415/VCOT-11-01-0012
  8. Kowaleski MP, Boudrieau RJ, Pozzi A. Stifle Joint. In: Veterinary Surgery Small Animal. 1st Ed. St Louis: Elsevier Saunders. 2012: 973-988.
  9. LaFond E, Breur GJ, Austin CC. Breed susceptibility for developmental orthopaedic diseases in dogs. J Am Anim Hosp Assoc 2002; 38: 467-477. https://doi.org/10.5326/0380467
  10. Linney WR, Hammer DL, Shott S. Surgical treatment of medial patellar luxation without femoral trochlear groove deepening procedures in dogs: 91 cases (1998-2009). J Am Vet Med Assoc 2011; 238: 1168-1172. https://doi.org/10.2460/javma.238.9.1168
  11. Liska WD, MARCELLIN-LITTLE DJ, Eskelinen EV, Sidebotham, CG, Harrysson OL, HIELM-BJORKMAN AK. Custom Total Knee Replacement in a Dog with Femoral Condylar Bone Loss. Vet Surg 2007; 36: 293-301. https://doi.org/10.1111/j.1532-950X.2007.00270.x
  12. Ness MN, Abercromby RH, May C, Turner BM, Carmichael S. A survey of orthopaedic conditions in small animal veterinary practice in Britain. Vet Comp Orthop Traumatol 1996; 9: 43-52. https://doi.org/10.1055/s-0038-1632502
  13. Ostberg, SE, Dimopoulou M, Lee, MH. Ilial crest bone graft transposition as treatment for fracture of the medial femoral trochlear ridge in a dog. Vet Comp Orthop Traumatol 2014; 27: 80-84.
  14. Persuki AM, Kowaleski MP, Pozzi A, Dyce J, Johnson KA. Treatment of medial patellar luxation and distal femoral varus by femoral wedge osteotomy in dogs: 30 cases (2000-2005). In: Proceedings of the 2nd World Veterinary Orthopaedic Congress and 33rd Annual Veterinary Orthopedic Handbook of Small Animal Orthopedics and Fracture Repair Society Meeting. Keystone: Veterinary Orthopedic Society, 2006: 240.
  15. Roush JK. Canine patella luxation. Vet Clin North Am Small Anim Pract 1993; 23: 855-868. https://doi.org/10.1016/S0195-5616(93)50087-6
  16. Slocum B, Slocum TD. Trochlear wedge recession for medial patellar luxation: an update. Vet Clin North Am 1993; 23: 869-875. https://doi.org/10.1016/S0195-5616(93)50088-8
  17. Stevenson S, Dannucci GA, Sharkey NA, Pool RR. The fate of articular cartilage after transplantation of fresh and cryopreserved tissue-antigen-matched and mismatched osteochondral allografts on dogs. J Bone Joint Surg Am 1989; 71: 1297-1307. https://doi.org/10.2106/00004623-198971090-00004
  18. Swiderski JK, Palmer RH. Long-term outcome of distal femoral osteotomy for treatment of combined distal femoral varus and medial patella luxation: 12 cases (1999-2004). J Am Vet Med Assoc 2007; 231: 1070-1075. https://doi.org/10.2460/javma.231.7.1070
  19. Talcott K, Goring R, Haan J. Rectangular recession trochleoplasty for treatment of patella luxation in dogs and cats. Vet Comp Orthop Traumatol 2000; 13: 39-43. https://doi.org/10.1055/s-0038-1632628
  20. Tomlinson J, Constantinescu GM. Repair of medial patella luxation. Vet Med 1994; 48-56.
  21. Wangdee C, Theyse LF, Techakumphu M. Evaluation of surgical treatment of medial patellar luxation in Pomeranian dogs. Vet Comp Orthop Traumatol 2013; 26: 435-439. https://doi.org/10.3415/VCOT-12-11-0138