• Title/Summary/Keyword: Luxation

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Treatment of Medial Patellar Luxation by Placement of a Cortical Screw on the Medial Side of the Tibial Crest in a Dog (개에서 경골 조면 내측에 피질골 나사못을 장착하는 방법에 의한 내측 슬개골 탈구 치료 증례)

  • Kang, Byung-Jae;Yoon, Daeyoung;Rhew, Daeun;Kim, Yongsun;Lee, Seunghoon;Kim, Wan Hee;Kweon, Oh-Kyeong
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.133-136
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    • 2014
  • An 8 kg, 9-month-old castrated male Shiba Inu presented with a history of intermittent bilateral hind limb lameness. On examination, grade III medial patellar luxation of the bilateral hind limbs was diagnosed. A novel surgical method involving relatively noninvasive tibial tuberosity transposition was used to restore normal alignment of the quadriceps mechanism. The procedure involved an incision on the medial cortical bone of the tibial tuberosity along the tibial crest and placement of a cortical screw on the medial side of the tibial crest to laterally transpose the tibial tuberosity. Lameness and patellar luxation of bilateral hind limbs were improved at a 3-month postoperative examination. This technique could be considered an effective treatment for medial patellar luxation in skeletal immature patients.

Treatment of Recurrent Coxofemoral Joint Luxation by Total Hip Replacement in a Dog (대퇴관절 전치환술을 이용하여 개의 재발되는 대퇴관절 탈구증의 치료)

  • Kim, Jooho;Heo, Su-Young;Kim, Minsu;Lee, Kichang;Kim, Namsoo;Lee, Haebeom
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.125-128
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    • 2014
  • A 7-year-old, intact female Golden Retriever weighing 38 kg was referred for left coxofemoral joint luxation. On physical examination, pain and crepitus were noted atthe left hip joint during joint extension. Radiological examination revealed coxofemoral joint luxation and mild degenerative bone changes in the left hip joint. We performed minimally invasive arthroscopy-assisted reduction with TightRope$^{(R)}$ as a treatment option; however, the left coxofemoral joint was reluxated after one month postoperatively. We performed cementless total hip replacement (THR) of the luxated left coxofemoral joint. At tenmonths after surgery, the dog could sit, stand, walk normally and jump comfortably without lameness. The thigh girth measurement of the operated limb was 108.6% of the contralateral limb. Based on the present case, THR can be a successful treatment for coxofemoral joint luxation in dogs with failed coxofemoral joint reduction.

Treatment of Congenital Elbow Luxation using the Ilizarov Technique of Distraction Osteogenesis in a Dog

  • Kim, Byung-ju;Han, Kyung-Jin;Hong, Young-chae;Park, Ji-young;Jeong, Seong-Mok;Lee, Hae-Beom
    • Journal of Veterinary Clinics
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    • v.34 no.4
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    • pp.287-290
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    • 2017
  • A 6-month-old, 4.1 kg female Dachshund dog presented with intermittent non-weight bearing lameness of the right thoracic limb. Radiographs revealed caudolateral luxation of the right radial head and a shortened right ulna compared to the contralateral limb. Bone lengthening by distraction of the ulna using the Ilizarov technique was performed following ulnar osteotomy. The rate of distraction was 1.5 mm per day, adjusted a total of 3 times daily for a total distraction distance of 10 mm. The Ilizarov fixator was removed four weeks after surgery. The patient showed knuckling due to radial nerve injury that occurred during limb-lengthening. Corrective osteotomy was performed using a plate and pin for the luxation and deformity of the right radial head. The luxation of the radial head was successfully reduced following surgery. However, the knuckling persisted after surgery. Rehabilitation for radial nerve injury was performed using heat therapy, massage, a passive range of motion exercises, water treadmill exercises, neuromuscular electrical stimulation, leash-walking, and acupuncture. 15 months after surgery, the patient showed satisfactory weight-bearing ambulation without recurrence of lameness. The use of the Ilizarov technique is a good surgical option for the treatment of a patient with congenital elbow luxation.

SURGICAL TREATMENT OF RECURRENT TMJ DISLOCATION BY EMINECTOMY WITH DISCOPLASTY (하악관절융기 절제술과 악관절원판 성형술을 이용한 악관절 탈구의 외과적 치료)

  • Kim, Hyung-Gon;Choi, Hee-Soo;Huh, Jong-Ki;Park, Kwang-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.2
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    • pp.141-146
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    • 2002
  • Purpose: Various treatment methods have been utilized for recurrent dislocation of the TMJ (temporomandibular joint). The purpose of this study is to define the effect of the eminectomy with discoplasty that had been performed in patients with TMJ luxation. Materials and Methods: Twenty patients (22 joints), whose diagnosis were TMJ dislocation were selected in 772 patients (871 joints) who had been underwent TMJ surgery between 1988 and 2000. The selected patients were divided into two groups. Group I (12 joints) was the habitual-luxation group which involves the recurrent TMJ dislocation patients. Group II (10 joints) was the open lock-history group which involves the patients who had more than two episodes of TMJ luxation and TMJ disorders. The history of TMJ luxation, maximum mouth opening and other TMJ signs and symptoms before and after surgery were reviewed. Results: In group I, one patient who had been underwent both TMJ operation had a intermittent locking, but it disappeared after post-operative 32 months. In group II, intermittent pain was present in one patient who had bruxism, but it was disappeared by splint therapy. No more TMJ dislocations and other pains were checked in other patients of group I and II. Conclusion: Eminectomy with discoplasty may be used to successfully treat the TMJ habitual luxation accompanied with abnormal condition of the disc-condyle complex.

Minimally Invasive Arthroscopic-Assisted Reduction with TightRope® for Coxofemoral Luxation in a Korean Water Deer (Hydropotes inermis argyopus) (고라니에서 최소침습적 관절경과 TightRope®의 이용한 엉덩관절탈구 교정 증례)

  • Heo, Su-Young;Seol, Jae-won;Park, Ji-young;Jeong, Seong-mok;Lee, Hae-Beom
    • Journal of Veterinary Clinics
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    • v.32 no.6
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    • pp.540-543
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    • 2015
  • A Korean water deer was rescued with non-weight-bearing lameness of the right hind limb. Clinical and radiographic examination revealed a craniodorsal coxofemoral luxation. The cause of the right coxofemoral luxation (CL) was unknown. We performed minimally invasive arthroscopic-assisted reduction with toggle pin fixation (mini TightRope$^{(R)}$). Craniodorsal CL in the water deer was reduced and stabilized successfully. At 60 days after admission, the water deer was successfully released back into the wild. This minimally invasive surgical technique can be used to correct coxofemoral luxation in wild animals.

Use of elevator instruments when luxating and extracting teeth in dentistry: clinical techniques

  • Mamoun, John
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.3
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    • pp.204-211
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    • 2017
  • In dentistry, elevator instruments are used to luxate teeth, and this technique imparts forces to tooth particles that sever the periodontal ligament around tooth roots inside the socket and expand alveolar bone around tooth particles. These effects can result in extraction of the tooth particles or facilitate systematic forceps extraction of the tooth particles. This article presents basic oral surgery techniques for applying elevators to luxate teeth. Determination of the optimal luxation technique requires understanding of the functions of the straight elevator and the Cryer elevator, the concept of purchase points, how the design elements of elevator working ends and tips influence the functionality of an elevator, application of forces to tooth particles, sectioning teeth at furcations, and bone removal to facilitate luxation. The effectiveness of tooth particle luxation is influenced by elevator tip shape and size, the magnitude and the vectors of forces applied to the tooth particle by the tip, and sectioning and bone removal within the operating field. Controlled extraction procedures are facilitated by a dental operating microscope or the magnification of binocular surgical loupes telescopes, combined with co-axial illumination.

Treatment of Grade IV Medial Patellar Luxation by Femoral Shortening Osteotomy in Three Small-Breed Dogs (세 마리의 소형견에서 대퇴 단축 절골술에 의한 4단계 내측 슬개골 탈구의 치료 증례)

  • Kang, Byung-Jae;Rhew, Daeun;Kim, Yongsun;Lee, Seunghoon;Yoon, Daeyoung;Kim, Wan Hee;Kweon, Oh-Kyeong
    • Journal of Veterinary Clinics
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    • v.31 no.5
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    • pp.421-424
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    • 2014
  • Three small-breed dogs with grade IV medial patellar luxation were presented. In all cases, patellar luxation could not be reduced by conventional surgical techniques. Femoral shortening osteotomy was performed in all dogs to correct patellar luxation. In all the dogs, the clinical condition was remarkably improved, and following surgical procedures, no complication or recurrence was presented. Femoral shortening osteotomy is an effective treatment in small-breed dogs with medial patellar luxation associated with severe skeletal deformity.

A Case Report on Tibial Crest Transposition for Treatment of Congenital Bilateral Patellar Luxation in Male Calf (송아지의 선천성 양측성 슬개골 탈구에 대한 수술 1예)

  • Kwun Hae-Byeng;Lee Jeong-Kuk
    • Journal of the korean veterinary medical association
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    • v.29 no.3
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    • pp.131-136
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    • 1993
  • The Tibial crest transposition operate on a 1.5 months old male calf for congenital bilateral patellar luxation. After this operation the luxative patellar was reduction. This case is very rare in large animal sugery but the result of surgery was very eff

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