한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제37권3호
  • /
  • Pages.135-140
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  • 2020
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
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Clinical Results of Distal Femoral Osteotomy for Treatment of Grade 4 Medial Patella Luxation with Concurrent Distal Femoral Varus in Small Breeds Dogs: 13 Cases

  • Roh, Yoon-Ho (College of Veterinary Medicine, Chungnam National University) ;
  • Jung, Jin-Ho (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Je-Hun (College of Veterinary Medicine, Chungnam National University) ;
  • Jeong, Jae-Min (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)
  • 투고 : 2020.03.15
  • 심사 : 2020.06.08
  • 발행 : 2020.06.30
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초록

The purpose of this study was to determine the outcome of distal femoral osteotomy for distal femoral varus and medial patellar luxation (MPL) grade 4 in small-breed dogs. Radiographs and medical records were reviewed to collect data and plan the surgery in small-breed dogs with MPL grade 4. Computed tomography (CT) imaging was also performed in cases of severe bone deformities. Signalment, weight, medial patellar luxation and lameness grade, radiographic bone union, complications, pre- and postoperative femoral varus angle, passive range of motion, static weight bearing distribution and visual analogue scale scores were recorded. Thirteen corrective distal femoral osteotomies were performed with ancillary and additional procedures in 9 dogs; 4 dogs had staged bilateral procedures; and four stifles were suspected to have partial or complete rupture of the cranial cruciate ligament. One stifle underwent patellar groove replacement. The mean ± SD pre- and postoperative femoral varus angles were 109.15°± 3.71° and 96.30°± 2.97°, respectively. Significant improvements in passive range of motion, thigh circumference and visual analogue scale (VAS) scores were observed. There was no reluxation of the patella. This study suggests that distal femoral osteotomy with traditional and additional procedures provided satisfactory outcomes in patient healing and functional recovery in small-breed dogs with excessive femoral varus angles.

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참고문헌

  1. Aiken M, Barnes D. Are the fabellae bisected by the femoral cortices in a true craniocaudal pelvic limb radiograph? J Small Anim Pract 2014; 55: 465-470. https://doi.org/10.1111/jsap.12253
  2. Arciola CR, Campoccia D, Montanaro L. Implant infections: adhesion, biofilm formation and immune evasion. Nat Rev Microbiol 2018; 16: 397-409. https://doi.org/10.1038/s41579-018-0019-y
  3. 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
  4. Bound N, Zakai D, Butterworth SJ, Pead M. The prevalence of canine patellar luxation in three centres. Clinical features and radiographic evidence of limb deviation. Vet Comp Orthop Traumatol 2009; 22: 32-37. https://doi.org/10.3415/vcot-08-01-0009
  5. Brower B E, K owaleski M P, P eruski AM, P ozzi A , Dyce J , Johnson KA, Boudrieau RJ. Distal femoral lateral closing wedge osteotomy as a component of comprehensive treatment of medial patellar luxation and distal femoral varus in dogs. Vet Comp Orthop Traumatol 2017; 30: 20-27. https://doi.org/10.3415/VCOT-16-07-0103
  6. Campbell CA, Horstman CL, Mason DR, Evans RB. Severity of patellar luxation and frequency of concomitant cranial cruciate ligament rupture in dogs: 162 cases (2004-2007). J Am Vet Med Assoc 2010; 136: 887-891.
  7. Chuang C, Ramaker MA, Kaur S, Csomos RA, Kroner KT, Bleedorn JA, Schaefer SL, Muir P. Radiographic risk factors for contralateral rupture in dogs with unilateral cranial cruciate ligament rupture. PLoS One 2014; 9: e106389 https://doi.org/10.1371/journal.pone.0106389
  8. Dudley RM, Kowaleski MP, Drost WT, Dyce J. Radiographic and computed tomographic determination of femoral varus and torsion in the dog. Vet Radiol Ultrasound 2006; 47: 546-552. https://doi.org/10.1111/j.1740-8261.2006.00184.x
  9. Dunlap AE, Kim SE, Lewis DD, Christopher SA, Pozzi A. Outcomes and complications following surgical correction of grade IV medial patellar luxation in dogs: 24 cases (2008-2014). J Am Vet Med Assoc 2016; 249: 208-213. https://doi.org/10.2460/javma.249.2.208
  10. Gibbons SE, Macias C, Tonzing MA, Pinchbeck GL, McKee WM. Patellar luxation in 70 large breed dogs. J Small Anim Pract 2006; 47: 3-9. https://doi.org/10.1111/j.1748-5827.2006.00004.x
  11. Hady LL, Fosgate GT, Weh JM. Comparison of range of motion in Labrador Retrievers and Border Collies. J Vet Med Anim Health 2015; 7: 122-127. https://doi.org/10.5897/JVMAH2014.0298
  12. Hans EC, Kerwin SC, Elliott AC, Butler R, Saunders WB, Hulse DA. Outcome following surgical correction of grade 4 medial patellar luxation in dogs: 47 stifles (2001-2012). J Am Anim Hosp Assoc 2016; 52: 162-169. https://doi.org/10.5326/JAAHA-MS-6329
  13. Hayashi K, Lansdowne J, Dejardin L. Patellar luxation in dogs. In: Mechanism of Disease in Small Animal Surgery, 3rd ed. Jackson, Wyoming: Teton NewMedia. 2010: 655-661.
  14. Hayes AG, Boudrieau RJ, Hungerford LL. Frequency and distribution of medial and lateral patellar luxation in dogs: 124 cases (1982-1992). J Am Vet Med Assoc 1994; 205: 716-720.
  15. Hudson JT, Slater MR, Taylor L, Scott HM, Kerwin SC. Assessing repeatability and validity of a visual analogue scale questionnaire for use in assessing pain and lameness in dogs. Am J Vet Res 2004; 65: 1634-1643. https://doi.org/10.2460/ajvr.2004.65.1634
  16. Hulse DA. Pathophysiology and management of medial patellar luxation in the dog. Vet Med Small Anim Clin 1981; 76: 43-51.
  17. Innes JF, Costello M, Barr FJ, Rudorf H, Barr ARS. Radiographic progression of osteoarthritis of the canine stifle joint: a prospective study. Vet Radiol ultrasound 2004; 45: 143-148. https://doi.org/10.1111/j.1740-8261.2004.04024.x
  18. Jackson GM, Wendelburg KL. Evaluation of the effect of distal femoral elevation on radiographic measurement of the anatomic lateral distal femoral angle. Vet Surg 2012; 41: 994-1001. https://doi.org/10.1111/j.1532-950X.2012.01059.x
  19. Jaegger G, Marcellin-Little DJ, Levine D. Reliability of goniometry in Labrador Retrievers. Am J Vet Res 2002; 63: 979-986. https://doi.org/10.2460/ajvr.2002.63.979
  20. Kaiser S, Cornely D, Golder W, Garner MT, Wolf KJ, Waibl H, Brunnberg L. The correlation of canine patellar luxation and the anteversion angle as measured using magnetic resonance images. Vet Radiol Ultrasound 2001; 42: 113-118. https://doi.org/10.1111/j.1740-8261.2001.tb00913.x
  21. Kim J, Heo S, Na J, Kim N, Kim M, Jeong S, Lee, H. Determination of femoral and tibial joint reference angles in small-breed dogs. J Vet Clin 2016; 33: 340-345. https://doi.org/10.17555/jvc.2016.12.33.6.340
  22. Millis DL, Levine D, Taylor RA. Range of motion and stretching exercise. In: Canine rehabilitation and physical therapy, 2nd ed. St Louis: Elsevier Saunders. 2013: 220-225.
  23. Olimpo M, Piras L, Peirone B. Pelvic limb alignment in small breed dogs: a comparison between affected and free subjects from medial patellar luxation. Vet Ital 2016; 52: 45-50.
  24. Phetkaew T, Kalpravidh M, Penchome R, Wangdee C. A comparison of angular values of the pelvic limb with normal and medial patellar luxation stifles in Chihuahua dogs using radiography and computed tomography. Vet Comp Orthop Traumatol 2018; 31: 114-123. https://doi.org/10.3415/vcot-17-05-0067
  25. Priester WA. Sex, size, and breed as risk factors in canine patellar dislocation. J Am Vet Med Assoc 1972; 160: 740-742.
  26. Roch SP, Gemmill TJ. Treatment of medial patellar luxation by femoral closing wedge ostectomy using a distal femoral plate in four dogs. J Small anim Pract 2008; 49: 152-158. https://doi.org/10.1111/j.1748-5827.2007.00420.x
  27. Roush JK. Canine patellar luxation. Vet Clin North Am Small Anim Pract 1993; 23: 855-868. https://doi.org/10.1016/S0195-5616(93)50087-6
  28. Singleton WB. The surgical correction of stifle deformities in the dog. J Small Anim Pract 1969; 10: 59-69. https://doi.org/10.1111/j.1748-5827.1969.tb04021.x
  29. Slocum B, Slocum TD. Surgical repair of patellar luxations. In: Current Techniques in Small Animal Surgery, 5th ed. Jackson, Wyoming: Teton NewMedia. 2014: 1064-1069.
  30. Swiderski JK, Palmer RH. Long-term outcome of distal femoral osteotomy for treatment of combined distal femoral varus and medial patellar luxation: 12 cases (1999-2004). J Am Vet Med Assoc 2007; 231: 1070-1075. https://doi.org/10.2460/javma.231.7.1070
  31. Thomovsky SA, Chen AV, Kiszonas AM, Lutskas LA. Goniometry and limb girth in miniature Dachshunds. J Vet Med. 2016; 2016: 1-5.
  32. Tobias KM, Johnston SA. Stifle joint. In: Veterinary surgery: Small animal, 2nd ed. St Louis: Elsevier Saunders. 2018: 1071-1168.
  33. Tomlinson J, Fox D, Cook JL, Keller GG. Measurement of femoral angles in four dog breeds. Vet Surg 2007; 36: 593-598. https://doi.org/10.1111/j.1532-950X.2007.00309.x
  34. Trotter EJ. Medial patellar luxation in the dog. Compend contin Educ Vet 1980; 2: 58-68.
  35. Wangdee C, Theyse LFH, Techakumphu M, Soontornvipart K, Hazewinkel HAW. 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
  36. Yasukawa S, Edamura K, Tanegashima K, Seki M, Teshima K, Asano K, Nakayama T, Hayashi K. Evaluation of bone deformities of the femur, tibia, and patella in Toy Poodles with medial patellar luxation using computed tomography. Vet Comp Orthop Traumatol 2016; 29: 29-38. https://doi.org/10.3415/VCOT-15-05-0089
  37. Zilincik M, Hluchy M, Takac L, Ledecky V. Comparison of radiographic measurements of the femur in yorkshire terriers with and without medial patellar luxation. Vet Comp Orthop Traumatol 2018; 31: 17-22. https://doi.org/10.3415/VCOT-17-01-0018

피인용 문헌

  1. The Effect of Cranial Cruciate Ligament Rupture on Range of Motion in Dogs vol.8, pp.7, 2020, https://doi.org/10.3390/vetsci8070119