How does cruciate ligament rupture treatment affect range of motion in dogs?

IF 2.3 2区农林科学 Q1 VETERINARY SCIENCES

Veterinary journal Pub Date : 2024-10-03 DOI:10.1016/j.tvjl.2024.106253

S. Pinna, M. Di Benedetto, C. Tassani

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Abstract

This study aimed at evaluating the changes in passive range of motion (ROM) of the stifle joint associated with cranial cruciate ligament (CCL) rupture in dogs and assessing whether the surgical treatment carried out on the affected joints affected additional changes. A retrospective cohort study design was used. The clinical records of dogs treated with tibial tuberosity advancement (TTA), tibial plateau leveling osteotomy (TPLO) and tight rope (TR) were reviewed as were the extension angle (EA), flexion angle (FA) and lameness. The data recorded at T0, before surgery, were compared with the data at 1 month and 6 months post-surgery. The data were classified as normal or abnormal.

The main results obtained one month after surgery indicated that dogs treated with TTA showed a significant worsening of flexion (the FA was abnormal in 69.6 % of dogs at T0 and 80.4 % at T1 with p = 0.0208). Dogs treated with TPLO achieved asignificant improvement in extension (the EA was normal in 16.7 % of dogs at T0 and in 33.3 % at T1 with p < 0.0001), and in flexion (the FA was normal in 23.8 % of dogs at T0 and 43.5 % at T6 with p = 0.0434). The dogs treated with TR showed a significant worsening of extension (the EA was abnormal in 68.8 % of dogs at T0 and in 81.3 % at T1 with p = 0.0024). Six months post-surgery, the ROM value was not normal in 100 % of the stifle joints; however, the lameness significantly improved with each procedure. This study confirmed the influence of surgical procedures on changes in ROM and provided useful indications for planning therapy to improve and speed up the postoperative rehabilitation process in dogs.

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十字韧带断裂治疗对狗的活动范围有何影响？

本研究旨在评估与犬头颅十字韧带（CCL）断裂相关的跗关节被动活动范围（ROM）的变化，并评估对受影响关节进行的手术治疗是否会影响其他变化。研究采用回顾性队列研究设计。研究人员回顾了接受胫骨结节前移术（TTA）、胫骨平台平整截骨术（TPLO）和紧绳术（TR）治疗的犬只的临床记录以及伸展角（EA）、屈曲角（FA）和跛行情况。将手术前 T0 时记录的数据与手术后 1 个月和 6 个月的数据进行比较。数据被分为正常和异常。术后一个月的主要结果表明，接受TTA治疗的狗的屈曲明显恶化（T0时69.6%的狗的FA异常，T1时80.4%的狗的FA异常，P = 0.0208）。接受 TPLO 治疗的犬只在伸展（T0 时有 16.7% 的犬只 EA 正常，T1 时有 33.3% 的犬只 EA 正常，P < 0.0001）和屈曲（T0 时有 23.8% 的犬只 FA 正常，T6 时有 43.5% 的犬只 FA 正常，P = 0.0434）方面均有显著改善。接受TR治疗的犬只的伸展功能明显恶化（68.8%的犬只在T0时EA异常，81.3%的犬只在T1时EA异常，P = 0.0024）。手术后 6 个月，100% 的跗关节的 ROM 值不正常；然而，跛行情况在每种手术中都有明显改善。这项研究证实了手术过程对ROM变化的影响，并为规划治疗提供了有用的指标，以改善和加快狗的术后康复过程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary journal 农林科学-兽医学

CiteScore

4.10

自引率

4.50%

发文量

审稿时长

40 days

期刊介绍： The Veterinary Journal (established 1875) publishes worldwide contributions on all aspects of veterinary science and its related subjects. It provides regular book reviews and a short communications section. The journal regularly commissions topical reviews and commentaries on features of major importance. Research areas include infectious diseases, applied biochemistry, parasitology, endocrinology, microbiology, immunology, pathology, pharmacology, physiology, molecular biology, immunogenetics, surgery, ophthalmology, dermatology and oncology.