伴或不伴肱骨滑车剥离性骨软骨病关节镜治疗后的长期疗效:23例(2012-2020)

IF 1.1 4区 农林科学 Q2 Veterinary
Joachim Lahiani, Antoine Dunié-Mérigot, Alexandre Caron, Kevin Le Boedec, Guillaume Ragetly
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引用次数: 0

摘要

本研究的目的是报告关节镜下修复治疗(皮瓣切除、刮除和软骨下骨固定术)对肱骨滑车性骨软骨炎(OCD)犬的长期临床和影像学结果。如果狗有肱骨滑车强迫症的计算机断层扫描诊断,伴或不伴内侧冠状突疾病,接受关节镜修复技术治疗,并在术后至少6个月进行详细随访,则纳入本回顾性多中心病例系列。后者包括临床检查、跛行评估、肱周长和肘关节振幅测量、国际肘部工作组(IEWG)放射评分、饲主自行完成的犬短暂疼痛量表(CBPI)评分和视觉模拟量表(VAS)评分。采用广义线性模型和对称性和边际均匀性检验来比较数据。包括23只狗(30只受影响的肘部)。长期(中位数:22个月;范围:6 ~ 98个月)与术前相比,术后跛行、CBPI、VAS、关节肿胀和疼痛评分均有显著改善。术后长期活动范围和肱围度在受强迫症影响的肘部和未受强迫症影响的肘部之间没有明显差异。56%肘部的长期IEWG评分与术前相似,44%肘部的评分提高了1级。长期并发症包括持续的1级跛行,发生在23%的狗身上。基于跛行和CBPI评分的长期结果,67%的狗被认为是优秀的,27%的狗被认为是良好的,6%的狗被认为是中等的。因此,关节镜治疗是治疗犬肱骨滑车强迫症的一种合适的手术方法,并且长期疗效良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-term outcomes after arthroscopic treatment of dogs affected by osteochondrosis dissecans of the humeral trochlea, with or without medial coronoid disease: 23 cases (2012-2020).

The objective of this study was to report long-term clinical and radiographic outcomes following arthroscopic reparative treatment - flap removal, curettage, and osteostixis of subchondral bone - in dogs with humeral trochlea osteochondritis dissecans (OCD). Dogs were included in this retrospective multicenter case series if they had a computed tomography diagnostic of humeral trochlear OCD, with or without medial coronoid disease, that was treated by arthroscopic reparative technique, and a detailed follow-up at least 6 mo postoperatively. The latter included a clinical examination, assessment of lameness, measurement of the brachial circumference and elbow amplitude, International Elbow Working Group (IEWG) radiographic score, owner-completed canine brief pain inventory (CBPI) score, and visual analogue scale (VAS) rating. A generalized linear model and tests for symmetry and marginal homogeneity were used to compare data. Twenty-three dogs (30 affected elbows) were included. Long-term (median: 22 mo; range: 6 to 98 mo) postoperative lameness, CBPI, VAS, joint distension, and pain scores were significantly improved compared with the preoperative values. Long-term postoperative range of motion and brachial circumference did not reveal any significant difference between OCD-affected and unaffected elbows. Long-term IEWG scores were similar to preoperative values in 56% of elbows and had progressed by 1 grade in 44%. Long-term complications included persistent Grade-1 lameness and occurred in 23% of dogs. Long-term outcomes based on lameness and CBPI scores were considered excellent in 67% of dogs, good in 27%, and intermediate in 6%. Arthroscopic treatment is thus a suitable surgical procedure for OCD of the humeral trochlea in dogs and provides good long-term results.

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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
58
审稿时长
>24 weeks
期刊介绍: The Canadian Journal of Veterinary Research, published by the Canadian Veterinary Medical Association, is Canada''s only veterinary research publication. This quarterly peer-reviewed online-only journal has earned a wide international readership through the publishing of high quality scientific papers in the field of veterinary medicine. The Journal publishes the results of original research in veterinary and comparative medicine.
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