Långtidsuppföljning och artrosutveckling hos hundar kirurgiskt behandlade för ruptur av kraniala korsbandet
The high incidence of cranial cruciate ligament injury in dogs results in both suffering and significant costs due to treatment and care of affected dogs. Today there are several different technics for surgical treatment in dogs with ruptured cranial cruciate ligament. At University Animal Hospit...
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| Formato: | Otro |
| Lenguaje: | sueco sueco |
| Publicado: |
2009
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| Materias: | |
| Acceso en línea: | https://stud.epsilon.slu.se/11791/ |
| Sumario: | The high incidence of cranial cruciate ligament injury in dogs results in both
suffering and significant costs due to treatment and care of affected dogs. Today
there are several different technics for surgical treatment in dogs with ruptured
cranial cruciate ligament. At University Animal Hospital (UDS), SLU, in Uppsala
two fundamentally different methods; TPLO (Tibial Plateau Leveling Osteotomy)
and external fixation with suture material are practiced.
The aim of this study was to estimate if the different surgery technics result in any
difference regarding the function of the dog in a long term perspective. Since
motion and function are very affected by arthritis, was the purpose also to
determine if there are any differences in developing arthritis between dogs
surgical treated with external fixation respectively with TPLO. Development of
arthritis is common after surgery or traumatic injuries in a joint, such as cruciate
ligament rupture.
Unfortunately was the number of dogs in the study to small to achieve two
comparable groups. Furthermore not all dogs could be included in all parts of the
study due to different reasons. During the work a number of different parameters
that, by itself or in combinations, affect the long term outcome of a dog with
cranial cruciate ligament rupture been studied.
From the limited number of dogs in the study one could state that neither of the
surgical techniques seemed to accomplish a total recovered dog. A larger
proportion in the group of dogs treated with TPLO had a lower degree of
development of arthritis than the dogs treated with external fixation. But the
TPLO-group seemed to have more frequent rehabilitation training during a longer
period than the dogs treated with external fixation. One could also establish that
there were significant differences between the individuals regarding the time from
confirmed injure to surgery. It was not possible to say if this was of any
importance for the long term outcome, but the material indicated a relation
between time and preoperative osteoarthritis.
No certain conclusions could be made due to the limited number of dogs in this
study. That the incidence and progression of osteoarthritis has a decisive impact
on the function of a dog is known. This study showed a number of parameters that
most likely had an effect on the progression of arthritis and hence the function of
the dog. However the interpretation of the results was not clear. If it was the time
between injure and surgery, the choice of surgical technique or the extent of
rehabilitation that affected the function of the dog in a long-term perspective,
could not be established. The most likely, is probably that it were a combination
of time, surgical technique and rehabilitation that settled the final result. |
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