Complications Associated with Corrective Surgery for Patellar Luxation in 109 Dogs

Abstract

Information derived from this study can be used to estimate the likelihood of postoperative complications for canine patients undergoing corrective surgery for patellar luxation.

Düzleşmemiş Femoral Sulkusda Kemik Rekonstruksiyonu Yapılmaksızın Uygulanan Dört Tekniğin Kombine Kullanıldığı Medial Patella Lukzasyon Operasyonu Hakkında Retrospektif Çalışma: 10 Yıllık Periyotta 133 Olgu (2006-2015)

“…As mentioned in most literature, there are recommendations to do tibial translocation as treatment for grades 3-4 patella luxation for tibial tuberosity rotating over 30 degrees [19] . The overall recurrence percentage of the disease after surgery in our study is 17%, which is not such high in comparison with what other publications have reported as the recurrent rate found with variations in the rate from 7.6% up to 48%, depending on the grade of luxation and the surgical procedure [12,24,25] . Moreover, application of combinations of different procedures resulted in increased success rates [26] .…”

“…As mentioned in most literature studies about patellar luxation treatment in dogs, in the cases of both medial and lateral patellar luxation, recurrence or reluxation is a major complication [5,12,13,15,16,24,25] . Our result found that the highest recurrence rate occurred in grade 4 (48%) and grade 3 (16%); additionally, there was no recurrence found in grade 1 and grade 2.…”

Estudo retrospectivo de cães com luxação patelar medial tratados cirurgicamente

“…O objetivo é realinhar o mecanismo do quadríceps no aspecto cranial do fêmur (ROUSH, 1993). Alguns autores sugerem que a transposição da crista tibial e/ ou trocleoplastia sejam realizadas em todos os casos de luxação patelar (ARTHURS & LANGLEY-HOBBS, 2006). Os casos de recidiva ocorridos com o grau 2 eventualmente poderiam ter sido evitados com a inclusão do uso da transposição lateral da tuberosidade tibial.…”

“…Em cães com grau 4, o sucesso pode ser limitado em virtude da extensão das anormalidades presentes (TOMLINSON & CONSTANTINESCU, 1994). Entre as complicações pós-operatórias, são citadas a deiscência de pontos, a reluxação patelar, a migração do implante da transposição da crista tibial, o desenvolvimento de doença articular degenerativa e a incapacidade de estender o joelho (WILLAUER & VASSEUR, 1987;ROUSH, 1993;READ, 1999;DENNY & BUTTERWORTH, 2000;ARTHURS & LANGLEY-HOBBS, 2006). Essa última é frequentemente observada em cães com grau 4, quando o tratamento cirúrgico foi realizado no final do crescimento ou após 1 ano de idade (DENNY & BUTTERWORTH, 2000).…”

Köpeklerde Patellar Luksasyonda Kıkırdak Erozyonunun Prevalansı ve Etkilenmiş Eklemlerdeki Gen Ekspresyonu

“…Even in the United States, a study found that 43% of Pomeranians and 23.6% of Dutch flat-coated retrievers had PL [4] . Originally, clinicians focused on finding an effective surgical technique for treating this condition [5][6][7][8] . So far, targeted gene studies have detected loci on chromosomes 7 and 31 that are involved in PL [2,9,10] .…”