Evaluation of recovery after cranial cruciate ligament rupture surgery in 60 dogs - questionnaire and clinical examination

Abstract

Puknuće prednje križne veze najčešći je ortopedski problem i uzrok šepanja u pasa. Kako bi se istražila uspješnost oporavka nakon operativnog liječenja ovog ortopedskog problema, uspoređivane su dvije operacijske metode: kranijalna transpozicija goljenične kvrge i metoda lateralnog šava. Ispitanici su bili podijeljeni u 4 skupine te se u svakoj nalazilo 15 pasa različite dobi, spola i pasmine. Prvu skupinu činili su psi kojima je jedno koljeno liječeno metodom lateralnog šava (MRIT), dok je kontralateralna noga intaktna. Drugu skupinu činili su psi kojima je jedno koljeno podvrgnuto metodi kranijalne transpozicije goljenične kvrge (TTA), a druga noga je intaktna. Trećoj skupini pripadali su psi s bilateralnim puknućem te je jedno koljeno liječeno MRIT metodom, a drugo metodom TTA. Četvrtoj skupini pripadali su psi kojima je dijagnosticirano svježe, neliječeno puknuće. Provodeći anketu među vlasnicima pasa iz prve tri navedene skupine, dobiveni su njihovi subjektivni dojmovi i procjene oporavka njihovih ljubimaca nakon operacije. Njihovi navodi uspoređeni su s kliničkim pregledom koji je izvršen na svakom pacijentu uz procjenu osteoartritisa te su tako dobiveni objektivni nalazi. Više od polovice anketiranih vlasnika zadovoljno je kvalitetom života u vidu ortopedskog problema njihovog psa nakon operacije. Rezultati kliničkih mjerenja pokazali su statističku razliku između koljena sa svježom rupturom i koljena koja su bila operirana jednom od metoda. Kliničkim pregledom ustanovljeno je da funkcija operiranog koljena nije značajno smanjena u odnosu na zdravo koljeno. Zaključak je da sama procjena vlasnika ne odudara pretjerano od nalaza kliničkog pregleda te da nema značajne razlike u uspješnosti oporavka između dvije navedene kirurške metode.Cranial cruciate ligament rupture is the most common orthopaedic problem and cause of lameness in dogs. In order to examine the success of the recovery after surgical treatment of this orthopaedic issue, we compared two surgical methods: cranial tibial tuberosity transposition and lateral seam method. Participants were divided into 4 groups, each of 15 dogs of different age, sex and breed. The first group consisted of dogs whose one stifle joint was treated using the modified retinacular imbrication technique (MRIT) method while the contralateral leg was intact. The second group consisted of dogs whose one stifle joint was subjected to the tibial tuberosity advancement (TTA) method and the other leg was intact. The third group included dogs with bilateral rupture where one stifle joint was treated with MRIT method and the other with TTA method. The fourth group consisted of dogs diagnosed with a fresh, untreated rupture. A survey was conducted among the owners of the first three groups, to obtain their subjective impressions and assessments of the recovery of their pets after surgery. Their observations were compared with the clinical examination, which was performed on each patient to obtain objective findings. More than half of participants were satisfied with the quality of life concerning the orthopaedic problem of their dog after surgery. The results of clinical measurements showed a statistically significant difference between stifle joints with fresh rupture and the stifle joints that had been operated by one of the methods. Clinical examination showed that the function of the operated stifle joint was not significantly decreased compared to the healthy stifle joint. It was established that the owner’s assessment did not differ notably from the findings of the clinical examination and that there was no significant difference in the success of recovery between the two specified surgical methods

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