Trochlear Block Recession in an Alpaca with Traumatic Lateral Patellar Luxation

Objective— To report surgical treatment of traumatic lateral patellar luxation using trochlear block recession in an alpaca.
Study Design— Clinical case report.
Animals— Five-year-old female alpaca.
Methods— Grade IV/IV lateral, left patella luxation and mild femoropatellar joint effusion was identified by palpation and visual assessment, and confirmed by ultrasonography and radiographs. Trochlear block recession combined with lateral retinacular release and medial imbrication to restore patella function.
Results— Progressive improvement in weight bearing occurred during hospitalization (6 days) and at 3.5 weeks, no lameness was observed; radiographically, the patella was in normal anatomic alignment. At 15 months, there were no signs of lameness with unrestricted exercise and the alpaca had given birth to another cria.
Conclusions— In this alpaca with traumatic origin of the lateral patellar luxation and normal femoro-tibial alignment, a combination of retinacular imbrication, contralateral release, and trochlear block recession were successful for long-term treatment of lateral patellar luxation.
Clinical Relevance— Although trochlear block recession is most commonly performed in small animals, this technique may be useful in treatment of traumatic patellar luxations in camelids.     

Lateral Patellar Luxation in Miniature Horses

Bilateral luxation of the patella in four Miniature Horses was corrected by a lateral release incision and medial imbrication of the parapatellar fascia to the tendon of the sartorius muscle. Before surgery, the four horses had a grade 3 to 4 lateral patellar luxation bilaterally and had difficulty walking. Trochlear ridge hypoplasia was evident on radiographs in each horse. Follow-up information varied from 11 months to 4 years after surgery. Three horses had no patellar luxation or lameness. The other horse had a normal right stifle, but patellar luxation (grade 3) had recurred on the left.     

Correction of Patellar Luxation by Recession Sulcoplasty in Three Foals

Lateral luxation of the patella in four femoropatellar joints of three foals was repaired by recession sulcoplasty and medial imbrication of the joint. One foal was euthanatized because of septic arthritis caused by incisional dehiscence, and the other two foals were normal 2 years after surgery. Recession sulcoplasty combined with medial imbrication of the joint capsule resulted in a functional femoropatellar joint and should be considered in foals affected with lateral patellar luxation.     

Surgical Management of Lateral Luxation and Subluxation of the Canine Radial Head

The causes and pathogenesis of radial head luxation and subluxation are reviewed. A surgical technique is described for repair of the condition that permits direct visualization of the joint, reestablishment of normal joint anatomy by ulnar osteotomy, and stabilization of the radioulnar articulation with a lag screw. Two clinical cases are presented.     

Clinical Results of Surgical Correction of Medial Luxation of the Patella in Dogs

Thirty-four dogs that had surgical correction of medial patellar luxation (MPL) in 52 stifle joints were examined after a minimum follow-up period of 1 year (median, 3.6 years). The dogs were divided into the following three groups depending on their age at the time of surgery: group 1, 3 to 6 months; group 2, 8 to 20 months; and group 3, 2.2 to 12 years. Two of the dogs in group 3 had ruptured their cranial cruciate ligament in addition to having MPL. The results were based on a clinical assessment of the animal's gait, and physical and radiographic examination of the stifle joints. Six of seven stifle joints evaluated in group 1 had radiographic evidence of moderate to severe degenerative joint disease of the patellofemoral joint, and in two of the joints recurrence of MPL was observed. Failure to maintain reduction of the patellofemoral joint was also observed in 11 of 22 (50%) and 12 of 23 (52%) of the stifle joints in groups 2 and 3, respectively. In the latter groups, mild degenerative joint disease was evident radiographically in stifle joint that had not maintained reduction. Four of the 34 dogs were consistently (n = 2) or intermittently (n = 2) lame; the two dogs that were consistently lame had cranial instability of the stifle consistent with rupture of the cranial cruciate ligament. In the latter two dogs, the cranial cruciate ligament had been intact at the time of surgery for correction of MPL.     

Surgical Repair of Congenital Lateral Luxation of the Patella in the Foal and Calf

Repair of lateral luxation of the patella in horses and cows has consistently produced poor results; reluxation, muscle atrophy, septic arthritis, and degenerative joint disease are frequent postoperative complications of the techniques previously described. A new technique for repair of congenital lateral luxation of the patella in foals and calves is described; it includes lateral release of the patella followed by imbrication of the medial aspect of the joint capsule. Postoperative evaluation, up to 1½ years, confirmed the efficacy of the technique with retention of normal patellar position and range of motion. Muscle atrophy and lameness disappeared completely in 2 animals, which showed no radiographic evidence of degenerative joint disease at the time of surgical repair. Since the preparation of this article, 3 more calves have been successfully repaired with excellent clinical results up to 12 weeks postoperatively.     

A Retrospective Evaluation of Stifle Osteoarthritis in Dogs with Bilateral Medial Patellar Luxation and Unilateral Surgical Repair

The effects of surgical and nonsurgical therapy on the development of osteoarthritis were compared in 12 dogs with bilateral medial patellar luxation and unilateral surgical repair. Evaluations included severity of lameness and patellar luxation, ligamentous stability, range of motion, and radiographic evidence of osteoarthritis before surgery and at a mean of 33 months after surgery. Stifles without surgical treatment served as controls for the contralateral stifles with surgery. All stifles treated surgically had reduced patellofemoral joints, normal range of motion, and improved limb use. Osteoarthritis progressed significantly and comparably in both groups of stifles. Progression of osteoarthritis was not correlated with luxation grade, body weight, or interval from surgery to follow-up. Age at surgery was correlated positively with severity of osteoarthritis in the stifles treated surgically.     

Traumatic Atlanto-Occipital Luxation in a Cat

Traumatic atlanto-occipital luxation was diagnosed in a cat that presented with right hemiparesis. The luxation was reduced by manipulation, and the head and neck immobilized for eight weeks with a splint formed from aluminum rod. Clinical neurologic recovery was complete.     

Medial Patellar Luxation in 16 Large Dogs A Retrospective Study

Unilateral medial patellar luxation was diagnosed in 10, and bilateral medial patellar luxation in six, large and giant-breed dogs (22 stifles). Lameness occurred in five dogs after trauma or surgery, and 11 dogs had no known predisposing history. The mean age at presentation was 25 months, and the mean time from initial onset of clinical signs to diagnosis was 13 weeks. All traumatic or iatrogenic luxations (five dogs) were unilateral. Luxations presumed to be congenital were unilateral in five dogs and bilateral in six. The grades of medial patellar luxation were I (1 stifle), II (11 stifles), III (9 stifles), and IV (1 stifle). Preoperative function was good (1 dog), fair (9 dogs), and poor (6 dogs). Surgical correction was performed in dogs with grades II, III, and IV luxations (21 stifles). Complications included one wound dehiscence and trochlear wedge migration, one pin loosening, and one persistent lameness caused by lymphoplasmacytic synovitis. Long-term follow-up was available in 13 dogs (18 stifles). Function was judged by owners to be excellent in seven dogs, good in five dogs, and poor in one dog. Surgical treatment of grades II and III luxations yielded good (8 stifles) and excellent (9 stifles) results, while one grade IV luxation had a poor long-term outcome.     

Traumatic Coxofemoral Luxation In Dogs Results of Repair

The medical records of 171 dogs with traumatic hip luxations were examined. German shepherds, mixed breeds, and poodles were significantly overrepresented. The mean age of the patients at the time of diagnosis was 4.4 years (range 5 months to 14 years). Vehicular trauma caused 83% of the 133 luxations where the etiology was known; 53% had at least one other diagnosed traumatic injury. Long-term results were obtained from owner questionnaires (25 dogs) or clinical and radiographic examinations (11 hip joints). The short-term recurrence rate after closed reduction (47.3%) was higher than that after surgical reduction using any of the three surgical techniques most frequently used here (9.5, 12.5, and 14.3%), even when the operation was performed after failure of a closed reduction (11.8%). Excluding dogs that had a femoral head ostectomy, 68% (17 of 25) of the dogs had a normal gait, 16% had only a mild lameness, and 16% had more severe lameness when evaluated on an average of 31 months after repair. Of 11 hip joints radiographed on an average of 25 months following repair, five had no radio-graphic abnormalities related to the luxation and six showed one or more of the following: periosteal new bone formation, femoral head subluxation, partial resorption of the femoral head, periarticular osteophytes, and subchondral bone erosion. Closed reduction should be the initial treatment of choice in uncomplicated luxations even though the rate of reluxation is high, because it avoids the need for surgery in approximately one half of affected dogs and does not increase the recurrence rate following subsequent surgical reduction.     

基于CT技术评估髌骨内脱犬骨骼畸形

本研究旨在通过计算机断层扫描(computed tomography, CT)检查探究不同症状髌骨内脱(medial patellar luxation, MPL)犬的解剖结构差异,同时对比CT和X线技术的一致性和优缺点。选用患有髌骨内脱和健康的小型犬后肢共34条,根据症状分为正常组(n=9)、MPL无症状组(n=9)、MPL有症状组(n=16),进行CT检查,通过CT图像测量滑车沟深度/髌骨厚度、髌韧带长度/髌骨长度、解剖性股骨远端解剖轴外侧角(anatomic latero-distal femoral angle, aLDFA)、股骨远端机械轴外侧角(mechanical latero-distal femoral angle, mLDFA)、股骨近端解剖轴外侧角(anatomic latero-proximal femoral angle, aLPFA)、股骨近端机械轴外侧角(mechanical latero-proximal femoral angle, mLPFA)及股骨颈干角(femoral inclination angle, FIA),并分析各组之间的差异。此外通过...     

滑车沟矩形加深联合胫骨结节移位术治疗一例犬髌骨脱位

临床上犬髌骨脱位的治疗主要通过髌骨滑车置换术、滑车沟矩形加深术、滑车嵴加厚术等方法来进行,但由于髌骨脱位的情况非常复杂,这些方法存在一定的局限性。论文报告一例患双侧后肢外侧髌骨脱位病犬,采用了滑车沟矩形加深术联合胫骨结节移位术进行了治疗,术后疗效根据临床功能及X射线检查结果进行评定,确认两患肢已恢复正常。