Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Postoperative Complications Associated with Tibial Tuberosity Transposition Surgery for Medial Patellar Luxation in Dogs: 77 Cases (2007-2011)

개에서 내측 슬개골 탈구 교정을 위한 경골 조면 이식술과 관련된 수술 후의 합병증: 77 증례 (2007-2011)

  • Kang, Byung-Jae (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Cho, Sungho (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Youngsun (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Lee, Seunghoon (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Yoon, Daeyoung (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Wan Hee (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kweon, Oh-Kyeong (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University)
  • 강병재 (서울대학교 수의과대학 수의외과학교실) ;
  • 조성호 (서울대학교 수의과대학 수의외과학교실) ;
  • 김용선 (서울대학교 수의과대학 수의외과학교실) ;
  • 이승훈 (서울대학교 수의과대학 수의외과학교실) ;
  • 윤대영 (서울대학교 수의과대학 수의외과학교실) ;
  • 김완희 (서울대학교 수의과대학 수의외과학교실) ;
  • 권오경 (서울대학교 수의과대학 수의외과학교실)
  • Accepted : 2014.01.25
  • Published : 2014.02.28
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Abstract

This is a retrospective study describing postoperative complication encountered with surgery performed in dogs with medial patellar luxation (MPL). During the 4-year period, 77 operations had been performed in 66 dogs for correction of MPL. The patients were surgically treated with medial soft tissue release, lateral soft tissue tightening, trochlear block recession, and/or tibial tuberosity transposition (TTT). Their prognoses were periodically evaluated for 6 months postoperatively. The failure rate was higher in revision surgery than in the first surgery, and the most common postoperative complication was migration of the tibial tuberosity fragment. The causes for the migration of the tibial tuberosity fragment were identified as the downward insertion of a surgical pin, the eccentric position of an inserted pin in the tibial tuberosity fragment, and blunt angle formation of the tibial tuberosity. It is suggested that the appropriate methods for TTT could minimize complications and lead to a good prognosis.

이 연구는 개에서 내측 슬개골 탈구 수술 후에 발생할 수 있는 합병증을 후향적으로 분석한 연구이다. 4년동안 내측 슬개골 탈구를 교정하기 위해 66마리의 개에서 77건의 수술이 시행되었다. 수술은 내측 연부 조직 이완, 외측 연부 조직 긴장, 활차구 사각 성형술, 경골 조면 이식술을 이용하여 실시되었다. 수술 후 6개월 동안 정기적으로 예후를 평가하였다. 실패율은 처음 수술을 한 경우보다 재수술을 한경우에 더 높았고, 가장 흔한 수술 후 합병증은 경골조면 조각의 변위였다. 경골 조면 변위는 핀이 아래쪽으로 삽입되거나, 핀이 경골 조면 조각의 가장자리에 삽입된 경우 혹은 경골 조면이 둔각인 경우에 발생했다. 따라서 경골 조면 이식술을 주의하여 실시하면 합병증을 최소화 할 수 있으며 좋은 예후를 기대할 수 있을 것으로 사료된다.

Keywords

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