한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제31권5호
  • /
  • Pages.421-424
  • /
  • 2014
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

세 마리의 소형견에서 대퇴 단축 절골술에 의한 4단계 내측 슬개골 탈구의 치료 증례

Treatment of Grade IV Medial Patellar Luxation by Femoral Shortening Osteotomy in Three Small-Breed Dogs

  • 강병재 (서울대학교 수의과대학 수의외과학교실) ;
  • 류다은 (서울대학교 수의과대학 수의외과학교실) ;
  • 김용선 (서울대학교 수의과대학 수의외과학교실) ;
  • 이승훈 (서울대학교 수의과대학 수의외과학교실) ;
  • 윤대영 (서울대학교 수의과대학 수의외과학교실) ;
  • 김완희 (서울대학교 수의과대학 수의외과학교실) ;
  • 권오경 (서울대학교 수의과대학 수의외과학교실)
  • Kang, Byung-Jae (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Rhew, Daeun (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Kim, Yongsun (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Lee, Seunghoon (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Yoon, Daeyoung (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Kim, Wan Hee (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University) ;
  • Kweon, Oh-Kyeong (Department of Veterinary Surgery, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University)
  • 심사 : 2014.08.18
  • 발행 : 2014.10.31
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초록

세 마리의 소형견이 4단계의 내측 슬개골 탈구로 내원하였다. 세 마리 모두에서 일반적인 기존 수술 방법으로는 슬개골 탈구가 환납되지 않았다. 따라서 슬개골 탈구를 교정하기 위해 대퇴 단축 절골술이 실시되었다. 수술 후에 세 마리 모두 임상 증상이 개선되었고 합병증이나 재발은 확인되지 않았다. 대퇴 단축 절골술은 심한 골격 기형과 관련된 내측 슬개골 탈구가 있는 소형견에서 효과적인 치료 방법으로 고려될 수 있다.

Three small-breed dogs with grade IV medial patellar luxation were presented. In all cases, patellar luxation could not be reduced by conventional surgical techniques. Femoral shortening osteotomy was performed in all dogs to correct patellar luxation. In all the dogs, the clinical condition was remarkably improved, and following surgical procedures, no complication or recurrence was presented. Femoral shortening osteotomy is an effective treatment in small-breed dogs with medial patellar luxation associated with severe skeletal deformity.

키워드

참고문헌

  1. Franczuszki D, Chalman JA, Butler HC, Debowes RM, Leipold H. Post-operative effects of experimental femoral shortening in the mature dog. J Am Anim Hosp Assoc 1987; 23: 429-437.
  2. Gibbons S, Macias C, Tonzing M, Pinchbeck G,McKee W. Patellar luxation in 70 large breed dogs. J Small Anim Pract 2006; 47: 3-9. https://doi.org/10.1111/j.1748-5827.2006.00004.x
  3. Hayes A, Boudrieau R, Hungerford L. Frequency and distribution of medial and lateral patellar luxation in dogs: 124 cases (1982-1992). J Am Vet Med Assoc 1994; 205: 716-720.
  4. Hulse D. Medial patellar luxation in the dog. In: Disease Mechanisms in Small Animal Surgery, 2nd ed. Philadelpia, USA: Lea and Febiger. 1993: 808-817.
  5. Remedios AM, Basher AW, Runyon CL, Fries CL. Medial patellar luxation in 16 large dogs a retrospective study. Vet Surg 1992; 21: 5-9. https://doi.org/10.1111/j.1532-950X.1992.tb00003.x
  6. Roch S, Gemmill T. Treatment of medial patellar luxation by femoral closing wedge ostectomy using a distal femoral plate in four dogs. J Small Anim Pract 2008; 49: 152-158. https://doi.org/10.1111/j.1748-5827.2007.00420.x
  7. Singleton W. The surgical correction of stifle deformities in the dog. J Small Anim Pract 1969; 10: 59-69. https://doi.org/10.1111/j.1748-5827.1969.tb04021.x
  8. Willauer C, Vasseur P. Clinical results of surgical correction of medial luxation of the patella in dogs. Vet Surg 1987; 16: 31-36. https://doi.org/10.1111/j.1532-950X.1987.tb00910.x
  9. Witte P, Scott H. Treatment of lateral patellar luxation in a dog by femoral opening wedge osteotomy using an interlocking nail. Vet Rec 2011; 168: 243-243.