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Extra-articular iliofemoral suture placement with bone anchors : surgical option for resolution of craniodorsal coxofemoral luxations in dogs

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Resumo:Coxofemoral luxations are a common traumatic injury seen in small animal practice, representing up to 90% of all luxations in dogs and cats. Despite the variety of surgical techniques available for the management of this condition, none seem to be ideal, as almost every surgical procedure has complications and drawbacks associated with it. However, extra-articular techniques have been described in order to avoid potential complications and studies have reported good or excellent clinical results with low rates of complications. In this study, we described and evaluated a modification of the extra-articular iliofemoral suture placement technique, originally described by Slocum and Devine (1987), through the application of two bone anchors and a crimping system, and reported complications associated with the procedure. The study sample comprised 7 dogs and a minimum of 4 weeks follow-up period was required. The overall complication rate was 29% (2/7), including surgical wound infection and reluxation. The results of this study suggest that the extra-articular iliofemoral suture with bone anchors appears to be an effective surgical technique for the treatment of craniodorsal coxofemoral luxations, but further research is necessary to investigate the factors associated with patient selection that might justify some of the postoperative complications identified.
Autores principais:Lopes, Ana Lurdes Rodrigues
Assunto:Luxation coxofemoral joint craniodorsal iliofemoral suture bone anchor crimping system Luxação anca craniodorsal sutura iliofemoral âncora óssea sistema de fixação
Ano:2017
País:Portugal
Tipo de documento:dissertação de mestrado
Tipo de acesso:acesso aberto
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
Descrição
Resumo:Coxofemoral luxations are a common traumatic injury seen in small animal practice, representing up to 90% of all luxations in dogs and cats. Despite the variety of surgical techniques available for the management of this condition, none seem to be ideal, as almost every surgical procedure has complications and drawbacks associated with it. However, extra-articular techniques have been described in order to avoid potential complications and studies have reported good or excellent clinical results with low rates of complications. In this study, we described and evaluated a modification of the extra-articular iliofemoral suture placement technique, originally described by Slocum and Devine (1987), through the application of two bone anchors and a crimping system, and reported complications associated with the procedure. The study sample comprised 7 dogs and a minimum of 4 weeks follow-up period was required. The overall complication rate was 29% (2/7), including surgical wound infection and reluxation. The results of this study suggest that the extra-articular iliofemoral suture with bone anchors appears to be an effective surgical technique for the treatment of craniodorsal coxofemoral luxations, but further research is necessary to investigate the factors associated with patient selection that might justify some of the postoperative complications identified.