Evaluation of the results of toggle pin or caput and collum femoris excision arthroplasty in cats with coxofemoral luxation: A retrospective study
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Tarih
2024
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı, kedilerde koksofemoral çıkık tedavisinde toggle pin artroplastisi ve caput femoris ile collum’un eksizyon artroplastisi yöntemlerinin avantajlarını, dezavantajlarını ve postoperatif sonuçlarını karşılaştırarak değerlendirmektir.
Gereç ve Yöntem: Bu retrospektif çalışmada, 2022-2023 yılları arasında farklı ırk, cinsiyet ve yaşlarda, koksofemoral çıkık problemiyle Küçük Hayvan Kliniği’ne başvuran 20 kedi olgusu incelenmiştir. Çalışmaya dahil edilen olgulardan 11’ine eksizyon artroplastisi, 9’una ise toggle pin artroplastisi uygulanmıştır.
Bulgular: Eksizyon artroplastisi grubunda, 5 olguda (%45.4) postoperatif 2. Ayda topallık gözlenmemiş ve yürüme çok iyi olarak değerlendirilmiştir. Diğer 4 olguda (%36.3) ise hafif ve zaman zaman ortaya çıkan yürüme zorlukları gözlemlenmiştir. 2 olguda (%18.1) ise sıkça görülen hafif yürüme zorlukları yaşanmıştır. Aynı olguların 12. Ay sonuçları değerlendirildiğinde, 9 olguda (%81.8) herhangi bir yürüme problemi olmadığı, yalnızca 2 olguda yürüyüşte hafif ve ara sıra zorluklar yaşandığı belirlenmiştir. Toggle pin grubundaki 9 olgu arasında, 5 olguda (%62.5) operasyon sonrası 4 ay içinde çıkık tekrar meydana gelmiştir. Kalan 3 olguda (%37.5 ise postoperatif dönemde topallık gözlenmemiştir. Tekrar çıkık meydana gelen 5 olguya eksizyon artroplastisi uygulanmıştır. Sahiplerinin bildirdiğine göre, bu olgularda operasyonun 12. Ayında yürüme kısıtlılığı yaşanmamıştır.
Öneri: Eksizyon artroplastisi, özellikle diğer tekniklerin başarısız olduğu durumlarda kedilerde iyi fonksiyonel sonuçlar sağlayan etkili bir kurtarma yöntemi olarak önerilmektedir. Toggle pin artroplastisi, eklemi koruma amacıyla kullanılabilecek bir teknik olmakla birlikte, tekrar çıkık oranlarının yüksek olduğu ve kullanılan materyalin önemi üzerine dikkat edilmesi gerektiği sonucuna varılmıştır.
Aim: The aim of this study was to evaluate the advantages, disadvantages and postoperative outcomes associated with the use of toggle pin (TP) fixation or femoral head and neck excision arthroplasty (EA) in the treatment of coxofemoral luxation in cats. Materials and Methods: Twenty cats of different breeds, sexes and ages presenting with coxofemoral luxation to the small animal clinic between 2022-2023 were evaluated. EA was the procedure of choice in 11 cases and TP was the procedure of choice in 9 cases. Results: In the EA group, 5 patients (45.4%) had no lameness at the 2-month postoperative examination and walked well. The other 4 patients (36.3%) had mild and occasional performance difficulties. In 2 cases (18.1%) there was a mild but frequent difficulty in walking. When the 12-month results of the same patients were analysed, it was found that 9 patients (81.8%) had no problem walking and only 2 patients had mild and occasional difficulty walking. In the TP group, 5 cases (55.5%) showed lameness within 4 months of surgery. No lameness was observed in 4 (44.4%) cats in the same group. EA was performed in 5 cases of reluctance. Owners reported that their cats were not restricted in activity 12 months after surgery. Conclusion: EA appears to be a rescue technique that can provide good functional results in cats that have failed other techniques. Despite the reluxation rates, the TP used in this study is a good technique that can be used to preserve the joint. The use of different materials should increase the tracking time.
Aim: The aim of this study was to evaluate the advantages, disadvantages and postoperative outcomes associated with the use of toggle pin (TP) fixation or femoral head and neck excision arthroplasty (EA) in the treatment of coxofemoral luxation in cats. Materials and Methods: Twenty cats of different breeds, sexes and ages presenting with coxofemoral luxation to the small animal clinic between 2022-2023 were evaluated. EA was the procedure of choice in 11 cases and TP was the procedure of choice in 9 cases. Results: In the EA group, 5 patients (45.4%) had no lameness at the 2-month postoperative examination and walked well. The other 4 patients (36.3%) had mild and occasional performance difficulties. In 2 cases (18.1%) there was a mild but frequent difficulty in walking. When the 12-month results of the same patients were analysed, it was found that 9 patients (81.8%) had no problem walking and only 2 patients had mild and occasional difficulty walking. In the TP group, 5 cases (55.5%) showed lameness within 4 months of surgery. No lameness was observed in 4 (44.4%) cats in the same group. EA was performed in 5 cases of reluctance. Owners reported that their cats were not restricted in activity 12 months after surgery. Conclusion: EA appears to be a rescue technique that can provide good functional results in cats that have failed other techniques. Despite the reluxation rates, the TP used in this study is a good technique that can be used to preserve the joint. The use of different materials should increase the tracking time.
Açıklama
Anahtar Kelimeler
Kalça Çıkığı, Kediler, Topallık, Cats, Hip Dislocation, Lameness
Kaynak
Eurasian Journal of Veterinary Sciences
WoS Q Değeri
Scopus Q Değeri
Cilt
40
Sayı
4
Künye
Arican M, Satici I and Caltiner H 2024. Evaluation of the Results of Toggle Pin or Caput and Collum Femoris Excision Arthroplasty in Cats with Coxofemoral Luxation: A Retrospective Study Eurasian J Vet Sci, 40, 4, 137-144. 10.15312/EurasianJVetSci.2024.438
