Patellar Tendon Repair Using a Patellar Tendon Allograft and External Fixator in Three Dogs

VCOT Open Pub Date : 2022-07-01 DOI:10.1055/s-0042-1750031
Samuel J. Tidwell, S. Franklin
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Abstract

Objective The aim of this study was to report on complications and outcomes with repair of ruptured canine patellar tendons using primary tenorrhaphy coupled with patellar tendon allograft transplantation and use of a transarticular external skeletal fixator. Materials and Methods This report includes three dogs with acutely ruptured patellar tendons, all of whom had surgical repair using a patellar tendon allograft. Dogs were assessed postoperatively by physical examination, owner input, and/or video review. Functional outcomes were classified as full, acceptable, or unacceptable based on previously established criteria. Results Follow-up time was between 24 and 46 weeks. Two dogs obtained full function and one dog reached acceptable function. The acrylic connecting bars of the external fixator fractured and needed to be replaced in one dog. There were no other problems or complications. There was no evidence of rejection of any allograft. Clinical Significance Primary tenorrhaphy supported by patellar tendon allograft transplantation and transarticular skeletal fixation appears to be a viable option without evidence of patellar tendon allograft rejection and acceptable or full recovery in the three dogs of this report.
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用同种异体髌骨移植和外固定架修复3只狗的髌骨肌腱
目的报道经关节外骨固定器联合髌骨肌腱同种异体移植修复犬髌骨肌腱断裂的并发症和结果。材料和方法本报告包括三只急性髌骨肌腱断裂的犬,所有犬均采用同种异体髌骨肌腱移植手术修复。术后通过身体检查、主人输入和/或视频审查对狗进行评估。功能结果根据先前建立的标准分为完全、可接受或不可接受。结果随访时间24 ~ 46周。两只狗获得了完全的功能,一只狗达到了可接受的功能。一只犬外固定架的丙烯酸连接杆断裂,需要更换。没有其他问题或并发症。没有任何同种异体移植排斥的证据。临床意义在本报告的三只狗中,在没有证据表明同种异体髌腱移植排斥反应和可接受或完全恢复的情况下,由同种异体髌腱移植和经关节骨固定支持的原发性肌腱吻合似乎是一种可行的选择。
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