犬髋关节发育不良的治疗方案

Rebecca Hood, Rob Pettit
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摘要

髋关节发育不良是一种常见的犬骨科疾病,全科医生经常会遇到这种情况。目前有多种治疗方案,在向狗主人提供治疗建议时,需要了解每种方案的适应症。大多数犬髋关节发育不良的病例都可以采取保守治疗,但也有一部分病例无法治愈,因此需要进行手术治疗。本文将向普通医生进一步介绍可供选择的手术方案以及此类手术的适应症。轻度髋关节发育不良且缺乏继发性骨关节炎病变的未成年患者可能适合接受预防性手术治疗,如幼年耻骨联合切除术或骨盆截骨术。对于年龄较大或髋关节发育不良较严重的患者,全髋关节置换术的疗效最好,据报道,如果由经验丰富的外科医生进行手术,90%以上的患者可完全恢复功能。
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Treatment options for canine hip dysplasia
Hip dysplasia is a common orthopaedic condition in dogs which is frequently encountered by general practitioners. Multiple management options exist and an understanding of the indications for each is required when advising owners on the treatment of such cases. The majority of cases of canine hip dysplasia will likely be managed conservatively; however, a proportion of cases will not respond and therefore require surgical intervention. This article provides general practitioners with further knowledge of the surgical options available and the indications for such procedures. Immature patients with mild hip dysplasia and a lack of secondary osteoarthritic changes may be candidates for prophylactic surgical procedures, such as juvenile pubic symphysiodesis or pelvic osteotomies. In older patients or those with more severe hip dysplasia, total hip replacement results in the best outcome, with full return to function reported in over 90% of patients when performed by an experienced surgeon.
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