两只狗股骨头骨软骨炎(OCD)的诊断和治疗。

IF 1.7 2区 农林科学 Q2 VETERINARY SCIENCES Journal of Small Animal Practice Pub Date : 2024-10-18 DOI:10.1111/jsap.13785
P J Rocheleau, A E Yanchik
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引用次数: 0

摘要

患者 1 因骨盆肢体严重跛行就诊,并接受了放射学和计算机断层扫描评估。诊断结果为股骨头骨软骨炎。经关节镜确诊后,患者接受了皮瓣切除和磨损关节成形术。4 周后进行了显微全髋关节置换术。患者 2 也因骨盆肢体严重跛行就诊,并进行了放射学评估。疑似大骨软骨炎(osteochondritis dissecans)病变。在进行全髋关节置换术时,大体上证实了这一点,并将股骨头送去进行组织病理学检查。患者1的跛行情况在术后4周再次评估时从不能负重改善为轻度跛行。由于病变范围较大,病理学家小组确认其为骨软骨炎,因此对其进行了翻修,改为微全髋关节置换术。手术很顺利,术后12周,患者完全负重,没有跛行,肢体功能正常。患者2的跛行症状在通过无并发症的全髋关节置换术成功治疗后立即得到缓解。截至本报告发表时,两名患者的随访时间均已超过 3 年。
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Diagnosis and management of femoral head osteochondritis dissecans (OCD) in two dogs.

Patient 1 was seen for severe pelvic limb lameness and evaluated radiographically and via computed tomography. A diagnosis of femoral head osteochondritis dissecans was obtained. The diagnosis was confirmed arthroscopically and treated with flap removal and abrasion arthroplasty. A micro-total hip arthroplasty was performed 4 weeks later. Patient 2 was also seen for severe pelvic limb lameness and evaluated radiographically. A suspected large osteochondritis dissecans lesion was present. This was confirmed grossly during a total hip arthroplasty procedure and the femoral head submitted for histopathology. In patient 1, the lameness improved from non-weight-bearing to mild lameness at re-evaluation 4 weeks post-operatively. Due to the extent of the lesion, which was confirmed as osteochondritis dissecans by a team of pathologists, revision to micro-total hip arthroplasty was performed. Surgery was uneventful and at 12 weeks post-operatively the patient was fully weight-bearing with no lameness and normal limb function. In patient 2, the lameness immediately resolved after successful management via uncomplicated total hip arthroplasty. Follow-up for both patients at the time of publication exceeds 3 years.

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来源期刊
Journal of Small Animal Practice
Journal of Small Animal Practice 农林科学-兽医学
CiteScore
3.30
自引率
6.20%
发文量
117
审稿时长
12-24 weeks
期刊介绍: Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery. In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world. The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher. The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association
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