Evaluación clínica de las complicaciones tras el tratamiento quirúrgico de las luxaciones de rótula en perros: Un estudio retrospectivo

  • Emine Çatalkaya Dicle University, Faculty of Veterinary Medicine, Department of Surgery. Diyarbakir, Turkey
  • Sadık Yayla Dicle University, Faculty of Veterinary Medicine, Department of Surgery. Diyarbakir, Turkey
  • Semih Altan Dokuz Eylul University, Faculty of Veterinary Medicine, Department of Surgery. Izmir, Turkey
  • Berna Ersöz-Kanay Dicle University, Faculty of Veterinary Medicine, Department of Surgery. Diyarbakir, Turkey
Palabras clave: perros con luxación rotuliana, trocleoplastia femoral, imbricación, transposiciones de tuberosidad tibial, Complicaciones postoperatorias

Resumen

La luxación rotuliana es uno de los problemas ortopédicos importantes en los perros. La luxación rotuliana, que se ha aceptado como un trastorno del desarrollo en los últimos años, suele ocurrir en la parte media en las razas pequeñas y en la parte lateral en las razas grandes. El objetivo de este estudio fue evaluar el tratamiento quirúrgico (trocleoplastia femoral, transposiciones de tuberosidad tibial y técnicas de imbricación en conjunto), complicaciones postoperatorias, resultados tempranos y tardíos en perros con luxación rotuliana. En este estudio se utilizaron 32 perros con luxación rotuliana de grado 3 y grado 4. Si bien la luxación rotuliana se trató en todos los casos, la fractura de tibia se observó en un perro como la complicación más importante. Durante la técnica de transposición de la tuberosidad tibial, se debe prestar atención al proceso de corte y no se debe debilitar la tibia. En conclusión, el uso combinado de la trocleoplastia femoral, la transposición de la tuberosidad tibial y las técnicas de imbricación pueden utilizarse para la luxación rotuliana. La recuperación completa puede no ser posible en las luxaciones rotulianas de grado 4.

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Citas

Remedios AM, Basher AWP, Runyon CL, Fries CL. Medial patellar luxation in 16 large dogs. A retrospective study. Vet. Surg. [Internet]. 1992; 21:5–9. doi: https://doi.org/cj8kcc

Hayes AG, Boudrieau RJ, Hungerford LL. Frequency and distribution of medial and lateral patellar luxation in dogs: 124 cases (1982–1992). J. Am. Vet. Assoc. [Internet]. 1994; 205:716–720. Cited in PUBMED; PMID 7989241.

Johnson AL, Probst CW, Decamp CE, Rosenstein DS, Hauptman JG, Weaver BT, Kern TL. Comparison of trochlear block recession and trochlear wedge recession for canine patellar luxation using a cadaver model. Vet. Surg. [Internet]. 2001; 30:140–150. doi: https://doi.org/bvpd7k

Gibbons SE, Macias C, Tonzing MA, Pinchbeck GL, Mckee WM. Patellar luxation in 70 large breed dogs. J. Small Anim. Pract. [Internet]. 2006; 47:3–9. doi: https://doi.org/b5h793

Choi HB, Kim SY, Han CH, Jung HJ, Hwang TS, Lee WJ, Lee SL, Lee JH. Surgical correction of medial patellar luxation including release of vastus medialis without trochleoplasty in small breed dogs: A retrospective review of 22 cases. J. Vet. Clin. [Internet]. 2018; 35(3):71–76. doi: https://doi.org/k449

Di Dona F, Della–Valle G, Fatone G. Patellar luxation in dogs. Vet. Med. (Auckl). [Internet]. 2018; 23–32. doi: https://doi.org/k45b

Lara JS, Alves EGL, Oliveira HP, Varon JAC, Rezende CMF. Patellar luxation and articular lesions in dogs: a retrospective: study research article. Arq. Bras. Med. Vet. Zoot. [Internet]. 2018; 70(1):93–100. doi: https://doi.org/k45c

Alam MR, Lee JI, Kang HS, Kim IS, Park SY, Lee KC, Kim NS. Frequency and distribution of patellar luxation in dogs. 134 cases (2000 to 2005). Vet. Comp. Orthop. Traumatol. [Internet]. 2007; 20(1):59–64. Cited in PUBMED; PMID 17364098.

Yasukawa S, Edamura K, Tanegashima K, Seki M, Teshima K, Asano K, Nakayama T, Hayaski K. Evaluation of bone deformities of the femur, tibia, and patella in Toy Poodles with medial patellar luxation using computed tomography. Vet. Comp. Orthop. Traumatol. [Internet]. 2016; 29(1):29–38. doi: https://doi.org/k45d

Bosio F, Bufalari A, Peirone B, Petazzoni M, Vezzoni A. Prevalence, treatment and outcome of patellar luxation in dogs in Italy. A retrospective multicentric study (2009– 2014). Vet. Comp. Orthop. Traumatol. [Internet]. 2017; 30(5):364–70. doi: https://doi.org/gb2595

Harasen G. Patellar luxation: Pathogenesis and surgical correction. Can. Vet. J. [Internet]. 2006; 47(10):1037–1039. Cited in PUBMED; PMID 17078257.

Garnoeva R, Paskalev M, Bengyuzov N. Investigations on the prevalence of patellar luxation in dogs. Tradit. Modern. Vet. Med. 2016; 1(1):53–59.

Aires LPN, Souza GV, Faria LG, Minto BW, Jacintho APP, Rossetto VJV. Lateral patellar luxation and ehlers danlos syndrome (EDS) in a dog. Acta Sci. Vet. [Internet]. 2022; 50 (Suppl 1):741. doi: https://doi.org/k45f

Wangdee C, Hazewinkel HA, Temwichitr J, Theyse LF. Extended proximal trochleoplasty for the correction of bidirectional patellar luxation in seven Pomeranian dogs. J. Small Anim. Pract. [Internet]. 2015; 56(2):130–133. doi: https://doi.org/f6zgwf

Candela–Andrade M, Slunsky P, Klass LG, Brunnberg L. Patellar luxation and concomitant cranial cruciate ligament rupture in dogs – A review. Vet. Med–Czech. [Internet]. 2022; 67:163–178. doi: https://doi.org/k45g

Yeadon R, Fitzpatrick N, Kowaleski MP: Tibial tuberosity transposition–advancement for treatment of medial patellar luxation and concomitant cranial cruciate ligament disease in the dog. Surgical technique, radiographic and clinical outcomes. Vet. Comp. Orthop. Traumatol. [Internet]. 2011; 24(1):18–26. doi: https://doi.org/c8xkcn

Dunlap AE, Kim SE, Lewis DD, Christopher SA, Pozzi A. Outcomes and complications following surgical correction of grade IV medial patellar luxation in dogs: 24 cases (2008–2014). J.A.V.M.A. [Internet]. 2016; 249(2):208–213. doi: https://doi.org/f8trhj

Brower BE, Kowaleski MP, Peruski AM. Pozzi A, Dyce J, Johnson KA, Boudrieau RJ. Distal femoral lateral closing wedge osteotomy as a component of comprehensive treatment of medial patellar luxation and distal femoral varus in dogs. Vet. Comp. Orthop. Traumatol. [Internet]. 2017; 30(1):20–27. doi: https://doi.org/k45h

Arthurs GI, Langley–Hobbs SJ. Complications associated with corrective surgery for patellar luxation in 109 dogs. Vet. Surg. [Internet]. 2006; 35(6):559–66. doi: https://doi.org/b5jktt

Fullagar BA, Rajala–Schultz P, Hettlich BF: Comparison of complication rates of unilateral, staged bilateral, and single–session bilateral surgery for the treatment of bilateral medial patellar luxation in dogs. Can. Vet. J. [Internet]. 2017; 58(1):39–44. Cited in PUBMED; PMID 28042153.

Shaver SL, Mayhew KN, Sutton JS, Mayhew PD, Runge JJ, Brown DC, Kass PH. Complications after corrective surgery for lateral patellar luxation in dogs: 36 cases (2000–2011). J.A.V.M.A. [Internet]. 2014; 244(4):444–448. doi: https://doi.org/f5rcnn

Stanke NJ, Stephenson N, Hayashi K. Retrospective risk factor assessment for complication following tibial tuberosity transposition in 137 canine stifles with medial patellar luxation. Can. Vet. J. [Internet]. 2014; 55(4):349–358. Cited in PUBMED; PMID 24688134.

Hackett M, St Germaine L, Carno MA, Hoffmann D. Comparison of outcome and complications in dogs weighing less than 12 kg undergoing miniature tibial tuberosity transposition and advancement versus extracapsular stabilization with tibial tuberosity transposition for cranial cruciate ligament disease with concomitant medial patellar luxation. Vet. Comp. Orthop. Traumatol. [Internet]. 2021; 34(2):99–107. doi: https://doi.org/k45j

Katayama M, Ogaya H, Shunsuke S, Uzuka Y. Kite shieldshaped wedge recession for treatment of medial patellar luxation in seven small–breed dogs. Vet. Surg. [Internet] 2016; 45(1):66–70. doi: https://doi.org/k45k

Altunatmaz K, Eravci–Yalin E, Inal–Günay B, Şadalak–Mckinstry DJ, Sevim ZT. Treatment with custom partial condyle prosthesis of a comminuted femoral condyle fracture in a dog: A case report. Turk. J. Vet. Anim. Sci. [Internet]. 2019; 43:140–145. doi: https://doi.org/k45m

Flesher K, Beale BS, Hudson CC. Technique and outcome of a modified tibial plateau levelling osteotomy for treatment of concurrent medial patellar luxation and cranial cruciate ligament rupture in 76 stifles. Vet. Comp. Orthop. Traumatol. [Internet]. 2019; 32(1):26–32. doi: https://doi.org/k45n

Rossanese M, German AJ, Comerford E, Pettitt R, Tomlinson A, Vicente F. Complications following surgical correction of medial patellar luxation in small–to–medium–size dogs. Vet. Comp. Orthop. Traumatol. [Internet]. 2019; 32(4):332–340. doi: https://doi.org/k45p

Publicado
2024-01-01
Cómo citar
1.
Çatalkaya E, Yayla S, Altan S, Ersöz-Kanay B. Evaluación clínica de las complicaciones tras el tratamiento quirúrgico de las luxaciones de rótula en perros: Un estudio retrospectivo. Rev. Cient. FCV-LUZ [Internet]. 1 de enero de 2024 [citado 28 de abril de 2024];34(1):6. Disponible en: https://www.produccioncientificaluz.org/index.php/cientifica/article/view/41146
Sección
Medicina Veterinaria