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CANINE HIP DYSPLASIA AND IT'S TREATMENT USING THE TRIPLE PELVIC OSTEOTOMY (TPO) METHOD

Year 2006, Volume: 32 Issue: 1, 13 - 21, 03.12.2012

Abstract

 

ABSTRACT

Hip dysplasia is a lesion characterised by the developmental disorder of the hip joint, manifesting itself in medium or severe joint disease in adult dogs and luxation or subluxation of the femoral head in young dogs. Hip dysplasia in young dogs manifests itself with signs of rapid exhaustion, difficulty in standing up, bunny-hopping and intermittent or persistent lameness. In adult dogs, in addition to these signs, symptoms such as pain, muscle atrophy, a swinging gait and persistent lameness are also observed due to advancing joint disease. Correct diagnosis in cases of hip dysplasia is made by taking into account such factors as age, breed, history, physical findings and radiographic changes. In the treatment of hip dysplasia, conservative or surgical methods are used depending on the age and bodyweight of the animal, the physical and radiological findings and the financial status of the patient owner.

Triple Pelvic Osteotomy (TPO) is a method used for the treatment of young dogs suffering from either degenerative joint disease exhibiting a minimal level of radiological signs or those with subluxation of the coxofemoral joint. The aim of treating hip dysplasia with TPO is to develop the function of the leg and to delay or prevent the advance of degenerative joint disease. In Triple Pelvic Osteotomy, surgical approach to the pelvis is achieved from 3 points. The axial rotation of acetabulum is performed by pubic ostectomy, ilial osteotomy and ischial osteotomy. Following osteotomy, depending on the age of the animal and the degree of the dysplasia, a 20", 30° or 40° "Canine Pelvic Osteotomy Plate" (CPOP) is placed on the ilium.

Following TPO, complications such as implant weakness, narrowing of the pelvic canal, damage to the ischiadic, pudendal and obturator nerves and hyperextension of the tarsal joint may be encountered.

Key Words: Hip dysplasia, triple pelvic osteotomy, dog.

KÖPEKLERDE KALÇA DİSPLAZİSİ VE TRİPLE PELVİK OSTEOTOMİ (TPO) YÖNTEMİ İLE SAGALTIMI

ÖZET

Kalga displazisi; genç köpeklerde femur başının luksasyonu ya da subluksasyonu, erişkin köpeklerde orta veya şiddetli eklem hastalığıyla seyreden kalça ekleminin gelişim bozukluğu ile karakterize bir lezyondur. Kalça displazisi genç köpeklerde; çabuk yorulma. ayağa kalkarken zorlanma, tavşan gibi koşma, aralıklı ya da devamlı bir topallık belirtileriyle ortaya çıkar. Erişkin köpeklerde bu belirtilere ek olarak. İlerleyici eklem hastalığı nedeniyle; ağrı duyumu. kas atrofisi, sallantılı yürüyüş ve sürekli topallık gibi semptomlar, da katılır. Kalça displazilerinde doğru tanı: yaş, ırk. anamnez, fiziksel bulgular ve radyografik değişikliklerin birlikte ele alınmasıyla konur. Kalça displazisinin sağaltımında; hayvanin yaşına, ağırlığına, fiziksel ve radyolojik bulgulara ve hasta sahibinin ekonomik durumuna göre konservatif ya da operatif yöntemler kullanılmaktadır.

Triple Pelvik Osteotomi (TPO). en az düzeyde radyolojik belirti gösteren dejeneratif eklem hastalığı ya da coxofemoral eklem subluksasyonu bulunan genç köpeklerin sağaltımı amacıyla kullanılan bir yöntemdir. Kalça displazisinin TPO ile sağaltımındaki amaç, bacağın fonksiyonunu geliştirmek ve dejeneratif eklem hastalığının ilerlemesini yavaşlatmak ya da durdurmaktır. TPO'da, pelvise cerrahi yaklaşım 3 farklı noktadan yapılır. Asetabulum'un aksiyal rotasyonu; pubis'e ostektomi. ilium ve ischii'ye yapılan osteotomiler ile sağlanır. Osteotomiyi takiben hayvanin yaşına ve displazinin derecesine bağlı olarak ilium'a 20°, 30° ya da 40° lik "Canine Pelvic Osteotomy" plakası (CPOP) yerleştirilir.

TPO uygulamasını takiben. implant zayıflığı, pelvik kanal daralması, ischiatic, pudendal ve obturator sinirlerin hasarı ve tarsal eklemin hiperekstensiyonu gibi komplikasyonlar görülebilir.

Anahtar Kelimeler: Kalça displazisi, triple pelvik osteotomi, köpek.

References

  • Adams, W.M., Dueland, R.T., Meinen, J . , O'Brien, R.T., Giuliano, E . , Nordheim, E.V.: Early detection of canine hip dysplasia: Comparison of two palpation and five radiographic methods. J A m Anim Hosp Assoc., 1998; 34 (4): 339-347.
  • Alexander, J.W.: The pathogenesis of canine hip dysplasia. Vet Clin N Am Small Anim Pract.. ; 22(3): 503-511. Altunatmaz, K . , Yiicel, R., Devecioglu, Y . , Saroglu, M-, Ozsoy, S.: Treatment of canine hip dysplasia using triple pelvic osteotomy. Vet. Med.- Czech, 2003; 48 (1-2): 41-46.
  • Borostyankoi, F-, Rooks, R . L . , Kobluk, C.N., Reed, A . L . , Littledike, E . T . : Results of single- session bilateral triple pelvic osteotomy with an eight-hole iliac bone plate in dogs: 95 cases (1996ı ). JAVMA, 2003; 222 (1): 54-59.
  • Dejardin, L . M . , Perry, R . L . , Arnoczky, S.P.:The effect of triple pelvic osteotomy on the articular contact area of the hip joint in dysplastic dogs: An in vitro experimental study. Vet Surg.. 1998: 27 (3): 194-202.
  • Denny, H.R., Butterworth, S.J.: The Hip. In: A Guide to Canine and Feline Orthopaedic Surgery. Fourth Edition, Blackwell, London, 2000; 455-494.
  • Farese, J.P., Lust, G . , Williams, A J . , Dykes, N.L., Todhunter, R J . : Comparison of measurements of dorsolateral subluxation of the femoral head and maximal passive laxity for evaluation of the coxofcmoral joint in dogs. AJVR, 1999; 60 (12): 1571-1576.
  • Fossum, T.W.: Management of Joint Disease. In: Small Animal Surgery. St. Louis. Mosby, 1997; 1009.
  • Johnson A L , Smith C W , Pijanowski G J , Hungerford L L . : Triple pelvic osteotomy: Effect on limb function and progression of degenerative joint disease. J Am Anim Hosp Assoc.. 1998: 34 (3) 264.
  • Canine HIP Dysplasia and It's Treatment using The Triple Pelvic Osteotomy (TPO) Method 2 1 Kapatkin, A.S., Gregor, T.P., Hearon, K . , Richardson, R.W., McKeivie, PJ., Fordyce, H . H . , Smith, G.K.: Comparison of two radiographic techniques for evaluation of hip joint laxity in 10 breeds of dogs. JAVMA. 2004; 224 (4): 542-546.
  • Moses, P.A.: Alternative surgical methods for treating juvenile canine hip dysplasia. Aust Vet J, : 78 (12): 822-824. Ozsoy, S., Altunatmaz, K . : Clinical application of total hip replacement using cementless hydroxyapatite coaled and screw placed stem and titanium acetabular cup. 4th Joint Scientific Symposium of the Veterinary Faculties of Istanbul University and Ludwig-Maximilians University. Munich, 2004. 148-150.
  • Ozsoy, S.: Diagnosis of hip dysplasia in dogs: I I . Radiographic evaluations. Turkish Journal of Veterinary Surgery, 2002; 8 (3-4): 89-95.
  • Piermattei, D . L . , Flo, G.L.: The Hip Joint. In: Handbook of Small Animal Orthopedics and Fracture Repair. 3rd edition. Philadelphia. W.B. Saunders Company. 1997, 422-469.
  • Puerto, D.A., Smith, G.K., Gregor, T.P., et al.: Relationships between results of the Ortolani method of hip joint palpation and distraction index, Norberg angle, and hip score in dogs. JAVMA. ; 214 (4): 497-501. Simmons S, Johnson A L , Schaeffer DJ.: Risk factors for screw migration after triple pelvic osteotomy. J Am Anim Hosp Assoc.. 2001; 37 (3): 269-273.
  • Smith, G.: Advances in diagnosing canine hip dysplasia. J A m Vet Med Assoc., 1997; 210 (10): 1457.
  • Smith, G.K., LaFond, E., Gregor, T.P., Lawler, D.F., Nie, R.C.: Within-and-betwecn- examiner repeatability of distraction indices of the hip joints in dogs. A m J Vet Res, 1997; 58 (10): 1076ı
  • Tano CA, Cockshutt JR, Dobson H , Miller CW, Holmberg DI, Taves CL.: Force plate analysis of dogs with bilateral hip dysplasia treated with a unilateral triple pelvic osteotomy: A long-term review of cases. Vet. Comp. Orthop. Traumatol, 1998; 11 (2): 85-93.
  • Tomlinson J L , Johnson J C : Quantification of measurement of femoral head coverage and Norberg angle within and among four breeds of dogs. Am J Vet Res..2000; 61(12): 1492-1500.
Year 2006, Volume: 32 Issue: 1, 13 - 21, 03.12.2012

Abstract

References

  • Adams, W.M., Dueland, R.T., Meinen, J . , O'Brien, R.T., Giuliano, E . , Nordheim, E.V.: Early detection of canine hip dysplasia: Comparison of two palpation and five radiographic methods. J A m Anim Hosp Assoc., 1998; 34 (4): 339-347.
  • Alexander, J.W.: The pathogenesis of canine hip dysplasia. Vet Clin N Am Small Anim Pract.. ; 22(3): 503-511. Altunatmaz, K . , Yiicel, R., Devecioglu, Y . , Saroglu, M-, Ozsoy, S.: Treatment of canine hip dysplasia using triple pelvic osteotomy. Vet. Med.- Czech, 2003; 48 (1-2): 41-46.
  • Borostyankoi, F-, Rooks, R . L . , Kobluk, C.N., Reed, A . L . , Littledike, E . T . : Results of single- session bilateral triple pelvic osteotomy with an eight-hole iliac bone plate in dogs: 95 cases (1996ı ). JAVMA, 2003; 222 (1): 54-59.
  • Dejardin, L . M . , Perry, R . L . , Arnoczky, S.P.:The effect of triple pelvic osteotomy on the articular contact area of the hip joint in dysplastic dogs: An in vitro experimental study. Vet Surg.. 1998: 27 (3): 194-202.
  • Denny, H.R., Butterworth, S.J.: The Hip. In: A Guide to Canine and Feline Orthopaedic Surgery. Fourth Edition, Blackwell, London, 2000; 455-494.
  • Farese, J.P., Lust, G . , Williams, A J . , Dykes, N.L., Todhunter, R J . : Comparison of measurements of dorsolateral subluxation of the femoral head and maximal passive laxity for evaluation of the coxofcmoral joint in dogs. AJVR, 1999; 60 (12): 1571-1576.
  • Fossum, T.W.: Management of Joint Disease. In: Small Animal Surgery. St. Louis. Mosby, 1997; 1009.
  • Johnson A L , Smith C W , Pijanowski G J , Hungerford L L . : Triple pelvic osteotomy: Effect on limb function and progression of degenerative joint disease. J Am Anim Hosp Assoc.. 1998: 34 (3) 264.
  • Canine HIP Dysplasia and It's Treatment using The Triple Pelvic Osteotomy (TPO) Method 2 1 Kapatkin, A.S., Gregor, T.P., Hearon, K . , Richardson, R.W., McKeivie, PJ., Fordyce, H . H . , Smith, G.K.: Comparison of two radiographic techniques for evaluation of hip joint laxity in 10 breeds of dogs. JAVMA. 2004; 224 (4): 542-546.
  • Moses, P.A.: Alternative surgical methods for treating juvenile canine hip dysplasia. Aust Vet J, : 78 (12): 822-824. Ozsoy, S., Altunatmaz, K . : Clinical application of total hip replacement using cementless hydroxyapatite coaled and screw placed stem and titanium acetabular cup. 4th Joint Scientific Symposium of the Veterinary Faculties of Istanbul University and Ludwig-Maximilians University. Munich, 2004. 148-150.
  • Ozsoy, S.: Diagnosis of hip dysplasia in dogs: I I . Radiographic evaluations. Turkish Journal of Veterinary Surgery, 2002; 8 (3-4): 89-95.
  • Piermattei, D . L . , Flo, G.L.: The Hip Joint. In: Handbook of Small Animal Orthopedics and Fracture Repair. 3rd edition. Philadelphia. W.B. Saunders Company. 1997, 422-469.
  • Puerto, D.A., Smith, G.K., Gregor, T.P., et al.: Relationships between results of the Ortolani method of hip joint palpation and distraction index, Norberg angle, and hip score in dogs. JAVMA. ; 214 (4): 497-501. Simmons S, Johnson A L , Schaeffer DJ.: Risk factors for screw migration after triple pelvic osteotomy. J Am Anim Hosp Assoc.. 2001; 37 (3): 269-273.
  • Smith, G.: Advances in diagnosing canine hip dysplasia. J A m Vet Med Assoc., 1997; 210 (10): 1457.
  • Smith, G.K., LaFond, E., Gregor, T.P., Lawler, D.F., Nie, R.C.: Within-and-betwecn- examiner repeatability of distraction indices of the hip joints in dogs. A m J Vet Res, 1997; 58 (10): 1076ı
  • Tano CA, Cockshutt JR, Dobson H , Miller CW, Holmberg DI, Taves CL.: Force plate analysis of dogs with bilateral hip dysplasia treated with a unilateral triple pelvic osteotomy: A long-term review of cases. Vet. Comp. Orthop. Traumatol, 1998; 11 (2): 85-93.
  • Tomlinson J L , Johnson J C : Quantification of measurement of femoral head coverage and Norberg angle within and among four breeds of dogs. Am J Vet Res..2000; 61(12): 1492-1500.
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Review
Authors

Özlem Güzel

Publication Date December 3, 2012
Published in Issue Year 2006 Volume: 32 Issue: 1

Cite

APA Güzel, Ö. (2012). CANINE HIP DYSPLASIA AND IT’S TREATMENT USING THE TRIPLE PELVIC OSTEOTOMY (TPO) METHOD. İstanbul Üniversitesi Veteriner Fakültesi Dergisi, 32(1), 13-21. https://doi.org/10.16988/iuvfd.64215
AMA Güzel Ö. CANINE HIP DYSPLASIA AND IT’S TREATMENT USING THE TRIPLE PELVIC OSTEOTOMY (TPO) METHOD. iuvfd. December 2012;32(1):13-21. doi:10.16988/iuvfd.64215
Chicago Güzel, Özlem. “CANINE HIP DYSPLASIA AND IT’S TREATMENT USING THE TRIPLE PELVIC OSTEOTOMY (TPO) METHOD”. İstanbul Üniversitesi Veteriner Fakültesi Dergisi 32, no. 1 (December 2012): 13-21. https://doi.org/10.16988/iuvfd.64215.
EndNote Güzel Ö (December 1, 2012) CANINE HIP DYSPLASIA AND IT’S TREATMENT USING THE TRIPLE PELVIC OSTEOTOMY (TPO) METHOD. İstanbul Üniversitesi Veteriner Fakültesi Dergisi 32 1 13–21.
IEEE Ö. Güzel, “CANINE HIP DYSPLASIA AND IT’S TREATMENT USING THE TRIPLE PELVIC OSTEOTOMY (TPO) METHOD”, iuvfd, vol. 32, no. 1, pp. 13–21, 2012, doi: 10.16988/iuvfd.64215.
ISNAD Güzel, Özlem. “CANINE HIP DYSPLASIA AND IT’S TREATMENT USING THE TRIPLE PELVIC OSTEOTOMY (TPO) METHOD”. İstanbul Üniversitesi Veteriner Fakültesi Dergisi 32/1 (December 2012), 13-21. https://doi.org/10.16988/iuvfd.64215.
JAMA Güzel Ö. CANINE HIP DYSPLASIA AND IT’S TREATMENT USING THE TRIPLE PELVIC OSTEOTOMY (TPO) METHOD. iuvfd. 2012;32:13–21.
MLA Güzel, Özlem. “CANINE HIP DYSPLASIA AND IT’S TREATMENT USING THE TRIPLE PELVIC OSTEOTOMY (TPO) METHOD”. İstanbul Üniversitesi Veteriner Fakültesi Dergisi, vol. 32, no. 1, 2012, pp. 13-21, doi:10.16988/iuvfd.64215.
Vancouver Güzel Ö. CANINE HIP DYSPLASIA AND IT’S TREATMENT USING THE TRIPLE PELVIC OSTEOTOMY (TPO) METHOD. iuvfd. 2012;32(1):13-21.