Köpeklerin Ön Çapraz Bağ Kopuklarının Sağaltımında Tibial Plato Düzeltme Osteotomisi-TPLO ile Sağaltımı, Sonuçlarının Klinik ve Radyografik Olarak Değerlendirilmesi

Tibial plato düzeltme osteotomisi (TPDO), köpeklerin ön çapraz bağ kopuklarının sağaltımında kullanılan osteotomi tekniklerinden birisidir. Bu çalışmanın amacı, sağaltımı tibial plato düzeltme osteotomisi ile yapılan ön çapraz bağ kopuğu bulunan hastaların bulgularını klinik ve radyografik olarak değerlendirmektir. Çalışmanın materyalini; arka ekstremitesinde topallık şikayeti ile kliniğe getirilen 18 köpeğe ait 20 adet ekstremite oluşturdu. Olguların preoperatif dönemde klinik ve radyolojik muayeneleri sonucunda, ön çapraz bağ kopuğu tanısı konuldu, ameliyat tekniğinin gerektirdiği ölçümler yapıldı ve ameliyata hazır hale getirildi. Operasyonlarını takiben postoperatif 10., 30., 60., 90. ve 120. günlerde olguların klinik ve radyolojik değerlendirilmeleri yapıldı. Çalışmanın sonucunda diz ekleminin normal hareket yeteneğinin koruduğu, osteotomi hattının postoperatif erken dönemde kaynadığı, ekstremite fonksiyonlarını bir süre sonra tamamen kazandığı gözlemlendi ve özellikle iri ırk köpeklerde diz ekleminin stabilizasyonu açısından bu tekniğin güvenli bir şekilde uygulanabileceği sonucuna varıldı.

Anahtar Kelimeler:

Köpek, kraniyal, çapraz, bağ, TPDO

The Clinical and Radiological Evaluation of Canine Cranial Cruciate Ligament Rupture Treatment with Tibial Plateau Leveling Osteotomy

Tibial plateau leveling osteotomy (TPLO) is one of the tibial osteotomy techniques for canine cranial cruciate ligament rupture. The purpose of this study is to evaluate the clinically and radiologically findings of the patients with cranial cruciate ligament rupture treated by tibial plateau leveling osteotomy. In our clinical study, treatment of cranial cruciate ligament rupture in 18 dogs with a total of 20 stifles was performed. Cases were diagnosed with cranial cruciate ligament rupture, technical measurements for the operations are determined and the cases were prepared for the operation during the preoperative period of the clinical and radiological examinations. Following the operation, postoperative clinical and radiological evaluations were performed on the 10th, 30th, 60th, 90th and 120th days. At the end of the study, it was observed that the dogs retained stifle joint motion ability, early healing of the osteotomy side in the postoperative period, all stifle joint functions were retained after a period. It was determined that this method of operation can securely (in regards to joint stabilization) be performed on especially in large breed dogs.

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