ÜMİT KAYA, ÖZLEM ŞENGÖZ ŞİRİN, Ali BUMİN, Yusuf Sinan ŞİRİN

Köpeklerin ön çapraz bağ lezyonlarının tedavisinde “Tibial Plato düzeltici osteotomi” yönteminin kullanılması ve sonuçlarının değerlendirilmesi

Bu klinik çalışmada, köpeklerde ön çapraz bağ kopuklarının (ÖÇB) tedavisinde kullanılan ekstrakapsüler tedavi yöntemlerinden Tibial Plato Düzeltici Osteotomi (TPDO) operasyon tekniğinde bir implant sistemi olan kilitli TPDO plakların klinik olgularda kullanılması ve yöntemin klinik ve radyolojik sonuçlarının değerlendirilmesi amaçlanmıştır. Çalışma materyalini, Ankara Üniversitesi Veteriner Fakültesi küçük hayvan kliniğine topallık şikayeti ile getirilen ve klinik, radyografik ve artroskopik muayeneyle ÖÇB kopuğu tanısı konan, değişik yaş ve cinsiyette 15 büyük ırk köpek oluşturdu. Tüm olgular postoperatif 0, 10, 25, 60, 90 ve 120. günlerde ilgili ekstremite yönünden klinik ve radyografik muayeneleri yapılarak TPDO plağı gevşemesi, implant yetersizliği ve gelişebilecek diğer komplikasyonlar yönünden izlendi. Ayrıca postoperatif muayene periyotlarında olguların ilgili ekstremitedeki topallık ve ağrı duyumları skorlanarak değerlendirildi. Çalışma materyalini oluşturan olguların TPDO operasyonu ve tibia proksimalindeki osteotomi hattının kilitli TPDO plakları ile yapılan fikzasyonunu izleyen sürelerde özellikle implant gevşemesi dahil olmak üzere herhangi bir komplikasyon gelişimi gözlenmedi.

The use and interpretation of Tibial Plateau leveling osteotomy (TPLO) in dogs in cranial cruciate ligament lesions

In this clinical study, utilisation of a newly described implant system which is called locking TPLO plates in TPLO surgery technique, one of the extracapsular treatment methods, for treatment of anterior cruciate ligament rupture in dogs in clinical cases and evaluation of clinical and radiological results of the method is aimed. The materials of this study are, 15 large breed dogs with different age and sex which were brought to Ankara University Faculty of Veterinary Medicine Small Animal Clinic with clinical evidence of rear limb lameness, in these dogs the anterior cruciate ligament rupture was diagnosed after clinical, radiological and arthroscopic examination The dogs which were included in the study, were examined clinically and radiographically on 0, 10th, 25th, 60th, 90th, and 120th days. All cases were examined for TPLO plate loosening, implant failure and other complications that may develop postoperatively. Also in the postoperative examination period, the limb lameness and pain sensations of the patients were scored. After TPLO surgery and fixation of the osteotomy line proximal to tibia with locking TPLO plates, patients were examinated in post operative period for possible complications, especially implant loosening, but no complication was observed.

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