Comparison of intraoperative outcomes in excision arthroplasty with or without partial tenotomy of deep gluteal muscle in dogs

Yıl 2024, , 21 - 24, 30.04.2024

Kamil Serdar İnal , Can Nacar , Elif Bağatır

https://doi.org/10.56150/tjhsl.1263657

Öz

Background: Excision arthroplasty is a commonly performed surgical technique for treating coxofemoral luxation in dogs. Favourable outcomes have been reported in dogs up to 15 kg. Aim: This study aimed to compare the intraoperative findings of two surgical approaches i.e., with or without partial deep gluteal muscle tenotomy in the excision arthroplasty in dogs. Methods: A total of 15 dogs having average body weight 15.6 kg (3.5-26) and 29.5 months (6-72) of age were brought to the Veterinary Surgery Clinics at University Veterinary Hospital, Samsun, Turkey with traumatic coxofemoral luxation or femur head/neck fracture. Craniolateral incision was used to approach the craniodorsal aspect of the hip joint in all cases. Myotomy of the superficial gluteal muscle and partial tenotomy of the deep gluteal was performed in one group. While blunt dissection approach was performed for elevation of gluteal muscles in another group. Results: Fifteen dogs (myotomy and tenotomy in 8 dogs and without tenotomy in 7 dogs) were diagnosed having lesions along with coxofemoral luxation in 9 cases, femoral neck fracture in 5 cases and caput femur fracture in 1 case. Partial tenotomy improved the exposure of joint capsule and femur neck. Discussion and Conclusion: The remnants of femoral neck after excision arthroplasty may contact the acetabulum and cause pain in the postoperative period. By applying the partial deep gluteal muscle tenotomy technique, surgeons can readily expose joint capsule, femoral head, femoral neck, and great and lesser trochanter.

Anahtar Kelimeler

Dog, deep gluteal muscle, excision arthroplasty

Kaynakça

• Duff S.R.I., (1975): Excision arthroplasty of the canine hip joint: a clinical and experimental study, University of Glasgow (United Kingdom)
• Berzon J., Howard P., Covell S., Trotter E., Dueland R., A retrospective study of the efficacy of femoral head and neck excisions in 94 dogs and cats, Vet. Surg. 9(3), (1980), 88-92.
• Duff R., Campbell J., Long term results of excision arthroplasty of the canine hip, The Veterinary Record 101(10), (1977), 181-184.
• JK R., Surgical therapy of canine hip dysplasia, in: Tobias K.M., Johnston S.A. (Eds.), Veterinary surgery: small animal, Elsevier Health Sciences, St Louis, 2012, pp. 849–864.
• Winders C.L.B., Vaughn W.L., Birdwhistell K.E., Holsworth I.G., Franklin S.P., Accuracy of femoral head and neck excision via a craniolateral approach or a ventral approach, Vet. Comp. Orthop. Traumatol. 31(2), (2018), 102-107.
• DeAngelis M., Hohn R., The ventral approach to excision arthroplasty of the femoral head, J. Am. Vet. Med. Assoc. 152(2), (1968), 135-138.
• Sapora J.A., Palmer R.H., Goh C.S., Ventral femoral head and neck ostectomy: Standard versus novel K‐wire guided technique using a premeasured ostectomy angle in canine cadavers, Vet. Surg. 50(6), (2021), 1201-1208.
• Montgomery R., Milton J., Horne R., Coble Jr R., Williams J., A retrospective comparison of three techniques for femoral head and neck excision in dogs, Veterinary Surgery 16(6), (1987), 423-426.
• Girdlestone G., Acute pyogenic arthritis of the hip: an operation giving free access and effective drainage, The Lancet 241(6240), (1943), 419-421.
• Harper T.A., Femoral head and neck excision, Veterinary Clinics: Small Animal Practice 47(4), (2017), 885-897.
• Johnson K.A., (2013): Piermattei's Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat, Elsevier Health Sciences
• Gillis C.E., Jaffe M.H., Lee A.M., Seitz M.A., Iatrogenic Iliopsoas Tendon Injury May Occur during Femoral Head and Neck Ostectomy—An Ex-Vivo Study in Dogs, VCOT Open 5(01), (2022), e36-e40.
• Duff R., Campbell J., Radiographic appearance and clinical progress after excision arthroplasty of the canine hip, J. Small Anim. Pract. 19(1‐12), (1978), 439-449.