POJAVNOST ROTACIJSKE NESTABILNOSTI („PIVOT SHIFT FENOMENA“) NAKON LIJEČENJA RUPTURE PREDNJEG KRIŽNOG LIGAMENTA TPLO TEHNIKOM

master's thesis

• Title (english): Occurence of rotational instability („Pivot shift phenomenon“) after treatment of cranial cruciate ligament rupture using the TPLO technique
• Author: Luka Fučkan
• Mentor: Dražen Vnuk (mentor)
• Mentor: Petar Kostešić (mentor)
• Committee member: Marko Pećin (predsjednik povjerenstva)
• Committee member: Dražen Vnuk (član povjerenstva)
• Committee member: Petar Kostešić (član povjerenstva)
• Committee member: Andrija Musulin (član povjerenstva)
• Granter: University of Zagreb; Faculty of Veterinary Medicine; Zagreb
• Defense date and country: 2023-03, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Veterinary Medicine; Veterinary Clinical Sciences

Abstract

Pojavnost rotacijske nestabilnosti („Pivot shift fenomena“) nakon liječenja rupture prednjeg
križnog ligamenta TPLO tehnikom
Luka Fučkan
Ruptura prednjeg križnog ligamenta predstavlja najčešći uzrok hromosti, odnosno
šepavosti u pasa.
Operacija izbora koja sve više dobiva na popularnosti je TPLO. Pošto ni jedna
operativna metoda nije potpuno zadovoljavajuća tako nije ni TPLO te postoje razne
komplikacije kao što je pojava rotacijske nestabilnosti, odnosno Pivot shift fenomena.
Pivot shift fenomen pojava je kod koje dolazi do kranijalnog pomicanja goljenice uz
njenu istodobnu unutarnju rotaciju. Pojava je nedovoljno istražena te predstavlja interes
ortopedske zajednice.
Pojava rotacijske nestabilnosti česta je pojava prilikom potpune rupture prednjeg
križnog ligamenta, koji se pokazao čimbenikom rizika za nastanak pojave. TPLO, u
kombinaciji s LFS, predstavlja uspješnu tehniku stabilizacije koljena kod kojih dolazi do
pojave rotacijske nestabilnosti.
Upotrebom modernih tehnologija snimanja utvrđen je značajan stupanj fleksije kod
rotacijske nestabilnosti koljena uslijed rupture prednjeg križnog ligamenta (Tinga i sur.,
2018.).

Abstract (english)

Cranial Cruciate ligament rupture presents main cause of lameness in dogs.
The operation of choice that is gaining more and more popularity is TPLO. Since no
operative method is completely satisfactory, neither is TPLO, and there are various
complications such as the occurrence of rotational instability, i.e. Pivot shift phenomenon.
The Pivot shift is a phenomenon in which there is a cranial movement of the tibia with
its simultaneous internal rotation. The phenomenon is insufficiently researched and
represents the interest of the orthopedic community.
The appearance of rotational instability is a frequent occurrence in the event of a
complete rupture of the cranial cruciate ligament, which has been shown to be a risk factor
for the occurrence of the phenomenon. TPLO, in combination with LFS, is a successful
technique for stabilizing knees with rotational instability.
With the use of modern imaging technologies, a significant degree of flexion was
determined in rotational instability of the knee due to cranial cruciate ligament rupture
(Tinga et al., 2018).

• Keywords: prednji križni ligament; pas; „pivot shift“ fenomen; TPLO
• Keywords (english): cranial cruciate ligament; dog; „pivot shift“ phenomenon; TPLO
• Language: croatian
• URN:NBN: urn:nbn:hr:178:806168
• Study programme: Title: Veterinary Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica veterinarske medicine (doktor/doktorica veterinarske medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-04-03 08:21:48