Aseptična nekroza glave i vrata bedrene kosti u pasa

master's thesis

• Title (english): Aseptic Osteonecrosis of the Femoral Head and Neck in Dog
• Author: Jasmina Vidović
• Mentor: Darko Capak (mentor)
• Committee member: Ozren Smolec
• Committee member: Hrvoje Capak
• Committee member: Darko Capak
• Granter: University of Zagreb; Faculty of Veterinary Medicine; (Surgery, Orthopaedics and Ophtalmology Clinic); Zagreb
• Defense date and country: 2015-06-24, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Veterinary Medicine; Veterinary Clinical Sciences

Abstract

Asepticna osteonekroza glave i vrata bedrene kosti (Legg Calve Perthesova bolest)
javlja se u pasa malih pasmina, s nalazom ishemicne osteonekroze glave femura. Najcešce je
opisana u pasmina malih terijera, s izraženom genetskom i pasminskom predispozicijom. U
osnovi je degenarativna etiologija bolesti, no tocan uzrok nastanku bolesti nije jasan. Klinicka
slika ukljucuje razlicit stupanj šepavosti stražnjeg ekstremiteta, uz istaknut gubitak funcije i
bolnost.
Javlja se nedovoljna prokrvljenost glave femura, s podljedicom razvoja osteonekroze.
Rendgensko snimanje omogucava definitvinu dijagnozu bolesti. Nalazi se razlicit stupanj
deformacija u podrucju acetabuluma, glave i vrata femura. Posljedicno nestabilnosti razvija se
razlicit stupanj sekundarnih degenerativnih promjena na zglobu (osteoartroze). Mogucnosti
lijecenja ukljucuju medinkamentoznu terapiju, koja u pravilu daje privremene ucinke, metode
fizikalne terapije i operativni zahvati.
Od kirurških tenhika najbolji rezultati u lijecenje postižu se osteotomijom glave i vrata
bedrene kosti. Osnovni faktor u povoljnoj prognozi bolesti je stupanj mišicne atrofije
zahvacenog ekstremiteta prilikom operativnog zahvata. Nakon operacije prepouca se primjena
fizikalne terapije u vrlo kratkom vremenu, koja uz pravilno izveden zahvat i pravilnu njegu
pacijenta omogucava dobru prognozu i vracanje ekstremiteta u finkciju.

Abstract (english)

Aseptic necrosis of the femoral head (Legg Perthes disease) may be affected young,
growing dogs by osteonecrosis of femoral head. This condition is degenerative, most often
seen in small Terriers breed. The etiology is still uncertain. Dogs show different funcional and
pain signs. Most relevant clinical express include hindlimb lammenes of different degree.
The portion of the femoral capital epiphysis loses its blood supply, and the affected
area undergoes necrosis. Varying degrees of deformity and secondary degenerative joint
disease result. Radiology is required for a definitive diagnosis. X rays often showing different
degrees of osteonecrosis and secondary bone reactions, like degenerative joint disease.
Treatment options incluse drugs, physical therapy and rehabilitation or surgery.
Most often, the femoral haed and neck ostetomy was performed. After the short
recovery period, propriate postoperative care and physical therapy treatment the prognosis is
good in most of cases.

• Keywords: femur.aseptična nekroza; pas; Legg-parthesova bolest
• Keywords (english): femur; aseptic necrosis; dog; Legg-parthes disease
• Language: croatian
• URN:NBN: urn:nbn:hr:178:698423
• 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: Access restricted to students and staff of home institution
• Created on: 2016-01-18 09:06:18