Kirurško liječenje rupture prednjih križnih ligamenata metodama promjene kutova zglobnih ploha i vektora sila

master's thesis

• Title (english): Surgical Treatment of Cranial Cruciate Ligament Rupture by Changing the Angles of Joint Surfaces and Force Vectors
• Author: Emilie Emma Ivezić
• Mentor: Zoran Vrbanac (mentor)
• Mentor: Petar Kostešić (mentor)
• Committee member: Dražen Vnuk (predsjednik povjerenstva)
• Committee member: Mario Kreszinger (član povjerenstva)
• Committee member: Petar Kostešić (član povjerenstva)
• Granter: University of Zagreb; Faculty of Veterinary Medicine; Zagreb
• Defense date and country: 2024-07-01, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Veterinary Medicine; Veterinary Clinical Sciences

Abstract

Kirurško liječenje rupture prednjeg križnog ligamenta (PKL) pasa uključuje metode za
promjenu kutova zglobnih ploha i vektora sila kako bi se stabiliziralo koljeno. PKL je ključan
za stabilnost koljena, a njegova ruptura može dovesti do značajne hromosti i nestabilnosti
zgloba. Uobičajene kirurške metode uključuju poravnanje ravnine goljenice (TPLO), klinastu
ostektomiju goljenice (CCWO), kranijalni pomak goljenične kvrge (TTA), trostruku
osteotomiju goljenice (TTO) i osteotomiju poravnanja iz centra rotacijske angulacije (CBLO).
Ove tehnike imaju za cilj vraćanje normalne funkcije zgloba pomicanjem kostiju i mijenjanjem
mehanike koljenog zgloba kako bi se spriječilo pomicanje goljenice prema naprijed. TPLO
mijenja kut goljenične ravnine, CCWO uklanja klin iz goljenice skraćujući ju, TTA pomiče
goljeničnu kvrgu prema naprijed, TTO kombinira elemente TPLO i TTA, dok CBLO mijenja
nagib goljenične ravnine radi veće stabilnosti. Svaka procedura ima specifične indikacije
temeljene na anatomiji psa i težini oštećenja ligamenta. Postoperativna njega je ključna za
osiguranje pravilnog zacjeljivanja i smanjenje komplikacija poput infekcije ili neuspjeha
implantata. Istraživanja pokazuju različite stope uspjeha i komplikacija, naglašavajući važnost
kirurške stručnosti i precizne izvedbe. Napredak u veterinarskoj ortopediji nastavlja
usavršavati ove tehnike, nudeći poboljšane rezultate za pse s rupturom PKL-a. Krajnji cilj ovih
kirurških intervencija je vraćanje pokretljivosti, smanjenje boli i poboljšanje kvalitete života
pasa. Kao i kod svake kirurške procedure, temeljito predoperacijsko planiranje, vješta izvedba
i pažljiva postoperacijska njega ključni su za postizanje najboljih rezultata. Ovaj sveobuhvatan
pristup osigurava da se psi vrate svojim normalnim aktivnostima uz minimalan rizik od
ponovne ozljede.

Abstract (english)

Surgical treatment of cranial cruciate ligament (CCL) rupture in dogs involves methods
to alter joint surface angles and force vectors to stabilize the knee. The CCL is crucial for knee
stability, and its rupture can lead to significant lameness and joint instability. Common surgical
methods include tibial plateau leveling osteotomy (TPLO), closing cranial wedge osteotomy
(CCWO), tibial tuberosity advancement (TTA), triple tibial osteotomy (TTO), and CORAbased leveling osteotomy (CBLO). These techniques aim to restore normal joint function by
repositioning bones and altering the knee joint mechanics to prevent cranial tibial translation.
TPLO changes the angle of the tibial plateau, CCWO removes a wedge from the tibia,
shortening it cranially, TTA advances the tibial tuberosity, TTO combines elements of TPLO
and TTA, while CBLO changes the slope of the tibial plateau for greater stability. Each
procedure has specific indications based on the dog's anatomy and the severity of ligament
damage. Postoperative care is crucial for ensuring proper healing and reducing complications
such as infection or implant failure. Research shows varying success and complication rates,
highlighting the importance of surgical expertise and precise execution. Advances in veterinary
orthopedics continue to refine these techniques, offering improved outcomes for dogs with
CCL rupture. The ultimate goal of these surgical interventions is to restore mobility, reduce
pain, and enhance the quality of life for dogs. As with any surgical procedure, thorough
preoperative planning, skilled execution, and careful postoperative care are key to achieving
the best outcomes. This comprehensive approach ensures that dogs return to their normal
activities with minimal risk of re-injury.

• Keywords: ruptura prednjeg križnog ligamenta; koljeni zglob; kirurško liječenje; osteotomija; pas
• Keywords (english): cranial cruciate ligament rupture; stifle joint; surgical treatment; osteotomy; dog
• Language: croatian
• URN:NBN: urn:nbn:hr:178:634120
• 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: 2024-07-17 12:02:16