KIRURŠKE BOLESTI KOKSOFEMORALNOG ZGLOBA U PASA

master's thesis

• Title (english): SURGICAL CONDITIONS OF THE COXOFEMORAL JOINT IN DOGS
• Author: Stefan Majstorović
• Mentor: Marko Pećin (mentor)
• Committee member: Ozren Smolec (predsjednik povjerenstva)
• Committee member: Andrija Musulin (član povjerenstva)
• Committee member: Marko Pećin (član povjerenstva)
• Committee member: Mario Kreszinger (član povjerenstva)
• Granter: University of Zagreb; Faculty of Veterinary Medicine; Zagreb
• Defense date and country: 2022-01, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Veterinary Medicine; Veterinary Clinical Sciences

Abstract

Operativna stanja bočnog zgloba najčešće su uvjetovana udarima motornih vozila (53%-
83%) budući da je za nastanak takvih ozljeda potrebna velika sila. Ozlijede koje zahtijevaju
operativno liječenje možemo podijeliti na traumatska stanja, razvojna stanja te stečena stanja.
Traumatska stanja zahtijevaju veliku silu kako bi do njih došlo radi same konstitucije bočnog
zgloba. Genetske predispozicije u kojima je stabilnost bočnog zgloba narušena povećavaju
vjerojatnost nastanka ozljeda. Tako na primjer, kod displazije kukova, krajnji ishod bolesti
može dovesti do potrebe za ugradnjom umjetnog zgloba. Sam izbor zahvata u vidu
konzervativnog i otvorenog pristupa ovisi o starosti životnije, stanju životinje, stupnju ozlijede,
sposobnosti kirurga te opremljenosti klinike kao i metodi dijagnostike. Cilj svakog zahvata na
bočnom zglobu je povratak funkcije. Vrijeme proteklo između nastanka ozlijede i izvođenja
zahvata predstavlja bitan faktor u uspješnosti terapije te stupnju povratka funkcije.
Produljivanjem perioda između zahvata i ozlijede povećavaju se šanse za nastanak recidiva,
osteoartritisa, degenerativne bolesti zglobova itd. Konzervativni zahvat temelji se na
ograničavanju mobilnosti, nošenju imobilizacijskih povoja te analgeziji. Kirurški zahvat mora
ispunjavati zahtjeve za savršenom repozicijom, stabilnom fiksacijom te ranom pokretljivošću
kako bi moguću pojavu postoperativnih komplikacija sveli na minimum. Bitan faktor u
određenim zahvatima na bočnom zglobu je i financijski aspekt samog zahvata, budući da cijena
samog zahvata može dosezati više tisuća kuna ne uračunavajući i troškove postoperativne skrbi
i rehabilitacije.

Abstract (english)

Injuries of the coxofemoral joint in dogs that require surgical intervention are mostly
caused by motor vehicles (53%-83%), since a large amount of force is required to cause such
injuries. Operative treatment of the injuries of the coxofemoral joint can be grouped by their
causative origin into: traumatic conditions, developmental conditions and acquired conditions.
Due to the fact that the coxofemoral joint is a very stable, firm and surrounded with muscular
tissue, force to disrupt it has to be great. Genetic predispositions that disturb the stability of the
joint increase the probability of injury to the joint. With that said an example can be given with
hip dysplasia where genetically conditioned hip instability can result in such damage that the
hip can be salvaged only by a total hip replacement. The choice of the procedure in regard to a
conservative or operative treatment depends on: age and condition of the patient, degree of
injury, surgeon ability and the available equipment of the clinic along with the methods of
diagnostics. The goal of every surgical procedure on the coxofemoral joint is the return of
function. Time elapsed between the occurrence of the injury and the procedure is an important
factor in the success of therapy and the degree of the return of function. Elongation of the time
between the occurrence of injury and the procedure greatly increase the chance of relapse, onset
of ostheoarthritis, degenerative joint disease etc. Every surgical procedure has to meet the
requirements of perfect repositioning, stable fixation, and early mobility, in order to reduce the
potential occurrence of postoperative complications to a minimum. Financial aspect is an
important factor in some procedures of the coxofemoral joint, that is because the price of a
procedure can cost several thousand kunas without the price of the postoperative care and
rehabilitation included.

• Keywords: bočni zglob; operativni zahvat; povratak funkcije; umjetni zglob; luksacija
• Keywords (english): coxofemoral joint; surgical procedure; return of function; total hip replacement luxation
• Language: croatian
• URN:NBN: urn:nbn:hr:178:956901
• 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: 2022-01-27 08:43:02