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Lindevall, Björn (2008) Långtidsuppföljning och artrosutveckling hos hundar kirurgiskt behandlade för ruptur av kraniala korsbandet. Other thesis, SLU.

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The high incidence of cranial cruciate ligament injury in dogs results in both suffering and significant costs due to treatment and care of affected dogs. Today there are several different technics for surgical treatment in dogs with ruptured cranial cruciate ligament. At University Animal Hospital (UDS), SLU, in Uppsala two fundamentally different methods; TPLO (Tibial Plateau Leveling Osteotomy) and external fixation with suture material are practiced. The aim of this study was to estimate if the different surgery technics result in any difference regarding the function of the dog in a long term perspective. Since motion and function are very affected by arthritis, was the purpose also to determine if there are any differences in developing arthritis between dogs surgical treated with external fixation respectively with TPLO. Development of arthritis is common after surgery or traumatic injuries in a joint, such as cruciate ligament rupture. Unfortunately was the number of dogs in the study to small to achieve two comparable groups. Furthermore not all dogs could be included in all parts of the study due to different reasons. During the work a number of different parameters that, by itself or in combinations, affect the long term outcome of a dog with cranial cruciate ligament rupture been studied. From the limited number of dogs in the study one could state that neither of the surgical techniques seemed to accomplish a total recovered dog. A larger proportion in the group of dogs treated with TPLO had a lower degree of development of arthritis than the dogs treated with external fixation. But the TPLO-group seemed to have more frequent rehabilitation training during a longer period than the dogs treated with external fixation. One could also establish that there were significant differences between the individuals regarding the time from confirmed injure to surgery. It was not possible to say if this was of any importance for the long term outcome, but the material indicated a relation between time and preoperative osteoarthritis. No certain conclusions could be made due to the limited number of dogs in this study. That the incidence and progression of osteoarthritis has a decisive impact on the function of a dog is known. This study showed a number of parameters that most likely had an effect on the progression of arthritis and hence the function of the dog. However the interpretation of the results was not clear. If it was the time between injure and surgery, the choice of surgical technique or the extent of rehabilitation that affected the function of the dog in a long-term perspective, could not be established. The most likely, is probably that it were a combination of time, surgical technique and rehabilitation that settled the final result.

Item Type: Thesis (Other)
Keywords: korsband ruptur hund kraniala långtidsuppföljning TPLO extern fixering rehabilitering
Subject (faculty): Faculty of Veterinary Medicine and Animal Science > Dept. of Clinical Sciences
Divisions: SLU > Faculty of Veterinary Medicine and Animal Science
Depositing User: Björn Lindevall
Date Deposited: 14 Jan 2009
Last Modified: 18 Aug 2015 10:10
URI: http://ex-epsilon.slu.se/id/eprint/2997

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