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1.
Objective: To assess the reliability of radiographic measurement of angle of lateral opening (ALO) and angle of version of BFX acetabular cups. Study Design: In vitro radiographic study. Sample Population: BFX cups (24, 28, and 32 mm). Methods: Total hip replacement constructs (cups, 17 mm femoral head and a #7 CFX stem) were mounted on an inclinometer. Ventrodorsal radiographs were obtained with ALO varying between 21° and 70° and inclination set at 0°, 10°, 20°, and 30°. Radiographs were randomized using a random sequence generator. Three observers blinded to the radiograph order assessed ALO using 3 methods: (1) an ellipse method based on trigonometry; (2) using a measurement from the center of the femoral head to the truncated surface of the cup; (3) by visual estimation using a reference chart. Version was measured by assessing the ventral edge of the truncated surface. Results: ALO methods 2 and 3 were accurate and precise to within 10° and were significantly more accurate and precise than method 1 (P<.001). All methods were significantly less accurate with increasing inclination. Version measurement was accurate and precise to within 7° with 0–20° of inclination, but significantly less accurate with 30° of inclination. Conclusions: Methods 2 and 3, but not method 1, were sufficiently accurate and precise to be clinically useful. Version measurement was clinically useful when inclination was ≤20°.  相似文献   

2.
OBJECTIVE: To identify risk factors for luxation after canine total hip replacement (THR). STUDY DESIGN: Retrospective study. SAMPLE POPULATION: 256 client-owned dogs that underwent THR. METHODS: Patient data surveyed included signalment, body weight, diagnosis, prior hip surgery, implant size, intraoperative complications, and angle of lateral opening of the acetabular component. RESULTS: Postoperative complications were recorded in 20 cases (7.8%). The most common complication was dorsal luxation which occurred in 12 dogs (4.7%). The interval between joint replacement and luxation ranged from 1 to 116 days (mean, 44 days). In 1 case, luxation was attributable to failure of the repair of an intraoperative fracture of the greater trochanter. Excluding this case, the mean angle of lateral opening in those dogs that sustained luxation was 62 degrees (range, 46 degrees - 75 degrees). The mean angle of lateral opening overall was 48 degrees (range, 18 degrees - 76 degrees). The angle of lateral opening was the only factor that had a statistically significant effect on whether luxation occurred (P = .035). Acetabular revision, performed primarily to reduce the angle of lateral opening, was performed in 8 dogs and successfully prevented subsequent luxation. CONCLUSION: Luxation of the prosthesis is substantially under the control of the surgeon. It is recommended that the acetabular cup be inserted at an angle of lateral opening of 35 degrees to 45 degrees. In those cases of THR luxation in which an inappropriate angle of lateral opening is identified, acetabular revision arthroplasty generally results in a good clinical outcome.  相似文献   

3.
OBJECTIVE: To describe the spatial orientation of the cemented acetabular component in cemented total hip arthroplasty, based on a ventrodorsal and lateral radiographic projection of the pelvis. METHODS: Equations were derived by using trigonometric relationships that describe the radiographic rotation about the longitudinal pelvic axis (alpha), transverse pelvic axis (beta), acetabular inclination (phi), acetabular inclination corrected for longitudinal pelvic rotation, version (phiC), acetabular version (theta), acetabular version corrected for longitudinal pelvic rotation (thetaC), acetabular inclination corrected for transverse pelvic rotation (phi(beta)), and acetabular version corrected for transverse pelvic rotation (theta(beta)) RESULTS: Alpha was calculated by using the equation alpha = sin(-1) (x/y) where x is the transverse distance between the dorsal spinous processes and the center of the pubis on a ventrodorsal radiograph and y is the distance from the pubis to the dorsal aspect of the first coccygeal vertebra perpendicular to the long axis of the pelvis on a lateral radiograph. Phi was calculated from the long axis (LA) and short axis (SA) of the ellipse formed by the radiopaque acetabular marker ring by using the equation phi = sin(-1) (SA/LA). phiC was calculated by using the equation phiC = phi +/- (alpha - tan(-1) (tan alpha cos thetaC)). Theta was determined as previously described. ThetaC was calculated by using the equation thetaC = tan(-1) (tan theta cos alpha). Theta(beta) and theta(beta) were calculated with the equations phi(beta) = tan(-1) (tan theta cos beta) and theta(beta) = theta - tan(-1) (sin beta), respectively. Beta could not be accurately determined from ventrodorsal and lateral pelvic radiographs. CONCLUSIONS AND CLINICAL RELEVANCE: These techniques allow for more accurate postoperative radiographic assessment of acetabular component positioning. This information can then be used in retrospective or prospective analyses examining that effects of implant positioning on clinical outcome.  相似文献   

4.
OBJECTIVE: To evaluate the effect of limb positioning and measurement technique on the magnitude of the radiographically determined tibial plateau angle (R-TPA). STUDY DESIGN: In vitro study, R-TPA was determined by 6 blinded observers and image measurement software. ANIMALS: Five canine cadaver hind limbs. METHODS: The legs were positioned on a custom-made positioning device simulating a radiographic tabletop technique in lateral recumbency. True lateral positioning was defined by superimposition of femoral and tibial condyles on the radiographic projection. Radiographs were taken while the specimens were relocated in a proximal, distal, caudal, and cranial direction with respect to the radiographic beam. For each specimen, 25 different radiographic views were obtained and 6 blinded observers determined the radiographic TPA using 2 different methods. The conventional method used precise anatomic landmarks to determine the tibial plateau. To simulate osteoarthritic changes complicating identification of these landmarks, the tangential method estimated the tibial plateau as the tangent to the central portion of the tibial plateau. After periarticular soft tissue dissection the anatomic tibial plateau angle (A-TPA) was determined. The A-TPA and the R-TPA were compared. RESULTS: The R-TPA significantly decreased as limb position with respect to the X-ray beam changed from cranial proximal to caudal distal. The maximal mean radiographic R-TPA difference was 3.6 degrees with the first and 5.7 degrees with the second method. Regardless of the method used there was no significant difference between A-TPA and R-TPA in the true lateral position. In the peripheral positions, however, significant differences between anatomic and radiographic TPA were seen. CONCLUSIONS: Limb positioning influenced the radiographic appearance of the tibial plateau and the magnitude of the measured TPA. Cranial and proximal positioning of the limb relative to the X-ray beam leads to overestimation whereas caudal and distal positioning leads to underestimation of the TPA. CLINICAL RELEVANCE: True lateral positioning of the tibia defined by superimposition of the femoral and tibial condyles should be used for accurate TPA determination before tibial plateau leveling osteotomy.  相似文献   

5.
OBJECTIVE: To determine the sensitivity and specificity with which acetabular component angles of inclination and version could be used, alone or in combination, to predict luxation of cemented total hip arthroplasties (THA). STUDY DESIGN: Comparison of retrospectively selected cases and controls SAMPLE POPULATION: All THA performed at the University of Florida between 1991 and 1998 with the BioMedtrix system and for which at least 2 months of radiographic follow-up were available. All THA performed at the University of Georgia with the BioMedtrix system which subsequently luxated. METHODS: Acetabular component inclination angle (IA) and acetabular version angle (VA) were determined for each THA. Data were grouped according to outcome - luxation or no luxation - with the luxated cases from the 2 institutions pooled. Receiver operator characteristic (ROC) analysis was used to evaluate decision rules for using IA and VA as tests for detecting postoperative luxation. Sensitivity and specificity for luxation and 95% confidence bounds were computed with selected values of IA and VA as cut-points. RESULTS: The nonluxation group consisted of 68 THA with a median follow-up time of 5 months (range, 2-60 months). The luxation group consisted of 12 THA with a mean time to luxation of 36 days. The nonluxation group had a mean +/- standard deviation (SD) IA and VA of 40.3 degrees +/- 8.9 degrees and 71.1 +/- 13.6 degrees, respectively, whereas the luxation group had a mean +/- SD IA and VA of 34.7 degrees +/- 12.6 degrees and 72.9 degrees +/- 16.6 degrees, respectively. An IA cut-point of 37.8 degrees achieved 58.3% sensitivity and 57.4% specificity. A VA cut-point of 73 degrees achieved 75.0% sensitivity and 51.5% specificity. IA and VA considered simultaneously achieved a 50.0% sensitivity and 88.2% specificity. CONCLUSIONS AND CLINICAL RELEVANCE: ROC analysis indicated that both IA and VA considered individually or simultaneously were poor indicators of luxation. Although extreme values of IA may predict luxation with high specificity, the potential for luxation cannot be excluded based on apparently appropriate values of IA and VA. The results of this study also indicate that a successful outcome is possible with a wide range of acetabular component positions.  相似文献   

6.
Angles of inclination were calculated from ventrodorsal (VD) and caudocranial horizontal beam (CaCrHB) radiographs of 17 anesthetized dogs, and from radiographs of left femurs of the same dogs positioned 0 degree, 10 degrees, 15 degrees, and 20 degrees from the cassette in the sagittal plane. Angles of inclination also were measured directly from radiographs of the bones rotated to correct for anteversion. Calculated angles of inclination from the bones at 10 degrees, 15 degrees, and 20 degrees from the cassette were significantly different from the 0 degree values obtained by calculation and direct measurement. Inclination angles from live dogs were consistently larger than those from 0 degree bones. Differences between angles of inclination calculated from VD and CaCrHB radiographs of live dogs were not significant.  相似文献   

7.
OBJECTIVE: To report the use of dorsal acetabular augmentation (DAA) in canine total hip arthroplasty (THA) and to evaluate the clinical and radiographic outcome after a minimum of 1 year follow-up. STUDY DESIGN: Clinical study. ANIMALS: Nine dogs that had THA. METHODS: Ten hips requiring acetabular augmentation for optimum acetabular cup implantation for THA were evaluated retrospectively. The excised femoral head and neck was used as the corticocancellous bone graft for index THA surgeries, and the dorsal crest of the ipsilateral ilial wing was used as the bone graft in 1 dog that had a revision surgery. Clinical and radiographic follow-up examinations were performed at approximately 8 weeks and 1 year postoperatively. Long-term radiographic examinations included use of a standing dorsal acetabular rim (DAR) projection for assessment of graft-recipient boundary. Functional clinical outcome was assessed using direct patient evaluation and telephone interview. RESULTS: One dog failed to regain limb function after surgery. Suspected aseptic loosening of the acetabular cup was observed on radiographs approximately 12 weeks postoperatively. Excluding this single explantation, follow-up physical and radiographic examinations indicated good implant and graft positioning and normal function for all dogs. CONCLUSIONS: Acetabular augmentation permitted implantation of an appropriately sized acetabular cup while maintaining complete DAR coverage of the prosthesis. Nine out of 10 hips had a successful outcome with minimal radiographic and no functional abnormalities. Further follow-up is necessary to determine the long-term outcome of DAR augmentation in canine THA. CLINICAL RELEVANCE: Acetabular augmentation with an autogenous corticocancellous bone graft constructed from the femoral head and neck can provide complete DAR coverage to permit use of an appropriately sized acetabular cup in THA.  相似文献   

8.
The effect of dorsopalmar projection obliquity on calculation of distal phalangeal rotation (DPR) angle was determined in 8 feet obtained from 5 horses that had been euthanatized because of laminitis. A true lateromedial view of each foot served as a reference, with additional views taken at 5, 10, 15, and 20 degrees of x-ray tube head rotation in both a dorsal and in a palmar direction. Projection obliquity resulted in consistent underestimation of DPR angle. Where projection obliquity exceeded 10 degrees, there were significant (P less than 0.05) differences in DPR angle. The magnitude of underestimation appeared to be independent of severity of rotation. A radiographic variable, the mean normalized intercondylar distance, was defined and measured on 13 feet so that the angle of projection obliquity could be estimated on routine clinical studies.  相似文献   

9.
This study aimed to describe the radiographic anatomy and osteology and to evaluate angular radiographic measurements—Norberg angle, inclination angle and anteversion angle—of the pelvic limbs in free‐ranging capybaras. Twenty cadavers of free‐ranging capybaras (Hydrochoerus hydrochaeris), including five adults and 15 subadults, were studied. Ventrodorsal, craniocaudal, dorsoplantar and mediolateral radiographic views of the pelvic limbs were obtained. The radiographic features were described together with bone samples. The hip bone (os coxae), shaped like an isosceles trapezoid, was elongated and narrow with the presence of an oblong obturator foramen, sagittal ilial wing and rectilinear ilial body. The femoral shaft was relatively straight, while the greater trochanter was projected above the femoral head. No sesamoid bones of the gastrocnemius and popliteus muscles were observed radiographically or for those animals used in gross macroscopy. The fibula was located lateral and parallel to the tibia. Eight tarsal bones, four metatarsal bones and three digits were identified. The mean radiographic measurements included Norberg angle of 125.9°; respective angles of femoral inclination by the Hauptman B and Tomlinson methods of 139.9 and 141°; anteversion angle of the femoral head and neck of 29.80°. The bones of the pelvic limbs in capybaras have several anatomical characters and radiological features that are shared with members of the caviomorph superfamily Cavioidea. The radiographic angles measured in this study help characterize the functional morphology of this species.  相似文献   

10.
The inclination and anteversion angles of the femoral head and neck in 30 mongrel dogs were determined using a radiographic biplanar technique. The angle of anteversion of the 30 necropsy specimens was measured directly and compared with the in vivo radiographic measurements.
The average value for the angles of anteversion, inclination, and corrected real angles of inclination were 31.3°, 148.8°, and 144.7°, respectively. Graphs were established using existing trigonometric relations to facilitate the analysis. The method used was found to be simple, reliable, and accurate. The mean difference between the indirect radiographic biplanar technique and direct measurements on isolated bones was ° 1.5°. The difference between the mean values of anteversion angles determined after radiographic biplanar technique and direct bone measurements was not significant (p > 0.05).  相似文献   

11.
The temporomandibular joint is formed between the condyloid process of the mandible and the mandibular fossa of the temporal bone. The basic anatomy of this joint was assessed and described in a series of skulls including dolichocephalic, mesaticephalic and brachycephalic breeds. The facial index and rotational angles were measured with the facial index providing a useful method of classifying skull types but the rotational angle being of limited use in assessment of the temporomandibular joint until normal breed values are established. Equipment was designed to allow repeatable positioning of the temporomandibular joint for radiography at a variety of lateral and long axis rotational angles relative to the central x-ray beam. The regions of the joint and anatomic features visualized in each view are demonstrated. 10 degrees rotation was required in either axis to project the joints independently of each other. Lateral rotational angles of 10 to 30 degrees in mesaticephalic and dolichocephalic breeds and 20 to 30 degrees in brachycephalics and long axis rotational views of 10 to 30 degrees depending on the region of interest were considered to be the most useful.  相似文献   

12.
Objective— To develop a standard method of measurement for femoral angles and report values for normal Labrador Retrievers, Golden Retrievers, German Shepherds, and Rottweilers.
Study Design— Retrospective evaluation of canine pelvis and femoral radiographs.
Sample Population— Radiographs of Labrador Retrievers, Golden Retrievers, German Shepherds, and Rottweilers (n=100 for each breed).
Methods— Anatomic lateral distal and proximal femoral angle, mechanical lateral distal and proximal femoral angle, and femoral angle of inclination were measured from radiographs.
Results— For the 4 breeds (Labrador Retrievers, Golden Retrievers, German Shepherds, and Rottweilers, respectively) anatomic lateral distal femoral angles were 97°, 97°, 94°, and 98°; mechanical lateral distal femoral angles were 100°, 100°, 97°, and 100°; anatomic lateral proximal femoral angles were 103°, 98°, 101°, and 96°; mechanical lateral proximal femoral angles were 100°, 95°, 97°, and 93°; and inclination angles were 134°, 134°, 132°, and 137°. Labrador Retrievers, Golden Retrievers, and Rottweilers had significantly higher values for both anatomic and mechanical lateral distal femoral angle than German Shepherds. Anatomic and mechanical lateral proximal angles were greatest for Labrador Retrievers and lowest for Rottweilers.
Conclusion— Anatomic and mechanical femoral joint angles vary between breeds of dogs.
Clinical Relevance— Values for femoral joint angles may be clinically useful for angular limb deformity diagnosis, treatment, and assessment.  相似文献   

13.
The purpose of this study was to determine if variation in the ultrasound beam angle would affect cartilage thickness measurement performed with B-mode ultrasonography. Transverse sections of six fresh equine middle phalanges were obtained from necropsy. Ultrasonographic images of the proximal articular cartilage were obtained in a water bath, in a plane parallel and adjacent to the section plane using a 5-10 MHz linear transducer. Static images were acquired for all six bone specimens with an ultrasound beam angle of 0 degree, 30 degrees, 45 degrees, and 60 degrees. Proximal articular cartilage thickness was measured on ultrasonographic images and on the bone specimen at the same level. A linear mixed-effects model was used to compare articular cartilage thickness measured on specimen and on ultrasonographic images using different ultrasound beam angle. Mean +/- SD cartilage thickness was 1.82 +/- 0.35 mm on bone specimens, 1.72 +/- 0.29 with a 0 degrees angle, 1.99 +/- 0.34 with 30 degrees, 2.06 +/- 0.34 with 45 degrees, and 2.3 +/- 0.38 with 60 degrees. There was a significant difference between macroscopic measurements and ultrasonographic measurements performed with ultrasound angles at 30 degrees, 45 degrees, and 60 degrees. There was a significant increase in cartilage thickness when the ultrasound beam angle decreased (P = 0.0157; R2 = 0.969). Cartilage thickeness measured on ultrasonographic images varies with the ultrasound beam angle and may not be accurate because ultrasound speed in cartilage may be different than the speed used by the ultrasonographic unit for distance calculation.  相似文献   

14.
AIM: To determine whether variation in x-ray-beam angle significantly affected photodensity of the third carpal bone (C3) in the horse using the tangential radiographic view, and indirectly determine whether radioabsorptiometry (RA) could be used to assess differences in bone mineral density (BMD) of C3 between exercised and non-exercised horses. METHODS: The left distal carpal row was isolated post-mortem from 2-year-old Thoroughbred horses that had been either exercised (n=7) for up to 14 weeks using a standard training regimen for racehorses, or not exercised (n=7). The effect of variation in x-ray-beam angle on photodensity was determined on these isolated carpal bones in vitro. Image analysis was used to assess photodensity (compared to a known thickness of aluminium) of four regions of interest (ROI) in C3 and one ROI in the fourth carpal bone (C4) of 14 isolated distal rows of carpal bones of the horse. The isolated carpal bones were placed fl at on a x-ray cassette and radiographed at 90 degrees (i.e. with the x-ray beam perpendicular to the cassette). The x-ray-beam angle was varied in the dorsal sagittal plane by 5 degrees increments to a total of 15 degrees from 90 degrees and from a base angle of 60 degrees (the x-ray-beam angle at which the tangential view is taken in clinical cases). RESULTS: Variation in beam angle of <10 degrees from 90 degrees significantly affected photodensity, and photodensity was significantly affected when the angle was varied <5 degrees from 60 degrees . When taken at an x-ray-beam angle of 60 degrees , the abaxial aspect of the radial facet of C3 had a consistently higher photodensity than the rest of C3 and C4. The photodensity of the third and fourth carpal bones was higher in exercised horses than in non-exercised horses. CONCLUSION: As variation in x-ray-beam angle significantly affected photodensity, RA using the tangential view is not considered clinically applicable for assessing BMD of C3 and the accuracy of subjective assessment of BMD of C3 using the tangential view in horses is questionable.  相似文献   

15.
OBJECTIVE: To define the vertical position of the patella in clinically normal large-breed dogs. SAMPLE POPULATION: Cadavers of 13 clinically normal large-breed dog. PROCEDURE: Both hind limbs were harvested with intact stifle joints and mounted on a positioning device that allowed full range of motion of the stifle joint. Lateral radiographic views were obtained with the stifle joints positioned at each of 5 angles (148 degrees, 130 degrees, 113 degrees, 96 degrees, and 75 degrees). Vertical position of the patella through a range of motion was depicted on a graph of mean stifle angle versus corresponding mean proximal patellar position (PPP) and distal patellar position (DPP) relative to the femoral trochlea for each dog. Ratio of length of the patellar ligament to length of the patella (L:P) was determined for each dog. Overall mean, SD, and 95% confidence intervals for L:P were calculated for all dogs. RESULTS: Evaluation of vertical position of the patella through a range of motion revealed a nearly linear relationship between joint angle and PPP and joint angle and DPPF Evaluation of L:P results did not reveal significant differences between limbs (left or right) or among joint angles. Overall mean +/- SD L:P for all dogs was 1.68 +/- 0.18 (95% confidence interval, 1.33 to 2.03). CONCLUSIONS AND CLINICAL RELEVANCE: The L:P proved to be a repeatable measurement of vertical patellar position, which is independent of stifle angles from 75 degrees to 148 degrees.This measurement could be used as a quantitative method for diagnosing patella alta and patella baja in large-breed dogs.  相似文献   

16.
The radiopaque and radiolucent anatomical structures that are superimposed over the root of the maxillary canine tooth in mesaticephalic cats were identified on digital radiographs made at various angles. The vomer bone, the nasal bone, the palatine fissure, and the infraorbital foramen were not superimposed over the root of the canine tooth in the range of angles examined. Superimposition with the palatine sulcus (which is rarely visible clinically because of silhouetting of the soft tissues) only occurred at extreme horizontal (cross-sectional arc) angles. The second premolar tooth was superimposed at a cross-sectional angle of 80 degrees and 90 degrees. The structures of concern in the interpretation of radiographs of the maxillary canine tooth in mesaticephalic cats are the conchal crest, the line of conjunction between the vertical body of the maxilla and its palatine process, the incisivomaxillary canal (which is rarely visible on radiographic images), and the lachrymal canal. Because of their anatomical vicinity, the radiographic position of these structures relative to the maxillary canine tooth can only be minimally changed. It was not possible to identify an "ideal" angle to radiograph the maxillary canine tooth in these four mesaticephalic cats. However, an acceptable compromise between minimal distortion of the image and satisfactory visualization of the root was obtained with the radiographic beam (rostro-caudal rotation) angled at 80 degrees and the skull (rotation in cross-sectional arc) angled at 70 degrees.  相似文献   

17.
This prospective study used radiographic techniques to evaluate the inclination, Norberg, quadriceps and femoral varus angles, and the patellar position in dogs with developmental medial patellar luxation. The study also compared these measurements pre- and post-operatively to determine how they were affected by surgical procedures. Eighteen dogs with unilateral or bilateral luxation were used, and 4 groups were established according to luxation grade. Except for the quadriceps angle, there was no difference among the groups preoperatively. Significant differences for the quadriceps angle were observed between Grades 1 and 3, and between Grades 2 and 3. The Norberg and femoral varus angles and the patellar position showed no changes between pre- and postoperative groups. However, measurements of the preoperative quadriceps angle and postoperative inclination angle may be useful for evaluating dogs with grade-3 luxation. Further studies using other imaging techniques are required in dogs with severe grade-4 luxation due to the difficulty in obtaining a good radiographic position.  相似文献   

18.
OBJECTIVE: To determine the practicality and clinical outcome of miniature total hip replacement (THR) in dogs. STUDY DESIGN: Retrospective study. Sample Population- Seventeen client-owned dogs that had miniature THR. METHODS: Patient data surveyed included signalment, body weight, diagnosis, implant size, surgical technique, and intraoperative and postoperative complications. Radiographic evaluation included angle of lateral opening of the acetabular component, implant positioning, cement mantle quality, and femoral displacement measurement and ratio. Client questionnaire and orthopedic examination were used to obtain long-term follow-up information. RESULTS: Miniature THR was performed to address hip dysplasia and secondary osteoarthritis. In 1 dog, a staged bilateral procedure was performed. Mean body weight was 19 kg (range, 12 to 25 kg). Penetration or fissure of the femoral cortex was the most common intraoperative complication and occurred in 3 dogs. In 3 dogs, there was excessive coxofemoral laxity after reduction of the prosthesis. This instability was addressed specifically in 2 dogs by capsulorrhaphy or capsular prosthesis. Postoperative convalescent complications (craniodorsal luxation, 2 dogs; acetabular cup displacement, 1 dog) were related to surgical errors. Aseptic loosening of the femoral implant was diagnosed in 1 dog at 18 months. Mean follow-up time was 17 months (range, 4 to 42 months). Fifteen of 18 (83%) miniature THRs had good or excellent outcomes. CONCLUSIONS: Miniature THR should be considered a satisfactory alternative to femoral head and neck ostectomy in medium-size dogs affected by hip dysplasia and secondary osteoarthritis. The population of medium-size dogs that might derive more benefit from THR than FHO has yet to be defined. CLINICAL RELEVANCE: Miniature THR is a viable treatment option in medium-size dogs with hip dysplasia.  相似文献   

19.
Risk factors for ventral luxation in canine total hip replacement   总被引：1，自引：1，他引：0  
Objective— To identify risk factors associated with ventral luxation (VL) of canine total hip replacement (THR), and outcome.
Study Design— Retrospective study.
Animals— Dogs (n=602) that had THR (563 cemented, 35 cementless, 4 hybrid).
Methods— Dogs (1999–2004) with VL after THR were compared with dogs with uncomplicated THR. Data included signalment, body weight, diagnosis, implant size, acetabular cup orientation, and femoral displacement ratio (FDR).
Results— VL was diagnosed in 11 (1.8%) dogs after primary THR. Including 2 other dogs that had VL after the study period, 10 (77%) of 13 dogs had VL within 7 days of surgery. Risk factors for VL included Saint Bernard-type dogs ( P =.0001), short neck extension ( P =.0005), and high angle of lateral opening in other breeds ( P =.018). There were trends toward higher risk of VL with lower FDR in Saint Bernardtypes ( P =.060), and with cementless implants ( P =.061). Twelve dogs had revision arthroplasty that was successful in all cementless and 2 cemented VL cases. Five dogs had recurrent VL and a poor outcome.
Conclusion— VL is generally an early complication of THR, with no single common risk factor identified.
Clinical Relevance— Saint Bernard types and short neck extensions are associated with increased risk of VL. Poor cup orientation is a determining factor for VL in some dogs, but a protective orientation of the acetabular cup was not found. Revision is successful in most dogs, but recurrent VL merits a guarded prognosis.  相似文献   

20.
The angle between the occlusal surface of the tooth and the horizontal plane of 687 cheek teeth from the skulls of 22 horses without gross dental disorders and 11 horses with dental disorders were measured by using stiff malleable wire as an imprint. Each measurement was repeated five times and the mean angle was recorded. In the normal skulls, the mean occlusal angles of the mandibular cheek teeth ranged from 19.2 degrees at the Triadan 06 position to 30 degrees at the 11 position, and these angles were significantly greater than the occlusal angles of the opposing maxillary cheek teeth (range 12.5 degrees to 18 degrees) at all the positions except the 06. The rostral mandibular cheek teeth had significantly lower occlusal angles than the caudal mandibular cheek teeth, but the converse was true for the maxillary teeth. In the skulls with dental disorders the occlusal angles of the mandibular cheek teeth ranged from 15.6 degrees to 28.5 degrees , and of the maxillary cheek teeth from 9.2 degrees to 16.4 degrees. They were not significantly different from the angles of the teeth from the normal skulls, except at the 06 position, where they were smaller.  相似文献   

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