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11.
KYLA F. ORTVED DVM URSULA KROTSCHECK DVM Diplomate ACVS SAMANTHA A. COLLINS Bsc JEREMY J. RAWLINSON PhD JONATHAN DYCE VetMB DSAO Diplomate ACVS 《Veterinary surgery : VS》2009,38(5):583-587
Objective— To report management of a chronic slipped capital femoral epiphysis (SCFE) in an alpaca using cementless total hip replacement (THR).
Study Design— Case report.
Animal— An 18-month-old, 47 kg alpaca male.
Methods— Cementless THR was performed in an alpaca with a chronic, right SCFE, and secondary osteoarthritis. Force plate gait analysis was performed before and 8 weeks after surgery. Outcome was determined through clinical evaluation, radiography, and force plate gait analysis.
Results— Cementless THR resulted in marked improvement in the alpaca's comfort level, degree of lameness, and range of motion. On preoperative force plate gait analysis there was decreased contact time ( P =.01) and vertical impulse ( P <.01) of the affected limb, whereas at 8 weeks postoperatively significant differences in gait analysis between pelvic limbs were not apparent.
Conclusion— THR using a BioMedtrix® canine cementless modular prosthesis restored hip function in an alpaca with coxofemoral osteoarthritis from chronic SCFE.
Clinical Relevance— THR may be an appropriate treatment for selected traumatic and degenerative conditions of the coxofemoral joint in alpacas. 相似文献
Study Design— Case report.
Animal— An 18-month-old, 47 kg alpaca male.
Methods— Cementless THR was performed in an alpaca with a chronic, right SCFE, and secondary osteoarthritis. Force plate gait analysis was performed before and 8 weeks after surgery. Outcome was determined through clinical evaluation, radiography, and force plate gait analysis.
Results— Cementless THR resulted in marked improvement in the alpaca's comfort level, degree of lameness, and range of motion. On preoperative force plate gait analysis there was decreased contact time ( P =.01) and vertical impulse ( P <.01) of the affected limb, whereas at 8 weeks postoperatively significant differences in gait analysis between pelvic limbs were not apparent.
Conclusion— THR using a BioMedtrix
Clinical Relevance— THR may be an appropriate treatment for selected traumatic and degenerative conditions of the coxofemoral joint in alpacas. 相似文献
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KEVIN A. R. KUNKEL DVM R. RANDY BASINGER DVM DIPLOMATE ACVS JONATHAN T. SUBER DVM PATRICK D. GERARD PhD 《Veterinary surgery : VS》2009,38(8):975-982
Objective— To evaluate use of a transcondylar toggle system (TCTS) for stabilization of the cranial cruciate ligament (CrCL) deficient stifle in small dogs and cats. Study Design— Prospective clinical study. Animals— Small dogs (<7 kg; n=14) and cats (2) with CrCL‐associated lameness of <3 months duration and a tibial plateau angle <32°. Methods— Affected animals had an extracapsular CrCL repair using the TCTS. Lameness score, muscle atrophy, osteoarthritis (OA) score, and range of motion (ROM) were evaluated preoperatively, and at 6 weeks and 7–10 months postoperatively. Results— Operative time was 75 ± 16 minutes. Fifty‐six percent required >1 bone tunnel attempts. One dog required revision at 2 weeks because of suture loosening. All stifles were stable at 6 weeks postoperatively. Fifteen animals were available for follow‐up (7–10 months). Lameness improved significantly at 6 weeks (P<.0001), whereas muscle atrophy was worse at 6 weeks (P=.008) but improved at 7–10 months (P<.0001). OA scores were unchanged at 6 weeks (P=.08) but were significantly worse at 7–10 months (P<.0001). ROM remained unchanged at 6 weeks (P=1) and 7–10 months (P=.6). Conclusions— The medially placed toggle provides a reliable short‐term proximal anchor for the extracapsular suture with outcomes similar to other extracapsular techniques. The aiming device and drill bit are not recommended in their current form. Clinical Relevance— The TCTS appears to be a well‐tolerated technique for proximal suture anchoring in extracapsular CrCL repair in small dogs and cats where instrumentation and anatomic constraints preclude other techniques. 相似文献
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MARK B. HURTIG DVM PETER B. FRETZ VMD DiplomateACVS CECIL E. DOIGE dvm PhD JONATHAN NAYLOR BVSc PhD DiplomateACVS 《Veterinary surgery : VS》1985,14(2):93-98
The equine carpal joint was used to evaluate arthroscopic diagnosis of lesions created in joints obtained from horses euthanized for reasons other than lameness. Full-thickness articular defects were made in 13 sites within the antebrachiocarpal joint and middle carpal joint approximating those found in diseased carpal joints. Arthroscopic evaluation of the lesions included location, depth, and size of the defects. The joints were subsequently examined grossly. Results showed that, when compared to gross evaluation, arthroscopy is capable of accurately identifying subtle changes in articular cartilage and bone. A statistically significant increase in error rate was found for lesions at the medial aspect of the proximal radial carpal bone. Other sites with limited arthroscopic access were the proximal ulnar carpal bone, the proximal fourth carpal bone, and the distal intermediate carpal bone. The accuracy of arthroscopic identification of lesions improved significantly during the study as experience with the technique was gained. 相似文献
14.
CHAD W. SCHMIEDT DVM GERIANNE HOLZMAN CVT TOBIAS SCHWARZ Dr. Med Vet JONATHAN F. McANULTY DVM PhD 《Veterinary surgery : VS》2008,37(7):683-695
Objective— To report survival, complications, and analyze risk factors for survival after renal transplantation (RTr) and cyclosporine‐A based immunosuppression in cats. Study Design— Historical cohort. Animals— Cats (n=60). Methods— Data were obtained from medical records of cats that had RTr. Influence of various perioperative factors on survival and complications was evaluated. Occurrence of postoperative hypertension (HT), seizures, infection, acute allograft rejection (AR), congestive heart failure (CHF), and delayed graft function (DGF) was evaluated. Results— Survival to discharge after RTr was 77.5%. Estimated median overall survival time was 613 days; 6 month and 3 year overall survival proportions were 65% and 40%, respectively. Age, weight, and blood pressure influenced overall survival. Increased preoperative creatinine concentration, blood urea nitrogen, postoperative creatinine concentration, left ventricular wall thickness, and reduced creatinine reduction ratio influenced survival until discharge. HT was identified in 9/30 (30%) cats; however, no risk factors were identified, nor was HT related to seizures. AR was identified in 8/62 (13%) grafts. Infection, predominantly bacterial, developed in 22/60 (37%) cats. CHF occurred in 7/60 (12%) cats before discharge. Cats experiencing CHF were younger, had an increased incidence of heart murmurs, and poor initial graft function. DGF was identified in 5 cats and seizures in 2 cats. Conclusions— RTr affords cats with CRF long survival times. Older cats and cats with severe azotemia, HT, and cardiovascular disease may have increased mortality after RTr. Complications after RTr were common. Clinical Relevance— Clinicians should be aware of these risk factors when recommending feline RTr. 相似文献
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JOCELYN J. COOPER JONATHAN M. LEVINE BENJAMIN D. YOUNG DANIEL G. HICKS ANTON HOFFMAN GERALD BRATTON 《Veterinary radiology & ultrasound》2010,51(1):39-41
Normal anatomic variation in the amount of fat within the petrous temporal bone of dogs can result in a magnetic resonance (MR) imaging pseudolesion. Focal hyperintense areas in the region of the hippocampus on T1-weighted, T2-weighted, and fluid-attenuated inversion recovery imaging sequences were noted in a dog being imaged for seizure activity. Further investigation of this region, aided by the use of cadaveric specimens, led to the identification of normal anatomic variability in the amount of fat in the substantia spongiosa of the petrous temporal bone. The presence of normal adipose tissue was confirmed histopathologically. Fat suppression MR imaging sequences can be used to differentiate whether hyperintensity ventral to the hippocampus is a result of a pathologic process, or fat in the substantia spongiosa of the petrous temporal bone. 相似文献
16.
A Combined Tension Band and Lag Screw Technique for Fixation of Olecranon Osteotomies 总被引：1，自引：0，他引：1
ROSS H. PALMER DVM DENNIS N. ARON DVM Diplomateacvs JONATHAN N. CHAMBERS DVM Diplomateacvs 《Veterinary surgery : VS》1988,17(6):328-332
A combined tension band and lag screw technique for fixation of olecranon osteotomies was used in six canine clinical patients weighing 4.5 to 19 kg. After the proximal part of the ulnar shaft was exposed, a screw hole was drilled and tapped just cranial to the caudal cortex of the olecranon. An osteotomy was performed and the hole in the olecranon fragment was overdrilled to form a gliding hole. For reconstruction, the olecranon was reduced anatomically and compressed with a screw placed in lag fashion. With the trochlear notch exposed, a Kirschner wire was inserted cranial to the screw, using care not to enter the elbow joint. A double-twist figure-eight tension band wire was placed around the Kirschner wire in five dogs and around the screw in one dog. In this dog, a spiked washer was used with the screw because a small olecranon fragment had been produced by incorrect osteotomy position. A painful soft tissue swelling over the prominent washer, which resolved after implant removal, was the only complication attributed to the technique. The combined tension band wire and lag screw technique was a rapid and reliable method for fixation of olecranon osteotomies. 相似文献
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Climate has been linked to variation in marine fish abundance and distribution, but often the mechanistic processes are unknown. Atlantic croaker (Micropogonias undulatus) is a common species in estuarine and coastal areas of the mid‐Atlantic and southeast coasts of the U.S. Previous studies have identified a correlation between Atlantic croaker abundance and winter temperatures in Chesapeake Bay, and have determined thermal tolerances of juveniles. Here we re‐examine the hypothesis that winter temperature variability controls Atlantic croaker population dynamics. Abundance indices were analyzed at four life history stages from three regions along the east coast of the U.S. Correlations suggest that year‐class strength is decoupled from larval supply and is determined by temperature‐linked, overwinter survival of juveniles. Using a relation between air and water temperatures, estuarine water temperature was estimated from 1930 to 2002. Periods of high adult catch corresponded with warm winter water temperatures. Prior studies indicate that winter temperature along the east coast is related to the North Atlantic Oscillation (NAO); variability in catch is also correlated with the NAO, thereby demonstrating a link between Atlantic croaker dynamics, thermal limited overwinter survival, and the larger climate system of the North Atlantic. We hypothesize that the environment drives the large‐scale variability in Atlantic croaker abundance and distribution, but fishing and habitat loss decrease the resiliency of the population to periods of poor environmental conditions and subsequent weak year classes. 相似文献
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JAMES FAULCONBRIDGE EWALD ENGELEN MICHAEL HOYLER JONATHAN BEAVERSTOCK 《Growth and change》2007,38(2):279-303
ABSTRACT The turn of the twenty‐first century saw the re‐emergence of debates about the reconfiguration of European financial geographies and the role of stock exchange mergers in this process. There has been, however, no systematic attempt to date to analyse such changes. This paper proposes a specific conceptual framework to explore these issues. It uses a product‐based analysis to examine, in the context of recent stock exchange mergers, the factors affecting the competitiveness of a financial centre. It argues that it is important to understand three intertwined influences—product complementarities, the nature of local epistemic communities, and regulation—and their contingent effects on change. This is exemplified by a tentative application of the framework to the case of Amsterdam in order to better understand its recent decline in competitiveness as a European financial centre. 相似文献
20.
BENJAMIN D. YOUNG JONATHAN M. LEVINE BRIAN F. PORTER ANNIE V. CHEN‐ALLEN JOHN H. ROSSMEISL SIMON R. PLATT MARC KENT GEOFFREY T. FOSGATE SCOTT J. SCHATZBERG 《Veterinary radiology & ultrasound》2011,52(2):132-141
Astrocytomas and oligodendrogliomas represent one third of histologically confirmed canine brain tumors. Our purpose was to describe the magnetic resonance (MR) imaging features of histologically confirmed canine intracranial astrocytomas and oligodendrogliomas and to examine for MR features that differentiate these tumor types. Thirty animals with confirmed astrocytoma (14) or oligodendroglioma (16) were studied. All oligodendrogliomas and 12 astrocytomas were located in the cerebrum or thalamus, with the remainder of astrocytomas in the cerebellum or caudal brainstem. Most (27/30) tumors were associated with both gray and white matter. The signal characteristics of both tumor types were hypointense on T1‐weighted images (12 each) and hyperintense on T2‐weighted images (11/14 astrocytomas, 12/16 oligodendrogliomas). For astrocytomas and oligodendrogliomas, respectively, common findings were contrast enhancement (10/13, 11/15), ring‐like contrast enhancement (6/10, 9/11), cystic regions within the mass (7/14, 12/16), and hemorrhage (4/14, 6/16). Oligodendrogliomas were significantly more likely to contact the brain surface (meninges) than astrocytomas (14/16, 7/14, respectively, P=0.046). Contact with the lateral ventricle was the most common finding, occurring in 13/14 astrocytomas and 14/16 oligodendrogliomas. No MR features were identified that reliably distinguished between these two tumor types. Contrast enhancement was more common in high‐grade tumors (III or IV) than low‐grade tumors (II, P=0.008). 相似文献