RESUMEN
The aim of this report is to describe the successful surgical repair of a traumatic medial patellar luxation in a 4-yr-old female Eurasian lynx ( Lynx lynx ). The animal presented with hind limb lameness. Physical and radiographic examinations were performed under sedation. After diagnosing a medial patellar luxation, surgical repair was recommended. A combination of soft tissue reconstructive techniques was used to repair the medial patellar luxation. The limb was not immobilized postoperatively, but the animal was confined to a cage for 1 mo. The recovery was uneventful and return to normal activity was observed within 1 mo. Soft tissue reconstructive techniques can be used as the only surgical treatment for the repair of a traumatic patellar luxation in both domestic and wild animals.
Asunto(s)
Lynx , Luxación de la Rótula/veterinaria , Animales , Femenino , Luxación de la Rótula/diagnóstico , Luxación de la Rótula/cirugíaRESUMEN
OBJECTIVE: To evaluate the technical feasibility and efficacy of a joint distraction technique to increase the stifle joint space and assess potential soft tissue damage due to the distraction. METHODS: Twenty stifle joints of twelve canine cadavers without evidence of disease were radiographically evaluated by medio-lateral, cranio-caudal and varus-valgus stressed projections. Joint distraction was applied with loads from 40 N up to 200 N, and the joint space achieved was measured on radiographic images. Distraction plus distension with saline was subsequently applied and measured. Varus-valgus stressed projections were repeated after distraction to evaluate a potential increase in joint laxity. RESULTS: Distraction produced a significant increase of the joint space for most of the evaluated loads. Distraction plus distension produced a significant increase for most of the loads compared to the distraction alone. No ensuing joint laxity could be inferred from the post-distraction radiographic evaluation. CLINICAL SIGNIFICANCE: Stifle distraction produces an increase of the joint space, which is wider when intra-articular saline is injected. This may be potentially useful for improving joint structure visualization and facilitating arthroscopic procedures, thus reducing the potential for iatrogenic damage to intra-articular structures. No soft tissue damage could be inferred by radiographic pre- and post-procedure comparison. Further clinical studies are required to evaluate potential neurovascular complications.