The present technique is designed to transect the medial patellar ligament indicated for treatment of upward fixation of patella in cattle and donkeys. A medial patellar desmotomy was performed first on cadavers and t...The present technique is designed to transect the medial patellar ligament indicated for treatment of upward fixation of patella in cattle and donkeys. A medial patellar desmotomy was performed first on cadavers and then on 21 live cattle or donkeys. In live animals under local anesthesia, a sterile silk strand (USP 1) mounted on a curved needle is inserted through skin at the medial aspect of the medial patellar ligament to the subcutaneous fascia and directed beneath the ligament to emerge at opposite side. The silk is then sawed to cut the ligament. In contrast to other procedures, the desmotomy is less invasive as skin at the surgical site is not incised, pericapsular fat and joint capsules not invaded, and the ligament is fully transected in a one-step procedure. Minimal tissue invasiveness limited infection of surgical site, minimized bleeding, and decreased related postoperative consequences.展开更多
马髌骨上锁(Upward Fixation of the Patella,UFP)又称马膝盖骨上方脱位,即膝盖骨移位并一直被髌内侧直韧带(Medial patellar ligament,MPL)和肌肉固定在股骨内侧滑车嵴上,形似上锁制动使得受影响的肢蹄很难或不能弯曲。本病多发于年轻...马髌骨上锁(Upward Fixation of the Patella,UFP)又称马膝盖骨上方脱位,即膝盖骨移位并一直被髌内侧直韧带(Medial patellar ligament,MPL)和肌肉固定在股骨内侧滑车嵴上,形似上锁制动使得受影响的肢蹄很难或不能弯曲。本病多发于年轻的运动马,以设特兰矮马最为常见。对两岁到三岁正处于比赛黄金期的速度赛马以及退役种公马而言,该病造成较大的经济损失。本文通过对国内外髌骨上锁的保守治疗和手术治疗做浅析比对总结,及一例迷你马典型UFP病例开窗术(Fenestration)报告,预测超声精确引导的创口不断缩小的手术将是治疗髌骨上锁手术治疗趋势。本文为马兽医的诊疗提供一定借鉴。展开更多
文摘The present technique is designed to transect the medial patellar ligament indicated for treatment of upward fixation of patella in cattle and donkeys. A medial patellar desmotomy was performed first on cadavers and then on 21 live cattle or donkeys. In live animals under local anesthesia, a sterile silk strand (USP 1) mounted on a curved needle is inserted through skin at the medial aspect of the medial patellar ligament to the subcutaneous fascia and directed beneath the ligament to emerge at opposite side. The silk is then sawed to cut the ligament. In contrast to other procedures, the desmotomy is less invasive as skin at the surgical site is not incised, pericapsular fat and joint capsules not invaded, and the ligament is fully transected in a one-step procedure. Minimal tissue invasiveness limited infection of surgical site, minimized bleeding, and decreased related postoperative consequences.
文摘马髌骨上锁(Upward Fixation of the Patella,UFP)又称马膝盖骨上方脱位,即膝盖骨移位并一直被髌内侧直韧带(Medial patellar ligament,MPL)和肌肉固定在股骨内侧滑车嵴上,形似上锁制动使得受影响的肢蹄很难或不能弯曲。本病多发于年轻的运动马,以设特兰矮马最为常见。对两岁到三岁正处于比赛黄金期的速度赛马以及退役种公马而言,该病造成较大的经济损失。本文通过对国内外髌骨上锁的保守治疗和手术治疗做浅析比对总结,及一例迷你马典型UFP病例开窗术(Fenestration)报告,预测超声精确引导的创口不断缩小的手术将是治疗髌骨上锁手术治疗趋势。本文为马兽医的诊疗提供一定借鉴。
