Tibial Tuberosity Advancement (TTA) System: Canine Cruciate Ligament siamthatna atana Surgical Technique Tunlai tak
Inhmelhriattirna
Anterior cruciate ligament (ACL) hi canine hind limb-a ligament hliam tam ber zinga mi a ni a, hei hian ruh inzawmna a ti nghet lo va, a na a, a tawpah chuan ruh natna (DJD) a tichhe thei a ni. Surgical intervention hi stability siam that leh joint tihchhiat belh zel tur ven nan a ngai fo thin. Canine ACL siamthatna atana surgical technique thar ber pakhat chu Tibial Tuberosity Advancement (TTA) system a ni a, hei hi joint function tihchangtlunna, natna tihziaawmna leh postoperative complications tihziaawmna atana a thawh that avangin a lar hle a ni. He thuziak-ah hian TTA system, a thu bulte, a hman dan, a hlawkna leh a tihkhawtlai dante chu kan chhui thui zawk ang.
Canine Stifle Joint-a Anatomy leh Physiology chungchang
TTA system kan delve hmain canine stifle joint anatomy leh physiology hriatthiam a pawimawh hle. Stifle joint hi mihring khup ruh nen a inang a, femur, tibia leh patella ruh atanga siam a ni. ACL hian tibia chu femur nena khaikhin chuan hmalam pan turin a veng a, chu chuan ruh chu a ti nghet thei a ni. Uiah chuan ACL hi joint capsule chhungah a awm a, collagen fiber atanga siam a ni a, chu chu femur leh tibia ruh-ah a inzawm a ni.
Ui-a ACL Rupture awm dan (pathogenesis) a ni
Uiah hian ACL rupture hi chhan hrang hrang vang a awm thei a, chung zingah chuan genetics, kum, thau lutuk, taksa tihchakna, leh trauma te pawh a tel. ACL a rupture chuan tibia ruh chu hmalam pan turin a tlan a, chu chuan ruh chu a ti nghet lo va, natna, inflammation, a tawpah DJD a thlen thin. Conservative management, chawlh hahdamna, damdawi ei te, leh taksa lam enkawlna te hian natna tihziaawmna kawngah a pui thei a, mahse, ruh inzawmna (joint instability) buaina bulpui chu a chinfel sak lo. Surgical intervention hi stability siam that leh joint tihchhiat belh zel tur ven nan a ngai fo thin.
TTA System kalphung (principles) te
TTA system hi canine ACL siamthatna atana tunlai surgical technique a ni a, tibial plateau angle thlak danglamin joint stability siam that leh a tum a ni. Tibial plateau hi tibia ruh chunglam a ni a, chu chu femur ruh nen a inzawm a, stifle joint a siam a ni. ACL rupture nei uiah chuan tibial plateau chu hnuai lam hawiin a tlahniam a, chu chuan tibia ruh chu femur ruh nena khaikhin chuan hmalam a pan tir thin. TTA system hian tibial tuberosity, khup ruh hnuai lama awm ruh langsar tak chu tan a, hmalam pan a, tibial plateau angle tihsan a ni. Hmasawnna hi titanium cage leh screw hmanga stabilized a ni a, hei hian ruh tihdam leh fusion a tichak a ni.
TTA System hman tangkai dan
TTA system hian ACL siamthat dan pangngai aiin hlawkna engemaw zat a nei a, chu chu tibial plateau leveling osteotomy (TPLO) leh extracapsular repair te hi a ni. Pakhatnaah chuan TTA system hi biomechanically sound a ni zawk a, tibial plateau angle a thlak danglam a, chu chuan forward tibial thrust a veng a, hei hi ACL rupture thlentu ber a ni. Pahnihnaah chuan TTA system hian native ACL chu a humhim a, infection, graft failure, leh implant failure ang chi complication awm theihna a ti tlem a ni. Pathumnaah chuan TTA system hian postoperative weight-bearing leh rehabilitation hmasa ber a siamsak a, hei hian joint function a ti tha a, recovery time a ti tlem bawk. Palinaah chuan TTA system hi ui lian leh te tan a tha a, mimal mamawh ang zela siam theih a nih avangin.
TTA System-a tihkhawtlai theihna
Surgical technique dang ang bawkin TTA system hian a tih theih lohna leh harsatna awm thei a nei a ni. Complication awm tam ber chu implant failure a ni a, hei hi mechanical stress, infection, ruh dam tha lo vang emaw a ni thei. Implant a hlawhchham chuan ruh a ti nghet lo thei a, a na thei a, revision surgery neih a ngai bawk.
TTA system-a harsatna awm thei dangte chu tibial crest fracture, patellar tendonitis, leh joint effusion te hi a ni. Tin, TTA system hi surgical technique buaithlak tak a ni a, specialized training leh expertise a ngai a, hei hian veterinary clinic thenkhatah a hman theih lohna a tikhawtlai thei bawk. Chubakah, TTA system hi ACL siamthat dan dang aiin a man a to zawk a, hei hi ran vulh neitu thenkhat tan chuan a tih theih loh mai thei.
TTA System atana candidate turte tan a ni
TTA system hi ui ACL rupture leh joint instability nei tan a tha a, concurrent meniscal tears emaw DJD nei tan pawh a tha hle. TTA system atana candidate tha ber chu ui taksa rih zawng kg 15 aia tam a ni a, ui te zawkte hian titanium cage thlawp turin ruh an nei tlem thei a ni. Chubakah, ui patellar luxation na tak nei, cranial cruciate ligament (CCL) degeneration na tak nei, medial patellar luxation nei tan chuan TTA system hi hman a tha lo.
Operation hmaa endik leh ruahmanna siam
TTA system an tih hmain ui hi preoperative evaluation uluk tak neih a ngai a, chutah chuan taksa enfiahna kimchang, radiographic imaging, leh laboratory testing te pawh a tel a ni. Radiographic imaging-ah hian concurrent hip dysplasia emaw arthritis emaw a awm loh nan stifle joint view leh hip view pahnih a tel tur a ni. Chubakah, surgeon chuan titanium cage lian leh te, tibial tuberosity hmasawnna zat, leh anesthesia chi hrang hrang leh natna enkawl dan te uluk takin a ruahman tur a ni.
Surgery hman dan tur
TTA system hi technically demanding surgical technique a ni a, specialized training leh expertise a ngai a ni. Surgery hi general anesthesia hmanga tih a ni a, ui chu dorsal recumbency-ah dah a ni. Surgeon chuan tibial tuberosity chungah incision a siam a, patellar tendon chu tuberosity atang hian a la chhuak thin. Chumi hnuah chuan tuberosity chu specialized saw hmangin an tan a, chu chu cut chungah titanium cage dah a ni. Cage chu screw hmangin an nghet a, patellar tendon chu tuberosity-ah an inzawm leh a ni. Chumi hnuah chuan joint chu a nghet em tih enfiah a ni a, suture emaw staple emaw hmangin incision chu khar a ni.
Postoperative Care leh Rehabilitation te a ni
Operation zawhah ui chu natna damdawi leh antibiotics-ah dah a ni a, a ruh chu a hring emaw, a na emaw, a natna emaw a awm leh awm loh enfiah a ni. Ui hian operation hnu lawkah a ke ruh natna chu a rit phurh phalsak a ni a, mahse kar hmasa lamah chuan tih khap tlat a tha. Ui chu leash-ah dah tur a ni a, zuang, tlan leh stairs-a chhoh loh tur a ni. Physical therapy, passive range of motion exercise leh controlled exercise te pawh hi operation hnu ni engemaw zat chhungin tan tur a ni a, hei hian joint function a tichak a, muscle atrophy a veng thei bawk. Surgeon nena follow-up visit neih fo a ngai a, chu chuan a dam dan enfiah a, harsatna awm thei te hriatchhuah a ngai a ni.
Tawpna
Tibial Tuberosity Advancement (TTA) system hi canine ACL siamthatna atana tunlai surgical technique a ni a, tibial plateau angle thlak danglamin joint stability siam that leh a tum a ni. TTA system hian ACL siamthat dan hlui aiin hlawkna engemaw zat a nei a, chung zingah chuan biomechanical soundness, native ACL humhalh, leh operation hnua rehabilitation hmasa ber te pawh a tel. Mahse, TTA system hian a tih theih chin leh harsatna awm thei a nei a, specialized training leh expertise a mamawh a ni. Chuvangin, TTA system kalpui tura thutlukna siam chu preoperative evaluation uluk taka neih a nih hnuah leh veterinary surgeon thiam tak nena inrawnkhawm hnuah siam tur a ni.
