Tibial tuberosity Advancement (TTA) system: Canine cruciate ligament siamthatna atana tunlai surgery hmanga siam a ni.
Inhmelhriattirna
Anterior cruciate ligament (ACL) hi canine hind limb-a ligament hliam tam ber zinga mi a ni a, chu chuan joint instability, pain, a tawpah degenerative joint disease (DJD) a thlen a ni. Surgical intervention hi a nghet leh a, a nghetna siam that lehna tur leh joint tihchhiat belh zel tur venna atan 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 complication tihtlem a nih avangin a lar chhoh zel avangin a lar hle. He thuziak ah hian TTA system, a principle, a hman dan, a hlawkna leh a tih theih chin te chu a thuk zawkin kan delve ang.
Canine stifle joint-a taksa peng hrang hrang leh taksa peng hrang hrangte .
TTA system kan delve hmain canine stifle joint-a anatomy leh physiology hriatthiam a pawimawh hle. Stifle joint hi mihring khup ruh nena a tlukpui a ni a, femur, tibia leh patella ruh atanga siam a ni. ACL hian joint chu femur nena khaikhin chuan tibia chu hmalam pan turin a veng thei a, chu chuan joint chu a ti nghet thei a ni. Uiah chuan ACL hi joint capsule chhungah a awm a, collagen fibers atanga siam niin femur leh tibia ruhah a inzawm a ni.
Ui te ACL rupture pathogenesis .
Uiah hian ACL rupture hi chhan hrang hrang vang a ni thei a, chung zingah chuan genetics, kum, thau lutuk, taksa tihchakna leh trauma te pawh a tel. ACL a tlak chuan tibia ruh chu hmalam panin a tlan a, chu chuan ruh chu a nghet lo a, chu chuan natna a thlen a, a na a, a ti na a, a tawpah chuan DJD a thlen bawk. Conservative management, chawlh hahdam, damdawi, leh physical therapy te hian natna a tiziaawm thei a, mahse joint instability chungchanga harsatna awm chu a hmachhawn lo. Surgical intervention hi a nghet leh a, a nghetna siam that lehna tur leh joint tihchhiat belh zel tur venna atan a ngai fo thin.
TTA system chungchanga thu bulte .
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 chuan femur bone nen a articulate a, stifle joint a siam a ni. ACL rupture nei uiah chuan tibial plateau chu a hnuai lam hawiin a tla thla a, chu chuan tibia ruh chu femur ruh nen a inzawm tlat a ni. TTA system-ah hian tibial tuberosity, khup ruh hnuai lama awm, ruh langsar tak, tibial plateau angle tihpun nan hmalam pan zel a ni. Hmasawnna chu titanium cage leh screw hmangin a stabilise a, chu chuan ruh damna leh fusion a tichak a ni.
TTA system a thatna te .
TTA system hian ACL siamthatna hmanraw hlui, tibial plateau leveling osteotomy (TPLO) leh extracapsular repair te aiin advantage engemaw zat a pe a ni. Pakhatnaah chuan TTA system hi biomechanically sound a ni zawk a, a chhan chu ACL rupture thlentu ber forward tibial thrust ven nan tibial plateau angle a thlak a ni. Pahnihnaah chuan TTA system hian native ACL a humhim a, natna kai theihna, graft failure, leh implant failure te a ti tlem a ni. Pathumnaah chuan TTA system hian postoperative weight-bearing leh rehabilitation hmasa ber a siam thei a, hei hian joint function a ti tha a, recovery time a ti tlem bawk. Palinaah chuan TTA system hi ui lian leh chi hrang hrang tan a tha a, mimal mamawh ang zela siam theih a nih avangin.
TTA system-a thil tih theih lohte .
Surgical technique dang ang bawkin TTA system hian a limitation leh a complication awm thei te a nei a ni. Complication awm tam ber chu implant failure a ni a, chu chu mechanical stress, infection, emaw ruh dam tha lo vang pawh a ni thei. Implant failure hian joint instability, pain, leh revision surgery mamawhna a thlen thei a ni.
TTA system-a harsatna awm thei dangte chu tibial crest fracture, patellar tendonitis, leh joint effusion te a ni. Tin, TTA system hi surgical technique complex tak a ni a, specialized training leh expertise a ngai a, hei hian veterinary clinic thenkhata a awm theihna a tikhawtlai thei bawk. Chubakah, TTA system hi ACL siamthat dan dang aiin a man a to zawk a, hei hi ran neitu thenkhat tan chuan tih theih a ni lo mai thei.
TTA system atana candidate te .
TTA system hi ACL rupture leh joint instability nei ui tan a tha a, concurrent meniscal tears emaw DJD emaw nei tan pawh a tha bawk. TTA system atana candidate tha ber chu ui taksa rih zawng kg 15 aia tam nei a ni a, ui te zawk chuan titanium cage thlawp thei tur bone mass an nei tlem thei a ni. Chubakah, patellar luxation na tak, cranial cruciate ligament (CCL) degeneration na tak nei, medial patellar luxation nei tan chuan TTA system hi a tha lo.
Preoperative evaluation leh planning .
TTA system a neih hma hian ui hian preoperative evaluation kimchang tak a neih a ngai a, chutah chuan taksa enfiahna kimchang, radiographic imaging, leh laboratory test te pawh a tel tur a ni. Radiographic imaging-ah hian stifle joint views leh hip views te pawh a tel tur a ni a, chu chuan concurrent hip dysplasia emaw arthritis emaw a awm loh nan a hmang tur a ni. Chubakah, surgeon chuan uluk takin surgery chu a ruahman tur a ni a, chutah chuan titanium cage lian leh te, tibial tuberosity advancement awm zat leh anesthesia leh pain management chi hrang hrang te pawh a tel tur a ni.
Surgical technique hman dan .
TTA system hi technically demanding surgical technique a ni a, specialized training leh expertise a ngai a ni. Surgery hi general anesthesia hmangin an ti a, ui chu dorsal recumbency-ah dah a ni. Surgeon chuan tibial tuberosity chungah incision a siam a, patellar tendon chu tuberosity atang chuan a detache a. Chumi hnuah chuan tuberosity chu specialized saw hmangin an tan a, titanium cage chu cut chungah an dah a. Cage chu screw hmangin an nghet a, patellar tendon chu tuberosity-ah an dah leh a ni. Chumi hnuah chuan joint chu a nghet leh nghet loh enfiah a ni a, chu chu suture emaw staple emaw hmangin incision chu khar a ni.
Postoperative care leh rehabilitation .
Surgery an neih zawh chuan ui chu natna damdawi leh antibiotics eiin an dah a, an ruh chu a hring, a na, a natna a awm leh awm loh an enfiah bawk. Ui hian a taksa rihna chu a taksa rihna a phur nghal thei a, mahse, operation a nih hnu lawkah a rit a, mahse kar hmasa berah chuan hnathawh khap a ni. Ui chu leash-ah dah tur a ni a, stairs-a zuang, tlan, emaw lawn loh tur a ni. Physical therapy, passive range of motion exercises leh controlled exercise te pawh hi operation hnu ni engemaw zat chhungin tan tur a ni a, chu chuan joint function a ti tha a, muscle atrophy a veng thei bawk. Damdawi hmanga enkawlna kalpui dan enfiah leh harsatna awm thei te hriat theih nan surgeon te nen follow-up visit neih fo 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 phung pangngai aiin hlawkna engemaw zat a pe a, chung zingah chuan biomechanical soundness, native ACL humhalh, leh postoperative rehabilitation hmasa te pawh a tel. Mahse, TTA system hian a 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 leh veterinary surgeon thiam tak nena inrawnkhawmna uluk tak neih hnuah siam tur a ni.
