SURGICAL MANAGEMENT OF BILATERAL LATERAL LUXATION OF PATELLA IN A DOBERMAN DOG – A CASE REPORT

D. Vishnugurubaran; N.B. Giritharan; S. Ganesh; D.T. Kaarthick

doi:10.56093/ijvasr.v54i5.172421

Authors

D. Vishnugurubaran Assistant Professor and Head, Department of Veterinary Surgery and Radiology, Veterinary College and Research Institute, TANUVAS,Orathanadu - 614 625
N.B. Giritharan Under graduate final year student, Veterinary College and Research Institute, TANUVAS, Orathanadu - 614 625
S. Ganesh Post graduate student, Veterinary College and Research Institute, TANUVAS, Orathanadu - 614 625
D.T. Kaarthick Assistant Professor, Veterinary Clinical Complex, Veterinary College and Research Institute, TANUVAS, Orathanadu - 614 625

https://doi.org/10.56093/ijvasr.v54i5.172421

Keywords:

Lateral luxation, trochlear wedge recession sulcoplasty

Abstract

A eleven months old male non-descriptive dog was presented to Veterinary Clinical Complex, Veterinary College and Research Institute, Orathanadu with the history of non–weight bearing lameness in both the hind limbs since birth. Animal was active and alert with all vital parameters were within the normal range. Physical examination revealed grade 4 lateral luxation of left patella and confirmed by radiography.Trochlear wedge recession sulcoplasty with tibial tuberosity repositioning was planned. Surgical site was aseptically prepared and under general anaesthesia, a cranial longitudinal incision on the skin and retinaculum was made to mobilize patella. Using osteotome a wedge-shaped bone was cut from trochlear groove and the sulcus was deepened laterally. The wedge was replaced into the sulcus in inverted manner. The tibial tuberosity was transported medially by partial osteotomy and a 1.2 mm Kwire were placed to fix the tibial tuberosity. The patella was replaced in its normal position. The retinaculum was sutured towards medially using synthetic absorbable suture material polyglycolic acid (2-0) by Ford interlocking suture pattern. Skin was opposed with polyamide (2-0) by cross mattress suture pattern. Crepe bandage was applied. Oral antibiotics, analgesics, and antacid drugs were followed for 7 days. The animal made uneventful recovery and able to walk with both the legs.

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References

Bosio, F., Bufalari, A., Peirone, B., Petazzoni, M., and Vezzoni, A. (2017). Prevalence, treatment and outcome of patellar luxation in dogs in Italy. A retrospective multicentric study (2009-2014). Veterinary and Comparative Orthopaedics and Traumatology, 30(5): 364–370.

DeAngelis, M. (1971). Patellar luxation in dogs. The Veterinary Clinics of North America, 1(3): 403–415.

Di Dona, F., Della Valle, G., Balestriere, C., Lamagna, B., Meomartino, L., Napoleone, G., Lamagna, F., and Fatone, G. (2016). Lateral patellar luxation in nine small breed dogs. Open Veterinary Journal, 6(3): 255–258.

Dunlap, A.E., Kim, S.E., Lewis, D.D., Christopher, S.A., and Pozzi, A. (2016). Outcomes and complications following surgical correction of grade IV medial patellar luxation in dogs: 24 cases (2008-2014). Journal of the American Veterinary Medical Association, 249(2): 208–213. https:// doi.org/10.2460/javma.249.2.208

Harasen G. (2006). Patellar luxation: pathogenesis and surgical correction. The Canadian Veterinary Journal, 47(10), 1037–1039.

Hayes, A.G., Boudrieau, R.J., and Hungerford, L.L. (1994). Frequency and distribution of medial and lateral patellar luxation in dogs: 124 cases (1982-1992). Journal of the American Veterinary Medical Association, 205(5): 716–720.

LaFond, E., Breur, G.J., and Austin, C.C. (2002). Breed susceptibility for developmental orthopedic diseases in dogs. Journal of the American Animal Hospital Association, 38(5): 467–477. https://doi.org/10.5326/0380467

Linney, W.R., Hammer, D.L., and Shott, S. (2011). Surgical treatment of medial patellar luxation without femoral trochlear groove deepening procedures in dogs: 91 cases (1998-2009). Journal of the American Veterinary Medical Association, 238(9): 1168–1172.

Ness, M.G., Abercromby, R., May, C., Turner, B.M., and Carmichael, S. (1996). A survey of orthopaedic conditions in small animal veterinary practice in Britain. Veterinary and Comparative Orthopaedics and Traumatology, 09: 43 - 52.

Nunamaker, D.M. (1985). Patellar luxation. In: Newton CD, Nunamaker DM, editors. Textbook of Small Animal Orthopaedics. Philadelphia: Lippincott: 941–947.