Ron Ben-Amotz - Complications in Canine Cranial Cruciate Ligament Surgery

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Complications in Canine Cranial Cruciate Ligament Surgery: краткое содержание, описание и аннотация

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Filling a gap in the current literature, 
provides revision strategies for correcting the complications associated with surgical repair techniques for cranial cruciate ligament rupture, one of the most common causes of a hind limb lameness in dogs. Presenting step-by-step instructions for numerous surgical correction techniques, this practical guide covers articular, extra-articular and osteotomy repair techniques as well as non-surgical management, physical rehabilitation, clinical decision making, and more. 
The book begins with an overview of cranial cruciate ligament tear, diagnosis, and treatment goals, followed by a discussion of methods for minimizing surgical site infection and complications. Subsequent chapters describe the potential complications of a particular technique and explain how to identify, evaluate, and correct the complication. Throughout the book, hundreds of high-quality clinical photographs show the appearance of complications and demonstrate each step of the corrective procedure. This authoritative guide: 
Provides step-by-step techniques for surgical corrections of common complications Emphasizes surgical decision making and specific strategies for surgical correction Contains revision strategies for identification of intra-operative complications Covers evaluation and identification of post-operative complications Features more than 400 photographs and clinical images Part of the
state-of-the-art
series, 
 is an invaluable resource for surgical residents, veterinary surgeons, and general practice veterinarians alike.

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14 Chapter 14Figure 14.1 Examples of a custom‐made and an off‐the‐shelf stifle orthosis f...Figure 14.2 Three‐dimensional orthosis motion during a trotting gait. Data w...Figure 14.3 Computer‐simulated relative tibial translation (RTT) (a)and rel...Figure 14.4 Stifle motion (flexion and extension) with and without an orthos...Figure 14.5 Three‐dimensional stifle motion with and without an orthosis at ...Figure 14.6 Pelvic limb joint motion (flexion and extension) with and withou...Figure 14.7 Image of skin lesion caused by an orthosis. Hair loss and skin i...

15 Chapter 15Figure 15.1 Screen capture of a goniometric measurement collected using a ph...Figure 15.2 Screen capture of a video of a dog walking on a pressure‐sensiti...Figure 15.3 The evaluation of stifle joint motion using a goniometer provide...Figure 15.4 The evaluation of muscle mass is usually performed using a tape ...

16 Chapter 16Figure 16.1 Intraoperative view of the stifle of a cat with a cranial crucia...Figure 16.2 (a)A radiograph of a normal feline stifle; arrows indicate the n...Figure 16.3 Lateral stifle radiograph from a MN 7 kg Bengal. The cat had an ...Figure 16.4 Intraarticular mineralization. (a)A small lesion is often a nor...Figure 16.5 Preoperative measurement of tibial plateau angle (TPA) before pe...Figure 16.6 A medial meniscal bucket handle tear in a cat with the torn port...Figure 16.7 (a,b)A 6‐year‐old British Blue cat presented with left cranial c...Figure 16.8 A combined technique of cranial closing wedge osteotomy and extr...Figure 16.9 Different 2.0 mm plates which have been used for TPLO procedure....Figure 16.10 (a)An osteotomy performed for the modified Maquet procedure too...Figure 16.11 (a)Mediolateral and (b)craniocaudal preoperative views of a ca...Figure 16.12 Osteomyelitis after transarticular pin placement. (a)A mediola...Figure 16.13 (a)A transarticular external skeletal fixator (TESF) placed to ...Figure 16.14 Subluxation following surgery for a multiligamentous injury in ...Figure 16.15 Pin tract infection and risk of fracture of the femur in a cat ...

17 Chapter 17Figure 17.1 Recommended positioning for stifle arthroscopy with the patient ...Figure 17.2 A final adhesive antimicrobial incise drape is applied to the su...Figure 17.3 Extravasation is the accumulation of arthroscopic fluid in the l...Figure 17.4 At the start of arthroscopy, the joint capsule is distended, enh...Figure 17.5 The scope and instrument portals can shift in position and may c...Figure 17.6 An egress cannula is the preferred method of egress due to the m...Figure 17.7 Intraoperative hemorrhage obscures the image, making diagnosis a...Figure 17.8 (a)Appropriate placement of the arthroscope, and egress cannula....Figure 17.9 The scope should be positioned to view the top of the intercondy...Figure 17.10 Shaving of the fat pad from proximal to distal is performed unt...Figure 17.11 Cautery of bleeding vessels in the joint can be performed using...Figure 17.12 The egress cannula should be inserted with the stifle positione...Figure 17.13 A flexible fenestrated egress cannula is preferred by some surg...Figure 17.14 (a)Arthroscopic view of the caudal aspect of the medial stifle ...Figure 17.15 A blunt conical obturator is recommended when inserting scope, ...Figure 17.16 Iatrogenic damage to the articular cartilage of the patella (a)Figure 17.17 Iatrogenic cartilage damage occurred in these two patients (a,b...Figure 17.18 Cartilage damage can occur due to instrument manipulation durin...Figure 17.19 Meticulous handling of the arthroscopic instruments combined wi...Figure 17.20 A second lateral instrument portal proximal to the scope portal...Figure 17.21 Leipzig stifle distractor. A negatively threaded pin (3 mm diam...Figure 17.22 A common arthroscopic complication is the inability to identify...Figure 17.23 A partial meniscectomy was performed in this patient with a buc...Figure 17.24 An uncommon but important intraoperative complication is accide...Figure 17.25 The long digital extensor tendon (white arrow) must be avoided ...Figure 17.26 Care should be taken when using the grasper to remove a large m...Figure 17.27 The jaw of this grasper broke during the arthroscopic procedure...Figure 17.28 Diagnosis of early partial tears is greatly enhanced by the mag...Figure 17.29 Arthroscopy allows the surgeon to assess the integrity of the c...Figure 17.30 The remaining intact fibers of the CCL should be probed to dete...Figure 17.31 A partial tear of the craniomedial band of the cranial cruciate...Figure 17.32 Arthroscopy provides an enhanced view of the condition of the a...Figure 17.33 Chronic low‐grade synovitis has been shown to occur commonly fo...

18 Chapter 18Figure 18.1 Caudal view of a dog's stifle joint. The caudal pole of the late...Figure 18.2 The structures associated with the proximal tibia have been expo...Figure 18.3 Illustration of the different medial meniscal tears that can be ...Figure 18.4 A typical meniscal probe. The right‐angled tip helps the surgeon...Figure 18.5 Performance of a craniomedial arthrotomy in a left stifle joint....Figure 18.6 Performance of a craniomedial arthrotomy in a left stifle joint....Figure 18.7 Full craniomedial arthrotomy with the patella luxated laterally....Figure 18.8 Illustration of the caudal aspect of the stifle joint. Note that...Figure 18.9 Cartilage damage (black arrow) created by a Ventura stifle distr...Figure 18.10 When the tip of the stifle distractor is not positioned suffici...Figure 18.11 If the tip of the stifle lever distractor is placed on the tibi...Figure 18.12 The tip of the stifle distractor is placed medial to the caudal...Figure 18.13 A Gelpi retractor has been placed intraarticularly to help dist...Figure 18.14 (a)In this illustration of arthroscopy of a right stifle, the ...Figure 18.15 Leipzig stifle distractor. A negatively threaded pin (3 mm diam...Figure 18.16 Probing the meniscus (via arthrotomy or arthroscopy). Both the ...Figure 18.17 Performance of a caudal meniscotibial desmotomy of the medial m...Figure 18.18 (a)Correct blade position for performance of a midbody meniscal...Figure 18.19 (a)An incomplete midbody medial meniscal release has been perfo...Figure 18.20 Illustration of the proximal aspect of the tibia. Meniscal bloo...Figure 18.21 Simulated partial meniscectomy of a bucket handle tear of the c...Figure 18.22 Arthroscopic view of the medial compartment of the stifle joint...

Guide

1 Cover Page

2 Title Page

3 Copyright Page

4 Preface

5 List of Contributors

6 Foreword

7 Acknowledgments

8 Disclosures

9 Table of Contents

10 Begin Reading

11 Index

12 Wiley End User License Agreement

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