Arthroscopically Assisted Surgery of the Hip Joint

Beale, Brian S.; Hulse, Donald A.; Schulz, Kurt S.; Whitney, Wayne O.

doi:10.1016/b978-0-7216-8969-2.50012-2

Cited by 14 publications

(32 citation statements)

References 2 publications

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“…al. described a technique for canine hip arthroscopy using a two portal system for joint exploration and a three portal system for therapeutic procedures (3). The limb position, described by Beale for creation of the arthroscope and the instrument portals, is similar to the ideal limb position found in this study (i.e.…”

Section: Discussionsupporting

confidence: 70%

“…They include: q 1) evaluation of joint surfaces after hip luxation, q 2) debridement or removal of osteophytes or foreign bodies, q 3) culture and/or biopsy of intra-articular tissues and joint fluid, q 4) ingress/egress irrigation and lavage for treatment of septic arthritis, and q 5) joint surface staging prior to triple pelvic osteotomy (3,4,11,22).…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of portal locations and periarticular structures in canine coxofemoral arthroscopy: a cadaver study

Saunders¹,

Hulse²,

Schulz³

2004

Vet Comp Orthop Traumatol

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SummaryThe objectives of this study were to determine the optimum limb position for the creation of safe arthroscopy portals for coxofemoral arthroscopy, to determine anatomical landmarks for arthroscopy portals, and to determine distances of portals to periarticular neurovascular structures. Eight hemipelves were harvested from adult dogs that died for reasons unrelated to this project and were free of joint pathology as determined by gross examination at the conclusion of the study. The results suggest that the ideal limb position for canine coxofemoral arthroscopy was slight limb adduction, thirty degrees of hip flexion, with the stifle in a neutral position. With the limb in the ideal position, the arthroscope portal was 5 mm cranial (range 0 mm 10 mm) and 15 mm proximal (range 12 mm 18 mm) to the greater trochanter. The instrument portal was 10.2 mm cranial (range 5 mm 18 mm) and 14 mm proximal (range 7 mm 20 mm) to the greater trochanter. The sciatic nerve and the caudal gluteal artery were 9 mm caudal (range 6 mm 15 mm) to the arthroscope portal. This is the first study to evaluate the location of both arthroscopy portals and periarticular neurovascular structures in relation to surrounding surgical landmarks.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Evaluation of portal locations and periarticular structures in canine coxofemoral arthroscopy: a cadaver study

Saunders¹,

Hulse²,

Schulz³

2004

Vet Comp Orthop Traumatol

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“…8 Standard limb positioning for canine hip arthroscopy is with the hip joint in a neutral position, extension of the stifle and tarsus with the limb horizontal to the floor, and under mild-to-moderate distraction.…”

Section: Shoulder-hip Bracementioning

confidence: 99%

Self‐Retaining Braces For Canine Arthroscopy

2003

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“…Stifle arthroscopy was performed using a standard 3 portal technique. 13 Arthroscopic assessment included cranial cruciate ligament status, presence or absence and type of meniscal tears. If present, meniscal tears were treated with partial meniscectomy or meniscal release based on surgeons' preference.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Technique and Outcome of a Modified Tibial Plateau Levelling Osteotomy for Treatment of Concurrent Medial Patellar Luxation and Cranial Cruciate Ligament Rupture in 76 Stifles

Flesher¹,

Beale²,

Hudson³

2019

Vet Comp Orthop Traumatol

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Objectives The main aim of this article is to describe the technique and outcome of a modified tibial plateau levelling osteotomy (TPLO) that simultaneously levels the tibial plateau and realigns the quadriceps mechanism through medial translation of the proximal tibial segment in dogs less than 15 kg. Materials and Methods A retrospective medical records search identified dogs with concurrent cranial cruciate ligament rupture (CCLR) and medial patellar luxation (MPL). A study group (76 stifles) treated with a modified TPLO was compared with a non-tibial translation group (45 stifles) corrected with traditional surgical technique. Signalment, arthroscopic findings, adjunctive surgical procedures, osteotomy healing time and complications were recorded. Tibial plateau angle, proximal tibial segment medialization, width of the tibial osteotomy, mechanical medial proximal tibial angle and mechanical medial distal tibial angle were measured and recorded on preoperative and postoperative radiographs. Results Overall complication rate was 18.4% in the treatment group and 28.9% in the non-tibial translation group. Reluxation occurred in 6.6% of cases in the study group and in 8.8% of cases in the non-tibial translation group. There was no statistical difference in healing time between groups. Clinical Significance A modified TPLO can be used to treat patients with concurrent MPL and CCLR with good clinical outcome. Complication rates are comparable to traditional repairs for MPL. No major differences were appreciated between study and a non-tibial translation groups for variables compared.

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Arthroscopically Assisted Surgery of the Hip Joint

Cited by 14 publications

References 2 publications

Evaluation of portal locations and periarticular structures in canine coxofemoral arthroscopy: a cadaver study

Evaluation of portal locations and periarticular structures in canine coxofemoral arthroscopy: a cadaver study

Self‐Retaining Braces For Canine Arthroscopy

Technique and Outcome of a Modified Tibial Plateau Levelling Osteotomy for Treatment of Concurrent Medial Patellar Luxation and Cranial Cruciate Ligament Rupture in 76 Stifles

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