Caudal approach and Mini TightRope system (mTR) application for the treatment of craniodorsal hip luxation in a cat: a case report

Tamburro, Roberto; Carli, Fabio; Cinti, Filippo; Puggioni, Antonella; Venturini, A.

doi:10.17221/7035-vetmed

Cited by 5 publications

(10 citation statements)

References 24 publications

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“…Similarly, comparable rates of reluxation were encountered with both suture materials in our study. Overall, our results provide evidence that both UHMWPE and nylon are effective in the treatment of coxofemoral luxation in cats when using the HTS technique and corroborate findings of four previous reports 5,6,28,33 …”

Section: Discussionsupporting

confidence: 91%

“…Conversely, a moderate rate (24.4%) of postoperative complications was identified in our study; however, approximately half (11.1%) of these were minor and did not require intervention. No minor postoperative complications have been reported in previous studies in which HTS in cats is described 5,6,28,33 . The overall rate of postoperative complications in our study was similar 40 or lower 35 than that reported in dogs after HTS (26%–43%).…”

Section: Discussionsupporting

confidence: 75%

“…Reluxation in these two cats was attributed to the suture failure; however, whether such failure occurred secondary to these intraoperative complications is unknown. No intraoperative complications have been reported in previously published studies in which HTS in cats or dogs is described 5,6,27,28,33,35,40 . Conversely, a moderate rate (24.4%) of postoperative complications was identified in our study; however, approximately half (11.1%) of these were minor and did not require intervention.…”

Section: Discussioncontrasting

confidence: 69%

“…Braided ultrahigh– molecular‐weight‐polyethylene (UHMWPE) has been demonstrated to be mechanically superior to monofilament nylon leader because of its higher tensile strength, increased stiffness, and greater resistance to elongation 30‐32 . Excellent short‐28 and long‐term 33 outcomes have been reported in five cats with coxofemoral luxation using UHMWPE. Use of UHMWPE has also been described with excellent results for management of coxofemoral luxation in dogs 27,34,35 .…”

Section: Introductionmentioning

confidence: 99%

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Complications and outcomes of cats with coxofemoral luxation treated with hip toggle stabilization using ultrahigh–molecular‐weight‐polyethylene or nylon (2009‐2018): 48 cats

Ruperéz

Arthurs

Hewit³

et al. 2021

Veterinary Surgery

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Objective To report overall rate and type of complications and outcomes of cats with coxofemoral luxation managed with hip toggle stabilization (HTS), to compare rate of postoperative complications and outcomes of cats treated with ultrahigh–molecular‐weight‐polyethylene (UHMWPE) or nylon, and to identify risk factors for reluxation and non‐excellent outcomes. Study design Multi‐institutional retrospective cohort study. Sample population Forty‐eight client‐owned cats. Methods Medical records of cats that underwent HTS from 2008‐2018 using UHMWPE or nylon were reviewed. Univariable and multivariable logistic regression was performed to assess for factors associated with reluxation and non‐excellent outcome. Final outcome was obtained from owner questionnaire. Results Intraoperative and postoperative complications were recorded in two (4.2%) and 11 (24.4%) cats, respectively. The most common postoperative complication was reluxation (n = 5 [11.1%]). Outcome was classified as excellent in 81.1% and good in 16.2% of cats after a median of 445.5 days (range, 53‐3720). No difference in rate of complications or outcomes was identified between UHMWPE and nylon. Performance of additional orthopedic procedures, occurrence of intraoperative complications, and non‐performance of capsulorrhaphy were associated with reluxation. Performance of additional non‐hip procedures (orthopedic/nonorthopedic) was associated with non‐excellent outcome. Conclusion Hip toggle stabilization was associated with a low rate of intraoperative complications and reluxation and excellent long‐term outcomes in most cats. No difference in rate of postoperative complications or outcomes of cats treated using UHMWPE or nylon was identified. Cats that underwent additional orthopedic procedures had greater risk of reluxation. Clinical significance Hip toggle stabilization is an effective technique for management of coxofemoral luxation in cats. Comparable results are expected using UHMWPE or nylon.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 75%

Section: Discussioncontrasting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Complications and outcomes of cats with coxofemoral luxation treated with hip toggle stabilization using ultrahigh–molecular‐weight‐polyethylene or nylon (2009‐2018): 48 cats

Ruperéz

Arthurs

Hewit³

et al. 2021

Veterinary Surgery

View full text Add to dashboard Cite

show abstract

“…7,8 Accordingly, numerous studies have described use of braided suture material systems for the treatment of coxofemoral luxation with success rates up to 94%. [9][10][11][12] In addition to using mechanically superior materials for toggle fixation of coxofemoral luxation, some surgeons have attempted to improve surgical technique. The currently recommended procedure involves drilling the femoral and acetabular bone tunnels separately.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Modified Techniques for Toggle Pin Repair of Coxofemoral Luxation in Dogs: A Cadaveric Study

Helmick

Bugbee

Strasberg

et al. 2018

Vet Comp Orthop Traumatol

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Arthroscopic-Assisted Toggle Rod Stabilization in Canine Coxofemoral Luxation: A Cadaveric Study

Rivenburg

Murphy²,

Jones³

et al. 2022

Vet Comp Orthop Traumatol

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Objective The aim of this study was to describe an arthroscopic-assisted technique for coxofemoral toggle rod placement, and to report on the feasibility, drill tunnel trajectory and accuracy of tunnel aperture location using this method. Study Design Cadaveric pilot study. Sample Population Eight coxofemoral joints. Methods Craniodorsal coxofemoral joint luxations were artificially created. A simulated open hip reduction and stabilization with a toggle rod were performed through a limited arthrotomy under arthroscopic guidance. Computed tomography scans were performed to evaluate drill hole trajectory across the femoral neck, and joints were disarticulated and photographed. Digital imaging software was used to determine the percent overlap of the drill hole apertures relative to the origin and insertion of the round ligament on the acetabulum and fovea. Results The exit point of the tunnel was entirely within the fovea capitis in five of eight femurs, three of eight femoral drill apertures were only partially within the target area. Of the eight acetabular bone tunnels examined, all were centred occupying the acetabular fossa. Conclusions Coxofemoral toggle rod placement can be performed under arthroscopic guidance through a limited arthrotomy. Comparable femoral tunnel accuracy with the standard open technique should be achieved with the current method prior to its clinical use.

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Caudal approach and Mini TightRope system (mTR) application for the treatment of craniodorsal hip luxation in a cat: a case report

Cited by 5 publications

References 24 publications

Complications and outcomes of cats with coxofemoral luxation treated with hip toggle stabilization using ultrahigh–molecular‐weight‐polyethylene or nylon (2009‐2018): 48 cats

Complications and outcomes of cats with coxofemoral luxation treated with hip toggle stabilization using ultrahigh–molecular‐weight‐polyethylene or nylon (2009‐2018): 48 cats

Evaluation of Modified Techniques for Toggle Pin Repair of Coxofemoral Luxation in Dogs: A Cadaveric Study

Arthroscopic-Assisted Toggle Rod Stabilization in Canine Coxofemoral Luxation: A Cadaveric Study

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