Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão

Hip dysplasia (HD) is the most common non-traumatic orthopedic disease in large breed dogs. Treatment is chosen according to the severity of the condition, the age of the dog and the involvement of osteoarthritis (OA). For puppies up to 20-weeks-old, surgical treatment by the juvenile pubic symphysi...

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Autores: Perez Neto, Daniel Munhoz Garcia, Muzzi, Leonardo Augusto Lopes, Kawamoto, Fernando Yoiti Kitamura, Malta, Caio Afonso dos Santos, Freitas, Laura Lourenço, Pacheco, Larissa Teixeira, Uchôa, Alex Silveira, Muzzi, Ruthnéa Aparecida Lázaro
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Recursos:Universidade Federal de Lavras (UFLA)
Repositorio:Repositório Institucional da UFLA
Idioma:portugués
OAI Identifier:oai:repositorio.ufla.br:1/57121
Acesso em linha:https://repositorio.ufla.br//handle/1/57121
Access Level:acceso abierto
Palavra-chave:Cães - Displasia coxofemoral
Cães - Sinfisiodese púbica juvenil
Articulação coxofemoral
Osteoartrite
Dogs - Hip dysplasia
Dogs - Juvenile pubic symphysiodesis
Hip joint
Osteoarthritis
id BR_089bb5bbcf7feb1a84dce6ef4ed8a5ee
oai_identifier_str oai:repositorio.ufla.br:1/57121
network_acronym_str BR
network_name_str Brasil
repository_id_str
dc.title.pt_BR.fl_str_mv Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão
dc.title.alternative.pt_BR.fl_str_mv Juvenile Pubic Symphysiodesis Associated with Pectineus Myectomy for Treatment of Hip Dysplasia in Dog
title Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão
spellingShingle Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão
Perez Neto, Daniel Munhoz Garcia
Cães - Displasia coxofemoral
Cães - Sinfisiodese púbica juvenil
Articulação coxofemoral
Osteoartrite
Dogs - Hip dysplasia
Dogs - Juvenile pubic symphysiodesis
Hip joint
Osteoarthritis
title_short Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão
title_full Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão
title_fullStr Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão
title_full_unstemmed Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão
title_sort Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão
dc.creator.none.fl_str_mv Perez Neto, Daniel Munhoz Garcia
Muzzi, Leonardo Augusto Lopes
Kawamoto, Fernando Yoiti Kitamura
Malta, Caio Afonso dos Santos
Freitas, Laura Lourenço
Pacheco, Larissa Teixeira
Uchôa, Alex Silveira
Muzzi, Ruthnéa Aparecida Lázaro
author Perez Neto, Daniel Munhoz Garcia
author_facet Perez Neto, Daniel Munhoz Garcia
Muzzi, Leonardo Augusto Lopes
Kawamoto, Fernando Yoiti Kitamura
Malta, Caio Afonso dos Santos
Freitas, Laura Lourenço
Pacheco, Larissa Teixeira
Uchôa, Alex Silveira
Muzzi, Ruthnéa Aparecida Lázaro
author_role author
author2 Muzzi, Leonardo Augusto Lopes
Kawamoto, Fernando Yoiti Kitamura
Malta, Caio Afonso dos Santos
Freitas, Laura Lourenço
Pacheco, Larissa Teixeira
Uchôa, Alex Silveira
Muzzi, Ruthnéa Aparecida Lázaro
author2_role author
author
author
author
author
author
author
dc.subject.por.fl_str_mv Cães - Displasia coxofemoral
Cães - Sinfisiodese púbica juvenil
Articulação coxofemoral
Osteoartrite
Dogs - Hip dysplasia
Dogs - Juvenile pubic symphysiodesis
Hip joint
Osteoarthritis
topic Cães - Displasia coxofemoral
Cães - Sinfisiodese púbica juvenil
Articulação coxofemoral
Osteoartrite
Dogs - Hip dysplasia
Dogs - Juvenile pubic symphysiodesis
Hip joint
Osteoarthritis
description Hip dysplasia (HD) is the most common non-traumatic orthopedic disease in large breed dogs. Treatment is chosen according to the severity of the condition, the age of the dog and the involvement of osteoarthritis (OA). For puppies up to 20-weeks-old, surgical treatment by the juvenile pubic symphysiodesis (JPS) technique can be performed. This procedure promotes the ventrolateral rotation of the acetabulum over the femoral head, which improves hip joint congruence and stability. The objective of this study is to report the case of a young dog with HD treated with JPS and pectineus myectomy. Clinical and radiographic outcomes were assessed for up to one year after surgery. Case: A 17-week-old Saint Bernard puppy was attended at the University Veterinary Hospital showing abnormal weight bearing and lameness in pelvic limbs, without history of previous trauma. On orthopedic examination, there was a marked hypotrophy of the pelvic limb muscles, severe pain and laxity in the hip joints, and positive feature in the Ortolani test. The hip joint subluxation angle (SA) and reduction angle (RA) were measured. A radiographic study was carried out to evaluate the hip joints and measure the Norberg angle (NA), distraction index (DI), acetabular angle (AA) and dorsal acetabular rim angle (DARA). The 20-week-old dog underwent surgical treatment by JPS technique. A ventral surgical approach to the pubis was performed and the pubic symphysis was cauterized with electrocautery. Partial pectineus myectomy technique was also performed. Drug therapy and restriction of physical activities were indicated in the early postoperative. The dog was evaluated by clinical and radiographic examinations at 4 months and 1 year after the surgical procedure. In the reassessment after 4 months of surgical treatment, the patient showed improvement in clinical signs, with mild lameness and absence of painful sensitivity in the movement of the hip joints. Radiographically, hip joint incongruity was observed, but with progressive improvement in the values of the measured variables. In the clinical examination 1 year after the procedure, the dog showed satisfactory weight bearing with slight lameness in pelvic limbs in the running gait. There was improvement in the thigh muscles and no painful signs were observed in the hip joints, but a positive result was detected in the Ortolani test. In the radiographic examination, bilateral articular incongruity was still observed, however, there was a mild improvement in the coverage of the acetabulum over the femoral head. The measured angles and indices showed favorable results regarding the recovery of hip joint stability and proper development. Discussion: Studies evaluating the JPS technique for the treatment of HD have shown to be a relatively simple and effective procedure, which allows altering the acetabular coverage, reducing the development of HD and the progression of OA. The need for an early diagnosis of this condition is essential, so that the JPS technique can be used in young dogs and offer effective results. In the present report, in the late postoperative period, the dog showed improvement in clinical signs, with favorable weight bearing and ambulation in pelvic limbs, recovery of limb muscles, absence of pain in the hip joints and decrease in RA and SA. Radiographically, the reduction in joint subluxation, improvement in acetabular coverage over femoral heads, increase in NA and AA, reduction in DI and DARA are evidence of the favorable outcome of ventrolateral rotation of the acetabulum after surgical treatment. The surgical technique used was effective, which enabled the dog to recover the functional use of the pelvic limbs and improve the quality of life.
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2022-01-28T18:55:46Z
2023-06-27T18:05:32Z
dc.date.available.fl_str_mv 2022-01-28T18:55:46Z
2023-06-27T18:05:32Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv PEREZ NETO, D. M. G. et al. Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão. Acta Scientiae Veterinariae, Porto Alegre, v. 49, 2021. Suplemento 1. DOI: 10.22456/1679-9216.116680.
dc.identifier.uri.fl_str_mv https://repositorio.ufla.br//handle/1/57121
identifier_str_mv PEREZ NETO, D. M. G. et al. Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão. Acta Scientiae Veterinariae, Porto Alegre, v. 49, 2021. Suplemento 1. DOI: 10.22456/1679-9216.116680.
url https://repositorio.ufla.br//handle/1/57121
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade Federal do Rio Grande do Sul
publisher.none.fl_str_mv Universidade Federal do Rio Grande do Sul
dc.source.pt_BR.fl_str_mv Acta Scientiae Veterinariae
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFLA
instname:Universidade Federal de Lavras (UFLA)
instacron:UFLA
instname_str Universidade Federal de Lavras (UFLA)
instacron_str UFLA
institution UFLA
reponame_str Repositório Institucional da UFLA
collection Repositório Institucional da UFLA
repository.name.fl_str_mv Repositório Institucional da UFLA - Universidade Federal de Lavras (UFLA)
repository.mail.fl_str_mv nivaldo@ufla.br || repositorio.biblioteca@ufla.br
_version_ 1853673601499136000
spelling 2022-01-28T18:55:46Z2023-06-27T18:05:32Z2022-01-28T18:55:46Z2023-06-27T18:05:32Z2021PEREZ NETO, D. M. G. et al. Sinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cão. Acta Scientiae Veterinariae, Porto Alegre, v. 49, 2021. Suplemento 1. DOI: 10.22456/1679-9216.116680.https://repositorio.ufla.br//handle/1/57121Hip dysplasia (HD) is the most common non-traumatic orthopedic disease in large breed dogs. Treatment is chosen according to the severity of the condition, the age of the dog and the involvement of osteoarthritis (OA). For puppies up to 20-weeks-old, surgical treatment by the juvenile pubic symphysiodesis (JPS) technique can be performed. This procedure promotes the ventrolateral rotation of the acetabulum over the femoral head, which improves hip joint congruence and stability. The objective of this study is to report the case of a young dog with HD treated with JPS and pectineus myectomy. Clinical and radiographic outcomes were assessed for up to one year after surgery. Case: A 17-week-old Saint Bernard puppy was attended at the University Veterinary Hospital showing abnormal weight bearing and lameness in pelvic limbs, without history of previous trauma. On orthopedic examination, there was a marked hypotrophy of the pelvic limb muscles, severe pain and laxity in the hip joints, and positive feature in the Ortolani test. The hip joint subluxation angle (SA) and reduction angle (RA) were measured. A radiographic study was carried out to evaluate the hip joints and measure the Norberg angle (NA), distraction index (DI), acetabular angle (AA) and dorsal acetabular rim angle (DARA). The 20-week-old dog underwent surgical treatment by JPS technique. A ventral surgical approach to the pubis was performed and the pubic symphysis was cauterized with electrocautery. Partial pectineus myectomy technique was also performed. Drug therapy and restriction of physical activities were indicated in the early postoperative. The dog was evaluated by clinical and radiographic examinations at 4 months and 1 year after the surgical procedure. In the reassessment after 4 months of surgical treatment, the patient showed improvement in clinical signs, with mild lameness and absence of painful sensitivity in the movement of the hip joints. Radiographically, hip joint incongruity was observed, but with progressive improvement in the values of the measured variables. In the clinical examination 1 year after the procedure, the dog showed satisfactory weight bearing with slight lameness in pelvic limbs in the running gait. There was improvement in the thigh muscles and no painful signs were observed in the hip joints, but a positive result was detected in the Ortolani test. In the radiographic examination, bilateral articular incongruity was still observed, however, there was a mild improvement in the coverage of the acetabulum over the femoral head. The measured angles and indices showed favorable results regarding the recovery of hip joint stability and proper development. Discussion: Studies evaluating the JPS technique for the treatment of HD have shown to be a relatively simple and effective procedure, which allows altering the acetabular coverage, reducing the development of HD and the progression of OA. The need for an early diagnosis of this condition is essential, so that the JPS technique can be used in young dogs and offer effective results. In the present report, in the late postoperative period, the dog showed improvement in clinical signs, with favorable weight bearing and ambulation in pelvic limbs, recovery of limb muscles, absence of pain in the hip joints and decrease in RA and SA. Radiographically, the reduction in joint subluxation, improvement in acetabular coverage over femoral heads, increase in NA and AA, reduction in DI and DARA are evidence of the favorable outcome of ventrolateral rotation of the acetabulum after surgical treatment. The surgical technique used was effective, which enabled the dog to recover the functional use of the pelvic limbs and improve the quality of life.Universidade Federal do Rio Grande do SulAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessActa Scientiae Veterinariaereponame:Repositório Institucional da UFLAinstname:Universidade Federal de Lavras (UFLA)instacron:UFLACães - Displasia coxofemoralCães - Sinfisiodese púbica juvenilArticulação coxofemoralOsteoartriteDogs - Hip dysplasiaDogs - Juvenile pubic symphysiodesisHip jointOsteoarthritisSinfisiodese púbica juvenil associada à miectomia do pectíneo para tratamento de displasia coxofemoral em cãoJuvenile Pubic Symphysiodesis Associated with Pectineus Myectomy for Treatment of Hip Dysplasia in Doginfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleporPerez Neto, Daniel Munhoz GarciaMuzzi, Leonardo Augusto LopesKawamoto, Fernando Yoiti KitamuraMalta, Caio Afonso dos SantosFreitas, Laura LourençoPacheco, Larissa TeixeiraUchôa, Alex SilveiraMuzzi, Ruthnéa Aparecida Lázaro1/571212025-07-17 16:50:46.359http://creativecommons.org/licenses/by/4.0/Attribution 4.0 Internationalmetadata.onlyoai:repositorio.ufla.br:1/57121https://repositorio.ufla.brRepositório InstitucionalPUBhttps://repositorio.ufla.br/server/oai/requestnivaldo@ufla.br || repositorio.biblioteca@ufla.bropendoar:2025-07-17T19:50:46Repositório Institucional da UFLA - Universidade Federal de Lavras (UFLA)false
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