Taug Kev TightRope Ntawm Kev Kho Mob Cruciate

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Puas muaj tus tsiaj mob nrog cruciate ligament raug mob? Zoo tom qab ntawd, npaj txhij, Kuv muaj cov ntaub ntawv thiab cov kev xav.

Lub sijhawm no nws tsis yog hais txog qhov raug mob nws tus kheej lossis tshwj xeeb txog tus nqi ntawm nws qhov kev kho (kuaj saib tshooj ib thiab ob ntawm cov xwm txheej no rau ntau cov ntaub ntawv). Tsis yog, cov ntawv tshaj tawm no yog hais txog cov tub ntxhais kawm tshiab ntawm qhov thaiv, qhov thiaj li hu ua TightRope cov txheej txheem rau cov khoom siv kho kom zoo nkauj ("cruciates" rau luv luv) –– nrog qee qhov kev txiav txim siab nyiaj-tseg rau hauv uas tsis tsim nyog

Nyob rau hauv rooj plaub koj tsis yog super tig-nyob rau hauv qhov tshwm sim nyob rau sab phais mob veterinary tshuaj, ntawm no yog qhov yuag:

Cranial cruciate ligament kev raug mob yog qhov teeb meem ib txwm muaj nyob hauv caj pas canine. Nws tuaj yeem tshwm sim dheev, tab sis ntau zaus nws yog qhov qeeb hlawv hom kev raug mob uas tshwm sim raws li cov leeg lig deges dhau sijhawm.

Feem ntau, cov tswv tsis muaj lub tswv yim tias lawv tus tsiaj muaj teeb meem txij li cov tsiaj muaj tswv nyob ntawm kev npau taws lawv qhov tsis xis nyob. Qhov tseeb, nws yog qhov ib txwm ua rau kuv yuav tsum "ua pov thawj nws" los ntawm kev thov cov tswv kom hnov lub "hauv caug" lub hauv caug rau lawv tus kheej, muab piv rau lwm yam, thiab soj ntsuam seb qhov nqaij ntawd poob rau qhov twg.

Lub cranial cruciate ligament yog tus qauv tseem ceeb uas ua lub luag haujlwm tsis tseem ceeb hauv kev tswj lub hauv caug sib koom tes. Nws qhov kev raug mob ua rau kev puas ntsoog ntawm kev sib koom ua ke thiab nws txoj kev tsis paub txav dhau mus ua pob txha caj qaum –– uas yog, tshwj tsis yog kev phais mob ua.

Cov kev phais mus rau qhov teeb meem no muaj ntau, ntau thiab sib cav raws li huab cua hloov thiab xaiv ntuj. Kom paub meej, muaj kev tshawb fawb… tab sis tom qab ntawd muaj tib neeg lub peev xwm ntawm kev phais neeg, nqi, tus kheej lub tswv yim thiab yuav luag-kev ntseeg txog kev thev naus laus zis rau lwm cov thev naus laus zis.

Ua kom yooj yim, koj tuaj yeem xav txog cov tswv yim feem ntau cruciate li poob mus rau hauv ob pawg loj.

1. Lub TPLO (tibial toj siab leveling osteotomy), lossis ib qho ntawm lwm yam ntawm lwm cov txheej txheem qib osteotomy, yog kev phais feem ntau cov kws phais uas tau ntawv pov thawj pom zoo rau cov dev uas hnyav dua 25 phaus.

Cov txheej txheem no suav nrog kev tso cov hlau phaj ntawm hauv caug. Nws lub hom phiaj yog txhawm rau hloov kev sib koom ua ke ntawm qhov sib koom txha txhawm rau txhawm rau txhawm rau ua kom muaj kev kub ntxhov tsis sib xws hauv lub cev los ntawm kev puas tsuaj.

Suab zoo heev. Ntau yam kev tshawb fawb nyuaj rov qab nws, thiab. Teeb meem? Nws yog kim. Ntawm $ 2, 000 rau $ 5, 000 lub hauv caug, nws tuaj yeem yog qhov muag nyuaj rau tus tswv tsiaj thaum qis dua tus txheej txheem uas tsis muaj nqi. Ntxiv mus, nws txoj kev siv yuav tsum muaj daim ntawv pov thawj tus txheej txheem, ua rau nws tsis muaj kev cuam tshuam rau cov kws kho mob.

2. Txoj kev kho cov kev ua haujlwm ntxiv hauv tau zoo yog qhov kev ntsuas ua rau feem ntau dav rau kev raug mob ntawm leeg nqaij. Nws yog ib qhov txawm tso cai cov kws phais yuav nyiam ua rau cov dev me (thiab miv). Thiab nws tus nqi qis-tag ($ 750 txog $ 2, 000) ua rau nws nyiam rau cov tswv uas tsis muaj peev xwm them tus nqi-cov kws phais-tswv yim zoo tshaj plaws. Ntxiv mus, nws yog tus txheej txheem orthopedic ntau cov kws kho mob feem ntau kam thiab ua tau.

Lub hom phiaj ntawm cov txheej txheem no yog ua raws li lub siab ntawm lub hauv caug los ntawm kev dhau ntawm cov khoom siv suture uas muaj zog los ntawm ob lub qhov hauv cov pob txha uas nyob ib sab.

Qhov teeb meem nrog kev kho vaj tse sab nrauv yog tias thaum lawv tuaj yeem ua raws li cov leeg raug mob, lawv tsis tuaj yeem muab cov cai qub rau cov tshuab tsis ncaj ncees uas TPLO thiab nws cov hloov pauv tau. Lub hauv caug tsis ruaj khov li TPLO, hais tias TPLO cov neeg tshaj tawm –– tshwj tsis yog, peb hais txog tus dev me me (lossis miv).

Kev kho cov kab ke sab nrauv tsis nyuaj ua TPLO, tab sis, ntau tus kws phais neeg nyiam hais… nws nyuaj ua qhov zoo.

Yog vim li cas qhov kev nkag tshiab rau kev ua lag luam phais mob yog ua kom muaj kev sib txig sib luag. Lub TightRope ntaus ntawv, ua lag luam los ntawm cov chaw tsim khoom phais mob Arthrex, cog lus tias yuav kho cov khoom seem sab nraud kom ruaj khov, feem ntau me me tsis yooj yim thiab ntau dua kev ruam.

Cov txheej txheem no suav nrog kev tso cov hlau phaj ntawm hauv caug. Nws lub hom phiaj yog txhawm rau hloov kev sib koom ua ke ntawm qhov sib koom txha txhawm rau txhawm rau txhawm rau ua kom muaj kev kub ntxhov tsis sib xws hauv lub cev los ntawm kev puas tsuaj.

Suab zoo heev. Ntau yam kev tshawb fawb nyuaj rov qab nws, thiab. Teeb meem? Nws yog kim. Ntawm $ 2, 000 rau $ 5, 000 lub hauv caug, nws tuaj yeem yog qhov muag nyuaj rau tus tswv tsiaj thaum qis dua tus txheej txheem uas tsis muaj nqi. Ntxiv mus, nws txoj kev siv yuav tsum muaj daim ntawv pov thawj tus txheej txheem, ua rau nws tsis muaj kev cuam tshuam rau cov kws kho mob.

2. Txoj kev kho cov kev ua haujlwm ntxiv hauv tau zoo yog qhov kev ntsuas ua rau feem ntau dav rau kev raug mob ntawm leeg nqaij. Nws yog ib qhov txawm tso cai cov kws phais yuav nyiam ua rau cov dev me (thiab miv). Thiab nws tus nqi qis-tag ($ 750 txog $ 2, 000) ua rau nws nyiam rau cov tswv uas tsis muaj peev xwm them tus nqi-cov kws phais-tswv yim zoo tshaj plaws. Ntxiv mus, nws yog tus txheej txheem orthopedic ntau cov kws kho mob feem ntau kam thiab ua tau.

Lub hom phiaj ntawm cov txheej txheem no yog ua raws li lub siab ntawm lub hauv caug los ntawm kev dhau ntawm cov khoom siv suture uas muaj zog los ntawm ob lub qhov hauv cov pob txha uas nyob ib sab.

Qhov teeb meem nrog kev kho vaj tse sab nrauv yog tias thaum lawv tuaj yeem ua raws li cov leeg raug mob, lawv tsis tuaj yeem muab cov cai qub rau cov tshuab tsis ncaj ncees uas TPLO thiab nws cov hloov pauv tau. Lub hauv caug tsis ruaj khov li TPLO, hais tias TPLO cov neeg tshaj tawm –– tshwj tsis yog, peb hais txog tus dev me me (lossis miv).

Kev kho cov kab ke sab nrauv tsis nyuaj ua TPLO, tab sis, ntau tus kws phais neeg nyiam hais… nws nyuaj ua qhov zoo.

Yog vim li cas qhov kev nkag tshiab rau kev ua lag luam phais mob yog ua kom muaj kev sib txig sib luag. Lub TightRope ntaus ntawv, ua lag luam los ntawm cov chaw tsim khoom phais mob Arthrex, cog lus tias yuav kho cov khoom seem sab nraud kom ruaj khov, feem ntau me me tsis yooj yim thiab ntau dua kev ruam.

Muaj cov pob txha muaj zog pob txha thiab muaj cov khoom muaj zog, cov braided polyethylene, cov khoom siv TightRope tau nrov ua rau nws dhau los ua cov txheej txheem nws tus kheej. Cov kws phais kuv tau soj ntsuam, txawm li cas los xij, yaum kom ceev faj thaum muaj koob meej: Nws tsis yog txheej txheem tshiab txhua lub sijhawm, lawv hais tias, nws zoo li "hloov kho thiab tshiab" ntawm cov ntawv ntxiv uas yuav tsis yog li "txhim kho." < / p>

Yog tias kuv nyeem txog cov kev phais mob hauv online tau txais kev pom zoo, TightRope yuav yog ib qho khoom siv zoo rau tib cov neeg sib tw uas yav dhau los ua tau zoo rau kev kho kom rov zoo li qub (miv thiab dev me me), tab sis TightRope tsis yog qhov tseeb uas kho tau rau feem ntau cruciates uas ail rau peb.

Muaj cov pob txha muaj zog pob txha thiab muaj cov khoom muaj zog, cov braided polyethylene, cov khoom siv TightRope tau nrov ua rau nws dhau los ua cov txheej txheem nws tus kheej. Cov kws phais kuv tau soj ntsuam, txawm li cas los xij, yaum kom ceev faj thaum muaj koob meej: Nws tsis yog txheej txheem tshiab txhua lub sijhawm, lawv hais tias, nws zoo li "hloov kho thiab tshiab" ntawm cov ntawv ntxiv uas yuav tsis yog li "txhim kho." < / p>

Yog tias kuv nyeem txog cov kev phais mob hauv online tau txais kev pom zoo, TightRope yuav yog ib qho khoom siv zoo rau tib cov neeg sib tw uas yav dhau los ua tau zoo rau kev kho kom rov zoo li qub (miv thiab dev me me), tab sis TightRope tsis yog qhov tseeb uas kho tau rau feem ntau cruciates uas ail rau peb.

Qhov ntawd vim yog TightRope, zoo li lwm yam kev kho kom zoo ntxiv, tsis txwv rau cov tes txiav uas cuam tshuam rau lub hauv caug tsis khov xws li TPLO tau tsim los ua. Yog li ntawd rau cov tsiaj ntawv loj, nws tau ua txhaum los ntawm kev tsim, qee tus hais. Lub chaw tawm tsam TightRope no hais tias nws yuav ua kom cov dev loj me sib npaug zos yog qhov muaj txiaj ntsig zoo ib yam li lwm qhov kev kho ntxiv.

</ Hauv lwm lo lus, TightRope tuaj yeem yog Swan … tab sis nws tseem nyob hauv tsev neeg duck. Thiab ntawm lub pricetag siab dua (ntxiv rau ntxiv $ 250- $ 750 rau TightRope version ntawm qhov kho cov khoom sab nraud ntxiv)… nws puas tsim nyog nws?

Ntxiv mus, txawm hais tias TightRope tau tsim kho raws li qhov tsis tshua muaj siab, nws yuav tsum muaj peb lub pob txha tsis siv ntawm ob thiab peb ntu kev hloov ua ib qho. Txawm hais tias qhov kev txiav txim siab txhais tau me me, qhov uas kuv tau pom hauv online tsis ntsuas txog kuv cov kws phais mob hauv cheeb tsam 'TPLO me me. (Cov kab daj xim hauv qab no qhia txog kev tawv nqaij.)

Qhov ntawd vim yog TightRope, zoo li lwm yam kev kho kom zoo ntxiv, tsis txwv rau cov tes txiav uas cuam tshuam rau lub hauv caug tsis khov xws li TPLO tau tsim los ua. Yog li ntawd rau cov tsiaj ntawv loj, nws tau ua txhaum los ntawm kev tsim, qee tus hais. Lub chaw tawm tsam TightRope no hais tias nws yuav ua kom cov dev loj me sib npaug zos yog qhov muaj txiaj ntsig zoo ib yam li lwm qhov kev kho ntxiv.

</ Hauv lwm lo lus, TightRope tuaj yeem yog Swan … tab sis nws tseem nyob hauv tsev neeg duck. Thiab ntawm lub pricetag siab dua (ntxiv rau ntxiv $ 250- $ 750 rau TightRope version ntawm qhov kho cov khoom sab nraud ntxiv)… nws puas tsim nyog nws?

Ntxiv mus, txawm hais tias TightRope tau tsim kho raws li qhov tsis tshua muaj siab, nws yuav tsum muaj peb lub pob txha tsis siv ntawm ob thiab peb ntu kev hloov ua ib qho. Txawm hais tias qhov kev txiav txim siab txhais tau me me, qhov uas kuv tau pom hauv online tsis ntsuas txog kuv cov kws phais mob hauv cheeb tsam 'TPLO me me. (Cov kab daj xim hauv qab no qhia txog kev tawv nqaij.)

and yet there’s no doubt that the tightrope’s new twist on and old stand-by is at least that––a novel approach––one that deserves the test of time to see whether it will truly make a difference over other extracapsular repairs…or maybe even measure up to the tplo for large breed dogs (though most surgeons strongly doubt this latter possibility).

the sad truth is that while a tremendous amount of research has gone into the study of this common injury and its surgical repair, studies evaluating the outcomes of surgical treatment are still lacking. does it make a difference which procedure we choose? the degree of surgical skill employed? which size or conformation of pet is treated?

the answer is likely to be yes on all three fronts. but the degree of importance of each of these factors is missing from our knowledge base. and then there’s the issue of price: at what price is the tplo repair too much? is it worth the hefty price differential to have a boarded surgeon perform a repair (whatever your choice of procedures) rather than your general practitioner?

if cruciate injuries in dogs will continue to occur, unabated (as we expect them to), and if we don’t determine all of the answers to the above questions, then veterinarians like me will still have to make recommendations based on theoretical knowledge, our own observations and recommendations from those who know better than we.

since that’s the case i’ll parrot the surgical community i respect and urge caution should you choose to walk the tightrope. novelty and innovation are necessary in veterinary medicine, but with what we know today, i would still expect your large and giant breed dogs to receive a board-certified recommendation for tplo.

if you do choose an extracapsular or its tightrope varietal just be sure your veterinarian can answer all your questions and offers significant cruciate experience (mo’ experience is always mo’ better). and remember, regardless of what anyone might say, a board-certified surgeon is always best– –regardless of what you can or can’t afford.