Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

Abstract

Objectives To describe the implant characteristics and surgical application of a custom-made trochlear ridge prosthesis (TRP) and to report clinical outcomes in dogs affected by patellar luxation treated with TRP.

Study design Dogs affected by patellar luxation underwent computed tomography. A specific canine bone anatomical replica, a cutting guide, and a TRP were designed and provided for surgery. Surgical records, clinical and radiographic reassessments, complications, pre- and postoperative lameness, type and degree of patellar luxation, and TRP and patellar position after surgery were reviewed. Clinical outcomes were defined as full, acceptable, or unacceptable function.

Results The TRP was implanted in 60 femoral trochleae: 48 unilateral and 12 bilateral. Successful correction of patellar luxation was achieved in 59/60 cases. TRP was applied with other surgical techniques in 36/60 of the cases and as the only surgical procedure in 24/60 cases. Overall, three complications were observed: two minor and one major (patellar luxation recurrence). Neither implant loosening nor infection was observed. The mean radiographic follow-up was 3.8 months. At the time of the final follow-up, 57/60 cases were scored as fully functional.

Conclusion The TRP application either alone or in combination with other surgical techniques allowed for correction of patellar luxation and improvement in preoperative lameness with nominal complications. TRP could represent a potentially reliable alternative to trochleoplasty.

Keywords

patellar luxation - trochleoplasty - stifle - dog - femoral trochlear groove

Note

Dr. Tommaso Nicetto holds the patent for TRP (nr. 102019000024472).

Authors' Contribution

T.N.: invented TRP, concepted and designed the study, collected data, reviewed the medical record, and drafted the manuscript. F.L.: participated in the design of the study, reviewed the medical records, collected data, analyzed and interpreted the data, and drafted the manuscript.

Publikationsverlauf

Eingereicht: 03. Januar 2023

Angenommen: 26. September 2023

Artikel online veröffentlicht:
31. Oktober 2023

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