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Tierarztl Prax Ausg G Grosstiere Nutztiere 2017; 45(02): 112-120
DOI: 10.15653/TPG-160197
Case Report
Schattauer GmbH

Diagnosis and surgical correction of congenital bilateral patellar luxation in two dwarf zebu calves

Diagnose und operative Korrektur einer beidseitigen Luxatio patellae congenita lateralis bei zwei Zwergzebu-Kälbern
Göknil Kalayci
2   Clinic for Small Animals, Department of Veterinary Medicine, Freie Universität Berlin, Germany
,
Cagri Binici
1   Clinic for Cattle, Department of Veterinary Medicine, Freie Universität Berlin, Germany
,
Julia Tünsmeyer
2   Clinic for Small Animals, Department of Veterinary Medicine, Freie Universität Berlin, Germany
,
Silke Stein
2   Clinic for Small Animals, Department of Veterinary Medicine, Freie Universität Berlin, Germany
,
Ahmad Al Aiyan
3   Veterinary Medicine Department, Al Ain, United Arab Emirates
,
Kerstin Müller
1   Clinic for Cattle, Department of Veterinary Medicine, Freie Universität Berlin, Germany
,
Leo Brunnberg
2   Clinic for Small Animals, Department of Veterinary Medicine, Freie Universität Berlin, Germany
› Author Affiliations
Further Information

Publication History

Received: 04 March 2016

Accepted after revision: 23 January 2016

Publication Date:
09 January 2018 (online)

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Summary

This case study presents two female dwarf zebu calves with permanent bilateral flexion of the stifle joint secondary to bilateral congenital lateral patellar luxation. The patella could be manually repositioned bilaterally in the first calf (14 days old), but re-luxated immediately with release of manual pressure (luxation grade III). In the second calf (28 days old) both patellae were permanently luxated laterally (grade IV). The right and left stifles of each calf were operated in a staged procedure with approximately 14 days between surgery of the two sides. While a lateral release and a medial imbrication were sufficient for correction in the left stifle of the younger calf, a trochlear wedge resection was required in the other three stifle joints with hypo- to aplastic trochleas in order to stabilize the patella. Postoperatively each stifle was immobilized for 10 days with a cast. The younger calf regained full function of the hind limbs during the complete gait cycle in walk and in trot one month after the procedure. The older calf regained full function in the hind limbs in walk but in trot there was some degree of lameness due to a reduced extension of approximately 20°.

Zusammenfassung

Dieser Fallbericht beschreibt zwei weibliche Zwergzebu-Kälber, die aufgrund einer bilateralen kongenitalen lateralen Patellaluxation nicht in der Lage waren, ihre Kniegelenke zu strecken. Beim ersten Kalb (14 Tage alt) war es möglich, die Patalla manuell zu reponieren, aber sie reluxierte sofort bei nachlassendem Druck (Luxation Grad III). Beim zweiten Kalb (28 Tage alt) bestand beidseits eine stationäre Patellaluxation nach lateral (Grad IV). In beiden Fällen wurden die Kniegelenke um ca. 14 Tage zeitversetzt operiert. Bei dem jüngeren Kalb reichten linksseitig ein lateraler Release und eine mediale Imbrication aus, bei den anderen drei Kniegelenken musste die hypo- bis aplastische Trochlea zusätzlich über eine Keilosteotomie vertieft werden. Post operationem wurden Kniegelenke für jeweils 10 Tage mit einem Glasfaserverband immobilisiert. Einen Monat nach den Eingriffen konnte das jüngere Kalb die Gliedmaßen in allen Bewegungsphasen uneingeschränkt nutzen. Das ältere Kalb belastete die Hintergliedmaßen im Schritt vollständig, zeigte aber im Trab aufgrund einer um 20° reduzierten Streckung des Gelenks eine eingeschränkte Belastung.

Keywords

Stifle joint - release - desmotomy - imbrication - trochlear wedge resection

Schlüsselwörter

Kniegelenk - Release - Desmotomie - Imbrikation - Keilosteotomie
 

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