Post-operative radiographic measures of pelvic limb alignment in dogs with medial patellar luxation after trochlear wedge recession versus trochlear block recession surgery

Research (Published online: 11-06-2021)

14. Post-operative radiographic measures of pelvic limb alignment in dogs with medial patellar luxation after trochlear wedge recession versus trochlear block recession surgery

Radka Stayova Garnoeva and Mihail Dimitrov Paskalev

Veterinary World, 14(6): 1504-1510

ABSTRACT

Background and Aim: Anatomical and mechanical femoral angles are quite different among dog breeds. Most published data are about large dog breeds, however, medial luxation of patella is more common in small breeds. Measures of pelvic limb alignment are important for outcome of patellar luxation surgery. Therefore, the aim of the present study was to compare the values of anatomical and mechanical femoral and tibial angles in dogs before, immediately after, and 1 month after surgery for correction of medial patellar luxation (MPL).

Materials and Methods: The study was conducted with 54 dogs (67 stifle joints) from four small breeds that underwent surgery by either trochlear block recession (36 stifle joints) or trochlear wedge recession (31 stifle joints) techniques.

Results: In both trochleoplasty techniques, statistically significant differences in the values of the anatomical medial proximal femoral angle (aMPFA), anatomical lateral distal femoral angle (aLDFA), and femoral varus angle (in MPL Grade II) and of aMPFA and Q-angle (in MPL Grade III) were found out.

Conclusion: After block recession surgery, more angles were positively influenced and this effect was more pronounced in patients with MPL Grade II.

Keywords: medial patellar luxation, radiography, small dog breeds, trochlear block recession, trochlear wedge recession.