Abstract

Objectives This study investigated variables associated with surgical site infection (SSI) in dogs with cranial cruciate ligament rupture managed with stifle joint examination and lateral fabellotibial suture stabilization.

Study Design A retrospective study of dogs that had stifle arthroscopy, stifle arthrotomy, or a combination of both, followed by lateral fabellotibial suture stabilization for cranial cruciate ligament rupture. All cases had a minimum follow-up of 90 days. Lameness grades were recorded preoperatively, and at 6-week and final follow-up.

Results One hundred fifty procedures in 130 dogs met the inclusion criteria. Overall, SSI rate was 17.3% and removal of the lateral fabellotibial suture was performed in 53% of SSI. Multivariable analysis showed significant association between SSI and bodyweight (p = 0.013), and induction using propofol (p = 0.029). Multilevel ordinal logistic regression analysis showed a greater proportion of dogs had a higher lameness grade at 6-week (p = 0.021) and final follow-up (p = 0.002) assessments in the infected compared with non-infected dogs.

Conclusion Our study demonstrated a higher SSI incidence than previously reported in dogs undergoing a lateral fabellotibial suture for cranial cruciate ligament rupture. Bodyweight and induction with propofol were identified as significant risk factors for postoperative SSI. Owners could be advised of an increased SSI risk in larger dogs and consideration should be given to selection of induction agent. Dogs that develop an SSI have a worse lameness grade at 6-week and final follow-up.

Authors' Contributions

Thomas Cox, Brandan Wustefeld-Janssens and Eithne Comerford contributed to the conception of the study, study design, data analysis and data interpretation. Thomas Maddox contributed to the data analysis and data interpretation. Eithne Comerford, Robert Pettitt and John Innes contributed to acquisition of data, data analysis and data interpretation. All authors drafted, revised and approved the submitted manuscript.

Publication History

Received: 15 December 2019

Accepted: 08 July 2020

Publication Date:
28 September 2020 (online)

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

中文翻译：

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犬侧颅骨缝线缝合犬颅交叉韧带破裂后与手术部位感染相关的变量研究

摘要

目的 本研究调查了通过st缝关节检查和外侧前臂缝线缝合稳定处理的颅交叉韧带破裂犬的手术部位感染（SSI）相关变量。

研究设计 一项回顾性研究，对进行了膝关节镜检查，膝关节置换术或同时进行这两种方法结合，然后用外侧踝关节前臂缝线稳定术治疗颅骨十字韧带破裂的犬进行了回顾性研究。所有病例均至少随访90天。术前，第6周和最终随访时记录行等级。

结果 130只犬的150次手术符合入选标准。总体而言，SSI率为17.3％，而在53％的SSI中进行了外侧腕胫骨缝合。多变量分析显示，SSI与体重之间存在显着关联（p  = 0.013），而异丙酚的诱导作用（p  = 0.029）。多级序数逻辑回归分析显示， 与未感染的狗相比，感染后6周（p  = 0.021）和最终随访评估（p = 0.002）的狗的残proportion等级更高。

结论 我们的研究表明，由于颅交叉韧带断裂而进行了侧臂胫骨缝合的狗的SSI发病率高于先前报道的狗。体重和异丙酚诱导被认为是术后SSI的重要危险因素。可以告知主人大狗的SSI风险增加，应考虑选择诱导剂。患有SSI的狗在第6周和最后的随访中的la足等级较差。

作者的贡献

Thomas Cox，Brandan Wustefeld-Janssens和Eithne Comerford为研究，研究设计，数据分析和数据解释的概念做出了贡献。Thomas Maddox为数据分析和数据解释做出了贡献。Eithne Comerford，Robert Pettitt和John Innes为数据获取，数据分析和数据解释做出了贡献。所有作者都起草，修改和批准了提交的手稿。

出版历史

收到：2019年12月15日

接受：2020年7月8日

发布日期：
2020年9月28日（在线）

©2020年。Thieme。版权所有。

Georg Thieme Verlag KG
斯图加特·纽约