Della Valle, Giovanni (2014) Impiego della tecnica di avanzamento della tuberosità tibiale “Modified Maquet Procedure MMP Orthomed” per il trattamento della rottura del legamento crociato craniale nel cane di grossa taglia. [Tesi di dottorato]
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| Item Type: | Tesi di dottorato |
|---|---|
| Resource language: | Italiano |
| Title: | Impiego della tecnica di avanzamento della tuberosità tibiale “Modified Maquet Procedure MMP Orthomed” per il trattamento della rottura del legamento crociato craniale nel cane di grossa taglia |
| Creators: | Creators Email Della Valle, Giovanni giovanni.dellavalle@unina.it |
| Date: | 29 March 2014 |
| Number of Pages: | 80 |
| Institution: | Università degli Studi di Napoli Federico II |
| Department: | Medicina Veterinaria e Produzioni Animali |
| Scuola di dottorato: | Scienze veterinarie per la produzione e la sanità |
| Dottorato: | Scienze cliniche e farmaco-tossicologiche veterinarie |
| Ciclo di dottorato: | 26 |
| Coordinatore del Corso di dottorato: | nome email Ciaramella, Paolo paociara@unina.it |
| Tutor: | nome email Lamagna, Francesco UNSPECIFIED |
| Date: | 29 March 2014 |
| Number of Pages: | 80 |
| Keywords: | TTA; MMP; Ti Foam; rottura legamento crociato craniale |
| Settori scientifico-disciplinari del MIUR: | Area 07 - Scienze agrarie e veterinarie > VET/09 - Clinica chirurgica veterinaria |
| Date Deposited: | 07 Apr 2014 08:51 |
| Last Modified: | 15 Jul 2015 01:01 |
| URI: | http://www.fedoa.unina.it/id/eprint/9761 |
Collection description
The modified Maquet Procedure (MMP) uses the same principle as the tibial tuberosity advancement (TTA) for stabilization of the cranial cruciate ligamentdeficient stifle in the dog. In the MMP, the tibial tuberosity is advanced in a similar manner to that used in the TTA, however the means by which the tibial crest is stabilized differs. The plate and fork originally described by Montavon et al., are not used. The MMT was first described by Maquet for use on humans; it leaves intact a distal bony attachment to the tibial shaft, and the tuberosity is either reinforced or not by a figure-of-eight wire. In this paper, we describe the MMP, radiographic bone healing, degree of arthrosis, force plate analysis and we report the results of our first 7 canine patients with cranial cruciate ligament rupture that were treated by the MMP. The data of force plate analysis of dogs treated with the MMP were compared with data results of force plate analysis of dogs treated with the extrarticoular De Angelis modified technique. The evidence provided by this clinical communication suggests that it is technically possible to achieve an advancement of the tibial tuberosity without the need for a plate, using a titanium foam wedge "OrthoFoam™ MMP wedge". The MMP deserves consideration as a primary treatment option for cranial cruciate ligament rupture in dogs, and further evaluation in large clinical studies. Longterm follow-up and a larger sample would be necessary to a better evaluation of minor and major complicance,and to compare MMP to both TTA and TPLO
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