Evaluation of post-operative complications, outcome, and long-term owner satisfaction of elbow arthrodesis (EA) in 22 dogs.
The objective of this study was to report post-operative complications and outcomes in canines undergoing elbow arthrodesis (EA) with fixation techniques including bone plate fixation with a non-locking dynamic compression plate (DCP), bone plate fixation with a locking plate (LCP), and external ske...
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2021
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oai:doaj.org-article:e03ed2aeb2c043bfa51ced98c1d6eff52021-12-02T20:08:48ZEvaluation of post-operative complications, outcome, and long-term owner satisfaction of elbow arthrodesis (EA) in 22 dogs.1932-620310.1371/journal.pone.0255388https://doaj.org/article/e03ed2aeb2c043bfa51ced98c1d6eff52021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255388https://doaj.org/toc/1932-6203The objective of this study was to report post-operative complications and outcomes in canines undergoing elbow arthrodesis (EA) with fixation techniques including bone plate fixation with a non-locking dynamic compression plate (DCP), bone plate fixation with a locking plate (LCP), and external skeletal fixator (ESF). Medical records of twenty-two cases that underwent EA between January 2009-December 2019 from 8 referral hospitals including both private practice and academic institutions were reviewed. Post-operative complications were classified as either minor or major, surgical evaluations were performed 8 weeks post operatively, and a follow-up questionnaire was sent to owners. Of the total 22 cases that met inclusion criteria, a total of 19/22 cases had complications, 12 major and 7 minor. Complications reported in 8/9, 7/9, and 4/4, for the DCP, LCP, and ESF fixation groups, respectively. Mild to moderate mechanical lameness was identified at surgical evaluation in 16/22 cases. Complete radiographic bone healing was achieved after 9 weeks in 19/22 cases. Long term owner follow up was available in 14/22 cases. Owners reported a good to normal quality of life in 13/14 cases and poor in one case. The majority of owners (11/14) reported good to excellent satisfaction with the outcome irrespective of persistent lameness. This study demonstrates that successful EA can be achieved using a variety of fixation methods, but persistent lameness is expected and complication rate is high.Elaine V DinwiddieAaron RendahlStan VeytsmanGuillaume RagetlyAlbert C LynchBrianna MiniterRon Ben-AmotzPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0255388 (2021) |
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Medicine R Science Q Elaine V Dinwiddie Aaron Rendahl Stan Veytsman Guillaume Ragetly Albert C Lynch Brianna Miniter Ron Ben-Amotz Evaluation of post-operative complications, outcome, and long-term owner satisfaction of elbow arthrodesis (EA) in 22 dogs. |
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The objective of this study was to report post-operative complications and outcomes in canines undergoing elbow arthrodesis (EA) with fixation techniques including bone plate fixation with a non-locking dynamic compression plate (DCP), bone plate fixation with a locking plate (LCP), and external skeletal fixator (ESF). Medical records of twenty-two cases that underwent EA between January 2009-December 2019 from 8 referral hospitals including both private practice and academic institutions were reviewed. Post-operative complications were classified as either minor or major, surgical evaluations were performed 8 weeks post operatively, and a follow-up questionnaire was sent to owners. Of the total 22 cases that met inclusion criteria, a total of 19/22 cases had complications, 12 major and 7 minor. Complications reported in 8/9, 7/9, and 4/4, for the DCP, LCP, and ESF fixation groups, respectively. Mild to moderate mechanical lameness was identified at surgical evaluation in 16/22 cases. Complete radiographic bone healing was achieved after 9 weeks in 19/22 cases. Long term owner follow up was available in 14/22 cases. Owners reported a good to normal quality of life in 13/14 cases and poor in one case. The majority of owners (11/14) reported good to excellent satisfaction with the outcome irrespective of persistent lameness. This study demonstrates that successful EA can be achieved using a variety of fixation methods, but persistent lameness is expected and complication rate is high. |
format |
article |
author |
Elaine V Dinwiddie Aaron Rendahl Stan Veytsman Guillaume Ragetly Albert C Lynch Brianna Miniter Ron Ben-Amotz |
author_facet |
Elaine V Dinwiddie Aaron Rendahl Stan Veytsman Guillaume Ragetly Albert C Lynch Brianna Miniter Ron Ben-Amotz |
author_sort |
Elaine V Dinwiddie |
title |
Evaluation of post-operative complications, outcome, and long-term owner satisfaction of elbow arthrodesis (EA) in 22 dogs. |
title_short |
Evaluation of post-operative complications, outcome, and long-term owner satisfaction of elbow arthrodesis (EA) in 22 dogs. |
title_full |
Evaluation of post-operative complications, outcome, and long-term owner satisfaction of elbow arthrodesis (EA) in 22 dogs. |
title_fullStr |
Evaluation of post-operative complications, outcome, and long-term owner satisfaction of elbow arthrodesis (EA) in 22 dogs. |
title_full_unstemmed |
Evaluation of post-operative complications, outcome, and long-term owner satisfaction of elbow arthrodesis (EA) in 22 dogs. |
title_sort |
evaluation of post-operative complications, outcome, and long-term owner satisfaction of elbow arthrodesis (ea) in 22 dogs. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doaj.org/article/e03ed2aeb2c043bfa51ced98c1d6eff5 |
work_keys_str_mv |
AT elainevdinwiddie evaluationofpostoperativecomplicationsoutcomeandlongtermownersatisfactionofelbowarthrodesiseain22dogs AT aaronrendahl evaluationofpostoperativecomplicationsoutcomeandlongtermownersatisfactionofelbowarthrodesiseain22dogs AT stanveytsman evaluationofpostoperativecomplicationsoutcomeandlongtermownersatisfactionofelbowarthrodesiseain22dogs AT guillaumeragetly evaluationofpostoperativecomplicationsoutcomeandlongtermownersatisfactionofelbowarthrodesiseain22dogs AT albertclynch evaluationofpostoperativecomplicationsoutcomeandlongtermownersatisfactionofelbowarthrodesiseain22dogs AT briannaminiter evaluationofpostoperativecomplicationsoutcomeandlongtermownersatisfactionofelbowarthrodesiseain22dogs AT ronbenamotz evaluationofpostoperativecomplicationsoutcomeandlongtermownersatisfactionofelbowarthrodesiseain22dogs |
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