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Peer-reviewed veterinary case report

Long-term outcomes of TATE elbow replacement in dogs

By De Sousa, Ricardo J R et al.·Published in Veterinary surgery : VS·2016·Anderson Moores Veterinary Specialists, United Kingdom·View original on PubMed

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Original publication title: Radiographic, Surgeon and Owner Assessment of the BioMedtrix TATE(®) Elbow Arthroplasty.

Species:
dog

Plain-English summary

A group of dogs underwent a specific elbow surgery called TATE elbow arthroplasty to help with joint pain. After the procedure, many owners reported that their pets experienced less pain, even though their ability to move didn’t improve significantly. Out of 32 dogs, some had complications, but the overall results were still positive, with most dogs showing a good outcome in terms of pain relief. The surgery had a high complication rate, but the way the components were placed didn’t seem to affect how well the dogs did afterward.

People also search for: dog elbow surgery recovery · TATE elbow arthroplasty outcomes · dog joint pain treatment

Abstract

OBJECTIVE: To report the long-term radiographic and clinical outcome of the BioMedtrix TATE elbow arthroplasty system in dogs. Assessment was via radiographs, a surgeon-based questionnaire, and owner assessment of outcome using the Liverpool osteoarthritis in dogs (LOAD) and canine brief pain inventory (CBPI) questionnaires. STUDY DESIGN: Retrospective multicenter, case series. ANIMALS: Client-owned dogs undergoing TATE elbow arthroplasty. METHODS: Questionnaires were distributed to surgeons in the United Kingdom performing TATE elbow arthroplasty and to the owners of the dogs operated on. Owners completed the LOAD and CBPI questionnaires. All completed questionnaires from surgeons and owners, and radiographs of the dogs were collated and analyzed. RESULTS: Surgeon questionnaires and radiographs were obtained for 33 elbows from 32 dogs, with owner questionnaires obtained for 19 dogs. Perioperative, short-term, and mid-term complication rates were 60%, 15%, and 15%, respectively. Radiographic assessment of component alignment showed 62% of cartridges were valgus or varus malaligned and 56% of cartridges were either translated medially or laterally relative to the long axis of the ulnar. There was no significant association between component alignment and final clinical outcome. Surgeon assessment reported 24% of dogs to have full, 52% acceptable, and 24% unacceptable outcome. Owner assessment showed significant decreases in pain severity and pain interference from preoperative to final status but no change in mobility scores. CONCLUSIONS: A high complication rate and variability in component placement was recorded with TATE athroplasty. However, component malalignment did not negatively impact clinical outcome. Final clinical outcome was favorable for most cases with significant reductions in pain severity and interference scores despite no changes in mobility scores.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/27381167/