Peer-reviewed veterinary case report
Sliding humeral osteotomy reduces complications in dogs with elbow
By Fitzpatrick, Noel et al.·Published in Veterinary surgery : VS·2015·Fitzpatrick Referrals, United Kingdom·View original on PubMed →
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Original publication title: Sliding humeral osteotomy: medium-term objective outcome measures and reduction of complications with a modified technique.
- Species:
- dog
Plain-English summary
A group of dogs suffering from severe lameness due to medial coronoid disease (MCD) underwent a modified surgical procedure called sliding humeral osteotomy (SHO). After the surgery, most dogs showed significant improvement in their lameness and pain levels within 12 weeks, with many dogs completely recovering. The study found that adding a focal treatment to the surgery did not significantly change the outcomes. Overall, the modified technique resulted in very few complications, making it a safe option for treating this condition in dogs.
People also search for: dog elbow pain treatment · sliding humeral osteotomy for dogs · medial coronoid disease in dogs
Abstract
OBJECTIVE: To determine mid-term complication rate associated with a modified sliding humeral osteotomy (SHO) technique and compare clinical outcome with or without focal treatment (FT). ANIMALS: Dogs (n = 46; 60 elbows) with severe or persistent lameness attributable to medial coronoid disease (MCD). METHODS: Signalment, lameness, pain score, and preoperative radiographic findings were recorded. Modified Outerbridge score and fissure/fragmentation were recorded arthroscopically. SHO was performed with technical modifications. Outcome measures included lameness score, elbow pain score, owner function assessment, and force-plate preoperatively, at 6 and 12 weeks, and 6-25 months. RESULTS: SHO was performed on 60 limbs; 22 also had FT of the medial coronoid process. Mean (±SD) dog age was 44.17 ± 33.0 months and weight range was 17.4-49.8 kg. Preoperative duration of lameness was 2.16 ± 0.69 months. Lameness improved for all limbs by 12 weeks, and resolved in 49 limbs. Significant improvements in postoperative pain scores and most owner function assessments occurred. There was no significant difference with or without FT. There were no major complications and 4.17% minor complications. Force-plate data available for 18 of 46 dogs operated unilaterally preoperatively and at last follow-up showed significant improvement in ground reaction force and reduction of asymmetry index (t-test; P < .05). CONCLUSIONS: SHO with or without focal treatment of the medial aspect of the coronoid process ameliorates lameness and pain associated with MCD at medium-term follow-up. Application technique is critical to minimize morbidity.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/25270166/