Peer-reviewed veterinary case report
Subtotal coronoid ostectomy surgery outcomes in 263 dogs with elbow
By Fitzpatrick, Noel et al.·Published in Veterinary surgery : VS·2009·Fitzpatrick Referrals, United Kingdom·View original on PubMed →
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Original publication title: Subtotal coronoid ostectomy for treatment of medial coronoid disease in 263 dogs.
- Species:
- dog
Plain-English summary
A group of 263 dogs with medial coronoid disease (MCD), which causes painful elbow problems, underwent a surgical procedure called subtotal coronoid ostectomy (SCO) to help relieve their symptoms. After surgery, most dogs showed significant improvement in their ability to move without pain, with many owners reporting their pets were sound and active again within a few weeks. Complications were minimal, with only a small percentage experiencing issues like wound infections. Overall, this treatment appears effective for dogs suffering from MCD, helping them regain better limb function and quality of life.
People also search for: dog elbow pain treatment · medial coronoid disease in dogs · subtotal coronoid ostectomy recovery · dog lameness surgery outcomes
Abstract
OBJECTIVE: To document clinical outcomes after subtotal coronoid ostectomy (SCO) for treatment of medial coronoid disease (MCD). STUDY DESIGN: Prospective clinical study. ANIMALS: Dogs (n=263) with MCD. METHODS: MCD was treated by a combination of SCO via mini-arthrotomy, cage confinement (6 weeks), leash restricted exercise (12 weeks) and pentosan polysulfate administration. Outcomes were assessed by clinical examination in the short-term (324 elbows), owner questionnaires (146 dogs), clinical examination (90 dogs), subjective assessment of gait (110 elbows) and radiographic examination (180 elbows), 4 months to 7 years 7 months after surgery. RESULTS: One intraoperative complication occurred (1 elbow with fissuring of the ulna) and 8.2% elbows had immediate postoperative complications, the most common being wound infection (7%). Improvement in subjective lameness assessment to a score of 0 was noted at 5 weeks in 74.4% of elbows (veterinary) and 45.6% (owner) and at 12 weeks in 71.5% (veterinary), and 91.2% (owner). Subjective assessments of outcomes in the medium-term revealed 81.9% dogs remained sound, with significantly (P<.05) improved daily function scores compared with preoperative values, 83.5% of dogs received no NSAID. Clinical examination revealed good limb function and subjective assessment showed 51% of limbs were free from lameness. Radiographic progression of osteophytosis occurred on average by one grade. CONCLUSION: Management of MCD using the described management regime, including SCO via mini-arthrotomy, deserves consideration and comparison with existing treatment methods. CLINICAL SIGNIFICANCE: Management of MCD by SCO can be considered when gross fissuring or fragmentation of the MCP is not evident. This technique does not require specialized instrumentation.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19236682/