Analysis of patient outcome and owner satisfaction with double limb amputations: 14 dogs and four cats.

Autor:	Magidenko SR; Hospital for Animals, Small Animal Surgery Section, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY., Peterson NW; Hospital for Animals, Emergency and Critical Care Section, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY., Pisano G; Centro Veterinario Pisani, Carli, Chiodo Luni Mare, Luni SP, Italy., Buote NJ; Hospital for Animals, Small Animal Surgery Section, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY.
Jazyk:	angličtina
Zdroj:	Journal of the American Veterinary Medical Association [J Am Vet Med Assoc] 2022 Mar 24; Vol. 260 (8), pp. 884-891. Date of Electronic Publication: 2022 Mar 24.
DOI:	10.2460/javma.21.04.0199
Abstrakt:	Objective: To evaluate the indications for, complications of, and surgical outcomes of dogs and cats that were treated with double limb amputations. Animals: 14 dogs and 4 cats that underwent double limb amputations. Procedures: Data collected retrospectively included patient-specific (species, age, weight, breed, sex, existing comorbidities) and amputation-specific (indication for amputation, full or partial limb amputation, associated complications, need for revision surgeries) variables. Owner satisfaction scores were also collected. Results: The most common indication for double amputations was trauma (12/18) patients. Eleven patients had both amputations performed simultaneously. Nine patients had double partial limb amputations versus full limb amputations. Twelve patients underwent bilateral pelvic limb amputations, 4 underwent bilateral thoracic limb amputations, and 2 had 1 pelvic and 1 contralateral thoracic limb amputated. Five patients had reported complications over the course of the follow-up period, and complications for 3 patients were considered major. Revision surgery was reported for 2 animals. Owner satisfaction scores were reported as very satisfied/excellent (14/18), mildly satisfied (3/18), and strongly dissatisfied (1/18). Median time to follow-up was 450 days (range, 85 to 4,380 days). Clinical Relevance: Double limb amputation may be a viable alternative to advanced limb-sparing procedures or humane euthanasia based on the owner satisfaction data and the relatively low rate of major complications in this study. Future studies should clarify patient selection criteria and differences in function between surgical types.
Databáze:	MEDLINE
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