Radiographic, Surgeon and Owner Assessment of the BioMedtrix TATE®Elbow Arthroplasty
| Autor: | Neil J. Burton, Martin R. Owen, W. Malcolm McKee, Elvin Kulendra, Kevin J. Parsons, James Grierson, Ricardo J. R. De Sousa |
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| Rok vydání: | 2016 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty General Veterinary biology 040301 veterinary sciences business.industry medicine.medical_treatment Radiography Retrospective cohort study 04 agricultural and veterinary sciences Perioperative Osteoarthritis medicine.disease biology.organism_classification Arthroplasty Surgery 0403 veterinary science 03 medical and health sciences Valgus 0302 clinical medicine medicine Physical therapy Brief Pain Inventory Complication business |
| Zdroj: | Veterinary Surgery. 45:726-735 |
| ISSN: | 0161-3499 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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