We propose standardized definitions and criteria for documenting subjective results for clinical orthopedic studies in veterinary medicine. To our knowledge, no common terminology or basis for describing results in this manner has been published. This lack of standardization limits our abilities to communicate study results in a consistent manner, interpret data appropriately, and compare results across studies, centers, and techniques. An initial step toward addressing these deficiencies is to provide clear definitions and criteria for time frames of data collection, subjective outcomes, and complications. These definitions and criteria are recommended for use based on consensus among the authors who have experience and expertise in small animal and equine orthopedic clinical research. Our hope is that this terminology will be implemented so that data collection and reporting are more consistent and effective in veterinary orthopedic reports.
BACKGROUND
Although the anatomy of the ovine stifle joint is similar to that of the human knee joint, a number of unique features were identified. These included the presence of the tendon of the m. extensor digitorum longus on the craniolateral aspect of the stifle joint, the absence of a cranial meniscofemoral ligament (ligament of Humphrey) in the caudal joint space, and attachment of the patellar tendon to the cranial pole of the patella (rather than to the distal pole, as in humans). The implications of these differences are discussed with reference to the suitability of the ovine stifle as a surgical model for the human knee joint.
When performing pancarpal arthrodesis with a dorsally applied bone plate, it is recommended that at least 50% of the length of the third metacarpal bone should be covered by the plate.
This paper describes the management of ninety dogs referred with thoracic oesophageal foreign bodies. The diagnosis, treatment and complications are discussed and an overall recovery rate of 83/90 (92.2 per cent) recorded. A conservative approach using oesophagoscopy and forceps delivery was employed in all but seven cases. The advantages of passing the largest possible rigid endoscope under conditions provided by muscle relaxation are emphasized.
The clinical and radiological findings of five cases of so‐called spinal ‘arachnoid cysts’ in dogs are reported. Four cases presented with neurological syndromes suggestive of focal compression of the spinal cord whereas one was clinically asymptomatic. The diagnosis was confirmed in each case by myelography and supported, in three instances, by histopathology. Evidence of spinal dysraphism was common to these cases. The findings are discussed in relation to four previously described cases.
The efficacy of tarsometatarsal arthrodesis using a laterally applied plate was evaluated retrospectively in 10 dogs (11 joints). Arthrodesis was performed to manage a tarsometatarsal subluxation in two hocks; in the other cases, the tarsometatarsal subluxation was accompanied by tarsal or metatarsal fractures. The average period to referral was 15 days and all dogs had been managed with previous external coaptation of the affected limb. Arthrodesis was achieved in all the joints following initial surgery. Implant removal was indicated in three dogs which remained intermittently lame. Implants were left in situ in the remaining seven dogs. After an average follow-up period of 28 months, all dogs had resumed normal activity. Seven dogs were reported to be completely sound, one was stiff after rest following vigorous exercise and two had an intermittent mild lameness following strenuous exercise.
Eighteen dogs with acute neurological symptoms suggestive of ischaemic myelopathy are described. A presumptive diagnosis of spinal parenchymal infarction, due to fibrocartilaginous embolism (FCE), was made in 16 cases. This was confirmed by histological examination post mortem in the remainder. Clinical neurological parameters were the most reliable prognostic indicators following FCE. High dose corticosteroid therapy should be administered as soon as possible to influence the secondary pathophysiological reaction in such cases. Only one dog made a complete neurological recovery, however nine returned to normal activity without regaining normal neurological function. Eight dogs required euthanasia.
The efficacy of buprenorphine and pentazocine in controlling pain in dogs following orthopaedic surgery was compared with that of morphine. All three analgesics provided effective pain relief with no undesirable side effects.
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