Clinical outcome and complications of thoracic and pelvic limb stump and socket prostheses

Phillips, Andrew; Kulendra, Elvin; Bishop, E Ralee'; Monk, Michelle; Parsons, Kevin; House, Arthur K.

doi:10.3415/vcot-16-09-0127

Cited by 15 publications

(15 citation statements)

References 29 publications

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“…Additionally, most owners surveyed would elect to choose this treatment option again, and would recommend the use of socket prosthetics to another dog owner. Clinical outcomes in the present study appeared slightly better than previously reported outcomes (21). However, criteria utilized to determine clinical outcome differed between studies, therefore, direct comparison of these outcome scores cannot be made.…”

Section: Discussioncontrasting

confidence: 81%

“…Specific outcomes for these dogs were not reported. Another study reported on three patients with an antebrachial defect and three patients with defects at the tarsocrural joint or proximal (21). Outcomes of 2/3 dogs with antebrachial defects were defined as good, 1/3 was poor.…”

Section: Discussionmentioning

confidence: 99%

“…Outcomes of 2/3 dogs with antebrachial defects were defined as good, 1/3 was poor. Outcomes of all dogs with defects at or proximal to the tarsocrural joint were defined as good; the precise level of defects was not defined for thoracic or pelvic limbs (21). Previous studies found no correlation between level of amputation and outcome measures, however, the low case numbers did not allow to draw firm conclusions (20, 21).…”

Section: Discussionmentioning

confidence: 99%

“…Outcomes of all dogs with defects at or proximal to the tarsocrural joint were defined as good; the precise level of defects was not defined for thoracic or pelvic limbs (21). Previous studies found no correlation between level of amputation and outcome measures, however, the low case numbers did not allow to draw firm conclusions (20, 21). The present study investigated a larger number of patients receiving prosthetic limbs and a combination of detailed description, diagrams, and radiographic review were used to accurately define level of amputation or defect.…”

Section: Discussionmentioning

confidence: 99%

“…One owner survey based study reported that 87.5% of patients (21/24) had the same to improved quality of life as they did prior to receipt of a prosthesis (20). Another study indicated that 83.3% of owners (10/12) reported a good to excellent quality of life following prosthesis placement (21). This may suggest that socket prosthetics could be a viable option for some canine patients.…”

Section: Introductionmentioning

confidence: 99%

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Retrospective Multi-Center Analysis of Canine Socket Prostheses for Partial Limbs

2019

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Introduction: Socket prostheses for treatment of distal limb pathology are becoming increasingly prevalent in veterinary medicine, however, limited objective data is available. Objectives of the present study were to retrospectively evaluate owner satisfaction, clinical outcomes, and prognostic factors associated with dogs receiving socket prostheses for partial limbs in a larger patient population. Materials and Methods: Client databases of a single prosthesis provider were reviewed to identify owners whose dogs had received a prosthetic device within the last 10 years. An online survey was developed to evaluate owner-reported outcomes. The survey inquired about anatomy of the residuum, concurrent disease, prosthesis use, rehabilitation, activity, complications, and owner satisfaction. Medical records and radiographs were requested from all participants. Radiographs were used to confirm level of amputation and evaluate for osseous complications. Survey responses were analyzed by assigning author-defined numeric scores defining clinical outcome and owner satisfaction. Results: One-hundred thirty-seven owners were contacted. The response rate was 50/137 (37%); 47 responses were analyzed. Forty-six of 47 owners reported positive satisfaction; 1/47 was displeased. Forty-two of 47 dogs were scored to have acceptable to full function; 5/47 had unacceptable clinical function using the author-defined scoring system. A 62% short-term complication rate and a 19% long-term complication rate were reported. Skin sores were the most common short and long-term complication. There was a significant correlation between both clinical outcome scores and owner satisfaction with days per week spent in the prosthesis. Additionally, clinical outcome scores and owner satisfaction significantly varied between dogs with different durations of prosthesis wear with a trend toward better outcomes associated with longer prosthesis wear. Radiographs were obtained for 23/47 dogs to further define level of defect. The most proximal level of defect was mid-radius for the forelimb and mid-tibia for the hind limb. There was no correlation between level of defect and either owner satisfaction or clinical outcome. Discussion/Conclusion: Results of this survey suggest a high degree of owner satisfaction despite substantial complication rates. Based on preliminary data, further evaluation of socket prostheses as a limb-sparing option for treatment of distal limb pathology should be considered. Prospective clinical trials with objective outcome measures are required to draw firm conclusions.

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Section: Discussioncontrasting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Retrospective Multi-Center Analysis of Canine Socket Prostheses for Partial Limbs

2019

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Prospective evaluation of canine partial limb amputation with socket prostheses

Wendland

Séguin

Duerr

2023

Veterinary Medicine & Sci

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Background: Canine prostheses have been commercially available for many years but are still in early stages of research, development, and clinical application.Objective: To prospectively investigate mid-term clinical outcomes of partial limb amputation with a socket prosthesis (PLASP) in canine patients via a descriptive prospective clinical case series and to describe a clinical protocol for PLASP.Methods: Client-owned dogs (n = 12) with distal limb pathology for which total limb amputation was recommended were enrolled. Partial limb amputation was performed and a socket prosthesis was moulded and fitted to the limb. Complications, clinical follow-up, and objective gait analysis (OGA) were recorded for at least 6 months. An online survey was completed by owners after study completion.Results: Ten dogs with thoracic limb pathology and two with pelvic limb pathology were included. The most common site of amputation was mid-radius (n = 5). Eleven of 12 dogs demonstrated quadrupedal gait on OGA with mean per cent body weight distribution (%BWD) of 26% on thoracic limb prostheses and a %BWD of 16% for the one pelvic limb prosthesis that OGA data were available for. Complications included prosthesis suspension difficulties (n = 5), pressure sores (4), bursitis (4), postoperative infection (3), prosthesis aversion (2), dermatitis (1), and owner noncompliance (1). Two owners elected to discontinue prosthesis use.Conclusions: PLASP allowed restoration of quadrupedal gait patterns in most patients.Owners reported overall positive satisfaction, though a high complication rate was observed. PLASP should be considered in select cases as an alternative to total limb amputation for dogs with distal limb pathology.

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Development of Prosthesis and Evaluation of the Use in Short Term in a Left Pelvic Limb in a Dog

et al. 2022

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Clinical outcome and complications of thoracic and pelvic limb stump and socket prostheses

Cited by 15 publications

References 29 publications

Retrospective Multi-Center Analysis of Canine Socket Prostheses for Partial Limbs

Retrospective Multi-Center Analysis of Canine Socket Prostheses for Partial Limbs

Prospective evaluation of canine partial limb amputation with socket prostheses

Development of Prosthesis and Evaluation of the Use in Short Term in a Left Pelvic Limb in a Dog

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