Evaluation of Lameness Associated with Arthroscopy and Arthrotomy of the Normal Canine Cubital Joint

Bubenik, Loretta J.; Johnson, Spencer A.; Smith, Mark M.; Howard, Rick D.; Broadstone, Richard V.

doi:10.1053/jvet.2002.29460

Cited by 16 publications

(23 citation statements)

References 21 publications

(36 reference statements)

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“…Stifle arthroscopy with meniscal probing is the gold standard for the diagnosis of medial meniscal pathology, with a low complication rate and low postoperative morbidity . In contrast, canine stifle arthrotomy is more invasive and less diagnostically sensitive . In a study examining the effects of ligament grafts on the canine stifle, investigators discovered that performing a medial arthrotomy as the sole (sham) procedure on normal stifles resulted in osteoarthritis and degenerative ligament changes in these previously naïve joints .…”

Section: Introductionmentioning

confidence: 99%

“…In a study examining the effects of ligament grafts on the canine stifle, investigators discovered that performing a medial arthrotomy as the sole (sham) procedure on normal stifles resulted in osteoarthritis and degenerative ligament changes in these previously naïve joints . However, stifle arthrotomy offers advantages in setup time, and requires less expensive equipment and specialized training . The mini‐arthrotomy may be preferred to the full arthrotomy due to preservation of the quadriceps muscles, suggesting less postoperative morbidity, and may reduce the risk of postoperative medial patellar luxation .…”

Section: Introductionmentioning

confidence: 99%

“…Iatrogenic articular cartilage injury (IACI) is any cartilage injury occurring during arthrotomy or arthroscopy and is a known complication of arthroscopy in humans and in veterinary medicine . In human ankle arthroscopy, superficial IACI was observed intraoperatively in living patients (without India ink staining) in 24.3% of cases, and deep IACI lesions observed in 6.7% of cases .…”

Section: Introductionmentioning

confidence: 99%

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Comparison of iatrogenic articular cartilage injury in canine stifle arthroscopy versus medial parapatellar mini‐arthrotomy in a cadaveric model

et al. 2017

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of iatrogenic articular cartilage injury in canine stifle arthroscopy versus medial parapatellar mini‐arthrotomy in a cadaveric model

et al. 2017

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“…Gait evaluation is typically documented in the medical record through specific descriptive observations and subjective lameness scores that allow consistency and unambiguous communication between veterinary practitioners. Lameness scores are additionally used in conjunction with other outcome measures, such as force plate analysis, to evaluate the effect of intervention on lameness …”

Section: Introductionmentioning

confidence: 99%

Influence of orthopedic examination on lameness scores and interobserver and intraobserver agreement in dogs with naturally occurring elbow osteoarthritis

et al. 2020

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Objective To determine the influence of orthopedic examination on numerical rating score (NRS) and visual analog score (VAS) when scoring lameness in dogs with elbow osteoarthritis (OA) and to evaluate interobserver and intraobserver agreement in NRS and VAS on the basis of video‐graphic gait analysis. Design Prospective blinded study. Animals Eighteen client‐owned dogs with radiographically confirmed elbow OA. Methods Videos were obtained for all dogs at a walk and at a trot both prior to and immediately after orthopedic examination. All videos were randomly sequenced. Six observers, unaware of the timing of the video, independently assigned both NRS and VAS twice, with at least a 2‐week interval. Scores were evaluated with mixed analysis of variance, and the agreement among observers was accessed by intraclass correlation coefficient (ICC). Results No difference was detected between NRS and VAS at walk or at trot before and after orthopedic examination. Numeric rating score and VAS at walk were lower than those at trot before an orthopedic examination by scores of 0.17 (P = .0018) and 3.54 (P = .0019), respectively. The ICC for both scores for all observers was >0.9. Conclusion An orthopedic examination did not exacerbate the NRS and the VAS for dogs with elbow OA. Interobserver and intraobserver agreement was high for both lameness scores. Clinical significance Lameness may be scored after gait evaluation in dogs with elbow OA irrespective of the timing of a comprehensive orthopedic examination.

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“…The authors observed marked superiority of intraarticular bupivacaine over morphine. Bubenik et al (2002) compared arthrotomy to arthroscopy with regard to the presence of postoperative pain, expressed as lameness, in dogs. No significant differences between groups were observed.…”

Section: Analgesia Knee Jointmentioning

confidence: 99%

Effect of Intraarticular Bupivacaine Administration on Postoperative Pain Relief after Arthrotomic or Arthroscopic Management of Cranial Cruciate Ligament Rupture in Dogs

Raušer¹,

Dvořák²,

Nečas³

et al. 2005

Acta Vet. Brno

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The goal of the study was to disclose superiority of either arthroscopy or arthrotomy in the treatment of CCL rupture with respect to post-surgical pain, to find whether bupivacaine administered intraarticularly is of any value in reducing postoperative pain, and through the present pain scoring system consisting of degree of the lameness, CPS and VAS to recommend therapeutical plan of CCL repair offering the better analgesia.Thirty-seven dogs with cranial crucial ligament (CCL) rupture were randomly assigned to arthrotomy (20 dogs) or arthroscopy (17 dogs). The dogs were subjected to the intraarticular administration of bupivacaine 2.5 mg/kg or saline 0.5 ml/kg (control group) after the closure of joint capsule, the two protocols being distributed at random. Postoperative analgesia was assessed with regard to the degree of the lameness, cumulative pain score (CPS) and visual analogue scale (VAS), recorded at 1, 2, 3, 4, 5, 6, 8, 12 and 24 hours after intraarticular administration of bupivacaine or saline. Postoperative analgesia was most of the time significantly (p < 0.01) better in dogs that underwent arthroscopy and received bupivacaine intraarticularly when compared to the other groups. There was no significant difference in postoperative analgesia between arthroscopic control group and arthrotomy groups, both with and without bupivacaine. The results of this study suggest that intraarticular administration of bupivacaine after arthroscopic surgical management of cranial crucial ligament rupture provides satisfactory postoperative analgesia 24 hours after the arthroscopy.

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Evaluation of Lameness Associated with Arthroscopy and Arthrotomy of the Normal Canine Cubital Joint

Abstract: The results of this study suggest that postoperative morbidity should not be a factor when making a decision to perform either arthroscopy or arthrotomy for exploration of the medial compartment of the canine cubital joint.

Cited by 16 publications

References 21 publications

Comparison of iatrogenic articular cartilage injury in canine stifle arthroscopy versus medial parapatellar mini‐arthrotomy in a cadaveric model

Comparison of iatrogenic articular cartilage injury in canine stifle arthroscopy versus medial parapatellar mini‐arthrotomy in a cadaveric model

Influence of orthopedic examination on lameness scores and interobserver and intraobserver agreement in dogs with naturally occurring elbow osteoarthritis

Effect of Intraarticular Bupivacaine Administration on Postoperative Pain Relief after Arthrotomic or Arthroscopic Management of Cranial Cruciate Ligament Rupture in Dogs

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