Postoperative Complications and Short‐Term Outcome Following Single‐Session Bilateral Corrective Surgery for Medial Patellar Luxation in Dogs Weighing &lt;15 kg: 50 Cases (2009–2014)

Gallegos, Javier; Unis, Marcos D.; Roush, James K.; Agulian, Lori

doi:10.1111/vsu.12525

Cited by 13 publications

(36 citation statements)

References 16 publications

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“…The lower complication rate in the unilateral group contradicts findings in previous studies that evaluated single-session bilateral MPL surgery (Cashmore et al 2014, Clerfond et al 2014, Fullagar & Hettlich 2014, Stanke et al 2014, Gallegos et al 2016). An accurate comparison of our results to what has been previously reported is difficult due to differences in study protocols and outcome measures.…”

Section: Discussionmentioning

confidence: 38%

“…, Gallegos et al . ). An accurate comparison of our results to what has been previously reported is difficult due to differences in study protocols and outcome measures.…”

Section: Discussionmentioning

confidence: 97%

“…, Gallegos et al . ). Dogs in our study were only operated on if they had associated clinical signs bilaterally since this was the basis for their referral.…”

Section: Discussionmentioning

confidence: 97%

“…, Gallegos et al . ). However, verifying this conclusion is difficult because of limitations in study design and contradictory findings in dogs undergoing single‐session bilateral lateral patellar luxation surgery.…”

Section: Introductionmentioning

confidence: 97%

“…Singlesession bilateral surgery offers the advantages of a single anaesthetic event, single recovery period and potentially lower cost. Multiple studies suggest there is no difference in complication rates between unilateral and single-session bilateral MPL surgery (Cashmore et al 2014, Clerfond et al 2014 Stanke et al 2014, Gallegos et al 2016. However, verifying this conclusion is difficult because of limitations in study design and contradictory findings in dogs undergoing singlesession bilateral lateral patellar luxation surgery.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of short‐term complications between unilateral and single‐session bilateral surgery for medial patellar luxation in small/medium breed dogs

Sanders¹,

Bevan²

2018

J of Small Animal Practice

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Objectives To compare the short‐term complications of unilateral versus single‐session bilateral medial patellar luxation surgery in small dogs. Materials and Methods The medical records of dogs weighing less than 13∙6 kg that underwent medial patellar luxation surgery were reviewed. Dogs were included in one of two groups based on the type of surgery performed (unilateral or single‐session bilateral). Postoperative patellar luxation grade and complications were compared between the groups. Results Two hundred and fifty‐one dogs were included. In the bilateral treatment group, there was less improvement in patellar luxation grade and postoperative medial patellar luxation grade was higher. The frequency of major complications was higher in the bilateral group (23%) compared with the unilateral group (12%). Clinical Significance Single‐session bilateral medial patellar luxation surgery was associated with a higher complication rate compared to unilateral surgery in this non‐randomised observational study. Staged rather than single‐session bilateral surgery should be considered in dogs with bilateral medial patellar luxation to improve clinical outcome and reduce the chance of major complications.

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Section: Discussionmentioning

confidence: 38%

“…, Gallegos et al . ). An accurate comparison of our results to what has been previously reported is difficult due to differences in study protocols and outcome measures.…”

Section: Discussionmentioning

confidence: 97%

“…, Gallegos et al . ). Dogs in our study were only operated on if they had associated clinical signs bilaterally since this was the basis for their referral.…”

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of short‐term complications between unilateral and single‐session bilateral surgery for medial patellar luxation in small/medium breed dogs

Sanders¹,

Bevan²

2018

J of Small Animal Practice

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Outcome of surgical correction of medial patellar luxation in dogs weighing less than 10 kg

Vodnarek,

Schneider,

Bockstahler

et al. 2024

Veterinary Record

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BackgroundVarious trochleoplasty techniques, including trochlear wedge recession (TWR) and trochlear block recession (TBR), are used to treat dogs with medial patellar luxation (MPL). However, the objective outcomes of these surgical procedures are underreported.MethodsMedical records were obtained for dogs weighing less than 10 kg that underwent either TWR or TBR and tibial tuberosity transposition to address grade I–III MPL. Long‐term (at least 1 year after the last procedure) follow‐up included orthopaedic and radiographic examinations, such as osteoarthritis score (OAS), ground reaction force (GRF) analysis and canine brief pain inventory (CBPI).ResultsOverall, 20 dogs (26 stifles) were followed up in the long term. Minor postoperative complications, medial patellar reluxation (MPR) and intermittent lameness occurred in 46.15%, 19.23% and 15% of the dogs, respectively. MPR occurred only in TWR‐treated stifles, while mean OAS increased in all groups. Using the CBPI, the owners perceived an excellent or very good outcome in 95% of dogs.LimitationsThe limitations of the study include its retrospective observational nature, a lack of randomisation and a small sample size.ConclusionSurgical treatment resulted in a favourable outcome. GRF analysis could detect subtle differences in weight bearing in dogs treated for MPL, which might not be apparent clinically. There might be a higher risk for reluxation for TWR. However, a larger‐scale prospective study would be required to find which treatment is superior.

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Complications Following Surgical Correction of Medial Patellar Luxation in Small-to-Medium-Size Dogs

Rossanese

German

Comerford

et al. 2019

Vet Comp Orthop Traumatol

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Objective The main aim of this study was to describe complications in dogs weighing < 20 kg treated for medial patellar luxation and to determine risk factors associated with these complications. Materials and Methods Medical records were reviewed and cases were grouped based on four techniques of stabilization for the tibial tuberosity transposition (TTT). Variables including animal signalment, clinical presentation, TTT technique, other concurrent surgical techniques and associated complications were investigated. Multiple logistic regression was used to determine the association of the same variables with specific complications such as tibial tuberosity fractures or avulsions, patellar reluxation and implant-related complications. Results Of the 100 procedures performed, 37 suffered a complication. There were no significant differences in the overall complication rate between TTT stabilization techniques. Preservation of the tibial tuberosity distal cortical attachment was associated with a reduced risk of implant-related complications, whereas adding a medial release to the surgical techniques was associated with an increased risk of medial patellar reluxation. The type of trochleoplasty performed did not affect the complication rate. Conclusions In the current study, a high rate of complications was found in dogs < 20 kg undergoing medial patellar luxation surgery. Performing a medial release and preserving the distal cortical attachment of the tibial tuberosity were the only variables associated respectively with an increase and a reduction in the risk of postsurgical complications.

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Postoperative Complications and Short‐Term Outcome Following Single‐Session Bilateral Corrective Surgery for Medial Patellar Luxation in Dogs Weighing <15 kg: 50 Cases (2009–2014)

Cited by 13 publications

References 16 publications

Comparison of short‐term complications between unilateral and single‐session bilateral surgery for medial patellar luxation in small/medium breed dogs

Comparison of short‐term complications between unilateral and single‐session bilateral surgery for medial patellar luxation in small/medium breed dogs

Outcome of surgical correction of medial patellar luxation in dogs weighing less than 10 kg

Complications Following Surgical Correction of Medial Patellar Luxation in Small-to-Medium-Size Dogs

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