< Home

Services

Your ECVS

< Back

33rd Annual Scientific Meeting proceedings


Stream:   |   Session:
Date/Time: 30-11--0001 (00:00 - 00:00)   |   Location:
Mid and Long-Term Outcomes of Arthroscopy with and without Proximal Abducting Ulnar Osteotomy in Dogs with Medial Compartment Disease: A Kinetic Gait Analysis Study
Murcia A1, Redondo JI2, Alemany A1, Sifre V1, Soler C1, Serra CI1
1Hospital Veterinario UCV. Departamento Medicina y Cirugía Animal. Facultad de Veterinaria y Ciencias Experimentales. Universidad Católica de Valencia San Vicente Mártir., Valencia, Spain, 2Departamento Medicina y Cirugía Animal. Facultad de Veterinaria. Universidad Cardenal Herrera-CEU. CEU Universities., Valencia, Spain.

Objectives:

Medial compartment disease (MCD) is a prevalent manifestation of developmental elbow disease, likely resulting from overload on the medial coronoid process and humeral condyle. Despite widespread use of arthroscopy, questions remain regarding its long-term effectiveness. Osteotomy techniques, like Proximal Abducting Ulnar Osteotomy (PAUL), seek to alleviate lameness by redistributing forces and unloading the medial compartment.

Using kinetic gait analysis, this study aimed to evaluate mid and long-term outcomes for dogs with MCD undergoing arthroscopy, with and without PAUL.

Methods:

A prospective study involving dogs diagnosed with MCD was conducted. Group A underwent arthroscopy, while group AP had arthroscopy with PAUL. Kinetic gait analysis (GAIT4Dog®) was performed before surgery, at 8-, 16-, and 52-weeks post-surgery, and at the study's conclusion. Spatial, temporal, and pressure kinetic parameters were assessed alongside GAIT4Dog® Lameness Score (GLS). Treatment-time effects on variables were analyzed using a two-way ANOVA for trimmed means (p<0.05). 

Results:

Twenty-two elbows were included, fourteen in Group A and eight in Group AP. Pressure parameters and GLS were significantly influenced by the combined effect of time and treatment. The arthroscopy group maintained stable pressure and GLS parameters resembling pre-surgical levels. However, the arthroscopy-PAUL group’s parameters initially decreased, showing gradual improvement and overtaking the arthroscopy group at one year and at study's conclusion. 

Conclusions:

This study revealed a different behaviour between surgical techniques, with differences in pressure and GLS parameters. Patients undergoing PAUL initially worsened attributable to the surgical intervention but demonstrated a superior long-term outcome compared to those undergoing arthroscopy.

Back to the top of the page ^