Management

Triple pelvic osteotomy: effect on limb function and progression of degenerative joint disease

Summary:

The objective of this study was to evaluate prospectively the outcome of 21 clinical patients treated with triple pelvic osteotomies during the year following surgery.

Conclusion:

Twelve dogs were treated unilaterally and nine dogs were treated bilaterally with triple pelvic osteotomies. There were no differences in mean anteversion angles, angles of inclination, or preoperative DJD between treated hips and untreated hips. Degenerative joint diseaseprogressed significantly in all hips regardless of treatment. Two cases developed hyperextension of their hocks after the triple pelvicosteotomies. However, no radiographic evidence of DJD was observed for any of the stifles or hocks at any observation time. A significant increase in vertical peak force (VPF) scores was noted for treated legs by two-to-three months after surgery, which continued over time. Untreated legs did not show a significant change in VPF scores over time. No differences were found in progression to higher scores when unilaterally treated legs, first-side treated legs, and second-side treated legs were compared.

Author & Journal:Johnson AL, et al, J Am Anim Hosp Assoc. 1998 May-Jun;34(3):260-4

Effects of postoperative rehabilitation on limb function after cranial cruciate ligament repair in dogs.

Summary:

To determine the effects of early postoperative rehabilitation on limb function in dogs after surgery for ruptured cranialcruciate ligament (RCCL).

Conclusion:

Dogs that have surgery for RCCL and a torn medial meniscus benefit from postoperativerehabilitation; rehabilitation should be considered part of the postoperative management of these patients.

Author & Journal:Marsolais, GS, et al, J Am Vet Med Assoc 220:1325-1330, 2002