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Long-term follow-up after coronoidectomy in dogs
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A fragmented Processus coronoideus medialis is a common problem especially in large and giant dog breeds. If the problem is not diagnosed and corrected early one has to expect severe chronic-degenerative alterations of the elbow joint. But how likely is the progression of arthrosis postsurgical? As this study shows, 70% of them showed still a progressive arthrosis in their X-rays without clinical lameness. Now the authors are waiting for long-term results...
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A retrospective study was performed describing the clinical presentations, radiographic findings, and surgical outcomes of 17 dogs (18 elbows) following medial coronoidectomy for the treatment of elbow joint incongruity as a sole disease entity.
Complete resolution of lameness was achieved in 100% of the cases.
The mean radiographic arthrosis grade progressed in 70% of the cases.
Results of this study indicate that resolution of clinical lameness may be achieved with medial coronoidectomy in dogs with elbow incongruity; however, progression of degenerative joint disease with unknown, long-term clinical significance can be expected after surgery.
Source: Margaret Puccio, Dominic J. Marino, Joseph D. Stefanacci, Brian McKenna (2003): Clinical Evaluation and Long-Term Follow-Up of Dogs Having Coronoidectomy for Elbow Incongruity. In: Journal of the American Animal Hospital Association 39:473-478 (2003)
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