Arthroscopy

Authors: Kim J, Jeong J, Lee H.

BACKGROUND: Hip arthroscopy has become a viable option over the last few years for small animal orthopedic diseases, including hip dysplasia, osteoarthritis, and joint evaluation. However, the narrow joint spaces make it difficult to manipulate the instrument, and depth of tissues make it difficult to distract the joint space. In addition, it is very difficult to maintain consistent distraction over time with a manual distraction due to hand fatigue.

Category: Arthroscopy - Hip

OBJECTIVE: To evaluate safety and accuracy of lateral pin placement for the use of a Leipzig stifle distractor (LSD) and to assess improvements in visualization and treatment of the lateral meniscus in the canine stifle.

Category: Arthroscopy - Knee

OBJECTIVE: To determine the influence of a 7-day course of postoperative antibiotherapy (cefpodoxime) on surgical site infections (SSI) after tibial plateau leveling osteotomy (TPLO).

STUDY DESIGN: Prospective, randomized, double-blinded, placebo-controlled clinical study.

Category: Arthroscopy - Knee

OBJECTIVE: To describe a minimally invasive toggle repair technique under arthroscopic guidance to correct a coxofemoral luxation in a canine.

STUDY DESIGN: Case report ANIMALS: A 9-year-old, male (neutered) Alaskan husky.

Category: Arthroscopy - Hip

Osteoarthritis (OA) is a chronic, degenerative disease affecting the articular cartilage and subchondral bone that causes pain and inhibits movement. The stifle's joint fibrous capsule contains the synovial membrane, which produces cartilage nutrients. A ruptured cranial cruciate ligament injures the joint and produces OA.

OBJECTIVES: The aim of this study was to evaluate the use of a Veress needle as a fluid egress system for stifle arthroscopy in toy dog breeds.

Category: Arthroscopy - Knee

OBJECTIVE: To describe the radiographic, computed tomography (CT), and arthroscopic findings in the elbow of dogs admitted for elbow lameness after previous arthroscopic treatment of medial coronoid disease (MCD).

STUDY DESIGN: Retrospective case series.

ANIMALS: Client-owned dogs (n = 25) admitted for elbow lameness after arthroscopic treatment.

The intra-articular administration of lidocaine is a frequent practice in human orthopaedic surgical procedures, but an eventual absorption of the drug into the bloodstream can lead to toxicity, mainly concerning the central nervous system and the cardiovascular systems. The purpose of this study was to determine the pharmacokinetic profile and the safety, in terms of cardiovascular and CNS toxicity, of lidocaine after intra-articular administration to anesthetized dogs undergoing arthroscopy.

Category: Anesthesia - Arthroscopy

OBJECTIVE: To document the progression of disease after an unloading procedure when combined with arthroscopic debridement to treat osteochondrosis (OC) lesions affecting the medial humeral condyle in juvenile dogs without medial compartment disease.

STUDY DESIGN: Retrospective case series.

ANIMALS: Dogs with medial humeral condyle OC (n = 6)

OBJECTIVES:  To report short- and long-term outcomes after arthroscopic treatment in young large breed dogs affected by medial coronoid process disease (MCPD) and identify variables affecting outcome.

STUDY DESIGN: Prospective observational case series.

ANIMALS: Large breed dogs <3 years old (n = 15; 23 elbows).

Category: Arthroscopy - Elbow