Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months

Petazzoni, Massimo; Tamburro, Roberto

doi:10.1111/vsu.13737

Cited by 11 publications

(22 citation statements)

References 40 publications

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“…A curved retractor was used to protect the obturator nerve. The pubic ostectomy (1 cm) was performed by a rongeur bite, and the sacrotuberous ligament was not released [2]. The subcutaneous tissue and skin were routinely closed.…”

Section: Methodsmentioning

confidence: 99%

“…The DPO bone-healing was radiographically classified 2 months after surgery according to the following score: grade 0-no radiographic signs of healing, grade 1-incomplete osseous bridging and grade 2-complete osseous bridging [2].…”

Section: Methodsmentioning

confidence: 99%

“…The double pelvic osteotomy (DPO) is a corrective surgical procedure performed in dogs affected by hip dysplasia [1,2]. The surgical plan includes a pubic ostectomy followed by an ipsilateral iliac osteotomy.…”

Section: Introductionmentioning

confidence: 99%

“…The consequent acetabular ventroversion allows to increase the femoral head coverage. A preangled plate is used to fix the ilial osteotomy [1][2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Ideal DPO candidates include dogs from 4.5 to 9 months of age with evidence of hip joint dorsal subluxation, minimal osteoarthritic changes, minimal acetabular filling, subluxation angle ≤ 25 degree and distraction index up to 1 • [1]. Recently double pelvic osteotomy was successfully performed in eight dogs older than 9 months of age [2].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the Iatrogenic Sciatic Nerve Injury following Double Pelvic Osteotomy Performed with Piezoelectric Cutting Tool in Dogs

Properzi¹,

Collivignarelli

Paolini

et al. 2022

Veterinary Sciences

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(1) Background: The double pelvic osteotomy (DPO) is a prophylactic surgical procedure associated with 0.4% incidence of sciatic nerve injury. The piezoelectric cutting tool is a surgical device able to involve only mineralized tissue avoiding neurovascular tissue and other soft tissue. This study aimed to evaluate the sciatic nerve injury observed in dogs underwent iliac osteotomy performed using the piezoelectric cutting tool. (2) Methods: Dogs underwent DPO performed with piezoelectric cutting tool were included. Neurological assessment was performed 6 and 24 h after surgery and then repeated 12 days, 4 and 8 weeks after surgery. Temporary and or permanent sciatic nerve injury were recorded. (3) Results: 84 DPOs performed in fifty dogs were included. No temporary/permanent neurological disease associated with iatrogenic damage of the sciatic nerve were observed. (4) Conclusions: The iliac osteotomy performed with piezoelectric cutting tool was not associated to iatrogenic sciatic nerve injury.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The consequent acetabular ventroversion allows to increase the femoral head coverage. A preangled plate is used to fix the ilial osteotomy [1][2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of the Iatrogenic Sciatic Nerve Injury following Double Pelvic Osteotomy Performed with Piezoelectric Cutting Tool in Dogs

Properzi¹,

Collivignarelli

Paolini

et al. 2022

Veterinary Sciences

Self Cite

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Kinetic and Radiographic Outcomes of Unilateral Double Pelvic Osteotomy in Six Dogs

Prabakaran¹,

Jenkins²

2023

Vet Comp Orthop Traumatol

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Objective The aim of this study was to assess the kinetic and radiographic outcome of unilateral double pelvic osteotomy (DPO) using a temporospatial pressure walkway, preoperative and postoperative radiographs. Study Design Retrospective case series of six dogs that underwent unilateral DPO for canine hip dysplasia. The untreated limb was unfit for DPO due to radiographic evidence of osteoarthritis and was therefore managed non-surgically. Preoperative and postoperative radiographs and kinetic data were compared between untreated and DPO-treated hips using a Wilcoxon signed-rank test. Results There was no significant difference in British Veterinary Association Hip Dysplasia Scheme (BVA-HD) scores between untreated and DPO-treated hips preoperatively (p-value = 0.09) and postoperatively (p-value = 0.06). The median postoperative GAIT4 Dog Lameness Score was lower in untreated hips than DPO-treated hips but was not statistically different (p-value = 0.18). Conclusions All dogs in this case series achieved a total pressure index and GAIT4 Dog Lameness Score on the DPO-treated hip comparable to normal limbs. All untreated hips in this series had increased BVA-HD scores at follow-up, whereas all DPO-treated hips had reduced BVA-HD scores. This difference was not significant and warrants further studies. We conclude total pressure index may be preserved in hips treated with unilateral DPO, while the contralateral hip is managed non-surgically.

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The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

Lomas,

Jenkins

2024

Vet Comp Orthop Traumatol

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Objective The aim of this study was to determine the effect of double pelvic osteotomy (DPO) on dorsolateral subluxation (DLS) of the femoral head in a weight-bearing position. Study Design Retrospective observational study with treatment effect analysis. Twenty-four client-owned dogs that underwent DPO due to hip dysplasia. Methods Computed tomography (CT) studies were performed on 24 dogs that underwent a DPO between 2015 and 2021. The patients were positioned with the femora in a weight-bearing position. The DLS score was measured pre-DPO, immediately post-DPO, and at follow-up to determine if DPO resulted in an increase in the DLS score. Results A total of 21 dogs underwent single-stage bilateral DPO and 3 dogs underwent unilateral DPO resulting in 45 hip joints available for analysis. Follow-up CT was available for 29 of these at a median of 51 days (range: 35–482 days). The mean DLS score was 36.1% ± 14.6 preoperatively, 71.4% ± 12.5 post-DPO, and 70.0% ± 15.3 at follow-up. The increase between the pre- and postoperative measurement was significant (p < 0.001). Conclusion DPO results in reduced subluxation of the femoral head in a weight-bearing position. Clinical Significance The in vivo results suggest that DPO will result in reduced femoral subluxation during weight-bearing.

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Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months

Cited by 11 publications

References 40 publications

Evaluation of the Iatrogenic Sciatic Nerve Injury following Double Pelvic Osteotomy Performed with Piezoelectric Cutting Tool in Dogs

Evaluation of the Iatrogenic Sciatic Nerve Injury following Double Pelvic Osteotomy Performed with Piezoelectric Cutting Tool in Dogs

Kinetic and Radiographic Outcomes of Unilateral Double Pelvic Osteotomy in Six Dogs

The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

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