Osteotomy for Correction of Premature Growth Plate Closure in 24 Dogs

1994 ◽  
Vol 07 (03) ◽  
pp. 129-135 ◽  
Author(s):  
C.W. Miller ◽  
P.W. Morgan
Keyword(s):  
Corrective Osteotomy ◽  
Functional Results ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Angular Deformity ◽  
Dynamic Correction ◽  
Age At Surgery ◽  
Limb Deformities ◽  
The Mean ◽  
A Prospective Study

SummaryTwenty-four dogs (27 limbs) were evaluated after surgery for correction of forelimb angular limb deformities. Partial ulnar ostectomies or definitive corrective osteotomies were performed depending upon the age of the dog. According to owner assessment nine of fourteen limbs were considered functionally good, or excellent, after partial ulnar ostectomies. Younger dogs appeared to have better functional results after dynamic correction with the mean age at surgery of dogs with good to excellent results being 6.5 months contrasted to the mean age at surgery of dogs with fair to poor results being 9.75 months. Ten of fourteen limbs were considered functionally good or excellent after definitive corrective osteotomy. One dog had definitive osteotomy after partial ulnar ostectomy in order to further correct a residual angular deformity. However, 58% of the limbs with radiographic follow-up had signs of degenerative joint disease (DJD). There were not significant differences between neither degree of angulation remaining after surgery and the functional result nor the degree of angulation remaining after surgery and the development of DJD. A prospective study is warranted to more objectively assess the efficacy of surgical correction of angular limb deformities in dogs.Twenty-four dogs were evaluated after surgery for correction of forelimb angular limb deformities. The results are described.

scholarly journals Efficacy of intraarticular steroid injection in knee osteoarthritis using knee society score and visual analog score

2019 ◽  
Vol 5 (2) ◽  
pp. 299
Author(s):  
Shriram Sampath ◽  
J. K. Giriraj Harshavardhan
Keyword(s):  
Knee Society Score ◽  
Steroid Injection ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Post Injection ◽  
Osteoarthritis Of Knee ◽  
Osteoarthritis Knee ◽  
The Mean ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Osteoarthritis of knee is a chronic degenerative joint disease which leads to pain, swelling, stiffness and decreased quality of life. The purpose of this study was to assess the effect of intra-articular steroid injection for osteoarthritis knee by using knee society score (KSS) and visual analog scale (VAS).</p><p class="abstract"><strong>Methods:</strong> A prospective study of 38 patients (44 knees) diagnosed with osteoarthritis of knee were given 80mg of intra-articular methylprednisolone injection. The outcome was assessed using KSS and VAS before the injection and 3 months post injection.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean VAS improved 3 months post injection whereas there was no improvement in the mean KSS. The scores of VAS 3 months post injection were statistically significant whereas the KSS scores were statistically insignificant compared with the pre injection values.</p><p class="abstract"><strong>Conclusions:</strong> Intra-articular steroid injection for osteoarthritis of knee produces significant pain relief for most patients even in severe cases but this not translate to better functional outcomes.</p>

Distraction-Lengthening of Digital Rays Using a Small External Fixator

1998 ◽  
Vol 23 (6) ◽  
pp. 781-784 ◽  
Author(s):  
M. SALOM ◽  
J. E. AROCA ◽  
V. CHOVER ◽  
R. ALONSO ◽  
R. VILAR
Keyword(s):  
External Fixator ◽  
Corrective Osteotomy ◽  
Functional Results ◽  
Iliac Crest Graft ◽  
Work Accident ◽  
The Mean ◽  
High Level ◽  
Gradual Distraction ◽  
Very High ◽  
Frequent Reason

We present 19 ray lengthenings in 14 patients done with a small external fixator. In six cases the thumb was lengthened and in the other 13 cases, other digital rays. The most frequent reason for lengthening was an amputation sustained in a work accident. All the lengthenings were done by an osteotomy and subsequent gradual distraction with a small external fixator. The mean lengthening achieved was 20 mm (range, 0–32). An iliac-crest graft was needed in nine cases, corrective osteotomy in five cases and a deepening of the web in the six cases of thumb lengthening. In five cases an additional technique was needed to achieve bony consolidation. We have analysed the functional results and the ability to perform activities of daily living and resume employment. Although most of the patients had multiples injuries, the results have been very favourable, achieving a very high level of patient satisfaction.

Clinical Evaluation and Long-Term Follow-Up of Dogs Having Coronoidectomy for Elbow Incongruity

2003 ◽  
Vol 39 (5) ◽  
pp. 473-478 ◽  
Author(s):  
Margaret Puccio ◽  
Dominic J. Marino ◽  
Joseph D. Stefanacci ◽  
Brian McKenna
Keyword(s):  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Disease Entity ◽  
Radiographic Findings ◽  
Clinical Presentations ◽  
Long Term Follow Up ◽  
The Mean ◽  
Joint Incongruity

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.

Tibial tuberosity advancement in 65 canine stifles

2006 ◽  
Vol 19 (04) ◽  
pp. 219-227 ◽  
Author(s):  
J. M. Miller ◽  
C. P. Ober ◽  
O. I. Lanz ◽  
R. A. Martin ◽  
P. K. Shires ◽  
...  
Keyword(s):  
Cruciate Ligament ◽  
Degenerative Joint Disease ◽  
Activity Level ◽  
Tibial Tuberosity ◽  
Joint Disease ◽  
Patellar Ligament ◽  
Cranial Cruciate Ligament ◽  
The Mean ◽  
Owner Satisfaction

SummaryThe tibial tuberosity advancement (TTA) procedure was developed to treat dogs with cranial cruciate ligament deficient stifles. A retrospective, descriptive study was performed on 57 dogs that underwent unilateral or bilateral TTA. Medical records were reviewed and pre-, postoperative and follow-up radiographs were evaluated for patellar ligament-tibial plateau angle (α), distance of the tibial tuberosity advancement and progression of degenerative joint disease. A questionnaire was sent to all owners to obtain their assessment of the procedural outcome. Sixty-five stifles in 57 dogs received a TTA. Mean age was 5.2 ± 2.5 years while mean weight was 39.7 ± 11.9 kg. Eighteen breeds were represented with Labrador retrievers and mixed breeds predominating. The mean duration of lameness prior to surgery was 6.2 ± 6.7 months, with a median lameness score of 3/4. Fifty-nine percent of cases encountered complications, the majority of which were minor. Major post-operative complications were uncommon but consisted of implant failure, tibial crest displacement and medial meniscal tears. The mean radiographic preoperative angle α was 100°, while the postoperative was 95.5°. Mean osteoarthrosis scores were significantly different between preoperative and follow-up radiographs with 67% of cases showing radiographic progression. Seventy percent of owners responded to the survey with overall outcome considered good to excellent in 90%. Activity level was improved in 90% of responses. TTA subjectively appears to be a useful alternative in the management of cranial cruciate ligament disease. Few severe complications were encountered. Good clinical outcome and owner satisfaction was reported with the procedure in this set of cases.

scholarly journals Clinical and socio-demographic profile of treatment on osteoarthritis patients in Tirupathi, Andhra Pradesh, India

2017 ◽  
Vol 6 (8) ◽  
pp. 2010
Author(s):  
J. Viswanath ◽  
Chakrapani Cheekavolu ◽  
S. Sankaraiah ◽  
Renu Dixit
Keyword(s):  
Middle Class ◽  
Weight Bearing ◽  
Signs And Symptoms ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Mixed Diet ◽  
Medical College ◽  
Diet History ◽  
A Prospective Study ◽  
Middle Class Families

Background: Osteoarthritis is a chronic degenerative joint disease and it is slowly progressive with signs and symptoms being pain. It is a common cause of disability affecting 60-70% of the population in the age of 60 years. It usually affects the hand, large weight bearing joints, often the knee and the hip.Methods: A prospective study was carried out in S.V Ayurvedic Medical College and Hospital. Collected the data of Socio-demographic and risk factors (age, diet, history, marital status, religion, occupation etc.) during the treatment of osteoarthritis among the patients in hospital.Results: The data reveals that majority of the patients belongs to the age group of 51-60 (43.33%) and 41-50 years (33.33%) followed by 61-70years (16.66%), 31-40 years (6.66%), and 70 % of females, 30% patients were Males in present study. 90% were married 10% were widows. 63.33% of Hindu, 23.33 % were Muslims and only 13.33% were Christians. 40%, of labour, 33.33% Businessmen, 13.33% Servicemen and 13.33% House wives. 53.33% rural, 46.66% urban area. 50% were belonging to middle class while 23.33% were very poor status, 16.66% Rich only 10 % patients were from upper middle class families. 43.33% were Primary level education, 36.66% were illiterates, 10% up to Graduation, 6.66% Post-Graduation and 3.33% up to Matriculation. 63.33% mixed diet, 36.66% vegetarian.Conclusions: Present study reveals that, incidence of osteoarthritis was very high especially in elder female, married, Hindu, labour, rural area, middle class with very poor, primary education, mixed diet (vegetarian with non-vegetarian) patients. 

scholarly journals SERUM LEVEL OF MMP-3 IN PATIENTS WITH PSORIATIC ARTRITIS TREATED WITH TNF-α BLOKERS

2019 ◽  
Vol 34 (4) ◽  
pp. 939-941
Author(s):  
Stanislava Popova ◽  
Mariela Geneva-Popova ◽  
Anastas Batalov
Keyword(s):  
Extracellular Matrix ◽  
Serum Level ◽  
Disease Activity ◽  
Proteolytic Enzymes ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Blocker Therapy ◽  
Tnf Α ◽  
Extracellular Matrix Components ◽  
The Mean

Background: Matrix metalloproteinases (MMPs) are a family of proteolytic enzymes whose primary function is to break down the extracellular matrix. MMPs are important for tissue remodeling and affect cell signaling. MMP-3 (Stromelysin-1, Transin-1) hydrolyzes natural collagen and extracellular matrix components such as proteoglycan, laminin, fibronectin, gelatin and collagen type III, IV and IX and activates the precursor of IL1-beta. Psoriatic arthritis (PsA) is a rapidly developing, debilitating disease, and it is important for patients with it to identify serum biomarkers to predict its development. Patients and Methods: MMP-3 has been studied in 21 patients with PsA, 16 patients with PsA receiving TNF-α blocker therapy, and 22 patients with gonarthrosis and 15 healthy age-matched adults. All patients were treated and monitored at the University Clinic of Rheumatology, UMHAT “Kaspela“ and UMHAT “Steti Georgi”, Medical University, Plovdiv. The study of MMPs was performed using an ELISA methodology. Statistical processing of the data was performed using the SPSS 23 program with confidence (p <0.001). Results: The mean MMP-3 value in patients with PsA was 197.00 ± 35.90 pg / ml, in patients with AS 101.08 ± 15.76 ng / ml. The mean MMP-3 in patients with PsA receiving TNF-α blocker therapy and with low clinical disease activity was 50.48 ± 9.22 ng / ml. The mean MMP-3 in patients with gonarthrosis was 42.91 ± 11.72 ng / ml. The mean MMP-3 values in patients with active PsA were significantly different from those treated with TNF-α-blockers and patients with degenerative joint disease and controls (p <0.05). Conclusion: MMP-3 was significantly increased in patients with PsA compared with patients with osteoarthritis and healthy subjects. Administration of TNF-α blockers gradually leads to a decrease in the serum level of MMP-3 and can serve as a biomarker for disease activity as well as for evaluating the effect of therapy. arthrosis disease

scholarly journals Cause and Effect Relationship of Body Weight and Knee Osteoarthritis: Experience from a Tertiary Institution in South-Eastern Nigeria

2019 ◽  
Vol 2 (1) ◽  
pp. 9-13
Author(s):  
C G Oguzie ◽  
O A Lasebikan ◽  
C J Onyempka ◽  
D C Chukwumam ◽  
V C Asodike ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Knee Osteoarthritis ◽  
Body Mass ◽  
Strong Support ◽  
The Elderly ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Tertiary Institution ◽  
Increased Risk ◽  
The Mean

It is well established that obesity is related to osteoarthritis of the knees. The aim of this study was to investigate the risk of knee osteoarthritis in relation to body mass index (BMI) and specifically, to assess the risk of knee osteoarthritis (OA) attributable to obesity. We also aimed to determine if there is a higher risk with an increase in BMI. This is an observational case-referent study of patients with knee pain. Patients were recruited from the orthopaedics clinic. The cases were patients that presented with radiologically diagnosed knee osteoarthritis, while the referents were other patients that also attended the orthopedic clinic at the same time. The referents were randomly selected. Body Mass Index was calculated and classified based on the WHO international classification. Data were analyzed using SPSS version 21. A total of 152 patients were included in the study and 67.1% were females while 32.9% were males giving a ratio of 2:1. The mean age was 57.72+/-12.5 years, the mean weight was 79.47+/- 13.41kg (95% CI 77.32 – 81.62) and the mean BMI was 27.80+/-6.2kg/m2. 56.6% had knee osteoarthritis. 8.6% (n = 13) were bilateral, 18.4% (n = 28) in the left knee and 29.6% (n = 45) in the right knee. The relationship between obesity and the presence of knee osteoarthritis was statistically significant (p 0.047). A Chi-squared test for trend also did not show an increased risk for knee osteoarthritis with increasing BMI (p 0.105). In conclusion, knee osteoarthritis is a degenerative joint disease that mostly affects the elderly. Our findings give strong support to the already existing knowledge of the positive relationship between obesity and knee osteoarthritis; however, increasing BMI did not increase the risk of knee OA.

scholarly journals Oxidant-Antioxidant Status in Patients with Knee Osteoarthritis in Duhok City, Kurdistan Region of Iraq

2020 ◽  
Vol 10 (03) ◽  
pp. 448-453
Author(s):  
Zindan Y. Ameen ◽  
Najlaa K. Issa
Keyword(s):  
Inflammatory Markers ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Control Group ◽  
Serum Total Bilirubin ◽  
Kurdistan Region ◽  
Mean Values ◽  
Knee Oa ◽  
Significant Difference ◽  
The Mean

The major famous degenerative joint disease is osteoarthritis (OA), which leads to disability, reduced motion, pain, swelling, and crepitus. Thus, this research aimed to determine the statuses of oxidative stress (OS) and antioxidants in blood patients with primary OA and to compare serum levels of some inflammatory markers between control and knee OA patients groups. In this case-control study, 126 knee OA patients and 49 control individuals were taken, who visited the Center of Rheumatoid in Duhok city, Kurdistan region of Iraq. For the participant’s information, a study questionnaire was employed. Serum total bilirubin (TBIL), uric acid (UA), catalase, peroxynitrite (PN), malondialdehyde (MDA), and ceruloplasmin (CP) were evaluated. Some inflammatory markers were measured, including erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Also, body mass index (BMI) was measured. In the present study, the % of the control group was 28% and patients groups were 29.71, 28, and 14.29% for mild, moderate, and severe cases, respectively. The mean values of MDA and CP showed significant differences between knee OA and control groups. On the other hand, the mean values of catalase, PN, UA, and TBIL showed no significant differences among control and knee OA groups. A significant difference was found among control and knee OA groups for ESR, but CRP was non-significant. In the current study, elevated levels of lipid-peroxidation and CP in patients with knee OA were observed. OS may be involved in OA.

scholarly journals Indications and effectiveness of arthroscopic lavage and debridement in osteoarthritis knee

2019 ◽  
Vol 8 (1) ◽  
pp. 199
Author(s):  
Neeraj Srivastava ◽  
Shameem A. Khan ◽  
Vivek Kumar
Keyword(s):  
Varus Deformity ◽  
Degenerative Joint Disease ◽  
Normal Weight ◽  
Joint Disease ◽  
Osteoarthritis Of Knee ◽  
Arthroscopic Lavage ◽  
Osteoarthritis Knee ◽  
A Prospective Study ◽  
Grade Iii

Background: Degenerative joint disease will afflict most of the people if they live long enough. The majority of patients with osteoarthritis present to orthopaedic surgeons seeking relief of pain and associated restoration of function. Various intraarticular and periarticular structures may be the cause of pain. Improvement in osteoarthritis by arthroscopic lavage and debridement is seen due to various mechanisms.Methods: In a prospective study from July 2016 to December 2018, 35 patients with primary osteoarthritis knee were assessed for effectiveness of arthroscopic lavage and debridement in relieving symptoms of osteoarthritis of knee and to determine the indications of arthroscopy in osteoarthritis of knee. Assessment was done using variables as age of the patient, body mass index, varus deformity, radiographic grading and arthroscopic grading.Results: A declining trend was seen on follow up over time; 91.4% excellent to good results seen at one month follow up, 76.1% at six months, 49.93% at twelve months, 37.5%, at eighteen months, 23.07% at twenty-four months and 28.5% at thirty months. Results at six month follow up when compared, were better for age less than 50 years (88.8% Vs 73.1% in >50 years age), normal weight patients with BMI 18.5 to 25(94.5% Vs 58.5% in overweight), varus angulation <100(93.1% Vs 0% in >100), radiological grade I and II (95-100% Vs 45-50% in grade III and IV) and arthroscopic grade I and II (94-100% Vs 0-77% in grade III and IV).Conclusions: Arthroscopic lavage and debridement is an effective method of treatment for osteoarthritis knee in patients with grade I and grade II osteoarthritis having symptoms of pain and locking due to loose bodies or degenerative meniscal tears.

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