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Complications and Owner Assessment of Canine Total Hip Replacement: A Multicenter Internet Based Survey
Author(s) -
Forster Kate E.,
Wills Andrew,
Torrington Andrew M.,
Moores Andy P.,
Thomson David,
Arthurs Gareth,
Brown Gordon,
Denny Hamish R.,
Scott Harry W.,
MacQueen Ian,
Dunne James,
Onyett Jeremy,
Walker John D.,
Prior John,
Owen Martin R.,
Burton Neil,
Whitelock Richard,
Girling Sarah,
Morrison Shane,
Gilbert Simon,
LangleyHobbs Sorrel J.,
Gemmill Toby J.,
Innes John F.
Publication year - 2012
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2012.01015.x
Subject(s) - medicine , prospective cohort study , hip dysplasia , incidence (geometry) , osteoarthritis , logistic regression , surgery , prosthesis , orthopedic surgery , physical therapy , radiography , physics , alternative medicine , pathology , optics
Objective To assess the variables associated with the complications of total hip replacement ( THR ) and report owner‐assessed outcomes, through surgeon‐based registration of cases via an online database, informed owner consent, and prospective outcomes assessment using a client‐administered clinical metrology instrument. Study Design Prospective case series Animals Dogs (n = 170) Methods Entries into the British Veterinary Orthopaedic Association‐Canine Hip Registry ( BVOA ‐ CHR ) between January 2010 and August 2011 were reviewed. Variables evaluated included dog age, body weight, breed, and indication for THR and prosthesis. Associations between each variable and the incidence of complications were assessed using logistic regression. Additionally, an on‐line, owner‐administered outcomes assessment questionnaire (modified from the Liverpool Osteoarthritis in Dogs ( LOAD ) questionnaire) was used to collect data from owners. Results One hundred and seventy cases met the inclusion criteria. Surgical indications included hip dysplasia and coxofemoral osteoarthritis (n = 150), Legg‐Calves‐Perthes disease (7), coxofemoral luxation (6), fracture (4), slipped capital physis (2), and femoral head and neck ostectomy revision (1). Surgical implants were from 4 systems. The incidence of surgeon‐reported complication was 9.4%. No significant association was identified between weight, age, sex, breed, indication for THR, surgical technique and prosthesis, and the incidence of complications. In 82% of the cases, owners described their satisfaction with the outcome of THR as “very good” and a total of 20% complication rate was reported. There was a statistically significant improvement in owner‐assessed questionnaire score before and after THR ( P < .001). Conclusions The BVOA ‐ CHR offers a novel framework for the prospective studies on THR and on a national/international scale. Initial complication rates from the BVOA ‐ CHR are similar to previous studies.