In Dogs With Traumatic Elbow Luxation, Does Treatment Using Closed Reduction and Conservative Management Have a Better Prognosis Than Those Treated With Open Reduction and Surgery?

  • Barnaby Luke Dean Langford Vets Small Animal Hospital / University of Bristol Langford Bristol BS40 5DU

Published:

2017-11-28

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DOI

https://doi.org/10.18849/ve.v2i4.128

Abstract

Clinical bottom line:

In the available literature, cases of traumatic elbow luxation managed by closed reduction appear to have a better long-term prognosis  than cases managed by open reduction and surgical stabilisation. That being said, it is important to consider that the poorer outcome in surgically-managed cases could reflect the severity or chronicity of the injury rather than the treatment method itself, or indeed could reflect a combination of the two.

Closed reduction of traumatic canine elbow luxation should be attempted in all cases as soon as possible as this is associated with a better prognosis. Should closed reduction not be possible, or should the elbow remain unstable or reluxate following closed reduction, surgical intervention is indicated. Joint immobilisation is recommended with either a Robert Jones bandage or splinted bandage for two-to-four weeks following treatment.

References

Billings LA, Vasseur PB, Todoroff RJ, Johnson W (1992). Clinical results after reduction of traumatic elbow luxations in nine dogs and one cat. Journal of the American Animal Hospital Association; 28(2): pp137-142.

Guzel O, Altunatmaz K, Saroglu M, Aksoy O (2006). Traumatic luxations of the elbow in cats and dogs. Veteriner Fakultesi Dergisi (Istanbul); 32(2): pp31-43.

McCartney W, Kiss K, McGovern F (2010). Surgical stabilization as the primary treatment for traumatic luxation of the elbow joint in 10 dogs. International Journal of Applied Research in Veterinary Medicine; 8(2): pp97-100.

Mitchell KE (2011). Traumatic elbow luxation in 14 dogs and 11 cats. Australian Veterinary Journal; 89(6): pp213-216. http://dx.doi.org/10.1111/j.1751-0813.2011.00718.x

O’Brien MG, Boudrieau RJ, Clark GN (1992). Traumatic luxation of the cubital joint (elbow) in dogs: 44 cases (1978-1988). Journal of the American Veterinary Medical Association; 201(11): pp1760-1765.

Pass MA, Ferguson JG (1971). Elbow dislocation in the dog. Journal of Small Animal Practice; 12(6): pp.327-332. http://dx.doi.org/10.1111/j.1748-5827.1971.tb06237.x

Sajik D, Meeson RL, Kulendra N, Jordan C, James D, Calvo I, Farrell M (2016). Multi-centre retrospective study of long-term outcomes following traumatic elbow luxation in 37 dogs. Journal of Small Animal Practice; 57(6): pp422-428. http://dx.doi.org/10.1111/jsap.12499

Schaeffer IGF, Wolvekamp P, Meij BP, Theijse LFH, Hazewinkel HAW (1999). Traumatic luxation of the elbow in 31 dogs. Veterinary and Comparative Orthopaedics and Traumatology; 12(1): pp33-39.

Vedrine B (2017). Use of an elastic transarticular external fixator construct for immobilization of the elbow joint. Canadian Veterinary Journal; 58(4): pp353-359.

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Vol. 2 No. 4 (2017): The fourth issue of 2017

Section: Knowledge Summaries

Categories :  Small Animal  /  Dogs  /  Cats  /  Rabbits  /  Production Animal  /  Cattle  /  Sheep  /  Pig  /  Equine  /  Exotics  /