Engdahl, Karolina and Boge, Gudrun S. and Bergström, Annika and Moldal, Elena R. and Höglund, Odd
(2021).
Risk factors for severe postoperative complications in dogs with cranial cruciate ligament disease-A survival analysis.
Preventive Veterinary Medicine. 191
, 105350
[Research article]
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Abstract
Objective: To analyze the effect of surgical technique and other risk factors on severe postoperative complications in dogs with cranial cruciate ligament disease (CCLD). Materials and Methods: A cohort study of 255 dogs (287 stifles) surgically treated for CCLD at two veterinary university hospitals (2011 & ndash;2016) was performed. The electronic medical records were reviewed and dog owners and referring veterinarians contacted for additional information. The complications were classified as minor, major and catastrophic, where major and catastrophic were considered severe. A multivariable Cox proportional hazards model was applied to assess risk factors for severe postoperative complications.Results: Three surgical techniques were used; lateral fabellotibial suture (LFS, 141 stifles), tibial plateau leveling osteotomy (TPLO, 77 stifles) and tibial tuberosity advancement (TTA, 69 stifles). The most common severe postoperative complications were surgical site infections or complications related to the surgical implant. Severe postoperative complications occurred in 31 % of the stifles treated with TPLO, 22 % of the stifles treated with LFS and 25 % of the stifles treated with TTA. The multivariable Cox proportional hazards model identified surgical technique (p = 0.0258) as a risk factor for severe postoperative complications; TPLO had a significantly lower hazard than LFS (hazard ratio (HR) = 0.37, p = 0.007) when controlling for body weight and age, which also were identified as risk factors (HR = 1.05, p < 0.001 and HR = 0.91, p = 0.047, respectively).Conclusion and Clinical relevance: Although TPLO procedures had the highest occurrence of severe postoperative complications, the hazard was lower than for LFS after adjusting for body weight and age. This implies that it is important to consider potential effect-modifiers when comparing postoperative complications after CCLD surgery.
Authors/Creators: | Engdahl, Karolina and Boge, Gudrun S. and Bergström, Annika and Moldal, Elena R. and Höglund, Odd | ||||||
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Title: | Risk factors for severe postoperative complications in dogs with cranial cruciate ligament disease-A survival analysis | ||||||
Series Name/Journal: | Preventive Veterinary Medicine | ||||||
Year of publishing : | 2021 | ||||||
Volume: | 191 | ||||||
Article number: | 105350 | ||||||
Number of Pages: | 8 | ||||||
Publisher: | ELSEVIER | ||||||
ISSN: | 0167-5877 | ||||||
Language: | English | ||||||
Publication Type: | Research article | ||||||
Article category: | Scientific peer reviewed | ||||||
Version: | Published version | ||||||
Copyright: | Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0 | ||||||
Full Text Status: | Public | ||||||
Subjects: | (A) Swedish standard research categories 2011 > 4 Agricultural Sciences > 403 Veterinary Science > Clinical Science | ||||||
Keywords: | Orthopedic, Stifle surgery, Canine, Risk factor, Lameness, Survival analysis, SSI, Epidemiology | ||||||
URN:NBN: | urn:nbn:se:slu:epsilon-p-112555 | ||||||
Permanent URL: | http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-p-112555 | ||||||
Additional ID: |
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ID Code: | 24737 | ||||||
Faculty: | VH - Faculty of Veterinary Medicine and Animal Science | ||||||
Department: | (VH) > Dept. of Clinical Sciences | ||||||
Deposited By: | SLUpub Connector | ||||||
Deposited On: | 28 Jun 2021 14:25 | ||||||
Metadata Last Modified: | 28 Jun 2021 14:31 |
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