Canine total knee replacement performed due to osteoarthritis subsequent to distal femur fracture osteosynthesis: two-year objective outcome.
A 27-kg German Shorthaired Pointer was referred for evaluation due to the complaint of left pelvic limb lameness and signs of pain in the left stifle joint. Radiographs revealed signs of a healed supracondylar femoral fracture that had been previously repaired at another hospital with an intramedullary pin and two cross pins. In addition, there were signs of severe osteoarthritis (OA). The OA had been managed medically with administration of carprofen and nutraceuticals for nine months without any improvement. Left total knee replacement (TKR) surgery was performed to alleviate signs of pain. The patient was assessed preoperatively and at six months, one year, and two years after surgery using radiology, force platform analysis of gait, thigh circumference measures, goniometry, and lameness evaluation.  Following surgery, the dog resumed normal activity without any signs of pain and a good quality of life at 3.5 months. Force plate analysis found that peak vertical force on the TKR limb was 85.7% of the normal contralateral limb after two years. Total knee replacement was a successful treatment to manage knee OA associated with a healed distal femoral fracture and internal fixation in this dog.
Apex Veterinary Clinic, Helsinki, Finland. esa.eskelinen@apexvet.fi
E V
EV
Eskelinen
W D
WD
Liska
H K
HK
Hyytiäinen
A
A
Hielm-Björkman
D000818:Animals; D019645:Arthroplasty, Replacement, Knee / Q000662:veterinary*; D004283:Dog Diseases / Q000209:etiology* / Q000601:surgery; D004285:Dogs; D005269:Femur / Q000293:injuries* / Q000473:pathology; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000662:veterinary*; D050723:Fractures, Bone / Q000150:complications / Q000662:veterinary*; D010003:Osteoarthritis / Q000209:etiology / Q000601:surgery / Q000662:veterinary*