Complications and postoperative non‐steroidal anti‐inflammatory use of three extracapsular cruciate ligament repair techniques performed in a general practice clinic environment

Objective To report complications and postoperative non‐steroidal anti‐inflammatory use associated with fabellotibial suture, Tightrope and Ligafiba Isotoggle procedures performed on dogs of varying weights within a general practice setting. Materials and Methods Clinical records of eligible patient...

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Veröffentlicht in:Journal of small animal practice 2023-01, Vol.64 (1), p.21-30
Hauptverfasser: Franklin, C. D. H., House, A. K., Pfeiffer, C. N.
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creator Franklin, C. D. H.
House, A. K.
Pfeiffer, C. N.
description Objective To report complications and postoperative non‐steroidal anti‐inflammatory use associated with fabellotibial suture, Tightrope and Ligafiba Isotoggle procedures performed on dogs of varying weights within a general practice setting. Materials and Methods Clinical records of eligible patients from 2009 to 2018 were retrospectively extracted from five general practice clinics. Data for signalment, patient weight, surgery performed, complications, postoperative use of non‐steroidal anti‐inflammatory drugs, and timing thereof were extracted and analysed using multinomial logistic regression. Predicted probability tables were generated for complications and non‐steroidal anti‐inflammatory drug use. Results The study included 370 surgeries, with 97 fabellotibial suture, 158 Tightrope and 42 Ligafiba Isotoggle procedures in patients less than 15 kg, and 43 fabellotibial suture, 16 Tightrope and 30 Ligafiba Isotoggle procedures in patients at least 15 kg. The proportion of patients that can be expected to have no complications was greatest for older dogs (9 years) weighing less than 15 kg (fabellotibial suture, 91%; Tightrope/Ligafiba Isotoggle, 88%), and the highest major medical and surgical complication risks were expected in young dogs (1 year) weighing over 15 kg (fabellotibial suture, 28%; Tightrope/Ligafiba Isotoggle, 59%). The predicted risk of requiring repeated non‐steroidal anti‐inflammatory drug prescriptions in the 18‐month postoperative period for an 15 kg patient was 37% to 39%. Conclusion Weight and age were significant factors influencing complications and postoperative non‐steroidal anti‐inflammatory drug use in fabellotibial suture, Tightrope and Ligafiba Isotoggle surgical patients in a general practice setting. Clinical Significance Clinicians should consider the possibility of complications and requirement for ongoing non‐steroidal anti‐inflammatory drug use before performing extracapsular procedures in patients weighing more than 15 kg.
doi_str_mv 10.1111/jsap.13557
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D. H. ; House, A. K. ; Pfeiffer, C. N.</creator><creatorcontrib>Franklin, C. D. H. ; House, A. K. ; Pfeiffer, C. N.</creatorcontrib><description>Objective To report complications and postoperative non‐steroidal anti‐inflammatory use associated with fabellotibial suture, Tightrope and Ligafiba Isotoggle procedures performed on dogs of varying weights within a general practice setting. Materials and Methods Clinical records of eligible patients from 2009 to 2018 were retrospectively extracted from five general practice clinics. Data for signalment, patient weight, surgery performed, complications, postoperative use of non‐steroidal anti‐inflammatory drugs, and timing thereof were extracted and analysed using multinomial logistic regression. Predicted probability tables were generated for complications and non‐steroidal anti‐inflammatory drug use. Results The study included 370 surgeries, with 97 fabellotibial suture, 158 Tightrope and 42 Ligafiba Isotoggle procedures in patients less than 15 kg, and 43 fabellotibial suture, 16 Tightrope and 30 Ligafiba Isotoggle procedures in patients at least 15 kg. The proportion of patients that can be expected to have no complications was greatest for older dogs (9 years) weighing less than 15 kg (fabellotibial suture, 91%; Tightrope/Ligafiba Isotoggle, 88%), and the highest major medical and surgical complication risks were expected in young dogs (1 year) weighing over 15 kg (fabellotibial suture, 28%; Tightrope/Ligafiba Isotoggle, 59%). The predicted risk of requiring repeated non‐steroidal anti‐inflammatory drug prescriptions in the 18‐month postoperative period for an 15 kg patient was 37% to 39%. Conclusion Weight and age were significant factors influencing complications and postoperative non‐steroidal anti‐inflammatory drug use in fabellotibial suture, Tightrope and Ligafiba Isotoggle surgical patients in a general practice setting. Clinical Significance Clinicians should consider the possibility of complications and requirement for ongoing non‐steroidal anti‐inflammatory drug use before performing extracapsular procedures in patients weighing more than 15 kg.</description><identifier>ISSN: 0022-4510</identifier><identifier>EISSN: 1748-5827</identifier><identifier>DOI: 10.1111/jsap.13557</identifier><identifier>PMID: 36324226</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Animals ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries - veterinary ; Anti-Inflammatory Agents, Non-Steroidal - therapeutic use ; Complications ; Dog Diseases - surgery ; Dogs ; Drug use ; Inflammation ; Patients ; Postoperative ; Postoperative Complications - veterinary ; Retrospective Studies ; Surgery ; Sutures</subject><ispartof>Journal of small animal practice, 2023-01, Vol.64 (1), p.21-30</ispartof><rights>2022 British Small Animal Veterinary Association.</rights><rights>2023 British Small Animal Veterinary Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3167-55f8f34284b547a0cc3dd1aab2d376ea55c491d577d8ea79c227952ffa501d833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjsap.13557$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjsap.13557$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36324226$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Franklin, C. D. H.</creatorcontrib><creatorcontrib>House, A. K.</creatorcontrib><creatorcontrib>Pfeiffer, C. N.</creatorcontrib><title>Complications and postoperative non‐steroidal anti‐inflammatory use of three extracapsular cruciate ligament repair techniques performed in a general practice clinic environment</title><title>Journal of small animal practice</title><addtitle>J Small Anim Pract</addtitle><description>Objective To report complications and postoperative non‐steroidal anti‐inflammatory use associated with fabellotibial suture, Tightrope and Ligafiba Isotoggle procedures performed on dogs of varying weights within a general practice setting. Materials and Methods Clinical records of eligible patients from 2009 to 2018 were retrospectively extracted from five general practice clinics. Data for signalment, patient weight, surgery performed, complications, postoperative use of non‐steroidal anti‐inflammatory drugs, and timing thereof were extracted and analysed using multinomial logistic regression. Predicted probability tables were generated for complications and non‐steroidal anti‐inflammatory drug use. Results The study included 370 surgeries, with 97 fabellotibial suture, 158 Tightrope and 42 Ligafiba Isotoggle procedures in patients less than 15 kg, and 43 fabellotibial suture, 16 Tightrope and 30 Ligafiba Isotoggle procedures in patients at least 15 kg. The proportion of patients that can be expected to have no complications was greatest for older dogs (9 years) weighing less than 15 kg (fabellotibial suture, 91%; Tightrope/Ligafiba Isotoggle, 88%), and the highest major medical and surgical complication risks were expected in young dogs (1 year) weighing over 15 kg (fabellotibial suture, 28%; Tightrope/Ligafiba Isotoggle, 59%). The predicted risk of requiring repeated non‐steroidal anti‐inflammatory drug prescriptions in the 18‐month postoperative period for an 15 kg patient was 37% to 39%. Conclusion Weight and age were significant factors influencing complications and postoperative non‐steroidal anti‐inflammatory drug use in fabellotibial suture, Tightrope and Ligafiba Isotoggle surgical patients in a general practice setting. Clinical Significance Clinicians should consider the possibility of complications and requirement for ongoing non‐steroidal anti‐inflammatory drug use before performing extracapsular procedures in patients weighing more than 15 kg.</description><subject>Animals</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries - veterinary</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</subject><subject>Complications</subject><subject>Dog Diseases - surgery</subject><subject>Dogs</subject><subject>Drug use</subject><subject>Inflammation</subject><subject>Patients</subject><subject>Postoperative</subject><subject>Postoperative Complications - veterinary</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Sutures</subject><issn>0022-4510</issn><issn>1748-5827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2KFDEQx4Mo7rh68QEk4EWEXjtfnZ7jMvjJgoJ6bmrS1bsZ0klM0rvOzUfwZXwhn8SMs3rwYF1CFT9-VeRPyGPWnrFaL3YZ4hkTSuk7ZMW07BvVc32XrNqW80Yq1p6QBznvattJ3d4nJ6ITXHLerciPTZijswaKDT5T8CONIZcQMdXRNVIf_M9v33PBFOwIrhLF1oH1k4N5hhLSni4ZaZhouUqIFL-WBAZiXhwkatJiLBSkzl7CjL7QhBFsogXNlbdfFsy07ppCmnGk1lOgl-jrckdj1RRrkBpnvTUU_bVNwR8kD8m9CVzGR7fvKfn86uWnzZvm4v3rt5vzi8YI1ulGqamfhOS93CqpoTVGjCMD2PJR6A5BKSPXbFRajz2CXhvO9VrxaQLVsrEX4pQ8O3pjCodTyzDbbNA58BiWPHAtmOas57KiT_9Bd2FJvl5Xqa5TXd8yXannR8qkkHPCaYjJzpD2A2uHQ5jDIczhd5gVfnKrXLb1d_6if9KrADsCN9bh_j-q4d3H8w9H6S8dHbEs</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Franklin, C. 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N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3167-55f8f34284b547a0cc3dd1aab2d376ea55c491d577d8ea79c227952ffa501d833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Animals</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries - veterinary</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>Complications</topic><topic>Dog Diseases - surgery</topic><topic>Dogs</topic><topic>Drug use</topic><topic>Inflammation</topic><topic>Patients</topic><topic>Postoperative</topic><topic>Postoperative Complications - veterinary</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Sutures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Franklin, C. D. H.</creatorcontrib><creatorcontrib>House, A. K.</creatorcontrib><creatorcontrib>Pfeiffer, C. N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of small animal practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Franklin, C. D. H.</au><au>House, A. K.</au><au>Pfeiffer, C. N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications and postoperative non‐steroidal anti‐inflammatory use of three extracapsular cruciate ligament repair techniques performed in a general practice clinic environment</atitle><jtitle>Journal of small animal practice</jtitle><addtitle>J Small Anim Pract</addtitle><date>2023-01</date><risdate>2023</risdate><volume>64</volume><issue>1</issue><spage>21</spage><epage>30</epage><pages>21-30</pages><issn>0022-4510</issn><eissn>1748-5827</eissn><abstract>Objective To report complications and postoperative non‐steroidal anti‐inflammatory use associated with fabellotibial suture, Tightrope and Ligafiba Isotoggle procedures performed on dogs of varying weights within a general practice setting. Materials and Methods Clinical records of eligible patients from 2009 to 2018 were retrospectively extracted from five general practice clinics. Data for signalment, patient weight, surgery performed, complications, postoperative use of non‐steroidal anti‐inflammatory drugs, and timing thereof were extracted and analysed using multinomial logistic regression. Predicted probability tables were generated for complications and non‐steroidal anti‐inflammatory drug use. Results The study included 370 surgeries, with 97 fabellotibial suture, 158 Tightrope and 42 Ligafiba Isotoggle procedures in patients less than 15 kg, and 43 fabellotibial suture, 16 Tightrope and 30 Ligafiba Isotoggle procedures in patients at least 15 kg. The proportion of patients that can be expected to have no complications was greatest for older dogs (9 years) weighing less than 15 kg (fabellotibial suture, 91%; Tightrope/Ligafiba Isotoggle, 88%), and the highest major medical and surgical complication risks were expected in young dogs (1 year) weighing over 15 kg (fabellotibial suture, 28%; Tightrope/Ligafiba Isotoggle, 59%). The predicted risk of requiring repeated non‐steroidal anti‐inflammatory drug prescriptions in the 18‐month postoperative period for an 15 kg patient was 37% to 39%. Conclusion Weight and age were significant factors influencing complications and postoperative non‐steroidal anti‐inflammatory drug use in fabellotibial suture, Tightrope and Ligafiba Isotoggle surgical patients in a general practice setting. Clinical Significance Clinicians should consider the possibility of complications and requirement for ongoing non‐steroidal anti‐inflammatory drug use before performing extracapsular procedures in patients weighing more than 15 kg.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>36324226</pmid><doi>10.1111/jsap.13557</doi><tpages>11</tpages></addata></record>
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subjects Animals
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries - veterinary
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Complications
Dog Diseases - surgery
Dogs
Drug use
Inflammation
Patients
Postoperative
Postoperative Complications - veterinary
Retrospective Studies
Surgery
Sutures
title Complications and postoperative non‐steroidal anti‐inflammatory use of three extracapsular cruciate ligament repair techniques performed in a general practice clinic environment
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