Assessment of potential maladaptive pain in dogs with elbow osteoarthritis using a von Frey aesthesiometer.

BACKGROUND: This study aimed to investigate the possible presence of maladaptive pain in the thoracic limbs of dogs with elbow osteoarthritis (OA) using an electronic von Frey aesthesiometer (eVFA). METHODS: Twenty-eight client- and staff-owned dogs (OA, n = 14; controls, n = 14) were enrolled in the study. Every dog underwent a full orthopaedic examination, and then five von Frey measurements were obtained from each carpal pad of each dog. A maximum test threshold of 400 g was set and approved by an ethics committee. RESULTS: eVFA thresholds were significantly lower (p < 0.001) in dogs with OA (median 248 g, range 128-369 g) than in control dogs (median 390 g, range 371-400 g). In the OA group, the sensory threshold was significantly lower (p = 0.048) in the more severely affected limb than the less severely affected limb. LIMITATION: The low maximum threshold required for ethical approval may influence the variability in the control group. CONCLUSIONS: Dogs with elbow OA had significantly lower sensory thresholds than control dogs, which is compatible with the presence of maladaptive pain, potentially due to central sensitisation. Further research is required to evaluate the potential use of the eVFA for monitoring clinical progression and treatment response in dogs with elbow OA.

The Effect of Calibration Method on Repeatability and Reproducibility of Pressure Mat Data in a Canine Population.

OBJECTIVE: The aim of this study was to investigate the repeatability and reproducibility of two different pressure-sensitive walkway calibration protocols, while collecting gait data from a heterogenous group of dogs. STUDY DESIGN: Fourteen dogs were walked across a high-definition pressure-sensitive walkway (Tekscan Strideway HRSW3) to obtain five valid trials from each dog. Two different calibration protocols were created following manufacturer recommendations: human step and phantom step using a custom-built three-legged device. Each calibration protocol was repeated five times, by three different operators, and then individually applied to the raw canine gait data. The software then automatically generated values for peak vertical force, vertical impulse and peak pressure for each trial. RESULTS: To control for the different bodyweight of the dogs, forces are reported as a percentage of bodyweight. Values for peak vertical force percentage of bodyweight, vertical impulse percentage of bodyweight and peak pressure were significantly different between calibration protocols, but the results were linearly correlated. Both calibration protocols were highly repeatable and highly reproducible. CONCLUSION: Both the step and phantom calibration protocols individually generated highly repeatable and reproducible results, which were not affected by different operators. A linear correlation was identified which may make it possible to apply a correction factor to enable comparison of results between different studies.

Long-term outcomes after pantarsal arthrodesis with medial plate fixation without external coaptation in 30 dogs.

OBJECTIVE: To report long-term outcomes of dogs treated with pantarsal arthrodesis (PTA) with medial plate fixation without external coaptation. STUDY DESIGN: Retrospective case series. ANIMALS: Client-owned dogs (n = 30). METHODS: Medical records of dogs that had undergone a PTA with a medially applied plate without adjunctive rigid external coaptation were reviewed. Data collected included signalment, complications, and assessment of function at last physical examination. Follow-up information was obtained by phone conversations with owners. Complications were classified as minor, major II, major I, and catastrophic. RESULTS: Thirty-six PTA were performed in 30 dogs. Recorded complications included eight (22.2%) minor complications, 11 (30.6%) major II complications and 11 (30.6%) major I complications. One (2.8%) dog required amputation because of catastrophic complication. Owners provided follow-up for 26 dogs at a median duration of 1215 days (range, 325-3495) after surgery. The outcome was reported as full function in 12 dogs and acceptable function in 14 dogs, with no owners reporting unacceptable function. The owner of the dog in which amputation was required was not contacted. Incorrect contact details prevented owner follow-up in the other three dogs, but all had acceptable function at last veterinary follow up. CONCLUSION: Dogs treated with PTA by medially applied plate had a high incidence of complications requiring surgical or medical management, although full or acceptable function was achieved in 29 of 30 dogs. CLINICAL SIGNIFICANCE: Pantarsal arthrodesis offers a predictably good medium to long-term outcome in spite of a high risk of complications.