Document Detail

Effect of bandaging on post-operative swelling after tibial plateau levelling osteotomy.
MedLine Citation:
PMID:  20585710     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare the effects of bandaging on immediate postoperative swelling using a modified Robert-Jones bandage after tibial plateau levelling osteotomy (TPLO) in dogs. STUDY DESIGN: Prospective case series. METHODS: Dogs undergoing a TPLO were randomly placed into two groups. Group 1 received a modified Robert-Jones bandage postoperatively for a 24 hour period and Group 2 was not bandaged. Hindlimb circumference was measured at the level of the mid-patella, the distal aspect of the tibial crest, the mid-point of the tibial diaphysis and the hock. Measurements were recorded and compared in each group preoperatively and at 24 hours and 48 hours post-operatively. Interobserver variability was compared between the two observers. RESULTS: There was no significant difference in postoperative swelling, as measured by the percentage change in circumference, between bandaged and unbandaged operated limbs after the TPLO at 24 and 48 hours at any site. Some significant differences in measurement at particular sites were observed between the two different observers, but there was a significant linear correlation at all sites between observers. The observer with the least experience consistently had slightly higher measurements at these sites. CLINICAL RELEVANCE: The use of a modified Robert-Jones bandage after TPLO did not prevent statistically significant postoperative swelling, and thus may not be indicated for this purpose. Postoperative bandages placed to control swelling after other small animal orthopaedic procedures should be evaluated individually for efficacy.
M D Unis; J K Roush; K L Bilicki; S G Baker
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2010-06-21
Journal Detail:
Title:  Veterinary and comparative orthopaedics and traumatology : V.C.O.T     Volume:  23     ISSN:  0932-0814     ISO Abbreviation:  Vet Comp Orthop Traumatol     Publication Date:  2010  
Date Detail:
Created Date:  2010-07-15     Completed Date:  2010-09-13     Revised Date:  2010-11-01    
Medline Journal Info:
Nlm Unique ID:  8906319     Medline TA:  Vet Comp Orthop Traumatol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  240-4     Citation Subset:  IM    
Small Animal Surgery, Kansas State University, Veterinary Medical Teaching Hospital, College of Veterinary Medicine, A-106 Mosier Hall, Manhattan, KS 66506-5701, USA.
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MeSH Terms
Bandages / veterinary
Calcaneus / anatomy & histology
Dog Diseases / surgery*
Observer Variation
Osteotomy / methods,  veterinary*
Patella / anatomy & histology
Tibia / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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