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Abstract
AIM: To determine the outcomes following unilateral pancarpal arthrodesis (PCA) in working dogs in New Zealand, in terms of return to work and ability, as assessed by the owner.
METHODS: Working dogs treated using unilateral PCA were identified by searching the medical records of the Massey University Veterinary Teaching Hospital (MUVTH) by diagnosis and breed code. Eight Heading dogs (working Collies) and four New Zealand Huntaways were identified with carpal pathology that had been treated by dorsal-plate application, bone-grafting, and casting. All dogs were actively in work on sheep or cattle farms at the time of injury. Case files and radiographs were retrospectively analysed, and the ability of the dog to work after surgery and owner satisfaction with the outcome were assessed using a questionnaire conducted at a mean follow-up interval of 5 years.
RESULTS: Following arthrodesis, 6/12 (50%) dogs could perform duties as before surgery. A further four (33%) dogs could perform most former duties. Ten of the twelve owners were satisfied or very satisfied with resultant mobility and work performance of their dogs. Post-operative complications occurred in 50% of dogs, but in only one case affected the eventual outcome. Eleven owners felt surgical repair was worthwhile in a trained working dog.
CONCLUSIONS: Unilateral PCA carries a good prognosis for working dogs in New Zealand to return to work, even on hillcountry properties.
CLINICAL RELEVANCE: This study may allow veterinarians to provide a more accurate prognosis for working dogs requiring PCA. Working dogs that have sustained severe carpal injury including hyper-extension injury, luxation and fracture, or dogs with crippling carpal osteoarthrosis (OA) can return to work after PCA.
Acknowledgement
The authors would like to acknowledge the surgeons who contributed cases viz Jonathan Bray, Cameron Broome, Fredrik Danielsson, Shane Guerin, Stephen McGill and Preston Stubbs. The authors would like to thank Sandra Forsyth, Roslyn Machon and the anaesthesia and surgical personnel of the MUVTH for clinical assistance; Janis Bridges for statistical support; and the practitioners who referred these cases.