Our Summary

This study tested a tool called the Leipzig distractor during shoulder surgery on dogs. The researchers used this tool on shoulder joints from 15 large breed dead dogs. They measured things like the width of the joint space, the time the surgery took, and how easy it was to see and feel the structures inside the joint. They also looked at any damage to the cartilage caused by the surgery.

When they used the distractor, the joint space was slightly larger, there was less damage to the cartilage, the surgery took a little less time, and the supraglenoid tubercle (a part of the shoulder joint) was easier to see. However, the visibility or feel of other structures inside the joint did not improve. Also, there were no unexpected injuries around the device.

In conclusion, using the distractor could improve the results of shoulder surgery because it caused less damage and reduced the time the surgery took. However, more studies are needed to see how it affects other conditions and maneuvers during surgery.

FAQs

  1. What is the Leipzig distractor and how was it used in this study?
  2. What improvements were observed when using the distractor in shoulder surgeries on dogs?
  3. What are the potential benefits of using the distractor in shoulder surgeries, and what further research is needed?

Doctor’s Tip

A doctor might tell a patient that arthroscopy is a minimally invasive procedure that allows for a quicker recovery time compared to traditional open surgery. They may also explain that arthroscopy can help diagnose and treat a variety of joint issues, such as repairing torn ligaments or removing damaged cartilage. Additionally, the doctor may recommend post-operative physical therapy to help improve range of motion and strengthen the joint after arthroscopy.

Suitable For

Patients who are typically recommended arthroscopy include those with shoulder injuries such as rotator cuff tears, labral tears, shoulder impingement, and instability. Arthroscopy may also be recommended for patients with knee injuries such as meniscus tears, ligament tears (such as ACL or PCL tears), and cartilage damage. Other conditions that may benefit from arthroscopy include hip impingement, wrist injuries, and ankle injuries. Ultimately, the decision to recommend arthroscopy will depend on the specific condition and the patient’s individual circumstances.

Timeline

  • Before arthroscopy: The patient may experience pain, swelling, stiffness, and limited range of motion in the affected joint. They may have tried conservative treatments such as rest, physical therapy, and medication without success. They would then consult with an orthopedic surgeon who would recommend arthroscopy as a minimally invasive surgical option.

  • Day of arthroscopy: The patient would undergo preoperative evaluations and preparation, including anesthesia administration. During the arthroscopy procedure, the surgeon would make small incisions and insert a tiny camera (arthroscope) and surgical instruments into the joint to diagnose and treat the problem, such as repairing a torn meniscus or removing loose cartilage.

  • After arthroscopy: The patient may experience some pain, swelling, and stiffness in the joint after the procedure, which can be managed with pain medication and physical therapy. They would be advised to rest and gradually resume activities as guided by their surgeon. Follow-up appointments would be scheduled to monitor recovery and ensure optimal healing of the joint. Overall, arthroscopy can help improve joint function and relieve symptoms for patients with various orthopedic conditions.

What to Ask Your Doctor

Some questions a patient should ask their doctor about arthroscopy include:

  1. Can arthroscopy be used to treat my specific condition?
  2. What are the potential risks and complications associated with arthroscopy?
  3. How long will the recovery process be after arthroscopy?
  4. What are the expected outcomes of arthroscopic surgery for my condition?
  5. Will I need any additional treatments or therapies after arthroscopy?
  6. How experienced are you in performing arthroscopic procedures?
  7. Are there any alternative treatment options to consider before undergoing arthroscopy?
  8. What should I expect during the arthroscopic procedure?
  9. Will I need to undergo any additional tests or evaluations before arthroscopy?
  10. How long will the effects of arthroscopy last for my condition?

Reference

Authors: Aoki K, Sek JY, de Paula Freitas F, Bates M, Beaufrere H. Journal: Vet Surg. 2021 Feb;50(2):375-382. doi: 10.1111/vsu.13562. Epub 2021 Jan 5. PMID: 33400311