Cover Journal of the American Veterinary Medical Association
Journal of the American Veterinary Medical Association
ISSN:
0003-1488
Publication Date:
01 May 2022
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Editorial Type:
Scientific Reports

Analysis of patient outcome and owner satisfaction with double limb amputations: 14 dogs and four cats

Steven R. Magidenko BS1, Nathan W. Peterson DVM, DACVECC2, Guido Pisano DVM3, and Nicole J. Buote DVM, DACVS—Small Animal1
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  • 1 Hospital for Animals, Small Animal Surgery Section, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY
  • | 2 Hospital for Animals, Emergency and Critical Care Section, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY
  • | 3 Centro Veterinario Pisani, Carli, Chiodo Luni Mare, Luni SP, Italy
DOI:
https://doi.org/10.2460/javma.21.04.0199
Volume/Issue:
Volume 260: Issue 8
Online Publication Date:
24 Mar 2022
Restricted access
Reprints and Permissions Purchase Article

Abstract

OBJECTIVE

To evaluate the indications for, complications of, and surgical outcomes of dogs and cats that were treated with double limb amputations.

ANIMALS

14 dogs and 4 cats that underwent double limb amputations.

PROCEDURES

Data collected retrospectively included patient-specific (species, age, weight, breed, sex, existing comorbidities) and amputation-specific (indication for amputation, full or partial limb amputation, associated complications, need for revision surgeries) variables. Owner satisfaction scores were also collected.

RESULTS

The most common indication for double amputations was trauma (12/18) patients. Eleven patients had both amputations performed simultaneously. Nine patients had double partial limb amputations versus full limb amputations. Twelve patients underwent bilateral pelvic limb amputations, 4 underwent bilateral thoracic limb amputations, and 2 had 1 pelvic and 1 contralateral thoracic limb amputated. Five patients had reported complications over the course of the follow-up period, and complications for 3 patients were considered major. Revision surgery was reported for 2 animals. Owner satisfaction scores were reported as very satisfied/excellent (14/18), mildly satisfied (3/18), and strongly dissatisfied (1/18). Median time to follow-up was 450 days (range, 85 to 4,380 days).

CLINICAL RELEVANCE

Double limb amputation may be a viable alternative to advanced limb-sparing procedures or humane euthanasia based on the owner satisfaction data and the relatively low rate of major complications in this study. Future studies should clarify patient selection criteria and differences in function between surgical types.

Abstract

OBJECTIVE

To evaluate the indications for, complications of, and surgical outcomes of dogs and cats that were treated with double limb amputations.

ANIMALS

14 dogs and 4 cats that underwent double limb amputations.

PROCEDURES

Data collected retrospectively included patient-specific (species, age, weight, breed, sex, existing comorbidities) and amputation-specific (indication for amputation, full or partial limb amputation, associated complications, need for revision surgeries) variables. Owner satisfaction scores were also collected.

RESULTS

The most common indication for double amputations was trauma (12/18) patients. Eleven patients had both amputations performed simultaneously. Nine patients had double partial limb amputations versus full limb amputations. Twelve patients underwent bilateral pelvic limb amputations, 4 underwent bilateral thoracic limb amputations, and 2 had 1 pelvic and 1 contralateral thoracic limb amputated. Five patients had reported complications over the course of the follow-up period, and complications for 3 patients were considered major. Revision surgery was reported for 2 animals. Owner satisfaction scores were reported as very satisfied/excellent (14/18), mildly satisfied (3/18), and strongly dissatisfied (1/18). Median time to follow-up was 450 days (range, 85 to 4,380 days).

CLINICAL RELEVANCE

Double limb amputation may be a viable alternative to advanced limb-sparing procedures or humane euthanasia based on the owner satisfaction data and the relatively low rate of major complications in this study. Future studies should clarify patient selection criteria and differences in function between surgical types.

Supplementary Materials

    • Supplementary Table S1 (PDF 131 KB)

Contributor Notes

Corresponding author: Dr. Buote (njb235@cornell.edu)