Elbow Arthrosis: Algorithm for Treatment
World Small Animal Veterinary Association World Congress Proceedings, 2001
Robert Taylor
United States

Suspected Elbow Arthrosis

Radiographic Signs

Lameness ¯ Effusion
Pain with Palpation—Muscle Atrophy

Confirm diagnosis


Assessment Questions

Bicompartment Disease
Age of Patient/ Intended Use
Degree of Osteochondral Damage
Severity of Radiographic Lesions

Isolated U.A.P.

Isolated F.C.P.

+ Surgical removal

Arthroscopic removal

Dynamic ulnar osteotomy

Radial lenthening
Limb realignment (Slocum)

UAP and Osteochondrosis

FCD and Osteochondrosis

+ Surgical removal

Arthroscopic removal/debridement

Debridement (arthroscopy)

Limb realignment (Slocum)

Radial shortening

Radial lengthening

+ Dynamic ulnar osteotomy

+ Resurfacing

+ Resurfacing

Moderate To Severe Elbow D.J.D.

+ UAP + FCP + Osteochondrosis
Limb realignment (Slocum)—Orthroscopic debridement
Resurfacing procedures—NSAIDS chondroprotectives
Total joint replacement + arthrodesis


Age/ status of joint

1.   Arthroscopy—diagnosis—assess joint

2.   Proximal dynamic ulnar osteotomy

3.   + IM pin—location of ulnar osteotomy varies

Surgical removal

Progressive DJD
Good to excellent limb usage 6/7 (Roy)

Ulnar osteotomy

21/22 VAP united (Sjöström)
28% excellent results (Gilson)


Age/ status of joint

1.   Arthroscopy—preferred method of diagnosis/treatment

2.   Radial lengthening—limb realignment (Slocum Elbow Group)

Surgical removal—improvement in gait/ progressive DJD (Theyse)


Age/ status of joint

1.   Arthroscopy—diagnosis and treatment

2.   Radial lengthening—limb realignment (Slocum Elbow Group)

3.   Resurfacing technique

Resurfacing Technique

Open arthrotomy—osteotomy of medial epicondyle
Autograft or allograft
4-8mm osteochondral plugs
Donor plugs impacted into recipient sites


  Good survivability of cartilage

  Actual resurfacing


  Technically difficult

  Expensive technology


Speaker Information
(click the speaker's name to view other papers and abstracts submitted by this speaker)

Robert Taylor
United States

MAIN : : Elbow Arthrosis: Algorithm for Treatment
Powered By VIN