🔍 Key Findings
- Canine unicompartmental elbow (CUE) had the highest reported success (91–98%) and the second-best safety profile (NNH = 7.6).
- Sliding humeral osteotomy (SHO) showed moderate success (43–82%) but had the best safety profile (NNH = 9.5).
- Overall evidence quality was low, with no Level I studies and only five Level II (prospective) studies.
- Success measures were inconsistent, often based on subjective outcomes (e.g., owner satisfaction), limiting comparability.
- Adverse events were common, with high complication rates in arthrodesis and total elbow arthroplasty (TEA).
- One study using objective outcome (PVF) showed only 43% long-term success for SHO, suggesting possible overestimation of success in subjective studies.
- The review highlights the need for validated, standardized outcome tools in elbow OA surgery trials.
- Number needed to harm (NNH) emerged as a more consistent and informative safety metric than success percentages.
Simini Surgery Review Podcast
🔍 Key Findings
- Canine unicompartmental elbow (CUE) had the highest reported success (91–98%) and the second-best safety profile (NNH = 7.6).
- Sliding humeral osteotomy (SHO) showed moderate success (43–82%) but had the best safety profile (NNH = 9.5).
- Overall evidence quality was low, with no Level I studies and only five Level II (prospective) studies.
- Success measures were inconsistent, often based on subjective outcomes (e.g., owner satisfaction), limiting comparability.
- Adverse events were common, with high complication rates in arthrodesis and total elbow arthroplasty (TEA).
- One study using objective outcome (PVF) showed only 43% long-term success for SHO, suggesting possible overestimation of success in subjective studies.
- The review highlights the need for validated, standardized outcome tools in elbow OA surgery trials.
- Number needed to harm (NNH) emerged as a more consistent and informative safety metric than success percentages.
Simini Surgery Review Podcast
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