Magidenko Steven R, Peterson Nathan W, Pisano Guido, Buote Nicole J
Hospital for Animals, Small Animal Surgery Section, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY.
Hospital for Animals, Emergency and Critical Care Section, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY.
J Am Vet Med Assoc. 2022 Mar 24;260(8):884-891. doi: 10.2460/javma.21.04.0199.
To evaluate the indications for, complications of, and surgical outcomes of dogs and cats that were treated with double limb amputations.
14 dogs and 4 cats that underwent double limb amputations.
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.
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).
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.
评估接受双侧肢体截肢术的犬猫的手术适应症、并发症及手术结果。
14只犬和4只猫接受了双侧肢体截肢术。
回顾性收集的数据包括患者特异性变量（物种、年龄、体重、品种、性别、现有合并症）和截肢特异性变量（截肢适应症、全肢或部分肢体截肢、相关并发症、是否需要翻修手术）。还收集了主人满意度评分。
双侧截肢最常见的适应症是创伤（12/18例患者）。11例患者同时进行了双侧截肢。9例患者接受了双侧部分肢体截肢，而非全肢截肢。12例患者接受了双侧骨盆肢体截肢，4例接受了双侧胸肢截肢，2例一侧骨盆肢体和对侧胸肢被截肢。5例患者在随访期间报告了并发症，3例患者的并发症被认为是严重的。2只动物接受了翻修手术。主人满意度评分报告为非常满意/优秀（14/18）、中度满意（3/18）和强烈不满（1/18）。中位随访时间为450天（范围85至4380天）。
根据本研究中主人满意度数据和相对较低的严重并发症发生率，双侧肢体截肢术可能是一种替代高级保肢手术或人道安乐死的可行选择。未来的研究应明确患者选择标准以及不同手术类型之间的功能差异。
