View all veterinary jobs
The study1, which was conducted by surgery resident Dr Charlie Brincin at Highcroft Veterinary Group (soon to be Bristol Vet Specialists) and orthopaedic surgeon Dr Matt Matiasovic at Manchester Vet Specialists, looked at the records of 825 dogs that had been treated surgically for unilateral MPL at 10 referral centres, and then had a planned follow-up visit, including radiographs.
The frequency of, and reasons for, changes in further recovery recommendations were investigated.
The findings demonstrated that if the dog made an uneventful2 recovery after surgery, was presented without owner concern, and if no abnormality was found on physical examination, then radiographic findings only led to a change in recommendation in 3% (13/432) of these dogs.
Researchers say that this reflects similar research on the influence of follow-up radiographs in human medicine, and those of previous veterinary studies on post-operative radiographs, following uncomplicated tibial plateau leveling osteotomy (TPLO). These particular studies3,4 showed radiography had an impact on post-operative management in just 2%-3.8% of cases.
As a result of the MPL and TPLO studies, Highcroft Veterinary Referrals and Manchester Veterinary Specialists will no longer systematically perform follow-up radiographs on their patients, unless justified clinically.
Charlie said: “Radiographs are not without additional costs or risks - including radiation exposure, sedation-associated risks and strain on veterinary staff.
"Radiographic intervention should be clinically justified and our study suggests that if the dog had an uneventful recovery and is presented without owner or clinician raised concern, then repeat radiographs might not be necessary.
"This study also highlights the value of a thorough owner history and clinical examination for clinical decision-making when re-examining dogs following this orthopaedic surgery.”
The MPL study also evaluated factors which significantly increased the risk of finding radiographic abnormalities at routine follow-up, and those which led to a change in post-operative recommendation.
Lameness, administration of analgesia at follow-up, and history of unplanned visits prior to routine re-examination were associated with increased odds of a change in postoperative plan (P < 0.001).
In the absence of owner and clinician concerns, the odds of having a change in convalescence plans were not different, whether or not isolated radiographic abnormalities were present (P = 0.641).
References
The award has been granted to only a handful of practices and requires the achievement of high standards of care and a detailed understanding of the species.
Highcroft has three dedicated exotic species veterinary surgeons, including a European small mammal Specialist and four exotic species nurses, who have either obtained or are studying for their City and Guilds Exotic Species Veterinary Nursing Certificate.
The practice has a dedicated exotic species consulting room, waiting room, ward and an operating theatre, containing state-of-the-art equipment.
In addition to treating rabbits, both vets and nurses in the exotic species team lecture widely to promote the importance of providing a high standard of care to rabbits and to ensure that their welfare is optimised.
Dr Elisabetta Mancinelli DVM CertZooMed Dipl ECZM (Small Mammal) MRCVS heads the exotic species team at Highcroft. A European Veterinary Specialist in Zoological Medicine (Small Mammal Medicine and Surgery) and a RCVS Recognised Specialist in Zoo and Wildlife Medicine, she said: "We are very proud to have been awarded Gold Status by the RWAF. We will continue to enhance the level of care we provide, not just to rabbits but to all exotic species and strive to improve the welfare of all animals under our care, in hospital and at home."
Dr Sabela Atencia DVM MVM Dip-ECVIM CA MRCVS is an internal medicine specialist who holds the European Diploma in Small Animal Internal Medicine.
During her research for her Masters degree on muscular dystrophy in the Japanese Spitz breed, she contributed to knowledge of the underlying mutation of the disease, facilitating the development of a genetic test.
Sabela enjoys all aspects of canine and feline Internal Medicine, but is particularly interested in endoscopy, endocrinology and genetics.
Dr Owen Davies MA VetMB MVetMed MANZCVS(SAM) MRCVS, a veterinary medical oncology clinician, holds a Masters degree based on research into canine lymphoma.
Owen is interested in all aspects of medical oncology, especially haematopoietic malignancies, targeted therapy for cancer and paraneoplastic disease. He has recently completed a residency in veterinary oncology at the Royal Veterinary College and has just passed the DACVIM examinations in Oncology.
Dr Elisabetta Mancinelli DVM CertZooMed Dipl ECZM (Small Mammal) MRCVS is a European Veterinary Specialist in Zoological Medicine (Small Mammal Medicine and Surgery) and an RCVS Recognised Specialist in Zoo and Wildlife Medicine.
She was the first veterinary surgeon to undertake the European College of Zoological Medicine (ECZM) Residency in Small Mammal Medicine, which she completed at The Royal (Dick) School of Veterinary Studies, Edinburgh.
Elisabetta will lead and further expand the established exotic pet service at the Hospital.
Acting Hospital Director, Professor Stuart Carmichael said: "As we continue to extend the range of services and expertise we offer to our clients, we are delighted to welcome these three distinguished professionals to the team here at Highcroft. They will make a great contribution and it’s great to have them aboard."
Highcroft Veterinary Referrals is based at 615 Wells Road, Whitchurch, Bristol and can be contacted on 01275 832410.
Photo: Left to right: Dr Elisabetta Mancinelli, Dr Owen Davies, Dr Sabela Atencia