Alice Brettle
University of Liverpool
PhD title: Load shifting osteotomies for the treatment of medial compartment disease of the canine elbow
Supervisors: Dr Esther Garcia-Tunon, Dan Jones, and Thomas Maddox
Elbow dysplasia is a disease that covers numerous pathologies associated with the canine elbow. Medial compartment disease occurs when these pathologies are not treated, and the medial compartment of the canine elbow becomes eroded, and the articulating cartilage reduces. Normally, the lateral compartment remains unaffected and healthy. This erosion of the medial cartilage changes the angle of the elbow, producing a varus deformation, meaning that the forelimb of the dog bends at the elbow, and no longer lies straight in the frontal plane. These deformities cause lameness and pain during waking, and are usually managed non-surgically using lifestyle changes, non-steroidal drugs, and analgesics. Surgical treatments of medial compartment disease are limited, and there is no standard provenly effective way to do so. My project revolves around the design of a new surgical treatment to manage medial compartment disease, with the investigation and efficacy of various osteotomies, including sliding humeral osteotomies, rotational osteotomies, and humeral wedge osteotomies.