infomed consent notes for cruciate and meniscus surgery

Electronic medical records (EMRs) hold great promise for improving the practice of evidence based medicine by facilitating communication between members of the health care team. The most profound influence of EMRs may lie in their ability to encourage clients' involvement in their own pets care.

infomed consent notes for cruciate and meniscus surgery

Postby malernee » Sun Jan 02, 2005 6:13 am

Better do some reading first to see if you really believe cruciate surgery works. The studys I have in the hyperlinks below show cruciate surgery makes the knee worse and meniscus surgery is no better than placebo surgery.

Because cruciate surgery is an unproven modality of treatment. Clients should avoid taking the advise of any veterinarian who promotes Cruciate surgery in the market place. Clients who wish to try cruciate surgery for their pet should discuss their situation with a knowledgeable veterinarian who has no commercial interest in making a profit from cruciate surgery.
The use of cruciate surgery in animals should be restricted to appropriate research settings because cruciate surgery is an unproven modality of treatment.

This literature synthesis spans the 3 decades during which the Federal Drug Administration (FDA) was empowered by the Kefauver-Harris amendments to demand a clearly favorable benefit-to-risk ratio before any pharmaceutical could be purveyed. If those amendments had added cruciate surgery for humans and pets to the purview of the FDA, many American human and dog knees would have been spared the scar that denotes an unproved remedy.

My teacher at vet school developed the new tplo cruciate surgery that vets who call themself experts often want to do.

Here is a surgery article written by my favorite nyt medical writer showing knee surgerys do not need to work for so called experts in the field to advise them.

A Knee Surgery for Arthritis Is Called Sham

nyt aug 24 2002

By GINA KOLATA ... 09a6f056b7

Despite the growing and widespread use of ACL reconstruction and the many reports of different operative treatment options for the reconstruction of ruptured ACL, the benefit (both efficacy and cost-effectiveness) of ACL reconstruction surgery still needs to be established

Evidence based take home message for your pet from the hyperlink article below shows vets who do these sugerys know whats going on. They are just not telling that Numerous studies with follow-up periods of 5 years or longer do not support the theory that surgical treatment is the best treatment for restoring knee function. In fact, in 1994 a study examining scintigraphic and radiographic changes in knees managed surgically versus non-surgically found that 5 years after the injury the reconstructed knees showed markedly greater degeneration than those treated non-surgically.

Here is study showing a reduction of the severity of canine osteoarthritis by prophylactic treatment with oral doxycycline from cruiate ligament rupture hyperlink article.

With careful treatment selection, management of CCL deficient stifles has yielded 85% to 90% of favorable results regardless of the treatment modality

NSAIDs can reduce short term pain in osteoarthritis slightly better than placebo, but the current analysis does not
support long term use of NSAIDs for this condition. As serious adverse
effects are associated with oral NSAIDs, only limited use can be

Doctors who take your money and risk your pets life doing cruciate or meniscus knee surgery or support long term use of NSAIDs for this condition should as experts be required by law to provide you scientific written informed consent information. Their opinion that the sugery should be done or your pet should take drugs like Rimady long term is not the scientific informed consent you need.

the reason why my vet school teacher has tried to develope a new surgery is because you cannot repair or replace a torn cruciate. Soon after any repair or replacement it breaks or become so loose it no longer functions. The client is often confused and thinks the vet is replacing or repairing the cruciate ligament but any such surgery would only be temporary.
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