In Greyhounds with paw pad corns, is surgical excision more effective at resolving lameness than extirpation?
PICO question In Greyhounds (and Sighthounds) with recurring pedal corns, is surgical excision in comparison to corn extirpation more effective at resolving lameness? Clinical bottom line Category of research question Treatment The number and type of study designs reviewed Thr...
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| Format: | Article |
| Language: | English |
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RCVS Knowledge
2020-09-01
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| Series: | Veterinary Evidence |
| Subjects: | |
| Online Access: | https://veterinaryevidence.org/index.php/ve/article/view/316 |
| _version_ | 1818406833301225472 |
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| author | Dan Kenny |
| author_facet | Dan Kenny |
| author_sort | Dan Kenny |
| collection | DOAJ |
| description | PICO question
In Greyhounds (and Sighthounds) with recurring pedal corns, is surgical excision in comparison to corn extirpation more effective at resolving lameness?
Clinical bottom line
Category of research question
Treatment
The number and type of study designs reviewed
Three case series were included, all three were retrospective, one included a prospective component. There was one opinion-based narrative review and one opinion-based article.
Strength of evidence
Weak
Outcomes reported
Extirpation allows only a short palliation of lameness and repeated treatment is required at variable intervals. Surgical excision may provide good rates of short-term resolution however, in the long-term recurrence rates are still moderate. It should also be born in mind that further corns may develop in different digits.
Conclusion
In Greyhounds (and Sighthounds) with recurring pedal corns, surgical excision of the corn is more likely to provide long-term resolution of lameness in comparison to extirpation. However, the current level of evidence on this topic is weak.
How to apply this evidence in practice
The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.
Knowledge Summaries are a resource to help reinforce or inform decision-making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care. |
| first_indexed | 2024-12-14T09:18:13Z |
| format | Article |
| id | doaj.art-d47209740e074a3b8e40124fb749dc13 |
| institution | Directory Open Access Journal |
| issn | 2396-9776 |
| language | English |
| last_indexed | 2024-12-14T09:18:13Z |
| publishDate | 2020-09-01 |
| publisher | RCVS Knowledge |
| record_format | Article |
| series | Veterinary Evidence |
| spelling | doaj.art-d47209740e074a3b8e40124fb749dc132022-12-21T23:08:22ZengRCVS KnowledgeVeterinary Evidence2396-97762020-09-015310.18849/ve.v5i3.316316In Greyhounds with paw pad corns, is surgical excision more effective at resolving lameness than extirpation?Dan Kenny0Paragon Veterinary ReferralsPICO question In Greyhounds (and Sighthounds) with recurring pedal corns, is surgical excision in comparison to corn extirpation more effective at resolving lameness? Clinical bottom line Category of research question Treatment The number and type of study designs reviewed Three case series were included, all three were retrospective, one included a prospective component. There was one opinion-based narrative review and one opinion-based article. Strength of evidence Weak Outcomes reported Extirpation allows only a short palliation of lameness and repeated treatment is required at variable intervals. Surgical excision may provide good rates of short-term resolution however, in the long-term recurrence rates are still moderate. It should also be born in mind that further corns may develop in different digits. Conclusion In Greyhounds (and Sighthounds) with recurring pedal corns, surgical excision of the corn is more likely to provide long-term resolution of lameness in comparison to extirpation. However, the current level of evidence on this topic is weak. How to apply this evidence in practice The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources. Knowledge Summaries are a resource to help reinforce or inform decision-making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.https://veterinaryevidence.org/index.php/ve/article/view/316greyhoundsighthoundcornpaw padkeratomahyperkeratosisdigitpedalsurgical excisionextirpationhulling |
| spellingShingle | Dan Kenny In Greyhounds with paw pad corns, is surgical excision more effective at resolving lameness than extirpation? Veterinary Evidence greyhound sighthound corn paw pad keratoma hyperkeratosis digit pedal surgical excision extirpation hulling |
| title | In Greyhounds with paw pad corns, is surgical excision more effective at resolving lameness than extirpation? |
| title_full | In Greyhounds with paw pad corns, is surgical excision more effective at resolving lameness than extirpation? |
| title_fullStr | In Greyhounds with paw pad corns, is surgical excision more effective at resolving lameness than extirpation? |
| title_full_unstemmed | In Greyhounds with paw pad corns, is surgical excision more effective at resolving lameness than extirpation? |
| title_short | In Greyhounds with paw pad corns, is surgical excision more effective at resolving lameness than extirpation? |
| title_sort | in greyhounds with paw pad corns is surgical excision more effective at resolving lameness than extirpation |
| topic | greyhound sighthound corn paw pad keratoma hyperkeratosis digit pedal surgical excision extirpation hulling |
| url | https://veterinaryevidence.org/index.php/ve/article/view/316 |
| work_keys_str_mv | AT dankenny ingreyhoundswithpawpadcornsissurgicalexcisionmoreeffectiveatresolvinglamenessthanextirpation |