Abstract：
OBJECTIVE: To summarize the current peer-reviewed publications on minimally invasive surgery (MIS) for medial coronoid process disease (MCPD) in dogs.
METHODS: Invited review.
METHODS: Pubmed, CAB Abstracts and Scopus databases were utilized for literature review (1990-2023).
RESULTS: More than 60 papers have been published that involve MIS evaluation or treatment of MCPD. Six prospective trials incorporated quantitative gait analysis evaluating outcome following MCPD debridement, of which three included a control group. Whilst case numbers were limited, all studies employing a control group failed to demonstrate superiority of surgery over nonsurgical management. Of three studies employing gait analysis and no control group, all documented some improvement in function compared to pretreatment lameness. Multiple studies document progression of osteoarthritis in dogs following MCPD debridement although this may not be synonymous with worsened function. Subtotal coronoid osteotomy (SCO) is described as an alternative to MCP fragment removal, although the long-term biomechanical consequences are currently unclear and quantitative data on the efficacy of this treatment in isolation for MCPD is awaited.
CONCLUSIONS: Arthroscopy of the canine elbow joint is a safe means by which to evaluate MCP pathology. Quantitative longitudinal analysis of outcome following minimally invasive surgery for MCPD is required. Correlation with clearly defined subclassification inclusion criteria such as age, incongruity and the precise arthroscopic findings in each case are required to more accurately differentiate any superiority of surgery over nonsurgical management for this disease.
METHODS: Invited review.
METHODS: Pubmed, CAB Abstracts and Scopus databases were utilized for literature review (1990-2023).
RESULTS: More than 60 papers have been published that involve MIS evaluation or treatment of MCPD. Six prospective trials incorporated quantitative gait analysis evaluating outcome following MCPD debridement, of which three included a control group. Whilst case numbers were limited, all studies employing a control group failed to demonstrate superiority of surgery over nonsurgical management. Of three studies employing gait analysis and no control group, all documented some improvement in function compared to pretreatment lameness. Multiple studies document progression of osteoarthritis in dogs following MCPD debridement although this may not be synonymous with worsened function. Subtotal coronoid osteotomy (SCO) is described as an alternative to MCP fragment removal, although the long-term biomechanical consequences are currently unclear and quantitative data on the efficacy of this treatment in isolation for MCPD is awaited.
CONCLUSIONS: Arthroscopy of the canine elbow joint is a safe means by which to evaluate MCP pathology. Quantitative longitudinal analysis of outcome following minimally invasive surgery for MCPD is required. Correlation with clearly defined subclassification inclusion criteria such as age, incongruity and the precise arthroscopic findings in each case are required to more accurately differentiate any superiority of surgery over nonsurgical management for this disease.
摘要：
目的：总结当前同行评审的有关犬内侧冠状突疾病（MCPD）的微创手术（MIS）的出版物。
方法：邀请评审。
方法：发布，CAB摘要和Scopus数据库用于文献综述(1990-2023)。
结果：已经发表了60多篇涉及MIS评估或MCPD治疗的论文。六项前瞻性试验纳入定量步态分析，评估MCPD清创后的结果，其中三个包括对照组。虽然案件数量有限，所有采用对照组的研究均未能证明手术优于非手术治疗.在三项采用步态分析的研究中，没有对照组，与预处理跛行相比，所有记录的功能都有一些改善。多项研究记录了MCPD清创后狗骨关节炎的进展，尽管这可能不是功能恶化的代名词。大冠状截骨术（SCO）被描述为MCP碎片去除的替代方法，尽管目前尚不清楚长期生物力学后果，但仍在等待有关MCPD单独治疗疗效的定量数据。
结论：犬肘关节的关节镜检查是评估MCP病理的安全手段。需要对MCPD微创手术后的结果进行定量纵向分析。与明确定义的子分类纳入标准的相关性，如年龄，每种情况下的不一致和准确的关节镜检查结果都需要更准确地区分手术相对于非手术治疗的优势。
方法：邀请评审。
方法：发布，CAB摘要和Scopus数据库用于文献综述(1990-2023)。
结果：已经发表了60多篇涉及MIS评估或MCPD治疗的论文。六项前瞻性试验纳入定量步态分析，评估MCPD清创后的结果，其中三个包括对照组。虽然案件数量有限，所有采用对照组的研究均未能证明手术优于非手术治疗.在三项采用步态分析的研究中，没有对照组，与预处理跛行相比，所有记录的功能都有一些改善。多项研究记录了MCPD清创后狗骨关节炎的进展，尽管这可能不是功能恶化的代名词。大冠状截骨术（SCO）被描述为MCP碎片去除的替代方法，尽管目前尚不清楚长期生物力学后果，但仍在等待有关MCPD单独治疗疗效的定量数据。
结论：犬肘关节的关节镜检查是评估MCP病理的安全手段。需要对MCPD微创手术后的结果进行定量纵向分析。与明确定义的子分类纳入标准的相关性，如年龄，每种情况下的不一致和准确的关节镜检查结果都需要更准确地区分手术相对于非手术治疗的优势。
