Surgery for elbow osteoarthritis – help

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Heidi is 5 years old and a German Shepherd x Collie. She was diagnosed with Fragmented Coronoid Process at 2.5 years old and she had arthroscopies in both elbows to remove fragments of bone. Recovery went well and she was sound for approximately 2years. 6 months ago she started to limp again and it became progressively worse. We finally got referred to the specialist vet at the beginning of June and he talked us through all our options from pain management, injections of Platelet Rich Plasma (PRP) and briefly touched on surgery. We opted for another CT scan to see the level of progression and the PRP injections. The CT scan showed significant advancement in the osteoarthritis in both her elbows. The first round of PRP injections didn’t do anything for her unfortunately so we went back to the vets last week. He said we can have another round of PRP injections as sometimes dogs do not respond to the first. He also talked us through two surgical procedures that Heidi would be suitable for as long as the lateral compartment of her elbow is still healthy. We would do the right elbow first as this seems significantly worse at the moment. Both surgeries sound pretty scary. I wasn’t ready to make surgery decisions at that time so opted for some more PRP injections and these seem to of given Heidi some slight relief. I’m currently trying to research the two procedures which are bioblique proximal ulna osteotomy (BOPUO) and unicompartmental elbow replacement (CUE) so would love to know if anyone has had any experience with these please? It’s such a difficult call to make but my feeling is that if she needs surgery then having it done sooner rather than later must make sense… I’m just not sure how to approach knowing what the best options are for Heidi.

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http://www.veterinary-instrumentation.co.uk/skin1/admin/UserFiles/CUE%20Report%202012.pdf

here is a link to a trial regarding this surgery. I have a lot of time for one of the consultants in the trial

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