🔍 Key Findings

• Population: 16 dogs (27 tibias), TPA >34°
• Techniques analyzed:
  • Group A: CBLO + CCWO
  • Group B: TPLO + CCWO
  • Group C: mCCWO
  • Group D: PTNWO
• Outcomes:
  • All groups achieved post-correction TPA < 14°.
  • Group A: Slight over-correction (mean TPA 10.47°); greatest mechanical axis shift.
  • Group B: Tibial shortening (~0.58%); least mechanical axis shift.
  • Group C: Lowest post-correction TPA (mean 4.76°); under-correction.
  • Group D: High accuracy, minimal shortening (mean 7.09° post).
• Statistical Significance:
  • Significant differences in tibial length change and mCrDTA (mechanical axis shift) between groups (p <.05).
  • TPA correction accuracy: Group A (1.02), B (0.95), C (0.89), D (0.98).

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

• Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
• Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
• Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
• Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
• Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

• 27% in cases with fracture gap
• 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

• OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

• OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

• OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

🔍 Key Findings

• Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
• All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
• Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
• Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
• No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
• Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
• Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
• The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.

🔍 Key Findings

• DPO significantly improved femoral head coverage, increasing mean DLS from 36.1% to 71.4% postoperatively (p < 0.001).
• No significant change in DLS between immediate postoperative and follow-up scans, suggesting stable surgical outcomes over time.
• Greater plate angle (30°) yielded larger DLS improvement (mean increase: 39.8%) compared to 25° and 20° plates.
• Only 3 hips had post-op DLS scores <55%, indicating most patients had lower risk of osteoarthritis progression.
• No correlation found between DLS improvement and age, body weight, or side of surgery, suggesting broad applicability.
• CT was used for DLS measurement in simulated weight-bearing, improving precision over radiographic methods.
• Major limitations included small sample size, multiple surgeons, and variable sedation vs anesthesia during imaging.
• DPO confirmed as effective for reducing dorsolateral subluxation, improving coxofemoral joint congruency in dysplastic dogs.

🔍 Key Findings

• Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
• Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
• One screw exited caudally; no dorsal, ventral, or cranial exits reported.
• At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
• No screw loosening observed, even in suboptimal reductions or purchases.
• Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
• Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
• Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.

🔍 Key Findings

• PRUDA (proximal radio-ulnar divergence angle) and UCORA (ulnar center of rotation of angulation) were significantly greater in Cocker Spaniels with HIF vs those without.
• PRUDA (p < .001): Group 1 (HIF) vs Group 2 & 3.
• UCORA (p = .036): Group 1 vs Group 3.
• Other angles (MPRA, LDRA, PCRA, DCRA, torsion) showed no significant differences.
• Increased PRUDA and UCORA may lead to divergent load vectors across the humeral condyle, potentially predisposing to stress fracture (HIF).
• Measurement techniques using CT-based 3D reconstructions were reliable (intraobserver ICC > 0.84).

🔍 Key Findings

• Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
• All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
• Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
• Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
• No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
• Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
• Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
• The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.

🔍 Key Findings

• Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
• Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
• Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
• Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
• Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
• Ehmer sling is not recommended due to high failure and complication rates (60.6%).
• Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
• No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).

🔍 Key Findings

• Refracture occurred in 5.5% of limbs, with higher incidence in the plate removal group (12.5%) vs. non-removal (3.5%).
• In the non-plate removal group, refractures occurred at the most distal screw site, linked to greater screw position change during growth (OR 1.79, p=0.04).
• Screw-to-bone diameter ratio (SBDR) >0.4 was a significant risk factor for refracture in the plate retention group.
• In the plate removal group, refractures occurred at the original fracture site, associated with lower pixel value ratio (bone mineral density) and reduced radial thickness.
• Implant-induced osteoporosis (IIO) beneath the plate likely contributed to refracture risk after plate removal.
• Younger age at fracture (<6 months) was associated with higher refracture risk due to ongoing radial growth and shifting screw position.
• No significant association was found between refracture and plate type (locking vs conventional), fixation method, or ulnar union.
• Recommendations include careful SBDR sizing, motion restriction, and cautious plate removal decisions in growing dogs.