Hip&femur Flashcards
Mund, VCOT 2023
Management of Feline Femoral, Tibial and Humeral Fractures Using a 3.5 mm Titanium Interlocking Nail
[marmed, non angle stable]
-complication rate?
-major complication rate?
-most common major complication?
-factor correlated with complication?
16%
12% major
screw breakage
fracture type correlated with complication (transverse more prone to complication)
Alvarez-Sanchez, vet surg 2021
Zurich cementless total hip arthroplasty as a treatment option for capital physeal fractures in dogs: Outcome in 53 cases
-what % cases had good outcome?
-% complications?
- what factor was more common in the chronic fractures?
96% good outcome.
7% complications
Acetabular remodelling more common in chronic fractures
Vezzoni, VCOT 2022
Hemiepiphysiodesis for the Correction of Distal Femoral Valgus in Growing Dogs
- what was the mean difference between pre-op and post-op?
-how many were undercorrected?
-how many over corrected?
-of cases that had implants removed, what % had rebound growth?
11 degrees difference
undercorrection in 2/17
None over corrected
25% (3/12) had rebound growth when implants removed.
Allaith, vet surg 2023
Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period
-what factor was associated with increased complications?
-rate of complication reported by vets?
-and complications reported by owners?
-BFX and helica implants in FHNE revision had higher rate of complications
-8.5% complications reported by vets
-23% complications reported by owners
Kwok, vet surg 2023
Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)
-what was post-op complication rate?
-what were the two most common complications?
-what factor was associated with post-operative femoral fractures?
-what was mean stem subsidence at 1 month?
-what % cases returned to normal?
-14% post-op complication rate
-femoral fracture and coxofemoral luxation (both 3.6%)
-canal flare index associated with post-op femoral fracture
-mean stem subsidence 1mm at 1 month
-98% returned to normal
Israel, vet surg 2023
Preclosure povidone-iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis
- what was the infection rate of the iodine lavage group?
0% (versus 1% for the remainder of the population)
deemed cost effective in lowering infection rates
Meltzer Vet surg 2022
Case factors for selection of femoral component type in canine hip arthroplasty using a modular system
-what CFI has been reported to be risk for subsidence with cementless stem?
-in this report what factors were linked to hybrid system?
CFI <1.8
older patients, heavier patients, lower CFI had hybrid fixation.
Tilve, vet surg 2022
Long-term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010-2020)
-what was the most common indication?
-complication rate?
slipped capital physis
20% complications
Brand, vet surg 2021
Evaluation of a novel method to calculate cementless femoral stem level on craniocaudal projection radiographs
-what angle of rotation on a radiograph was the proportion correction able to minimise variation for when assessing femoral stem position?
proportion correction minimized variability in the stem-level measurements due to sagittal angulation (up to 30°) of the femur at 0° or 15° of internal rotation.
[proportion correction may be useful to evaluate stem level on radiographs and may help with diagnosis of subsidence]
Sapora, Vet surg 2021
Ventral femoral head and neck ostectomy: Standard versusnovel K-wire guided technique using a premeasuredostectomy angle in canine cadavers
-what was the ideal FHA for ventral FHO?
38.5 degrees (less than previously described 45)
Gifford, vet surg 2020
Total hip replacement in dogs with contralateral pelvic limb amputation: A retrospective evaluation of 13 cases
-what was the one major complication encountered?
failure of osteointegration of a cementless cup
Janssens, vet surg 2020
Triple pelvic osteotomy with a 12.5° and a 20° Slocum-type plate: A short-term prospective clinical pilot study in 38 dogs
-what was mean femoral head coverage in the 12.5 group, and the 20 group?
67% covreage in the 12.5 degrees
79% coverage in the 20 degrees
fewer hips deemed excessive coverage in 12.5 degrees (>80%)
Mitchell, vet surg 2020
Comparison of femoral stem subsidence between three types of press-fit cementless total hip replacement in dogs.
-which stem had the lowest rate of subsidence?
lateral bolt lowest (0.24mm), collared and regular BFX stem no difference between (1.2-1.3mm)
Huggard, VCOT 2022
Short-Term Clinical Assessment of Hip Hemi- Arthroplasty in 11 Dogs
-what radiographic findings on 1 year radiographs?
lucency of acetabular bed and mild peri-acetabular sclerosis
Tavola, VCOT 2022
Postoperative Complications of Double Pelvic Osteotomy Using Specific Plates in 305 Dogs
-what was the mean age of dogs?
-what was the complicatino rate?
-major complication rate?
-minor complication rate?
-what was the most common complication?
-what two factors were significantly associated with complications after DPO?
-6 months mean age
-8% complications
0.6% major complications (SSI and
persistent pain)
7.6% minor complications
-greenstick fracture of the ischium (3%)
-laterality and increased bodyweight