Hip&femur Flashcards

1
Q

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?

A

16%
12% major
screw breakage
fracture type correlated with complication (transverse more prone to complication)

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1
Q

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?

A

96% good outcome.
7% complications
Acetabular remodelling more common in chronic fractures

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2
Q

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?
A

11 degrees difference
undercorrection in 2/17
None over corrected
25% (3/12) had rebound growth when implants removed.

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3
Q

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?

A

-BFX and helica implants in FHNE revision had higher rate of complications
-8.5% complications reported by vets
-23% complications reported by owners

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4
Q

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?

A

-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

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5
Q

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?

A

0% (versus 1% for the remainder of the population)
deemed cost effective in lowering infection rates

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6
Q

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?

A

CFI <1.8
older patients, heavier patients, lower CFI had hybrid fixation.

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7
Q

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?

A

slipped capital physis
20% complications

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8
Q

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?

A

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]

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9
Q

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?

A

38.5 degrees (less than previously described 45)

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10
Q

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?

A

failure of osteointegration of a cementless cup

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11
Q

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?

A

67% covreage in the 12.5 degrees
79% coverage in the 20 degrees
fewer hips deemed excessive coverage in 12.5 degrees (>80%)

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12
Q

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?

A

lateral bolt lowest (0.24mm), collared and regular BFX stem no difference between (1.2-1.3mm)

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13
Q

Huggard, VCOT 2022
Short-Term Clinical Assessment of Hip Hemi- Arthroplasty in 11 Dogs

-what radiographic findings on 1 year radiographs?

A

lucency of acetabular bed and mild peri-acetabular sclerosis

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14
Q

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?

A

-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

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15
Q

Worden, VCOT 2022
Effect of Stem Positioning on Biomechanical Performance of a Novel Cementless Short-Stem Canine Total Hip Implant

-what factor influenced compressive stiffness?
-what factors influenced torque to failure?

A

absolute cut height influenced compressive stiffness (higher with more neck retained)

CFI and craniocaudal implant size influenced torque to failure (Higher CFI and having a smaller implant relative to femoral neck isthmus increased torque to failure)

16
Q

Howser, VCOT 2020
Effects of Femur Position on Radiographic Assessment of Femoral Head and Neck Excision Completeness in Cats

-what radiographic position had highest sensitivity, specificity and accuracy fo evaluation of FHNE in cats?

A

external torsion to 30 or 45 degrees

(45 degrees slightly higher spec (95 vs 92) and accuracy (96 vs 95) )

17
Q

Monotti, VCOT 2020
Treatment outcomes for periprosthetic femoral fractures in cementless press-fit total hip replacement

-According to vancouver classification, what was the most common fracture?
-major complication rate?
-most common complication?

A

B1
25% major complicatinos
infection

18
Q

Worden VCOT 2020Radiographic and Biomechanical Assessment of Three Implant Designs for Canine Cementless Total Hip Replacement

-what factor influenced compressive stiffness?

A

stem level influenced compressive stiffness

19
Q

Chantziarras, JSAP 2022
Ventral acetabular augmentation for management of caudoventral luxation following total hip replacement in dogs

-what was the most common implant
-what complication was encountered, and with which implant?

A

SOP plate most common
recurrent luxation and femoral stem loosening in two dogs with polyethylene implant

20
Q

Ruperez, Vet surg 2021
Complications and outcomes of cats with coxofemoral luxation treated with hip toggle stabilization using ultrahigh–molecular-weight-polyethylene or nylon (2009-2018): 48 cats

-what % had post-op complications
-what % had reluxation
-what factors were associated with reluxation?
-what factor was associated with non-excellent outcome

A

-24% complications
-11% reluxation

-not performing capsulorrhaphy, performing other orthopaedic procedures and intra-operative complications were associated with reluxation

-other orthopaedic procedures (non-hip) associated with non-excellent outcome.

21
Q

Mathews, vet surg 2021
Risk factors for reluxation after toggle rod stabilisation for treatment of coxofemoral luxation in 128 dogs

-what was the complication rate?
-what was the reluxation rate?
-which dogs were at higher risk of luxation?

A

24% complication rate
15% reluxation rate
those that presented with non traumatic, low impact injury

22
Q

Darrow, VCOT 2021
Accuracy of Patient-Specific 3D Printed Drill Guides in the Placement of a Canine Coxofemoral Toggle Pin through a Minimally Invasive Approach

-what was the mean exit hole translation from planned orientation?

A

2.5mm

23
Q

LeFloch, JFMS 2022
Outcome of coxofemoral luxation treated with closed reduction in 51 cats
-what was the reluxation rate?
-what factor increased the success of closed reduction?

A

51% reluxation rate
A bandage increased the success of closed reduction

24
Q

Horwood, vet surg 2024
Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

  • Which complications were luxoid hips at higher risk for?
A

Luxoid hips at higher risk of complications, specifically:
- intra-operative fracture
-post-operative dorsal luxation

25
Q

Loh, vet surg 2024
Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

  • what was the success rate of closed reduction and hobbles alone?
    -what was teh complication rate of hobbles?
    -what was success rate for toggle?
  • what factors were associated with successful non surgical treatment?
A

-49%, 62% when accounting for repeated attempts at hobbles
-32% complication rate with hobbles
-toggle had 88% success rate
-use of hobbles, treatment by specialist surgeon and increasing age.

26
Q

De Moya, vet surg 2023
Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

-complication rate %?

A

45% (5/11) complications

27
Q

Ruperez, vet surg 2023
Arthroscopic-assisted hip toggle stabilization (AAHTS) in cats: An ex vivo feasibility study

-describe the ports
-what aspect of the surgery were most complications related to
-to what extent was there articular cartilage damage?

A

camera port just dorsal to the greater trochanter, instrument port off cranial aspect of trochanter.

bone tunnel creation

<10% articular cartilage damage in 10/13 joints

28
Q

Bounds, vet surg 2023
Feasibility of feline coxofemoral arthroscopy using a supratrochanteric lateral portal: A cadaveric study

-what structures were visible within the hip joint?
-what complicaitons?

A

Articular cartilage of the femoral head and acetabulum, round ligament, joint capsule, transverse acetabular ligament, and dorsal acetabular rim

minor cartilage damage

29
Q

Bondonny, VCOT 2024
Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter-Harris Type I and II Fracture Management: A Retrospective Study of 31 Cats

-mid term complication rate?

A

3% mid term complications

30
Q

Butts, JFMS 2023
Comparison of three radiographic assessment methods for detecting slipped capital femoral epiphyses in cats: Klein’s line, modified Klein’s line and the S-sign

-which method had highest accuracy
-which method had highest specificity

A

S-sign on the frog leg radiograph was most accurate

S-sign on hip extended view had highest specificity

31
Q

De Vreught, JFMS 2023
Stabilisation of femoral capital physeal fractures using transcervical pinning in cats: 19 cases (2014-2022)

-what was the major complication rate?
-what was the catastrophic complication rate?
-what factor was linked to catastrophic complication?

A

10% major
24% catastrophic
high pre-op osteolysis score linked to catastrophic complication

32
Q

Zuendt, JAVMA 2023
Centerline canine cementless total hip arthroplasty as an alternative implant system; results in 17 dogs (2015-2020)

-what % dogs had excellent outcome?
-what % complications?

A

75% excellent
25% complications

[10% aseptic loosening, 10% septic loosening, 5% neck fracture]