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Long-term outcome following management of canine humeral intracondylar fissure using a medial approach and a cannulated drill system
  1. Jessica McCarthy,
  2. Samantha Woods and
  3. John R Mosley
  1. Royal (Dick) School of Veterinary Sciences, University of Edinburgh, Roslin, UK
  1. Correspondence to Jessica McCarthy; jmccart2{at}exseed.ed.ac.uk

Abstract

This study evaluated the feasibility, complications and long-term outcomes of using a cannulated drill system combined with intraoperative imaging to place a transcondylar screw for the management of canine humeral intracondylar fissure. Thirteen dogs were enrolled, with one dog undergoing staged bilateral surgery. No intraoperative complications occurred. Five minor (36%) and three major (21%) postoperative complications occurred, giving an overall complication rate of 57%. None of the screws placed penetrated the articular surface. The mean duration of surgery was 28 min (SD ±3.5) for dogs that developed a major complication versus 46 min (SD ±18.1) for those that did not (p=0.015). The duration of preoperative lameness was significantly shorter for cases which suffered a major complication (2 days; SD ±2.8) than those that did not (34 days; SD ±31.7, p=0.008). None of the variables assessed were significantly associated with minor complications. Median time from surgery to last follow-up was 5.8 years (range 3.5–8.5 years). Median Liverpool Osteoarthritis in Dogs questionnaire score at the final point of follow-up was 16 (range 7–27). A significant number of patients were found to require analgesia at long-term follow-up.

  • intracondylar fissure
  • complications
  • dogs
  • humerus
  • long-term outcome
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Footnotes

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Ethics approval The study design was reviewed and approved by The University of Edinburgh Veterinary Ethical Review Committee (VERC approval no. 53 16).

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article. Data are available on request.

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