Postoperative Complications after Surgical Management of Incomplete Ossification of the Humeral Condyle in Dogs

Rachel Hattersley*, Malcolm McKee, Turlough O'Neill, Stephen Clarke, Steven Butterworth, Thomas Maddox, Martin Owen, Sorrel J. Langley-Hobbs, Eithne Comerford

*Corresponding author for this work

    Research output: Contribution to journalArticle (Academic Journal)peer-review

    25 Citations (Scopus)

    Abstract

    Objective: To describe incidence and type of postoperative complications in the surgical management of incomplete ossification of the humeral condyle (IOHC) and identify any risk factors associated with development of these complications.

    Study Design: Case series.

    Methods: Clinical records of dogs (n = 57) that had prophylactic transcondylar screw insertion for treatment of IOHC (79 elbows) at 6 UK referral centers were reviewed. Signalment, presentation, surgical management, postoperative care, and complications were recorded. Postoperative complications were divided into seroma, surgical site infections (SSI) and implant complications.

    Results: Spaniel breeds and entire males were overrepresented. The overall complication rate was 59.5%. Seroma (n = 25) and SSI (24) were the most commonly encountered complications. Implant failure occurred in 2 dogs. Labrador retrievers were at greater risk of developing a postoperative complication than other breeds (P = .03). Increasing bodyweight was a significant risk factor for development of a SSI (P=. 03). Placement of the transcondylar screw in lag fashion rather than as a positional screw reduced the incidence of postoperative SSI (P = .007).

    Conclusions: Surgical management of IOHC is associated with a high rate of postoperative complications. Placement of the transcondylar screw in lag fashion may limit postoperative complications and warrants further consideration.

    Original languageEnglish
    Pages (from-to)728-733
    Number of pages6
    JournalVeterinary Surgery
    Volume40
    Issue number6
    DOIs
    Publication statusPublished - Aug 2011

    Keywords

    • WOUND-INFECTION
    • EPIDEMIOLOGIC EVALUATION
    • CATS
    • FRACTURES
    • SURGERY
    • LAMENESS

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