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Management of proximal metaphyseal curvilinear tibial fractures in 25 skeletally immature dogs (2009 to 2020)

Winter, J; Meeson, RL; Egan, P; Langley-Hobbs, S; Belch, A

Authors

J Winter

RL Meeson

P Egan

S Langley-Hobbs

A Belch



Abstract

Objectives To describe the occurrence, management and outcome of proximal metaphyseal curvilinear tibial fractures in skeletally immature dogs. Materials and Methods A multi-centre retrospective review was conducted, searching for skeletally immature dogs presenting with proximal metaphyseal curvilinear tibial fractures between January 2009 and September 2020. Signalment, fracture description and case management data were retrieved. Outcome was assessed by retrospectively evaluating follow-up radiographs, hospital records and an owner questionnaire. Results Twenty-five dogs met the inclusion criteria. All but one fracture was a result of minimal trauma. Twenty fractures were managed with internal fixation, two with external fixation and three conservatively. All 25 fractures healed. Eight major complications occurred in seven of 25 (28%) dogs. Twelve minor complications occurred in 10 of 25 (40%) dogs. Owner questionnaire data were available for 12 of 25 dogs; 11 of 12 were reported as having full function and one of 12 as having acceptable function at the time of questioning (median 34.5 months following presentation). At final follow-up, either by clinical examination or owner questionnaire, full function was achieved in 22 of 25 patients and acceptable function in three of 25. Clinical Significance This study reported a series of proximal metaphyseal tibial fractures in skeletally immature dogs. The most common fixation method was internal fixation, which frequently resulted in full limb function at final follow-up. Owners reported outcome as fully functional in all dogs that underwent surgery at first presentation and had owner follow-up available, though positive outcomes may have been affected by participation bias.

Citation

Winter, J., Meeson, R., Egan, P., Langley-Hobbs, S., & Belch, A. (in press). Management of proximal metaphyseal curvilinear tibial fractures in 25 skeletally immature dogs (2009 to 2020). Journal of Small Animal Practice, https://doi.org/10.1111/jsap.13487

Journal Article Type Article
Acceptance Date Jan 19, 2022
Online Publication Date Feb 9, 2022
Deposit Date Feb 22, 2022
Print ISSN 0022-4510
Electronic ISSN 1748-5827
Publisher Wiley
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1111/jsap.13487
Keywords TUBEROSITY AVULSION FRACTURE; TRAMPOLINE FRACTURE; COMPLICATIONS; CHILDREN; VALGA
Public URL https://rvc-repository.worktribe.com/output/1557522

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