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DOI: 10.1055/s-0043-1774416
Humeral Condylar Fractures in French Bulldogs—Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs
Abstract
Objective To report the inciting cause and configuration of humeral condylar fractures in French Bulldogs, and to identify risk factors for complications associated with their surgical stabilization, as well as their occurrence.
Study Design Retrospective multicenter clinical cohort study.
Animals French bulldogs (n = 136) with humeral condylar fracture.
Methods Records from eight United Kingdom referral centers were reviewed for French bulldogs that underwent surgery for humeral condylar fracture between January 2017 and January 2021.
Results Lateral fractures of the humeral condyle represented two-thirds of condylar fractures in this study (95 elbows; 69.8%); medial fractures of the humeral condyle and intracondylar Y or T fractures affected 22 (16.2%) and 19 (14%), respectively. A fall was the inciting cause for 60 elbows (45.6%), with stairs implicated in 27 (20.45%) elbows. Skeletal immaturity was significantly correlated with fracture. Complications affected 30 out of 132 dogs (136 elbows) (22%), of which 10 (33%) were major, and 20 (66%) were minor. Fixation method did not significantly impact complication rate for medial or lateral fractures of the humeral condyle (p = 0.87). Comminution increased the risk of complication for all humeral condylar fracture types (p = 0.02).
Clinical Relevance Fixation method was not found to significantly impact the complication rate of surgically managed fractures of the humeral condyle in French bulldogs. Stair use, falling from low heights, and skeletal immaturity were common inciting reasons for humeral condylar fractures.
Authors' Contribution
A.M.C, S. Butterworth and S. Bright contributed to the conception, study design, acquisition of data, data analysis and interpretation. B.K. contributed to the conception and study design. D. M. contributed to conception and acquisition of data. I.S. contributed to study design, data analysis and interpretation. All authors drafted, revised, and approved the submitted manuscript and are publicly responsible for the relevant content.
Publikationsverlauf
Eingereicht: 14. April 2023
Angenommen: 13. August 2023
Artikel online veröffentlicht:
08. Februar 2024
© 2024. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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References
- 1 Bardet J, Hohn RB, Rudy R, Olmstead M. Fractures of the humerus in dogs and cats a retrospective study of 130 cases. Vet Surg 1983; 12: 73-77
- 2 Johnson AL, Dunning D. Atlas of Orthopedic Surgical Procedures of the Dog and Cat. St. Louis Missouri, PA: Elsevier Saunders; 2005
- 3 Piermattei DL, Flo GL, DeCamp CE. Brinker, Piermattei, and Flo's Handbook of Small Animal Orthopedics and Fracture Repair. Philadelphia, PA: Saunders/Elsevier; 2006
- 4 Evans HE, de Lahunta A. Miller's Anatomy of the Dog. 4th ed.. St. Louis Missouri, PA: Saunders; 2013
- 5 Rørvik AM. Risk factors for humeral condylar fractures in the dog: a retrospective study. J Small Anim Pract 1993; 34 (06) 277-282
- 6 Villamil CS, Phillips A, Pegram C, O'Neill D, Meeson R. Impact of breed on canine humeral condylar fracture configuration, surgical management, and outcome. Vet Surg 2020; 49 (04) 639-647
- 7 Anderson TJ, Carmichael S, Miller A. Intercondylar humeral fracture in the dog: a review of 20 cases. J Small Anim Pract 1990; 31 (09) 437-442
- 8 Cockett PA, Jones DGC. The repair of humeral condylar fractures in the dog: a review of seventy-nine cases. J Small Anim Pract 1985; 26 (09) 493-520
- 9 Denny HR. Condylar fractures of the humerus in the dog; a review of 133 cases. J Small Anim Pract 1983; 24 (04) 185-197
- 10 McKee WM, Macias C, Innes JF. Bilateral fixation of Y-T humeral condyle fractures via medial and lateral approaches in 29 dogs. J Small Anim Pract 2005; 46 (05) 217-226
- 11 Morgan ODE, Reetz JA, Brown DC, Tucker SM, Mayhew PD. Complication rate, outcome, and risk factors associated with surgical repair of fractures of the lateral aspect of the humeral condyle in dogs. Vet Comp Orthop Traumatol 2008; 21 (05) 400-405
- 12 Eayrs MK, Guerin V, Grierson J, Moores AP. Repair of fractures of the lateral aspect of the humeral condyle in skeletally mature dogs with locking and non-locking plates. Vet Comp Orthop Traumatol 2021; 34 (06) 419-426
- 13 Cinti F, Pisani G, Vezzoni L, Peirone B, Vezzoni A. Kirschner wire fixation of Salter-Harris type IV fracture of the lateral aspect of the humeral condyle in growing dogs. A retrospective study of 35 fractures. Vet Comp Orthop Traumatol 2017; 30 (01) 62-68
- 14 Smith MAJ, Jenkins G, Dean BL, O'Neill TM, Macdonald NJ. Effect of breed as a risk factor for humeral condylar fracture in skeletally immature dogs. J Small Anim Pract 2020; 61 (06) 374-380
- 15 Perry KL, Bruce M, Woods S, Davies C, Heaps LA, Arthurs GI. Effect of fixation method on postoperative complication rates after surgical stabilization of lateral humeral condylar fractures in dogs. Vet Surg 2015; 44 (02) 246-255
- 16 The Kennel Club. Comparative tables of registrations for the years 2011–2020 inclusive. Vol 2022. 2020. Accessed September 1, 2023 at: https://www.thekennelclub.org.uk/media/2401/10yrstatsworking.pdf
- 17 Kisko C, Club K. French bulldog set to overtake labrador in popularity. Vet Rec 2017; 180 (07) 167
- 18 Kvale E, Kalmukov I, Grassato L, Kalff S, Solano M. Epicondylar plate fixation of humeral condylar fractures in immature French bulldogs: 45 cases (2014–2020). J Small Anim Pract 2022; 63 (07) 532-541
- 19 Anderson OJ, Langley-Hobbs SJ, Parsons KJ. Humeral condylar fractures and fissures in the French bulldog. Vet Surg 2023; 52 (01) 134-145
- 20 Strohmeier UW, Harris KP. Humeral intracondylar fissures in French bulldogs. Vet Rec 2021; 189 (11) e504
- 21 Kirkwood BR, Sterne JAC. Essential Medical Statistics. 2nd ed.. Hoboken, NJ: Blackwell; 2010
- 22 Butterworth S. Humeral unicondylar fractures in immature dogs treated using a bone screw and Kirschner wire. Vet Rec 2022; 191 (09) e2176
- 23 Franklin C, Herrtage M, Harris K, Genain MA. Prevalence of incidental humeral intracondylar fissures in brachycephalic breed dogs in CT studies. Vet Radiol Ultrasound 2023; 64 (02) 194-200
- 24 Davenport A, Clements D, Dancer S. Humeral intracondylar fissures and intracondylar sclerosis are common CT findings in the limb contralateral to a humeral condylar fracture in French bulldogs and spaniel breeds. Vet Radiol Ultrasound 2023; 64 (04) 686-693
- 25 Hattersley R, McKee M, O'Neill T. et al. Postoperative complications after surgical management of incomplete ossification of the humeral condyle in dogs. Vet Surg 2011; 40 (06) 728-733
- 26 Garland B, Dumitru EA, Ororbia A, Oxley B. Spontaneous resolution of a humeral intracondylar fissure in a skeletally immature French bulldog. VCOT Open 2022; 06: e37-e40
- 27 Brown DC, Boston RC, Farrar JT. Comparison of force plate gait analysis and owner assessment of pain using the Canine Brief Pain Inventory in dogs with osteoarthritis. J Vet Intern Med 2013; 27 (01) 22-30
- 28 Brown DC. The canine orthopedic index. Step 1: devising the items. Vet Surg 2014; 43 (03) 232-240