Alison R Billas, Janet A Grimes, Danielle L Hollenbeck, Vanna M Dickerson, Mandy L Wallace, Chad W Schmiedt
{"title":"Incidence of and risk factors for surgical site infection following canine limb amputation.","authors":"Alison R Billas, Janet A Grimes, Danielle L Hollenbeck, Vanna M Dickerson, Mandy L Wallace, Chad W Schmiedt","doi":"10.1111/vsu.13762","DOIUrl":"https://doi.org/10.1111/vsu.13762","url":null,"abstract":"<p><strong>Objective: </strong>To determine the incidence of and risk factors for surgical site infection (SSI) following canine thoracic and pelvic limb amputations.</p><p><strong>Study design: </strong>Retrospective, multicenter study.</p><p><strong>Animals: </strong>Dogs (n = 248).</p><p><strong>Methods: </strong>Medical records were reviewed for preoperative, intraoperative, and postoperative variables including indication for amputation, amputation type, method of muscle transection, duration of surgery and anesthesia, and wound classification. Follow up was ≥30 days or until SSI development. Logistic regression and Fisher's exact tests were used to compare SSI incidence to variables of interest.</p><p><strong>Results: </strong>The incidence of SSI was 12.5% for all procedures and 10.9% for clean procedures. Factors increasing odds of SSI were muscle transection with a bipolar vessel sealing device (P = .023 for all procedures, P = .025 for clean procedures), procedure classified as other than clean (P = .003), and indication for amputation of bacterial infection (P = .041) or traumatic injury (P = .003) compared to neoplasia.</p><p><strong>Conclusion: </strong>Use of bipolar vessel sealing devices for muscle transection increased the odds of developing an SSI whereas use of electrosurgery and/or sharp transection did not. Dogs with surgical sites that were other than clean, or with bacterial infection and/or traumatic injury were also at increased odds of SSI.</p><p><strong>Clinical significance: </strong>Use of electrosurgery or sharp transection for muscle transection should be considered rather than use of bipolar vessel sealing devices to decrease odds of SSI in dogs undergoing limb amputation. Further studies across a variety of procedures are needed to validate these findings given the increasing popularity of these devices in veterinary medicine.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"418-425"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39892389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Justine M Cianci, Kathryn B Wulster, Dean W Richardson, Darko Stefanovski, Kyla F Ortved
{"title":"Computed tomographic assessment of fracture characteristics and subchondral bone injury in Thoroughbred racehorses with lateral condylar fractures and their relationship to outcome.","authors":"Justine M Cianci, Kathryn B Wulster, Dean W Richardson, Darko Stefanovski, Kyla F Ortved","doi":"10.1111/vsu.13770","DOIUrl":"https://doi.org/10.1111/vsu.13770","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of fracture characteristics and concurrent subchondral bone pathology identified with computed tomography (CT) on the racing performance of Thoroughbred racehorses with fractures of the MC3/MT3 lateral condyle.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Sample population: </strong>Thoroughbred racehorses (n = 50) with a fracture of the MC3/MT3 lateral condyle, which had preoperative CT and internal fixation performed.</p><p><strong>Methods: </strong>Medical records were reviewed for age, sex, limb, and surgical treatment. Computed tomography scans were evaluated to determine fracture characteristics including length, whether the fracture was incomplete or complete, and displacement. The presence of subchondral bone injury (SBI), sesamoid bone fracture, articular comminution, and fragmentation in the joint was noted. Racing data was obtained from an online database. Univariable and multivariable analyses determined associations between independent variables and outcomes.</p><p><strong>Results: </strong>Thirty-three (66%) horses raced after surgery. Horses with sesamoid bone fractures (P = .021), MC3/MT3 comminution (P = .016) and intra-articular fragmentation (P = .015) were less likely to race postoperatively. Concurrent SBI did not affect outcome. In the final multivariable model, sex (P = .015) and whether a fracture was incomplete or complete (P = .007) were the most significant predictors of racing postoperatively with females and horses with complete fractures being less likely to race.</p><p><strong>Conclusion: </strong>The prognosis for racing after a lateral condylar fracture is favorable but is decreased in horses with complete fractures and certain concurrent joint pathology.</p><p><strong>Clinical significance: </strong>Horses presenting with lateral condylar fractures commonly have concurrent joint pathology. Computed tomography can aid in preoperative evaluation and prognostication by enabling more complete fracture assessment.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"426-437"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39621693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chelsea E Klein, Lawrence R Bramlage, Darko Stefanovski, Alan J Ruggles, Rolf M Embertson, Scott A Hopper
{"title":"Comparative results of 3 treatments for medial femoral condyle subchondral cystic lesions in Thoroughbred racehorses.","authors":"Chelsea E Klein, Lawrence R Bramlage, Darko Stefanovski, Alan J Ruggles, Rolf M Embertson, Scott A Hopper","doi":"10.1111/vsu.13782","DOIUrl":"https://doi.org/10.1111/vsu.13782","url":null,"abstract":"<p><strong>Objectives: </strong>To compare 3 different methods for treatment of medial femoral condyle (MFC) subchondral cystic lesions in Thoroughbred horses <24 months old based on the criterion of ability to race post-treatment.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Animals: </strong>Thoroughbreds (n = 107, age < 24 months) diagnosed with MFC subchondral cystic lesions.</p><p><strong>Methods: </strong>Medical records between January 2004 and December 2017 were reviewed. Three treatment methods were used in these horses during that time frame: arthroscopic debridement, intralesional autologous mesenchymal stem cell (MSC) injection, and intralesional corticosteroid injection. The outcome evaluated was the ability to compete in a pari-mutuel race.</p><p><strong>Results: </strong>Seventy-eight of 107 Thoroughbreds (73%) raced post-treatment; 41/57 (72%) of horses treated by arthroscopic debridement raced; 16/19 (84%) of horses treated with intralesional MSCs raced; 21/31 (68%) of horses treated with intralesional corticosteroids raced. There was no difference between groups in the ability to start a race. Sex, limb affected, and lesion size also had no effect on the ability to start a race. There was a trend for increasing lesion size reducing the probability of racing.</p><p><strong>Conclusions: </strong>Seventy-three percent of the horses raced, but there was no difference in the ability of unraced Thoroughbreds to race after treatment of MFC subchondral cystic lesions with arthroscopic debridement, intralesional mesenchymal stem cells, or intralesional corticosteroids.</p><p><strong>Clinical significance: </strong>The 3 reported treatment options may be considered for treatment of MFC subchondral cystic lesions with a good prognosis for racing post-treatment. Owners should be advised that increasing lesion size decreases the probability of racing.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"455-463"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39622601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prophylactic cerclage in canine total hip replacement.","authors":"Simon C Roe","doi":"10.1111/vsu.13779","DOIUrl":"https://doi.org/10.1111/vsu.13779","url":null,"abstract":"","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"379-380"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39656446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caitlin R Moreno, Elizabeth M Santschi, Jarrod T Younkin, Robert L Larson, Alan S Litsky
{"title":"The failure mode of a mechanically loaded equine medial femoral condyle analog with a void and the impact of lag and neutral screw placement.","authors":"Caitlin R Moreno, Elizabeth M Santschi, Jarrod T Younkin, Robert L Larson, Alan S Litsky","doi":"10.1111/vsu.13765","DOIUrl":"https://doi.org/10.1111/vsu.13765","url":null,"abstract":"<p><strong>Objective: </strong>To determine the failure method of simulated equine medial femoral condyle (MFC) subchondral bone defects under compression and the influence of screw placement on failure resistance.</p><p><strong>Study design: </strong>In vitro study.</p><p><strong>Sample population: </strong>Composite disks (CD) simulating the moduli of yearling bone in the MFC.</p><p><strong>Methods: </strong>Four CD conditions were tested, all with a 12.7 mm void (n = 6 per condition): intact (no void), void only, void with a 4.5 mm screw placed in neutral fashion, and void with a 4.5 mm screw placed in lag fashion. Composite disks of each condition were tested under monotonic compression to 6000 N and cyclic compression to 10 000 cycles. Observable failure, load at first observable failure, and displacement at peak 2000 N load were compared among conditions.</p><p><strong>Results: </strong>Specimens failed by cracking at the superior aspect of the void or the screw exit hole. After monotonic loading, cracks were observed 6/6 CD with a void, 6/6 CD with a void/lag screw, and 5/6 CD with a void/neutral screw. After cyclical testing, cracks were noted only on the superior aspect of 6/6 CD with a void and 3/6 CD with a void/lag screw. Displacement at peak load was 0.06 mm (intact), 0.32 mm (void), 0.24 mm (void/lag screw), and 0.11 mm (void/neutral screw).</p><p><strong>Conclusion: </strong>Model MFC voids failed by superior cracking that was resisted by lag and neutral screw placement.</p><p><strong>Clinical significance: </strong>Neutral screws may be an acceptable treatment for subchondral lucencies in the MFC.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"474-481"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39876590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arthroscopic findings and long-term outcomes in 76 sport horses with meniscal injuries (2008-2018).","authors":"Joseph G Davis, José M García-López","doi":"10.1111/vsu.13784","DOIUrl":"https://doi.org/10.1111/vsu.13784","url":null,"abstract":"<p><strong>Objective: </strong>To report the findings and long-term outcome of 76 sport horses with meniscal injury.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animals: </strong>Seventy-six horses with 93 meniscal injuries in 85 stifles.</p><p><strong>Methods: </strong>Medical records of sport horses diagnosed with meniscal injury during arthroscopy were reviewed. Owner follow up was obtained via telephone interview ≥1.5 years postoperatively. Preoperative and intraoperative findings, and postoperative treatments, were analyzed for potential association with return to athletic performance.</p><p><strong>Results: </strong>The medial meniscus was involved in 82.8% of cases, with grade 1 injuries diagnosed in 76.3% of menisci. Overall, 85.5% of horses returned to athletic performance, with 40% returning to their previous level. The grade of meniscal injury was associated with long-term outcome (P = .023). The presence of preoperative radiographic abnormalities (P = .259) or additional joint pathology (P = 1.00) was not associated with long-term outcomes. Fifty-nine stifles were treated with an orthobiologic: autologous conditioned serum, platelet-rich plasma, or marrow-derived mesenchymal stem cells. There was no association between the use of any orthobiologic and long-term outcome (P = .394).</p><p><strong>Conclusion: </strong>This is the first report on long-term outcome of sport horses with meniscal injuries following arthroscopic surgery. Overall, the long-term prognosis was fair, with 40% of horses returning to their previous level of use. Severity of the meniscal injury was a prognostic indicator for return to work. The presence of radiographic abnormalities or additional joint pathology, or the use of orthobiologics, was not associated with long-term outcome.</p><p><strong>Clinical significance: </strong>These findings can help in prognostication for sport horses with meniscal injuries.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"409-417"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39795826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dario Drudi, Marta L P Lisi, Paolo Sommaruga, Lavinia E Chiti, Federico Massari
{"title":"Comparison of immediate and short-term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis.","authors":"Dario Drudi, Marta L P Lisi, Paolo Sommaruga, Lavinia E Chiti, Federico Massari","doi":"10.1111/vsu.13778","DOIUrl":"https://doi.org/10.1111/vsu.13778","url":null,"abstract":"<p><strong>Objective: </strong>To compare the immediate and short-term outcomes of thyroarytenoid lateralization (TAL) and cricoarytenoid lateralization (CAL) for the treatment of canine laryngeal paralysis in dogs.</p><p><strong>Study design: </strong>A prospective, clinical trial.</p><p><strong>Animals: </strong>Fourteen client-owned dogs referred to our hospital because of bilateral laryngeal paralysis.</p><p><strong>Methods: </strong>Dogs with confirmed laryngeal paralysis were randomly assigned to the CAL or TAL group. Video images of the rima glottidis obtained preoperatively, immediately postoperatively (t0), and 15 days postoperatively (t1) were digitized. The rima glottidis area was measured using image-analysis software. An increase in the rima glottidis area was expressed as a percentage of the preoperative area.</p><p><strong>Results: </strong>The rima glottidis area increased by a mean of 152% at t0 and 127% at t1 for the TAL group and 205% at t0 and 199% at t1 for the CAL group compared with preoperative values. The increase in the rima glottidis area differed (P < .05) between the 2 groups at all postoperative time points. A reduction of the area occurred at t1 in both groups. There was no difference between t0 and t1 (P > .05) in the CAL group but there was a large difference (P < .05) in the TAL group.</p><p><strong>Conclusion: </strong>Cricoarytenoid lateralization and TAL were both effective for surgical abduction of the arytenoid cartilage. Although a reduction (P < .05) in the rima glottidis area occurred in the TAL group at t1, we observed no associated clinical signs.</p><p><strong>Clinical significance: </strong>Cricoarytenoid lateralization and TAL result in good short-term outcomes in dogs with laryngeal paralysis.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"482-488"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39756904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael G Conzemius, Bryan T Torres, Peter Muir, Richard Evans, Ursula Krotscheck, Steven Budsberg
{"title":"Best practices for measuring and reporting ground reaction forces in dogs.","authors":"Michael G Conzemius, Bryan T Torres, Peter Muir, Richard Evans, Ursula Krotscheck, Steven Budsberg","doi":"10.1111/vsu.13772","DOIUrl":"https://doi.org/10.1111/vsu.13772","url":null,"abstract":"<p><p>Kinetic gait analysis and ground reaction forces (GRFs) have been used in hundreds of scientific manuscripts. Specific methodology, interpretation of results, and translation to clinical veterinary medicine have been inconsistent. This impedes the advance of veterinary medicine and poses a risk to patients. The objective of this report was to address methodological variations and share our consensus on a recommended approach with viable alternatives to data collection methods, analysis, reporting, and interpretation for GRFs in the dog. Investigators with experience performing kinetic gait analysis reviewed the literature and discussed the topics that most influenced GRF data collection, reporting, and interpretation. Methodological variations were reported and a consensus from the group was devised. There are several reasonable alternatives to collect, report, and interpret GRFs in dogs appropriately. Attention to detail is required in several areas to collect and report them. This review and consensus report should assist future investigations and interpretations of studies, optimize comparison between publications, minimize use of animals, and limit the investment in cost and time.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"385-396"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39862637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Dekerle, E. Maurice, A. Decambron, V. Viateau, C. Maurey, M. Manassero
{"title":"Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation.","authors":"B. Dekerle, E. Maurice, A. Decambron, V. Viateau, C. Maurey, M. Manassero","doi":"10.1111/vsu.13807","DOIUrl":"https://doi.org/10.1111/vsu.13807","url":null,"abstract":"OBJECTIVE\u0000To report outcomes after the correction of ectopic ureter (EU) by open surgery or cystoscopic-guided laser ablation (CLA) in female dogs.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective study from 2011 to 2018.\u0000\u0000\u0000ANIMALS\u0000Twenty-five female dogs.\u0000\u0000\u0000METHODS\u0000Data collected included signalment, clinicopathologic data, procedural data, complications, and short-term and long-term outcomes. Complications were graded as minor or major if a surgical revision was required. Continence status was scored subjectively (1 = completely incontinent to 10 = fully continent).\u0000\u0000\u0000RESULTS\u0000Fifteen dogs had bilateral EU and 24 had intramural EU (iEU). Open surgical correction included 13 neoureterostomies, 2 neocystoureterostomies, and a combination of these in 2 dogs. Eight dogs underwent CLA. Eighteen dogs experienced minor complications (72%), and 2 experienced major complications (8%). One-month postoperative continence was achieved in 20/25 (80%) dogs (median score of 10). Incontinence recurred at a median time of 24.9 months in 5 dogs but responded to medical treatment. Overall, dogs remained continent for 66 months (median) and 22/25 (88%) dogs achieved continence with adjunction of medical/surgical treatment in incontinent ones. Fewer minor complications and postoperative recurrences of incontinence were documented after CLA than neoureterostomy (P < .01 and P < .05).\u0000\u0000\u0000CONCLUSION\u0000Ectopic ureter correction by open surgery or CLA resulted in a subjectively good prognosis, most dogs reaching continence within a month of surgery, although incontinence occasionally recurred in the long term. CLA was associated with fewer complications and incontinence recurrences than neoureterostomy.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Cystoscopic-guided laser ablation should be preferred to correct iEU to prevent short-term complications and the recurrence of incontinence. Further studies should investigate the cause of postoperative recurrence of urinary incontinence.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127994863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Constant, I. Zderic, D. Arens, Brenna Pugliese, D. Gehweiler, Boyko Gueorguiev‐Rüegg, S. Zeiter
{"title":"Influence of screw head diameter on ex vivo fixation of equine lateral condylar fractures with 5.5 mm cortical screws.","authors":"C. Constant, I. Zderic, D. Arens, Brenna Pugliese, D. Gehweiler, Boyko Gueorguiev‐Rüegg, S. Zeiter","doi":"10.1111/vsu.13797","DOIUrl":"https://doi.org/10.1111/vsu.13797","url":null,"abstract":"OBJECTIVE\u0000To determine the influence of screw head diameter on equine condylar fracture fixation with 5.5 mm cortical screws.\u0000\u0000\u0000STUDY DESIGN\u0000Ex vivo, biomechanical study, blinded, matched-pair design.\u0000\u0000\u0000SAMPLE POPULATION\u0000Fifteen pairs of equine third metacarpal (MC3) bones.\u0000\u0000\u0000METHODS\u0000Lateral condylar fractures were simulated by parasagittal osteotomies and repaired pairwise by 2 × 5.5 mm cortical screws of 8 mm (standard) or 10 mm (modified) head diameter. Interfragmentary compression at maximum screw insertion torque was measured. The instrumented specimens were pairwise stratified for biomechanical testing under the following modalities (n = 5): (1) screw insertion torque to failure, (2) quasi-static axial load to failure, and (3) cyclic axial load to 2 mm displacement followed by failure. Tests (1) and (2) were analyzed for yield, maximum, and failure torque/angle and load/displacement, respectively. Number of cycles to 2 mm displacement and failure was assessed from test (3).\u0000\u0000\u0000RESULTS\u0000Maximum insertion torque was greater, and failure angle smaller, when constructs repaired with modified screws were tested (8.1 ± 0.5 vs. 7.4 ± 0.5 Nm; P = .0047 and 550 ± 104 vs. 1130 ± 230; P = .008). Axial yield (7118 ± 707 vs. 5740 ± 2267 N; P = .043) and failure load (12 347 ± 3359 vs. 8695 ± 2277 N; P = .043) were greater for specimens repaired with modified screws. No difference was detected between constructs in the number of cycles to 2 mm displacement.\u0000\u0000\u0000CONCLUSION\u0000Condylar MC3 osteotomies repaired with modified 5.5 mm cortical screws sustained greater maximal hand torque insertion, smaller insertion failure angle and 1.4 fold greater quasi-static failure forces than constructs repaired with standard 5.5 mm screws.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Use of modified screws with larger heads may improve the fixation of condylar fractures in horses. These results provide evidence to justify clinical evaluation in horses undergoing fracture repair.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114642559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}