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Complex long-bone fractures with short juxta-articular fracture segments can be difficult to manage. Recently, IMEX Veterinary, Inc., began producing titanium hybrid rods that can be secured to ring components of the IMEX circular external skeletal fixation system to create SK-circular hybrids. In this case series, SK-circular hybrids were used to stabilize long-bone fractures (two femoral, one humeral, and three tibial fractures) with short distal bone segments in three dogs and three cats with body weights ranging from 1.9 to 15 kg (mean, 6.7 kg; median, 5.4 kg). Although three cases required surgical revision, animals ambulated well and all fractures obtained union. Time to radiographic union ranged from 62 to 137 days (mean, 90 days; median, 84 days). The functional outcome was considered excellent in all six cases.

1. The health of 2 flocks of 896 ISA Brown laying hens were studied successively over the years 1995 and 1996 under different caging conditions. Hens were kept in groups of 4 in a total of 224 cages. The treatments (7 different types of cages) differed in area per hen (450, 600 or 800 cm2) and height (40 or 60 cm). In the large (800 cm2/hen) and high (60 cm cage) treatment, half of the cages were equipped with perches (20 cm/hen). Each study lasted 48 weeks. 2. Feather condition was found to be independent of cage type. 3. No differences were apparent between the 7 treatments in tibia breaking strength (using the 3-point breakage technique). A significant increase in humerus breaking strength was observed in the high cages. The frequency of broken wings recorded after slaughter was lower in high cages (23%) than in low ones (36%). 4. Mortality was different between treatments. This was explained by a higher proportion of birds killed by 'body cannibalism' in the 60 cm high cages, and by a higher proportion of birds killed by 'vent cannibalism' in the cages with perches.

The concentrations of C-reactive protein (CRP) and alpha1-acid glycoprotein (AAG) were evaluated in 1-, 3- and 18-month-old dogs (four of each age) that had been inoculated with turpentine oil. The CRP and AAG in 3-month-old and younger dogs subjected to surgery or inoculated with either Staphylococcus aureus or a viral vaccine were also evaluated. The average CRP concentration in the sera peaked 2 days after inoculation of turpentine oil. The peak CRP concentrations in 3- and 18-month-old dogs were significantly (p < 0.05) greater than those in 1-month-old dogs. The average AAG concentration in the sera peaked 4 days after inoculation of turpentine oil. No significant difference was found in AAG concentrations between any of the age groups. When experimentally inoculated with S. aureus or subjected to oophorohysterectomy, the CRP and AAG concentrations increased in 3-month-old dogs, but they increased little in 1-month-old dogs. The CRP and AAG in dogs inoculated with the viral vaccine did not increase. In dogs with fractures or subjected to percutaneous gastrostomy, the CRP and AAG concentrations correlated with the condition of dogs.

The fluorescent calcium binding dyes xylenol orange, calcein green, and tetracycline were used successfully to sequentially label new bone deposition and bone remodeling during the healing of rigidly fixed humeral fractures in the chicken. Xylenol orange and calcein green, administered subcutaneously at 90 mg/kg and 10 mg/kg, respectively, provided easily identified and differentiated bands in newly deposited bone within periosteal and endosteal calluses, intercortical gaps, and screw holes. Tetracycline, administered at 50 mg/kg per os by crop tube, labeled bone faintly in a non-specific manner. Parenteral administration of the same compound might have yielded better results. /// Se utilizaron con éxito las coloraciones fluorescentes que ligan el calcio (xilenol anaranjado, calceína verde y tetraciclina), para marcar secuencialmente la deposición del hueso nuevo y la reconstrucción del hueso durante la cicatrización de fracturas humerales rígidamente fijadas en el pollo. El xilenol anaranjado y la calceína verde, administrados vía subcutánea a una dosis de 90 mg/kg y 10 mg/kg respectivamente, facilitaron la identificación y diferenciación de las bandas en depósitos recientes de hueso en los callos periosteales y endosteales, en espacios intercorticales y orificios dejados por clavos. La tetraciclina administrada a una dosis de 50 mg/kg vía oral usando una sonda para el buche, marcó el hueso débilmente de una manera no específica. La inyección subcutánea del mismo producto podría haber dado mejores resultados.

Due to the complex anatomical structure of the distal humerus, elbow joint, and the soft tissue mantle (the triceps brachii muscle, large nerves, and vessels), fractures of the distal humerus and humeral condyle are difficult to treat. In most cases, strong instrumentation is needed to stabilize the fractures. To improve exposure of the distal humerus and humeral condyle, we proposed a caudolateral approach that involves elevating the anconeus muscle and splitting the triceps brachii. This study presents the results of using this approach in 16 canine cadavers. After exposing the distal humerus and maximally flexing the elbow joint, photographs were taken of the condyle from the same distance before and after olecranon osteotomy. The visible surface area of the articular cartilage was then calculated in square pixels after calibrating the photographs. It was possible to reach the distal and middle humerus in all cases. The only vital structure that could be easily identified and protected in all cadavers was the radial nerve. The visible area of the articular surface of the humeral condyle increased after olecranon osteotomy. The A0 (visible area before osteotomy) was significantly smaller than the A1 (visible area after osteotomy) in all dogs (p < 0.001). The ratio of A0 to A1 ranged from 57% to 67% in 15 dogs (median: 64%, interquartile range (IQR): 61–66%), with a very high value of 85% observed in one dog. This experiment used cadavers with intact elbows. This could limit the study’s findings because the effectiveness of the proposed access in reducing T-Y fractures was not assessed. The caudolateral approach is a valuable alternative to other methods for treating T-Y humeral fractures in dogs. Olecranon osteotomy widens access to the condyle. Further studies are needed to evaluate the necessity of olecranon osteotomy in clinical cases.

To document long-term client-reported clinical outcomes and complications for the Humeral Intracondylar Repair System (HIRS) for treatment of humeral intracondylar fissures (HIF) and humeral condylar fractures (HCF) in dogs. Data collection involved the review of clinical records and analysis of an owner questionnaire regarding complication occurrence and client-reported outcome. The \"Liverpool Osteoarthritis in Dogs\" (LOAD) instrument was incorporated into the questionnaire. Twenty-six cases of HIF and 14 cases of HCF were included in the study, with follow-up times of over 12 months (range 13-97 months). Thirty-seven out of 40 cases reached long-term follow up: 25 out of 26 HIF cases, 11 out of 11 lateral condylar fracture cases and one out of three dicondylar fracture cases. Two cases of HIF suffered a gradual return of lameness in the long term; both dogs had concomitant medial coronoid disease. No other complications were reported in the long term. Excluding cases with concurrent issues affecting exercise, the median LOAD score at follow-up was 4 and 5 (out of 52) for HIF and HCF cases, respectively. At long-term follow-up, 36 out of 37 cases were reported to have regained \"full function of the limb.\" The results of this study, together with previously reported short and medium-term outcomes, support the use of HIRS for management of humeral intracondylar fissures and humeral condylar fractures.

(1) Background: Anatomically pre-contoured plates usually require only minimal or even no intraoperative contouring. For complex cases, such plates also assist the surgeon as an anatomical template during fracture reduction. In this study, we present our experience of using a 3D printing technology for the treatment of bicondylar humeral fractures in feline cadavers. (2) Methods: Surgeries were performed on 15 pairs of front limbs amputated at the scapula. The limbs were obtained from 15 adult cats without obvious pathology of the skeleton. After flexion of the elbow and subperiosteal elevation of the anconeus muscle, the humeral Y-T fractures were created using a bone chisel and mallet. A custom-made anatomically pre-contoured interlocking plate was used to reduce and stabilise the medial aspect of the humeral condyle to the humeral diaphysis. After reduction of the humeral condyle, a positional locking screw was then inserted from the medial to the lateral side and a straight 2.4/2.7 interlocking bone plate was used to stabilise the lateral part of the condyle to the humeral diaphysis. (3) Results: The length of the humerus ranged from 98.2 to 107.0 mm and did not differ significantly between the left and right bone. The diameter of the isthmus of the humeral condyle ranged from 5.2 to 5.5 mm and did not differ significantly between the left and right bone. In all 30 limbs, bicondylar fracture was accompanied by epicondylar comminution. In 7/30 limbs (4 left, 3 right) the fracture of the humeral shaft was also present. In the left limbs, the postoperative articular surface defect of the humeral condyle was small (<1 mm) in 11/15 cases, moderate (1–2 mm) in 2/15 cases and large (>2 mm) in 2/15 cases in which the condylar screw was incorrectly inserted. In the right limbs, the postoperative articular surface defect of the humeral condyle was small (<1 mm) in 14/15 cases and moderate (1–2 mm) in 1 case. (4) Conclusions: 3D printing and the technology of metal powder sintering offers a wide range of possibilities for the development of new surgical implants. The anatomically pre-contoured bone plate appears to be a valuable tool in the reduction and stabilisation of Y-T humeral fractures in adult domestic cats weighing 3.0 to 4.5 kg.

A seven-month-old male Shetland Sheepdog was presented for assessment of thoracic limb lameness of 3 weeks duration. Orthopaedic examination revealed severe discomfort in elbow extension, bilaterally. CT-scan confirmed presence of a complete humeral intracondylar fissure (HIF), bilaterally, and arthroscopic examination of both elbows confirmed the presence of the cartilaginous lesion previously reported in dogs suffering from HIF. A staged oblique proximal ulnar osteotomy was performed to address the humero-anconeal incongruency believed to be the cause of HIF formation. Orthopaedic examination performed 5 weeks after each surgical procedure confirmed that pain previously present on elbow manipulation had subsided. Follow-up examination performed 8 months after the second surgery revealed the dog to be sound at walking on the thoracic limbs with no discomfort present on elbow manipulation. Repeated CT scan confirmed complete healing of both HIFs. This is the first report documenting the presence of HIF in a Shetland sheepdog and complete healing of both HIFs following a proximal ulnar osteotomy.

This study compares the compression force of cortical screws used in lag fashion with partially threaded cannulated screws and fully threaded headless cannulated screws as fixation methods for humeral condylar fractures in dogs. Cadavers of eleven dogs weighing an average of 10.99 ± 2.51 kg (6.1–14.4 kg) were used. The humeri were subjected to simulated fracture by performing an osteotomy at the trochlea of humerus and classified into three groups: Group 1 applied a 3.0 mm cortical screw applied in a lag fashion, Group 2 applied a 3.0 mm partially threaded cannulated screw, and Group 3 applied a 3.5 mm fully threaded headless cannulated screw. The samples were then placed in a material testing machine, and a compression force was applied vertically to the lateral condyle until failure. There were statistically significant differences in failure load between the groups (p = 0.009). The maximum failure load in Group 3 was significantly higher than in Group 2 (p = 0.014), while there were no statistically significant differences between Group 1 and Group 2) or between Group 1 and Group 3. Partially threaded cannulated screws and fully threaded headless cannulated screws can be alternatives to traditional stabilization methods, offering simpler procedures and additional advantages.