Fatigue analysis of plates used for fracture stabilization in small dogs and cats.

OBJECTIVE: To evaluate the fatigue life of stacked and single, veterinary cuttable plates (VCP) and small, limited contact, dynamic compression plates (LC-DCP). STUDY DESIGN: In vitro biomechanical study. METHODS: Fracture models (constructs; n = 8) were assembled for each of 6 groups all with 8-hole plates: 2.0 mm LC-DCP; 2.4 mm LC-DCP; single 1.5/2.0 mm VCP; stacked 1.5/2.0 mm VCP; single 2.0/2.7 mm VCP; and stacked 2.0/2.7 mm VCP. Plate(s) were secured to 2 polyvinylchloride pipe lengths, mounted in a testing system with a custom jig, and subjected to axial loading (10-100 N) for 1,000,000 cycles at 10 Hz or until failure. Differences in number of cycles to failure among groups were compared. Failure mode was determined. RESULTS: All LC-DCP and single VCP constructs failed before 1,000,000 cycles. Stacked 2.0/2.7 mm VCP constructs withstood 1,000,000 cycles without failure. ANOVA and Fisher's least significant difference tests demonstrated significantly more cycles to failure for the stacked 1.5/2.0 mm VCP and stacked 2.0/2.7 mm VCP compared with the single 1.5/2.0 mm VCP, single 2.0/2.7 mm VCP, 2.0 mm LC-DCP, or 2.4 mm LC-DCP. Constructs that failed did so through a screw hole adjacent to the gap. CONCLUSION: Stacked VCP constructs have greater fatigue lives than comparably sized LC-DCP or single VCP constructs. Plates with 2.4 mm screws were not significantly different from the comparable construct with 2.0 mm screws. CLINICAL RELEVANCE: Although these data reveal that stacked VCP create a superior construct with respect to cyclic fatigue, surgeons must decide whether this is a clinical advantage on a case-by-case basis.

Postoperative results of unilateral arytenoid lateralization for treatment of idiopathic laryngeal paralysis in dogs: 39 cases (1996-2002).

OBJECTIVE: To evaluate postoperative results for dogs with idiopathic laryngeal paralysis that underwent unilateral arytenoid lateralization (UAL). DESIGN: Retrospective case series. ANIMALS: 39 dogs with idiopathic laryngeal paralysis. PROCEDURE: Medical records were reviewed, and information on surgical technique, hospitalization time, postoperative treatment, and complications was obtained. Owners were contacted by telephone for additional information if necessary. RESULTS: In all dogs, UAL had been performed by a single surgeon who used a standard surgical technique. Long-term follow-up information was available for all 39 dogs; mean follow-up time was 29.6 months (range, 3 to 61 months). Seven (18%) dogs developed postoperative pneumonia, and 6 of the 7 recovered with treatment. Twenty-two of the 39 (56%) dogs had minor complications, including unresolved coughing or gagging, continued exercise intolerance, vomiting, and seroma formation. Owners of 35 of the 39 (90%) dogs reported an improvement in postoperative quality-of-life score. Median survival time was 12 months; only 1 dog was euthanized because of respiratory tract disease following surgery. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that UAL will improve quality of life in most dogs with idiopathic laryngeal paralysis. However, the complication rate is high, with postoperative pneumonia being the most important major complication. Minor complications were common but did not adversely affect owner-assigned quality-of-life scores in most dogs.

Recurrence of gastric dilatation-volvulus after incisional gastropexy in a rottweiler.

An adult, castrated male rottweiler with a history of gastric dilatation-volvulus (GDV), which was treated 4 months previously by surgical gastric resection and incisional gastropexy, had a recurrence of clinical signs. Abdominal exploratory surgery revealed a 180 degrees -clockwise GDV, with a stretched adhesion at the original gastropexy site. The stomach was repositioned, and additional gastropexies were performed adjacent to the original gastropexy site and at the gastric fundus. The recurrence of GDV in this dog with an intact gastropexy suggested that a risk for volvulus remains after therapeutic incisional gastropexy.

Results of vulvoplasty for treatment of recessed vulva in dogs.

The results of vulvoplasty were evaluated in 34 dogs that underwent surgery at the University of Wisconsin Veterinary Medical Teaching Hospital between 1987 and 1999. Case records were evaluated, and clients were interviewed by telephone. The most common clinical signs of a juvenile or recessed vulva at initial examination were perivulvar dermatitis in 59% (20/34) of dogs and urinary incontinence and chronic urinary tract infection (UTI), each present in 56% (19/34) of dogs. Other common complaints included pollakiuria, irritation, and vaginitis. Most dogs developed clinical signs before 1 year of age. All dogs except one bichon frise were medium to giant breeds, suggesting that vulvar conformation may be related to growth rate or body conformation; prior ovariohysterectomy did not appear to be an influencing factor. Eighty-two percent of owners rated the outcome of the surgery as at least satisfactory. The incidence of urinary incontinence was reduced by vulvoplasty; however, it remained the most common residual sign after surgery, suggesting a multifactorial etiology. The incidences of UTI, vaginitis, and external irritation were greatly reduced after surgery.