Articular Fracture Management: Optimization of Results and Novel Treatment Options

Seminar Chair(s)

• 

  Karen Perry, BVM&S, CertSAS, DECVS, MSc Vet Ed, FHEA, MRCVS (she/her/hers)

  Pat Carrigan Professor of Feline Health, Professor of Small Animal Orthopedics
  College of Veterinary Medicine
  Michigan State University
  Okemos, Michigan

Articular fractures occur commonly in dogs and cats. The goal of treatment is to allow a return to pain-free motion and ameliorate the inevitable development of osteoarthritis. Adherence to certain principles is critical in giving the patient the greatest opportunity of maintaining a healthy joint. Principles of treatment include obtaining an accurate diagnosis, early treatment, achieving anatomical reduction, providing rigid fixation, restoring the functional axis of the limb, and appropriate use of postoperative physical rehabilitation. During this seminar, the speakers explore these principles and the underlying evidence base and provide guidance for their application. Unfortunately, despite adherence to such principles, high morbidity remains commonly associated with articular fracture treatment, particularly with pathologic articular fractures where an incomplete understanding of the associated pathogenesis likely contributes to suboptimal results. Later talks in this seminar explore specific mechanisms of dealing with such pathologic fractures and explore when minimally invasive techniques, including fracturoscopy, may become applicable. In the final lecture, speakers consider when total joint replacement may be considered for articular fracture management, the challenges associated with this, and how the technique can be adapted to optimize outcomes.

Presentations:

• 1:30 PM - 2:00 PM  

  Optimizing Results in Traumatic Articular Fracture Management
  

  Speaker: Katherine Barnes, DVM, MS, DACVS (Small Animal) – Texas A&M University
• 2:00 PM - 2:30 PM  

  Optimizing Results When There is a Pathological Component to Articular Fracture Management
  

  Speaker: Sarah Malek, DVM, PhD, DACVS (Small Animal) – Purdue University College of Veterinary Medicine
• 2:30 PM - 3:00 PM  

  What is the Role of Minimally Invasive Osteosynthesis in Articular Fracture Management?
  

  Speaker: Caleb C. Hudson, DVM, MS, DACVS (Small Animal), ACVS Founding Fellow, Minimally Invasive Surgery (Small Animal Orthopedics), ACVS Founding Fellow, Joint Replacement Surgery (he/him/his) – Omega Veterinary Group
• 3:00 PM - 3:30 PM  

  The Role of Joint Replacement in Articular Fracture Management
  

  Speaker: Laurent P. Guiot, DVM, DACVS (Small Animal), DECVS, ACVS Founding Fellow, Minimally Invasive Surgery (Small Animal Orthopedics), ACVS Founding Fellow Joint Replacement Surgery – ACCESS Bone & Joint Center, ACCESS Animal Hospitals
• 3:30 PM - 3:45 PM  

  Panel Discussion: Articular Fracture Management
  

  Speaker: Katherine Barnes, DVM, MS, DACVS (Small Animal) – Texas A&M University

  Speaker: Sarah Malek, DVM, PhD, DACVS (Small Animal) – Purdue University College of Veterinary Medicine

  Speaker: Caleb C. Hudson, DVM, MS, DACVS (Small Animal), ACVS Founding Fellow, Minimally Invasive Surgery (Small Animal Orthopedics), ACVS Founding Fellow, Joint Replacement Surgery (he/him/his) – Omega Veterinary Group

  Speaker: Laurent P. Guiot, DVM, DACVS (Small Animal), DECVS, ACVS Founding Fellow, Minimally Invasive Surgery (Small Animal Orthopedics), ACVS Founding Fellow Joint Replacement Surgery – ACCESS Bone & Joint Center, ACCESS Animal Hospitals