The lame cat can represent a significant diagnostic challenge. The relative paucity of specific literature available addressing feline orthopedic patients, the inherent complexity in performing feline gait analysis and orthopedic examination and the discrete, distinct signs that cats exhibit associated with orthopedic disease all represent hurdles to overcome.
This course is designed to provide participants with a comprehensive knowledge of specific feline orthopedic diseases and the clinical signs associated with them through the precourse module as well as onsite lectures and interactive sessions. Both non-surgical and surgical treatment modalities will be discussed and demonstrated in hands-on laboratory sessions and case-based discussions. Emphasis will be placed on challenging conditions commonly encountered in cats and circumstances where therapeutics may differ to those universally employed in canine patients. The entire patient experience will be considered including choice of therapeutic approach, preoperative planning, postoperative patient management and physical rehabilitation. Opportunities will be provided for participants to tailor their course experience to the equipment readily available in their workplace with both minimally invasive and open approaches being demonstrated where appropriate.
Participants should leave this course with the information and experience necessary to feel confident in the diagnosis and management of most common feline-specific orthopedic conditions.
The 'blended' course format includes REQUIRED online coursework and learning materials provided prior to the face-to-face event which are MANDATORY for attendance at the course.
Target Audience:
This is an AO VET masters-level course suitable for practicing veterinary surgeons, fellows and residents with experience in surgical repair of both simple and complex fractures.
Prerequisite:
The AO VET Small Animal Principles course is a prerequisite for this Masters-level course since familiarity with instrumentation and techniques will be assumed.
Additionally, attendance at an Advanced Techniques course is strongly recommended, but not required.
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AO North America is a Registry of Approved Continuing Education (RACE) Provider (Number 244).
Designation Statement
This program was reviewed and approved by the AAVSB RACE program for 18.75 hours of continuing education credit in jurisdictions which recognize AAVSB RACE approval. Please contact the AAVSB RACE program if you have any comments/concerns regarding this program’s validity or relevancy to the veterinary profession.
Expected results of AONA's CME activities for surgeons, fellows, and residents are to:
• Increase their knowledge base and surgical skill level
• Improve competence by applying advances of knowledge in patient care in the areas of trauma, degenerative disorders, deformities, tumors, and reconstructive surgical techniques
• Address practice performance gaps by improving management of aspects of traumatic injuries and musculoskeletal disorders (i.e., pre-operative planning to post-operative care)
• Review the pathogenesis of cranial cruciate ligament rupture in cats and how this compares to dogs • Discuss the relevance of radiographically evident intra-articular mineralization • Review the prognosis associated with non-surgical management for cats with cranial cruciate ligament rupture • List the surgical treatment options available and briefly review the limited evidence-base associated with each
• Detail the typical clinical presentation of cats with patellar luxation including potential concomitance of cranial cruciate ligament rupture • Discuss options for deepening the trochlear groove in cats including the benefits of block recession trochleoplasty and potential requirement for partial parasagittal patellectomy • Discuss tibial tuberosity transposition in cats and stabilization thereof • Review the prognosis following surgery
• Review the proposed pathogenesis of patellar fracture and dental anomaly syndrome • Discuss potential presentations of this condition • Detail specifically how patellar fractures associated with PADs are treated, contrasting this with traumatic patellar fracture treatment in dogs • Briefly review the recommended treatment and prognosis for other fractures associated with PADS in cats (humeral condyle, tibia etc.)
• Review the common combinations of structures injured with traumatic stifle disruption and how to diagnose these • Discuss primary ligamentous repair and placement of prosthetic ligaments • Consider the requirement for, and methods of, transarticular immobilization postoperatively • Detail the postoperative care and prognosis for cats with multi-ligamentous stifle instability
• Discuss salient anatomical differences between cats and dogs that impact on antebrachial fracture management • Review treatment options for antebrachial fractures in cats including their proposed advantages and disadvantages • Specifically discuss dual-bone stabilization for radius-ulna fractures in cats • Detail appropriate follow-up for radius-ulna fractures in cats and list potential complications
• Discuss salient anatomical differences between cats and dogs that impact on the types of humeral fractures commonly encountered in cats and their management • Review treatment options available for humeral fractures in cats including their proposed advantages and disadvantages • Detail the prognosis for humeral fractures in cats and consider the role of minimally invasive techniques in reducing this • Detail how humeral fractures occurring secondary to patellar fracture and dental anomaly syndrome (PADS) may differ from humeral fractures more commonly encountered in cats
• Discuss the high complication rate associated with feline tibial fractures and the potential explanations for the complications encountered • Review treatment options available for tibial fractures in cats including their advantages, disadvantages and potential complications • Specifically compare and contrast techniques of dual-plating and interlocking nailing for feline tibial fractures • Consider the role of minimally invasive surgery in reducing complication rates following tibial fracture in cats
• Review common pelvic fracture configurations in cats and combinations of injuries often encountered • Discuss treatment options available for common injuries (sacroiliac luxation, ilial fracture, acetabular fracture but with emphasis on ilial fracture) • Review methods to deal with paucity of bone stock in ilial fracture repair (dorsal plating, double-plating, use of locking implants for example) • Review complications encountered with pelvic fracture repair and consider ways in which complication rates can be reduced
• Review the salient anatomical differences between the feline and canine carpus and tarsus, particularly with respect to the collateral ligaments and how this impacts on their repair or placement of prosthetic ligaments • Demonstrate the differences in interpretation of carpal stressed radiographs in cats when compared to dogs • Discuss situations where treatment options for carpal injuries in cats may differ from dogs; for example the differing approach to a case of carpal hyperextension • Discuss situations where treatment options for tarsal injuries in cats may differ from in dogs; for example calcaneal fractures that may be associated with patellar fracture and dental anomaly syndrome or stress fractures (Note: shearing injuries and malleolar fractures will be dealt with in a different lecture)
• Review initial clinical examination and diagnostic imaging for cats suffering maxillofacial trauma • Discuss treatment options for mandibular body and mandibular ramus fractures including advantages and disadvantages • Review treatment options for temporomandibular joint fractures and luxations and discuss potential complications • Review the technique of excisional arthroplasty of the temporomandibular joint in preparation for the lab
It is the policy of AO North America to abide by the Accreditation Council for Continuing Medical Education Standards for Commercial Support. Standard 2: “Disclosures Relevant to Potential Commercial Bias and Relevant Financial Relationships of Those with Control over CME Content,” requires all planners, including course directors, chairs, and faculty, involved in the development of CME content to disclose their relevant financial relationships prior to participating in the activity. Relevant financial relationships will be disclosed to the activity audience. The intent of the disclosure is not to prevent a faculty with a relevant financial or other relationship from teaching, but to provide participants with information that might be of importance to their evaluation of content. All potential conflicts of interest have been resolved prior to the commencement of this activity.
Some medical devices used for teaching purposes and/or discussed in AO North America’s educational activities may have been cleared by the FDA for specific uses only or may not yet be approved for any purpose. Faculty may discuss off-label, investigational, or experimental uses of products/devices in CME certified educational activities. Faculty have been advised that all recommendations involving clinical medicine in this CME activity are based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients.
All scientific research referred to, reported or used in this CME activity in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection and analysis.
AONA does not endorse nor promote the use of any product/device of commercial entities. Equipment used in this course is for teaching purposes only with the intent to enhance the learning experience.
The opinions or views expressed in this live continuing medical education activity are those of the faculty and do not necessarily reflect the opinions or recommendations of AO North America or any commercial supporter. The certificate provided pertains only to the participants’ completion of the course.
This course will involve exposure to and contact with animal anatomic specimens. These specimens are being utilized for purposes of teaching and learning and are to be treated with the utmost respect. Participants should be familiar with and understand the potential risks involved and will be required to observe all customary safety procedures.
In-Kind Support
AO North America gratefully acknowledges in-kind support for equipment and technical staff from BioMedtrix LLC, IMEX Veterinary, Inc, Vet Clarity / Movora and Johnson & Johnson MedTech.
Educational Grant
AO North America gratefully acknowledges funding for its education activities from the AO Foundation. The AO Foundation receives funding for education from Synthes GmbH.