{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T06:03:39Z","timestamp":1787378619472,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T00:00:00Z","timestamp":1628467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To report complications and prognostic factors in dogs undergoing proximal abducting ulnar osteotomy (PAUL). To evaluate the ability to predict complications on the basis of post\u2010operative radiographic examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Sixty\u2010six dogs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of dogs treated with PAUL between 2014 and 2019 were reviewed for demographics, intraoperative findings, and post\u2010operative complications. Post\u2010operative radiographs were reviewed by two masked expert orthopedic surgeons, who were asked to predict the likelihood of major mechanical complications. The prognostic value of variables was tested with univariate and multivariable logistic regression. Inter\u2010investigator agreement to predict complications was evaluated with two\u2010by\u2010two tables and kappa coefficient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010four PAULs in 66 dogs were included. Duration of follow\u2010up ranged from 12 to 75\u2009months (median: 53\u2009months). Post\u2010operative complications were documented in 19\/74 limbs (16 dogs), including major complications in 13 limbs. These complications consisted mainly of non\u2010union (six limbs), implant failure (two limbs), and infection (two limbs) requiring revision surgery in nine limbs. Body weight was the only variable associated with an increased risk of post\u2010operative complications (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.04). Agreement between expert predictions was low (respectively <jats:italic>k<\/jats:italic>\u00a0=\u00a0\u22120.08 and <jats:italic>k<\/jats:italic>\u00a0=\u00a00.11).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Major complications were reported in one fourth of limbs treated with PAUL and were more likely as body weight increased. Suboptimal plate and screw placement or osteotomy reduction on post\u2010operative radiographs were poorly predictive of complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>Complications are fairly common after PAUL, particularly in heavier dogs, and post\u2010operative radiographic examination seems unreliable to predict those.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13697","type":"journal-article","created":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T11:34:40Z","timestamp":1628508880000},"page":"136-147","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1558-602X","authenticated-orcid":false,"given":"Alan","family":"Danielski","sequence":"first","affiliation":[{"name":"The Ralph Veterinary Referral Centre  Marlow UK"},{"name":"Department of Veterinary Medicine and Animal Sciences University of Naples \u201cFederico II\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Krekis","sequence":"additional","affiliation":[{"name":"Davies Veterinary Specialists  Higham Gobion UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6815-8574","authenticated-orcid":false,"given":"Russell","family":"Yeadon","sequence":"additional","affiliation":[{"name":"Lumbry Park  Alton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel Angel","family":"Solano","sequence":"additional","affiliation":[{"name":"Fitzpatrick Referrals  Godalming UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3566-9030","authenticated-orcid":false,"given":"Tim","family":"Parkin","sequence":"additional","affiliation":[{"name":"Bristol Veterinary School University of Bristol  Langford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Vezzoni","sequence":"additional","affiliation":[{"name":"Clinica Veterinaria Vezzoni  Cremona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"Pfeil","sequence":"additional","affiliation":[{"name":"Tier\u00e4rztliche Klinik  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tvjl.2012.11.009"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2008.00489.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2014.12092.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2008.00495.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2014.12252.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2003.00545.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.12512"},{"key":"e_1_2_8_9_1","unstructured":"PfeilI BottcherP StarkeA.Proximal abduction ulna osteotomy (PAUL) for medial compartment diseases in dogs with ED. 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