{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T04:28:19Z","timestamp":1793852899509,"version":"4.6.1"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate outcomes and complications of the cementless BFX collared (BFX\u2010C) stem in canine total hip replacement (THR) and identify risk factors for complications and subsidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Retrospective multicenter study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Animals<\/jats:title>\n                    <jats:p>A total of 104 dogs undergoing 134 THR at four referral institutions (2019\u20132024).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical records and radiographs of dogs receiving a BFX\u2010C stem were reviewed. Radiographic measurements included canal fill, canal flare index, stem alignment and subsidence. Clinical outcomes were assessed by orthopedic examination and owner questionnaire. Associations between putative risk factors and stem\u2010specific complications and subsidence were assessed using univariable and multivariable analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Major stem\u2010specific complications occurred in 15 (11.2%) procedures: intraoperative femoral fissures (7; 5.2%), intraoperative greater trochanter fractures (4; 3.0%), postoperative femoral fractures (3; 2.2%), subsidence requiring revision surgery (1; 0.8%). Median subsidence was 1.0\u2009mm (range: \u22121.8\u201310.8). Subsidence of &gt;3\u2009mm in five (3.7%) cases, with one associated major complication. Increasing age was associated with greater subsidence (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.04), but not with the likelihood of subsidence &gt;3\u2009mm (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.08). At clinical follow\u2010up (&gt;3\u2009months), 88\/100 (88.0%) cases showed no lameness. Owners reported full limb function in 122 (91.0%) and acceptable function in 12 (9.0%) cases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The use of the BFX\u2010C stem resulted in low rates of stem\u2010specific complications and clinically relevant subsidence in this cohort. Subsidence \u22643\u2009mm was common but not associated with stem\u2010specific complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical significance<\/jats:title>\n                    <jats:p>The BFX\u2010C stem is an acceptable option for cementless THR in dogs, providing high rates of full function and owner satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/vsu.70156","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T02:11:47Z","timestamp":1789524707000},"page":"1387-1397","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A retrospective multicenter study of outcomes and complications in dogs undergoing total hip replacement with a\n                    <scp>BFX<\/scp>\n                    collared stem"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2178-2075","authenticated-orcid":false,"given":"Viktoria","family":"Brandstetter","sequence":"first","affiliation":[{"name":"Department of Surgery Tierarztpraxis am Stadtpark  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3798-5637","authenticated-orcid":false,"given":"Ulrike","family":"Matis","sequence":"additional","affiliation":[{"name":"Animal Hospital Weilheim  Weilheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccarda","family":"Schuenemann","sequence":"additional","affiliation":[{"name":"Department of Surgery Small Animal Hospital Sattledt  Sattledt Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6739-8897","authenticated-orcid":false,"given":"Carmen","family":"Arndt","sequence":"additional","affiliation":[{"name":"Animal Hospital Weilheim  Weilheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6780-014X","authenticated-orcid":false,"given":"Antonio","family":"Pozzi","sequence":"additional","affiliation":[{"name":"Department of Small Animal Surgery, College of Veterinary Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8122-8899","authenticated-orcid":false,"given":"Pavlos","family":"Natsios","sequence":"additional","affiliation":[{"name":"Department of Small Animal Surgery, College of Veterinary Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Haimel","sequence":"additional","affiliation":[{"name":"Department of Surgery Tierarztpraxis am Stadtpark  Vienna 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