In this Simini Small Animal Surgery Podcast episode, we bring you two impactful studies from the January 2025 issue of VCOT, spanning both orthopedic decision-making and emergency soft tissue triage. One study helps you decide how many screws are really worth it in a femoral neck fracture. The other gives you a scoring system that could redefine how we manage high-rise syndrome in cats.

We cover:

✅ Calderon et al. — A biomechanical cadaver study comparing two vs. three titanium cannulated screw constructs for basal femoral neck fractures in dogs. Three screws delivered a 51.7% strength increase, significantly improving fixation yield (586 N vs. 303 N), while stiffness stayed relatively unchanged. But added strength came with increased technical demand and higher cortical perforation risk—especially in dogs with narrow femoral necks

Small Animal VCOT 2025 January ….

✅ Ínal et al. — A retrospective study of 373 cats with high-rise syndrome (HRS) evaluating survival predictors. Fall height, surface type, and visible injuries were not predictive. Only the Animal Trauma Triage Score (ATTS) strongly predicted mortality. Cats with an ATTS ≥7 had a 61.9% mortality rate, and most deaths were due to thoracic or vertebral injury, not fractures. This shifts focus to early ATTS scoring and aggressive spine/chest imaging regardless of the fall story

Small Animal VCOT 2025 January ….

🎓 Journal Articles Discussed:

• Calderon et al. — In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs
• Ínal et al. — Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
  📚 From the January 2025 issue of VCOT

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