Fracture repair success rates and complications

EMReviewed by Eben Martin, Veterinary Surgeon · Updated August 2026

Well planned fracture repairs heal reliably: the substantial majority of plated fractures unite without drama and return full function. The complications worth knowing are infection, implant loosening or failure before the bone unites, and non union, each uncommon, each fixable, each better caught early.

The complication shortlist

  • Infection: the most consequential risk, higher in open fractures; ranges from antibiotics to implant removal after healing
  • Implant failure: plates and pins are a race against healing; if the bone is slow, hardware can loosen or break and need revision
  • Non union and delayed union: some fractures are slow, especially in older animals and certain bones; bone grafting can restart a stalled healing site
  • Growth disturbance: fractures through growth plates in young animals can shorten or bend a limb as it grows, worth specialist follow up

Reading the odds for your pet

Healing odds track with biology and mechanics: young beats old, closed beats open, simple beats shattered, and a well fixed bone beats a compromise. If your quote involves a compromise repair to save money, that can be perfectly legitimate, but ask what it does to the odds, and what the revision plan costs if it does not hold. Those two numbers turn a cheap option into an informed bet rather than a hopeful one.

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Ask the surgeon

Common questions

The plate broke. Was the surgery botched?

Not necessarily. Implants fail when healing is slower than the metal's endurance, and the cause may be biology, mechanics, an unlucky leap, or yes, occasionally technique. It is precisely the situation where an independent review of the before and after x-rays earns its fee.

Our repair got infected. What now?

Usually: antibiotics guided by culture, and a plan for the implants, which often must eventually come out because bacteria hide on metal. Frustrating, expensive, and almost always solvable. Push for a culture rather than rounds of guess the antibiotic.

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