The Cone of Shame Veterinary Podcast

The Cone of Shame Veterinary Podcast


334 - HDYTT: Limb Malalignment in Growing Dogs

June 05, 2025

Dr. Derek Fox, DVM, PhD, DACVS joins Dr. Andy Roark to talk all things angular limb deformities and why they’re about so much more than crooked-legged Bassets. In this episode, Dr. Fox shares how limb malalignment is often the root of conditions like patellar luxation and elbow dysplasia, what general practitioners should be watching for in growing puppies, and how to set realistic expectations with pet owners when surgery might be needed. From practical recheck tips to why simple photos can make all the difference, this one’s packed with orthopedic gems. Gang, let’s get into this episode.


Dr. Know-It-All Card Game


Dr. Andy Roark Charming the Angry Client Team Training Course


Dr. Andy Roark Swag: drandyroark.com/shop


All Links: linktr.ee/DrAndyRoark


Derek B. Fox, DVM, PhD, DACVS

Dr. Fox is a Professor of Small Animal Orthopedic Surgery and Chief of the Small Animal Surgery Service at the University of Missouri’s Veterinary Health Center. He graduated veterinary school from Michigan State University in 1998, after which he completed an internship, surgical residency and PhD at the University of Missouri, eventually becoming faculty in 2004.  He teaches courses and lectures on a variety of topics regarding small animal orthopedic surgery both nationally and internationally.  Dr. Fox’s special research interest is in limb alignment and deformity correction.  He has authored or co-authored 50 peer reviewed papers, 8 text book chapters and numerous abstracts.  He pioneered the adaptation and use of the Center of Rotation of Angulation methodology for the quantification and pre-surgical planning of angular limb deformities in dogs.  He is a member of the American College of Veterinary Surgeons, Veterinary Orthopedic Society and AO.