🔍 Key Findings

Sample: 201 lymphadenectomies in 163 dogs.
Intraoperative techniques:

• Unassisted: 36%
• Methylene blue (MB): 24%
• Gamma probe + MB (γ-MB): 40%

Complication rate: 7.5% overall (93% uncomplicated)

• 80% were mild, 20% moderate; no severe complications
• Most common = seroma (2.5%), lymphoedema (1.5%)

Risk factors (via decision tree model):

• Surgical time > 21.5 min
• Lymph node site = mandibular or retropharyngeal

No significant difference in complication rate based on:

• Guidance technique (p = .255)
• LN palpability, number removed, or LN size

Clinical implication: Peripheral SLN excision is safe regardless of intraoperative technique; certain sites and durations carry slightly higher risk.

🔍 Key Findings

• Patients: 16 (11 dogs, 5 cats); 6.1% of canine and 23.8% of feline PL cases were traumatic.
• Most common luxation direction: Medial (81.3%).
• Surgery: All had capsular imbrication; 75% had fabello-patellar suture (FPS).
• Short-term results (13/16 cases):
  • 77% had no lameness by 2 months.
  • 85% had no PL recurrence.
  • 3 severe complications: capsulorrhaphy tear, FPS fabellar tear, septic arthritis.
• Long-term results (13/16 cases):
  • 85% lameness-free.
  • 77% full function; 23% acceptable.
  • 0 reluxations reported by owners.

🔍 Key Findings

• Double forwarder (DF) knots had significantly higher knot holding capacity (KHC) than square (SQ) and surgeon’s (SU) knots when tied with <6 throws.
• In 3 USP polyglactin 910, DF knots with 4–5 throws were not significantly stronger than SU knots with 6–8 throws (p > .43).
• DF knots never unraveled, while SQ and SU knots with 4–5 throws showed substantial unraveling.
• KHC did not increase in DF knots when throws increased from 3 to 5.
• Knot volume and weight were significantly higher in DF knots than SQ/SU knots at the same throw count (p < .003).
• DF knots allow sliding placement, potentially useful in minimally invasive or deep cavity procedures.

🔍 Key Findings

• 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
• 58% of the medial glenohumeral ligament's cranial border was within view.
• 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
• Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
• Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.

🔍 Key Findings

• Hybrid implants were used in older, heavier dogs with lower canal flare index (CFI) compared to cementless types.
• CFI <1.8 was associated with higher risk of femoral fracture or stem subsidence with cementless implants.
• Total complication rate was 14%, with catastrophic complications in only 1.5%—lower than reported in other studies.
• No significant difference in complication rates across implant types (BFX, BFX-C, hybrid).
• Femur fractures were rare (2.9%), lower than in prior studies, and successfully managed with cerclage/plate fixation.
• Coxofemoral luxation was the most common complication (8 cases); all occurred within 62 days post-op, mostly resolved with revision.
• Collared BFX stems did not significantly reduce complications, though they may limit stem subsidence.
• An implant selection algorithm was proposed, using age ≥7 years, weight ≥45 kg, and CFI <1.8 to guide cemented vs. cementless stem use.

🔍 Key Findings

• Quadriceps muscle length/femoral length ratio (QML/FL) was significantly lower in dogs with grade IV MPL than grades I–III (p ≤ .002).
• Shortened QML was associated with increased femoral torsion angle (FTA) and increased aLDFA, indicating correlation with femoral deformity.
• QML/FL increased with age, possibly due to muscular development or reduced deformity in older dogs (p = .004).
• Grade IV MPL dogs had QML/FL < 0.87, the lower normal limit based on healthy beagles, suggesting clinically significant muscle shortening.
• PLL/PL ratio (used to diagnose patella alta) was not associated with QML/FL or MPL severity in small breeds.
• QML/FL can help preoperatively identify candidates for femoral shortening ostectomy, improving femoropatellar alignment.
• Multivariate regression model confirmed QML/FL is independently influenced by age, FTA, and aLDFA (R² = 0.45).
• CT-based 3D measurements enabled objective, noninvasive quantification of femoral and muscle alignment parameters.

🔍 Key Findings Summary

• 47 dogs (57 elbows) underwent TCS placement for HIF
• Overall complication rate = 17.5%
  • Minor: seromas (7 elbows)
  • Major: septic arthritis (3 elbows) — all resolved with antibiotics
• No screw failures, medial epicondylar fractures, or catastrophic outcomes noted
• Long-term follow-up in 41 dogs (50 elbows):
  • 90% full function, 10% acceptable function
  • Mean follow-up = ~2.5 years
• Increased age was significantly protective (p = 0.0051; OR = 0.61)
• TCS placement method (freehand, guide, aiming device) significantly impacted screw angulation but not complication rate
• Outcome not affected by presence of complications

🔍 Key Findings

• Skin staple anastomosis (SSA) had comparable leak pressures to hand-sewn anastomosis (HSA) but required half the time to complete.
• Skin staple enterotomy (SSE) had significantly lower leak pressures than hand-sewn enterotomy (HSE) and failed in 12/20 constructs during pressure testing.
• HSE constructs took 8× longer to complete than SSE, but had much higher intraluminal pressure tolerance.
• All SSE constructs leaked from the center, with 35% leaking immediately and 60% showing catastrophic failure.
• SSA leakage occurred at the center in 40% of constructs, likely due to a learning curve in early samples.
• All constructs had higher pressures than normal physiologic intestinal pressure (4.0 mmHg ±2.0), except some SSEs with immediate leaks.
• Authors recommend SSA as a viable alternative with appropriate training but do not recommend SSE using the tested technique in live cats.
• Staple size and placement technique are key factors; smaller or more precisely placed staples may reduce leak risk.

🔍 Key Findings

• 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
• TCTFs occurred exclusively distal to the osteotomy
• 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
• 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
• Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
• Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
• Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
• Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS

🔍 Key Findings

• Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
• Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
• Mortality rate was 6.5% overall, with no significant association with liver lobe location.
• Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
• Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
• Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
• Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
• Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.