🔍 Key Findings Summary

• 20 shoulders from 11 medium-to-large breed dogs evaluated
• Lateral portals used: middle arthroscopic, caudal instrument, cranial egress
• Musculotendinous lesions unavoidable, but small (18G needle); seen in deltoideus (90%), infraspinatus, teres minor, etc.
• Neurovascular safety:
  • Caudal portal was closest to axillary artery/nerve branches (as close as 7 mm)
  • Only 2/20 shoulders (10%) had omobrachial vein penetrated
• Cartilage injuries (IACI) occurred in 65%, primarily minor linear defects; use of guarded cannulas and distractors suggested for minimization
• Supports overall safety of lateral shoulder arthroscopy with portal placement awareness

🔍 Key Findings

• Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
• Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
• Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
• Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
• Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
• No significant predictors retained significance in multivariate analysis
• Use of methylene blue was associated with fewer complications, although not statistically significant
• Complication rates did not result in mortality, and all were manageable; MST was 374 days

🔍 Key Findings

• Adding Locking Head Inserts (LHI) to a 3.5-mm LCP had no effect on plate strain, stiffness, or deformation in an open fracture gap model.
• Peak strain consistently occurred at the Combi-hole over the fracture gap, with values up to ~1837 µε.
• No significant difference in strain was found across configurations with 0, 3, or 9 LHI (p = 0.847).
• Construct stiffness and compressive displacement also remained unchanged regardless of LHI count (p = 0.311 and 0.069 respectively).
• Study contradicted the hypothesis that LHI would reduce strain and increase stiffness under biologic loading.
• Combi-hole design may limit the efficacy of LHI, as LHI only fill the locking portion, not the compression side where strain peaks.
• Implant fatigue risk remains highest over unfilled screw holes, especially over fracture sites—confirming previous failure patterns.
• Surgeons should consider alternative methods to reduce strain when facing high implant load scenarios.

🔍 Key Findings

• Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
• Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
• Bone union was achieved in all cases post-DFSO, indicating good healing potential.
• Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
• One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
• DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
• Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
• DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.

🔍 Key Findings

• Bilateral radial head OCD lesions were identified in a 6-month-old English Bulldog with elbow lameness.
• Medial arthroscopic portals allowed only partial visualization of radial head lesions, insufficient for treatment.
• Lateral arthroscopy portals provided excellent access for fragment removal and abrasion arthroplasty.
• Histopathology confirmed OCD, showing cartilage degeneration and retained cartilaginous cores.
• Dog showed complete resolution of lameness and no elbow pain at 5 months post-op.
• Lesions were caudolateral on the radial head, with discoid elevation of cartilage and clefts.
• Lateral approach avoids major neurovascular structures, reducing iatrogenic risk.
• The authors suggest lateral elbow arthroscopy may have broader indications, including for medial compartment disease or synovial biopsies.

🔍 Key Findings

• Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
• Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
• Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
• Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
• FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
• Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
• Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
• Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.

🔍 Key Findings

• CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
• CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
• Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
• CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
• Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
• The study found no cases of hyperthermia; temperatures normalized over time in both groups.
• Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
• Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.

🔍 Key Findings

• Both free-hand probing (FHP) and 3D-printed guides (3DPG) enabled accurate spinal pin placement, with 87.5% vs 96.4% of pins graded as optimal (Grade I).
• 3DPGs had fewer intraoperative deviations (0/56 pins) compared to 6/56 with the FHP technique.
• No pins using either method fully breached the medial vertebral canal (Grade IIb) — a critical safety outcome.
• Pins placed using 3DPGs required less time overall (mean 2.6 min) than FHP (mean 4.5 min).
• FHP required specific experience and has a learning curve, whereas 3DPG use requires CAD software and 3D printing access.
• FHP had more lateral canal violations (Grade IIIa: 4/56 vs 0/56 for 3DPG), suggesting slightly less precision.
• Both techniques were safe, and all deviations were recognized and corrected intraoperatively.
• 3DPGs may offer practical advantages in clinical settings lacking surgical expertise, while FHP allows immediate intervention without 3D printing delay.

🔍 Key Findings

• Study population: 116 dogs underwent cementless THR; grouped by age:
  • Group A: ≤6 months (n = 27)
  • Group B: >6 to ≤12 months (n = 41)
  • Group C: >12 months (n = 48)
• Overall perioperative complication rate: 31.9% (37/116)
  • Group A: 22.2%
  • Group B: 26.8%
  • Group C: 41.7%
• No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
• Luxation was significantly more common in dogs >12 months:
  • Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
• Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
• Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
• No infections or aseptic loosening observed during the 8-week follow-up.

🔍 Key Findings

Mortality rate: 36% (12/33)
Cholecystectomy performed: 94% of dogs (31/33)
New significant prognostic factors for survival:

• Hyperbilirubinemia (p = .049) — threshold = 60.5 μmol/L
• Use of vasopressors (p = .002)
• Renal dysfunction postoperatively (p = .008)
• Number of postoperative complications (p = .005)

Multivariate model: Total bilirubin and number of complications best predicted survival
Septic vs nonseptic effusion: No significant difference in survival
Diagnostic imaging: Ultrasound sensitivity for extrahepatic biliary rupture = 38%
Most cultured pathogen: E. coli (80% of septic cases)