🔍 Key Findings

• Simulated quadriceps and gastrocnemius forces increased proportionally with axial load in all three femoral fixation models.
• Model 2 (rigid fixation) resulted in subphysiologic quadriceps forces and abnormally high gastrocnemius forces, reducing model fidelity.
• Models 1 and 3 (with hip mobility) produced more physiologic quadriceps and force ratios, especially under 30–40% bodyweight loads.
• Force ratios were significantly lower in rigid fixation (Model 2) compared to hip-mobile models (p = .007), suggesting model design affects simulated muscle coordination.
• Joint angles (stifle and hock) remained within acceptable limits, though slight flexion occurred with increasing load.
• Relative foot position differed by ~3.9 mm between models 2 and 3, with model 2 showing a more caudal position.
• Model 3 preserved benefits of hip mobility while allowing radiographic documentation, making it a preferred setup for future studies.
• The study suggests that models used in feline stifle stabilization research may underestimate physiologic forces, especially with rigid fixation designs.

🔍 Key Findings

• Dogs with MPL had significantly shallower femoral trochlear grooves compared to controls, based on CT-measured femoral trochlear groove angle (FTGA).
• FTGA >134° in small breeds (SB) and >128° in medium/large breeds (MLB) were associated with MPL and can serve as surgical thresholds for considering trochleoplasty.
• FTA and FTRIA measurements were less reliable, showing lower sensitivity/specificity than FTGA.
• Inter-rater reliability for FTGA was excellent (ICC > 0.9), supporting its use in clinical decision-making.
• FTGA differed significantly between SB and MLB dogs, suggesting anatomical variation influences MPL predisposition.
• Dogs with MPL but with FTGA below threshold may not benefit from trochleoplasty, supporting individualized surgical planning.
• CT provides more precise and reproducible evaluation of trochlear morphology than radiography or ultrasound.
• The study introduces a CT protocol using P25 and P50 reference points for consistent FTGA measurement.

🔍 Key Findings

• Superior and inferior labial arteries in cats perfuse robust angiosomes, which support musculomucosal axial pattern flaps.
• Cadaver angiography confirmed vascular anatomy, with consistent patterns between sides and among specimens.
• The vascular supply is located primarily in the musculomucosal layer, not the skin, critical for flap viability.
• Flap harvest requires inclusion of the orbicularis oris (± buccinator) muscle to ensure vascular integrity and flap survival.
• Two clinical cases demonstrated successful use of superior and inferior labial musculomucosal flaps for palatal reconstruction with complete flap survival and resolution of clinical signs.
• Intraoperative transillumination aided vessel localization, facilitating surgical planning and flap design.
• No cases of distal flap necrosis or dehiscence occurred, although mild donor site morbidity (lip retraction, mucosal denuding) was noted.
• These flaps offer a valuable option when local tissues are compromised, especially after failed previous repairs or radiation therapy.

🔍 Key Findings

• m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
• Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
• Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
• Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
• Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
• All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
• Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
• Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.

🔍 Key Findings

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

• Rotating cup biopsy forceps (p < .001)
• Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

🔍 Key Findings

• CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
• Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
• Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
• CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
• Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
• No significant associations found between histopathologic diagnosis and localization accuracy
• Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
• Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best

🔍 Key Findings

• Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
• Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
• Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
• Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
• Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
• Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
• PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
• Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.

🔍 Key Findings

• Mean SI joint reduction was 94.25%, exceeding the 90% target considered important to reduce screw loosening
• Mean sacral width purchase was 82.52%, with all screws achieving >60%—a threshold for reducing implant loosening risk
• All 20 screws were accurately placed within the sacral body, confirmed via CT or radiographs
• A 3D-printed drill guide and table-bound system facilitated consistent screw placement via minimally invasive technique
• Craniocaudal and dorsoventral angles were well controlled (mean CCA = –1.22°, DVA = 0.71°), demonstrating accurate trajectory
• No intraoperative complications were reported; all pilot holes drilled on first attempt
• Use of fluoroscopy and orthogonal imaging enhanced surgical accuracy and reduced malposition risk
• The system permitted screw placement through a sleeve that doubled as a muscle retractor, allowing implant delivery without disruption

🔍 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.