🔍 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

• NAS-ILN had significantly greater stiffness in both axial compression and 4-point bending compared to LCP constructs.
• Ultimate load to failure was significantly higher for NAS-ILN in compression (804 N vs 328 N) and bending (25.7 Nm vs 16.3 Nm).
• Torsional stiffness and angular deformation were similar, but NAS-ILN resisted higher torque to failure than LCP (22.5 Nm vs 19.1 Nm).
• No slack was observed with the NAS-ILN construct, unlike older nail designs.
• Failure modes differed: LCPs failed via plate bending; NAS-ILNs failed at the implant or bone near screw holes.
• Titanium alloy and curved design of NAS-ILN provides better anatomic fit and more uniform stress distribution.
• A third, perpendicular locking hole in NAS-ILN may enhance torsional stability but was not utilized in this study.
• The curved, angle-stable design of NAS-ILN is a novel advancement in veterinary orthopedics.

🔍 Key Findings

• No leakage occurred using pretied ligature loops (PLL) or double-shank (DS) titanium clips up to 40 cm H₂O airway pressure.
• 1/10 stapled lobes leaked at supraphysiologic pressure (40 cm H₂O), but this was not statistically significant (p = .33).
• All techniques sealed effectively under physiologic and supraphysiologic pressures in cadaveric feline lungs.
• PLL and DS clips required less working space than staplers, making them more practical for small thoracic cavities.
• DS titanium clips offer enhanced security due to dual shanks and tissue-gripping design, reducing clip slippage.
• Leak testing was cyclic and submerged, simulating physiologic ventilation and allowing robust evaluation.
• Stapling failure occurred along the staple line, highlighting risks of air leakage due to staple misalignment or poor hilar access.
• PLL and DS clips may be cost-effective and efficient alternatives for open or minimally invasive feline lung lobectomy.

🔍 Key Findings

• Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
• Left-sided lesions were more prevalent (71%) among affected cats.
• Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
• Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
• Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
• Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
• One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
• Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.

🔍 Key Findings

• 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
• No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
• 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
• Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
• 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
• 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
• Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
• The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.

🔍 Key Findings

• Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
• In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
• Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
• Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
• Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
• TECA cultures were not predictive of bacteria at incisional dehiscence.
• 75% of dogs healed with either medical or surgical management.

Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.

🔍 Key Findings

• Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
• No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
• Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
• Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
• Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
• Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
• Infection rate was low (2.7%), and not significantly different between wire and suture.
• Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.

🔍 Key Findings

• The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
• In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
• Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
• Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
• 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
• MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
• The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
• Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.

🔍 Key Findings

The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).

Ambulatory recovery occurred in 53.1% of dogs (86/162).

The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.

Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.

Top predictive features (by SHAP analysis) included:

1. T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
2. Use of fenestration (presence associated with better recovery)
3. Hospitalization duration
4. Imaging modality used
5. Duration of nonambulatory status

Machine learning provided better insight into prognostic factors than traditional statistical methods.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

• 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
• Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
• Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
• Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
• Most common complications: Luxation, femoral fracture, and aseptic loosening.
• BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
• Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
• Owner satisfaction was high, with 88% rating outcome as very good or good.