🔍 Key Findings

• CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
• CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
• Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
• Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
• PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
• Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
• Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
• Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

🔍 Key Findings

• Peritoneal effusion cytology remains the most rapid and reliable diagnostic for SP; detection of intracellular bacteria is highly specific (100%) and sensitive in dogs and cats.
• Blood-effusion glucose difference >20 mg/dL has 100% sensitivity and specificity for SP in both dogs and cats, but point-of-care glucometers may falsely elevate effusion glucose.
• Preoperative stapled intestinal anastomoses have lower dehiscence rates than handsewn in dogs with SP in some studies, especially in unstable patients.
• Fluorescent angiography may outperform visual/palpatory assessment in determining intestinal viability during surgery.
• Omentalization and serosal patching offer reinforcement for intestinal repairs in SP; experimental studies show improved healing, though clinical data are limited.
• Open abdomen with VAC therapy offers comparable survival to closed methods, with potential benefits including improved peritoneal healing and drainage.
• Closed suction drains show survival rates ranging from 52–100% in dogs and cats with SP; concerns exist about nosocomial infections, but survival was not consistently affected.
• Lavage with saline is standard (200–300 mL/kg), but risks include mesothelial irritation and cytokine spread; buffered solutions like LRS or Plasmalyte may be superior.

🔍 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

• Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
• No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
• Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
• Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
• Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
• Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
• Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
• Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.

🔍 Key Findings

• LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
• Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
• LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
• Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
• Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
• No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
• Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
• Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.

🔍 Key Findings

Objective: Validate a new 3D CT-based method for measuring tibial torsion in dogs with MPL, comparing it to a traditional method.

Sample: 40 tibiae from client-owned dogs with MPL (primarily small-breed).

Repeatability (intraobserver):

• New method: ICC = 0.99 → excellent agreement

Reproducibility (interobserver):

• New method: ICC = 0.83 → high agreement
• Traditional method: ICC = 0.52 → moderate agreement

Torsion angle measurements:

• New method avg: 16.00° ± 8.77
• Traditional method avg: 8.76° ± 4.92

Conclusion: The new method is more repeatable, reproducible, and provides higher torsion values than the traditional Aper method, especially reliable for small-breed dogs.

🔍 Key Findings

• Modified prepubic urethrostomy (mPPU) was effective for managing proximal urethral obstructions in male cats.
• All 8 cats regained voluntary urination within 24 hours postoperatively.
• Early urinary incontinence and peristomal dermatitis occurred in all cats but were self-limiting.
• Two cats (25%) required surgical revision due to stomal obstruction from weight gain and abdominal fat.
• No intraoperative complications were reported in any of the 8 cats.
• Follow-up (13–84 months) showed sustained urinary continence and owner satisfaction in all cases.
• The rectus abdominis muscle tunnel likely increased outflow resistance, minimizing persistent incontinence.
• Recurrent hematuria and dysuria occurred in 3 cats but were managed conservatively.

🔍 Key Findings

• Peripheral nerve block (PNB) was preferred by 79% of anesthesiologists; lumbosacral epidural (LE) by 21%; PI <1%.
• Time since board-certification significantly influenced preference: PNB favored by newer diplomates, LE favored by more senior ones (p < .001).
• Employment sector mattered: PNB was preferred more in private practice, LE more in academia (p = .003).
• PNB perceived as more effective, with 78% reporting 81–100% effectiveness; compared to 55% for LE.
• PNB associated with fewer adverse effects (75%) than LE (4%) and PI (21%).
• PNB required less rescue analgesia intraoperatively (57%) and postoperatively (54%) than LE or PI.
• LE preferred for bilateral TPLOs and in smaller dogs; PNB for larger dogs, due to motor function preservation.
• Dexmedetomidine was the most common additive to PNB; bupivacaine-only was most used for PNB.

🔍 Key Findings

• Surgically managed TTAF resulted in excellent clinical outcomes at skeletal maturity, with all dogs having normal limb function and no stifle instability.
• Surgical treatment significantly altered proximal tibial morphology, including decreased tibial plateau angle (TPA) and increased patellar position (PP) compared with the contralateral limb.
• Axial tibial tuberosity position (TTP-A) increased and transverse position (TTP-T) decreased in surgically treated stifles, indicating distal and caudal tuberosity migration.
• Non-surgically managed TTAF did not significantly alter tibial morphology or PP, but outcomes were more variable.
• Medial patellar luxation developed in 2/6 non-surgically treated dogs, whereas none occurred in surgically managed cases.
• Pins-only and pin–tension band constructs produced similar radiographic changes and outcomes.
• Despite morphologic changes, no dogs developed cruciate ligament instability at follow-up.
• Non-surgical management yielded good to excellent owner-reported outcomes, but carried a potential increased risk of patellar luxation.

🔍 Key Findings

• No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
• All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
• Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
• Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
• No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
• Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
• One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
• Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.