🔍 Key Findings

• Feasibility study in 5 canine cadavers plus 1 clinical case (Chihuahua, 5.5 kg).
• Technique used two small approaches (caudal and craniolateral) connected with an epiperiosteal tunnel.
• Plates were precontoured on mirrored 3D-printed hemipelves to improve fit and reduce intraoperative bending.
• Cadaver outcomes: fracture gap <2 mm, step defect <1 mm, pelvic angulation <5°.
• Sciatic nerve injury was minimal: 1/5 cadavers had a mild indentation; others had no gross injury.
• Median total surgical time: ~46 minutes in cadavers; incisions ~5 cm.
• Clinical Chihuahua case: weight-bearing within 24 hrs, radiographic union at 3 months; one screw fractured but no adverse effect.
• Authors conclude: MIAF with 3D printing is feasible and accurate, but requires further evaluation before routine use.

🔍 Key Findings

• AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
• Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
• All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
• AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
• Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
• Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
• Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
• Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.

🔍 Key Findings

• Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
• Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
• Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
• Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
• Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
• Osteotomy length had no significant effect on change in angle.
• Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
• No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

🔍 Key Findings

From “Long-term follow up of 44 cats undergoing total hip replacement” by Rodiño Tilve et al.

• Slipped capital femoral epiphysis (SCFE) was the most common surgical indication (61%, 34/56 hips), primarily affecting young neutered male cats.
• All THRs used cemented micro/nano BioMedtrix implants; most common femoral stem was size #3, and most common acetabular cup was 12 mm.
• Postoperative complication rate was 19.6% (11/56) with 9 major complications (luxation most common), and no intraoperative complications reported.
• All luxations occurred in hips implanted with femoral neck +0 mm length implants.
• Second luxations were more common when revision used same implant size; use of larger implants reduced reluxation rates.
• FMPI-sf score improved significantly from median 2.111 pre-op to 0.111 post-op (P < .001), indicating reduced pain and improved function.
• Very high owner satisfaction: 91% (30/33) reported outcome as "very good."
• No significant associations found between complications and variables like weight, sex, implant size, or surgical indication.

🔍 Key Findings

• CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
• Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
• Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
• Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
• One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
• CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
• In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
• No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.

🔍 Key Findings

• Perioperative mortality rate was low (2.9%), with no intraoperative deaths reported.
• Intraoperative complications occurred in 54.3% of dogs, most commonly hemorrhage and cardiovascular events.
• 21% of dogs required blood transfusions, though transfusion was not associated with higher complication risk.
• Advanced hemodynamic support (fluid + cardiovascular) was significantly associated with short-term complications (OR 17.3, p = .029) and shorter survival.
• No surgical method (e.g., TA stapler, vessel sealing device, hilar resection) was associated with increased risk of complications.
• Hepatocellular carcinoma (HCC) was the most common diagnosis (53%), with an MST of 741 days and 17.6% recurrence.
• Surgical margins (complete vs incomplete) were not associated with overall survival time in dogs with HCC.
• The use of preoperative CT and improved surgical instrumentation may have contributed to the lower observed mortality.

🔍 Key Findings

• Surgical excision of insulinomas resulted in euglycemia or hyperglycemia in 90% of cats immediately post-op.
• 18/20 cats (90%) survived to hospital discharge, with a median survival time of 863 days.
• Younger age, metastasis at surgery, tumor invasion, and lower glucose levels were negative prognostic factors.
• Two cats had stage III disease with metastasis; one lived 413 days post-op, suggesting some benefit to surgery even in advanced disease.
• Postoperative hypoglycemia and seizure activity were associated with poorer outcomes; one cat euthanized due to seizures despite euglycemia.
• Median disease-free interval (DFI) was 1052 days; for cats with metastasis, DFI dropped to 93 days.
• Partial pancreatectomy was performed in 11 cats, nodulectomy in 10, and enucleation in 1; method of resection not linked to outcome.
• Postoperative complications occurred in 25% of cats; most were manageable with supportive care.

🔍 Key Findings

• Fascial planes in dogs were consistently classifiable into four surgical types:
• Type I (discrete sheets), Type II (tightly adhered to thin muscle), Type III (tightly adhered to thick muscle), and Type IV (periosteum-associated).
• Two junction types were identified: Type A (easily elevated) and Type B (higher risk of disruption).
• Disruption-prone areas include the scapular spine (type IV fascia) and lateral thorax near the 13th rib, where rib resection may be needed to preserve margins.
• The latissimus dorsi transition zones and fascial areas near the thoracic inlet and scapulohumeral joint were prone to fascial thinning or disruption.
• Partial muscle resections or periosteal elevations may be required in areas with fragile fascia to maintain oncologic margins.
• Dorsal spinous processes (T6–L6) showed type IV fascia; however, osteotomy may be needed in some dogs for clear margins.
• Blended fascial transitions (e.g., rectus abdominis: type II cranially, type I caudally) necessitate intraoperative judgment on resection depth.
• Cutaneous trunci may suffice as a deep margin for small, low-grade tumors in well-muscled dogs, but not reliably for high-grade or larger masses.

🔍 Key Findings

• Ala vestibuloplasty significantly reduced normalized pulmonary transit time (nPTT) (mean 5.43 → 3.89 sec; p <.001), suggesting improved cardiopulmonary function.
• Clinical respiratory signs improved, including reduced snoring, sneezing, nasal discharge, and open-mouth breathing (all p <.01).
• Activity tolerance increased, with less dyspnea during activity and longer time to onset of dyspnea (p <.005).
• Paradoxical sternal motion resolved in all affected cats after surgery.
• Hiatal hernias resolved in 75% of affected cats on follow-up CT.
• No serious complications occurred, with only mild, self-limiting epistaxis and hypersalivation in a few cases.
• Aberrant turbinates were detected on CT in all cats, though only 1 showed obstructive CATs endoscopically.
• Total clinical severity scores improved significantly postoperatively (median reduction of 30 points; p <.001).

🔍 Key Findings

• Fasting ammonia (FA) was the most specific test (100%) for confirming EHPSS closure postoperatively.
• Serum hyaluronic acid (SHA) and MEGX at 15 minutes post-lidocaine were the most sensitive tests (96.9% and 96.2%, respectively).
• SHA combined with MEGX T15, or with FA or postprandial serum bile acids (SBA), provided 100% sensitivity with good specificity (72.4–82.8%).
• SHA levels remained elevated in all dogs with persistent shunting, even when other tests were normal.
• Paired SBA had moderate sensitivity (90%) and variable specificity (89%).
• The L/MEGX test at 30 min was less useful than at 15 min for assessing closure.
• Traditional SBA testing showed reduced utility postoperatively; normal values did not rule out persistent shunting.
• Blood tests improved when combined, but imaging remains essential to definitively confirm EHPSS closure.