🔍 Key Findings

Objective: Determine if topical 45 mg/mL amikacin in CMC gel leads to systemic absorption in dogs with wounds.

Dogs enrolled: 11 client-owned dogs, with 31 applications of the gel.

Serum findings:

• Only 5 of 153 samples were above the 2.5 µg/mL quantification limit
• All values remained <5 µg/mL, the presumed toxicity threshold
• No correlation was found between dose-related parameters (mg, mg/kg, mg/cm²) and serum amikacin levels

Peak concentrations were observed at ~2 hours post-application, declining rapidly thereafter

No nephrotoxicity observed, and most values were below detection

Conclusion: Topical amikacin gel appears safe at doses up to 24.9 mg/kg, with minimal systemic absorption

🔍 Key Findings

• All four arthrocentesis techniques achieved 100% intra-articular accuracy, confirming that each landmark-guided method could successfully access the canine stifle joint.
• Lateral intercondylar notch (LINC) was the most commonly used technique clinically, reported by 87.5% (35/40) of surveyed surgeons.
• INFRA and SUPRA required significantly more needle repositions (median 3 and 2) compared with LINC and POUCH (median 1) (p = .001).
• No iatrogenic articular cartilage injury (IACI) occurred with LINC or SUPRA techniques, suggesting favorable safety profiles.
• INFRA produced the highest IACI rate (75%), with 6/8 limbs affected, indicating substantial risk with this approach.
• More than half of INFRA injuries exceeded 10 mm² and involved weight-bearing cartilage, raising concern for clinically significant joint damage.
• POUCH technique caused IACI in 37.5% of cases, but injuries occurred exclusively on non-weight-bearing cartilage.
• SUPRA (suprapatellar) approach demonstrated accuracy with zero cartilage injury, making it a promising safer alternative for stifle arthrocentesis pending clinical validation.

🔍 Key Findings Summary

• HIF typically originates 57° caudal to the supratrochlear foramen and propagates cranially in a segmental pattern.
• %HIF correlated significantly with both fissure depth and length:
  • %DHIF increased linearly (r = 0.989, p < 0.001)
  • %LHIF followed a sigmoidal relationship with %HIF (p < 0.001)
• Higher %HIF was significantly associated with:
  • Clinical lameness (p = 0.004)
  • Distal shift in the fissure center (CHIF)
• Implant complications in 5/17 elbows treated with transcondylar screws
• Isthmus diameter increased with weight (p = 0.002), relevant for screw sizing

🔍 Key Findings

• PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
• Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
• PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
• Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
• Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
• PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
• Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
• Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.

🔍 Key Findings

• No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
• Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
• Most common failure mode was suture pull-through (67%), with no significant difference between groups.
• Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
• All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
• The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
• TT constructs showed more tendon distortion at the repair interface during loading.
• Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.

🔍 Key Findings

• 55 cases (49 dogs, 6 cats) with nonarticular tibial fractures were treated using linear ESF with a minimally invasive approach
• All fractures achieved radiographic union; no unacceptable outcomes were reported
• 40% complication rate, mostly minor (82%), primarily pin-tract morbidity; major complications (7%) included osteomyelitis and refracture
• Open fractures had significantly more major complications than closed ones (P = .019)
• Use of intraoperative imaging (72% cases) reduced surgery time but did not improve alignment (P > .05)
• Median surgery time: 74 min with imaging vs. 100 min without (P = .046)
• TPA was lower than normal in both dogs and cats, but did not correlate with poor outcomes
• 62% had full clinical recovery, and 38% had acceptable outcomes at fixator removal

🔍 Key Findings

• 14 joints from 7 cat cadavers underwent AA-HTS successfully.
• Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
• Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
• Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
• Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
• 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
• No neurovascular, intrapelvic, or major periarticular injuries occurred.
• Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.

🔍 Key Findings

• Modified Heller myotomy with Dor fundoplication improved vomiting/regurgitation scores by 180%, QoL by 100%, and owner-perceived body weight by 63% (P < .05).
• 6 of 9 dogs with postoperative VFSS showed objective improvement in gastric filling scores; others remained stable.
• Oral sildenafil was discontinued postoperatively in all dogs, indicating surgical success comparable to medical management.
• 12 of 13 dogs survived to discharge; one dog was euthanized due to aspiration pneumonia postoperatively.
• 50% of dogs experienced gastrostomy tube complications, higher than reported in previous literature.
• Most complications were gastrostomy-tube related, with some requiring surgical correction (e.g., tube migration, leakage).
• Feeding strategies (Bailey chair, elevated bowls) and food consistency (gruel/liquid) remained essential postoperatively to control regurgitation.
• 9 of 11 owners would opt for the surgery again; those who wouldn’t cited risk or lack of efficacy.

🔍 Key Findings

• No proximal femoral fractures occurred in any of the 184 hips with cerclage wire placement
• Cerclage wire was well tolerated, with no failures or complications related to the wire
• Application of a single cerclage wire took <10 minutes, was cost-effective, and required minimal instrumentation
• 3 postoperative complications (1 fissure, 2 fractures) occurred distal to the cerclage site, near the stem tip, requiring plate/screw fixation
• All dogs returned to normal activity, and all owners were satisfied with the outcome
• Cerclage placement location is critical—must be proximal to the lesser trochanter and close to the calcar to resist hoop strain
• Biomechanical evidence supports that cerclage wires improve resistance to hoop strain and subsidence of cementless stems
• Press-fit cementless stems may settle, but when supported by cerclage, this does not result in fractures even in undersized implants

🔍 Key Findings

Population: 29 Boxer dogs and 29 age-matched Labrador Retrievers undergoing TPLO.
Scoring Systems Compared: 5-point vs. 10-point radiographic healing systems.
Healing Scores (Week 8):

• Boxers: 5-point mean = 3.3; 10-point mean = 6.9
• Labradors: 5-point mean = 3.6; 10-point mean = 7.5
• → Statistically significant difference (p = 0.0003 and p < 0.0001)

Osteotomy Gap ≥1 mm (present in 16.4%): Associated with significantly lower healing scores and increased recommendations for additional radiographic follow-up (p < 0.0001).
Observer Reliability:

• Both systems = good interobserver consistency.
• Slightly better intraobserver consistency with the 10-point scale.

Clinical Implication: Boxer dogs may need extended healing time or altered follow-up strategy after TPLO.