🔍 Key Findings

• Modified subdural shunt (SDS) placement was adapted from prior techniques using a hemilaminectomy approach and no suturing of the dura or shunt.
• Dogs receiving SDS had significantly better long-term outcomes (85.7% improved) compared to those with durotomy alone (41.7%).
• Recurrence rate was lower in the SDS group (14.3%) than control (41.7%), though not statistically significant.
• Most recurrences occurred in Pugs (5/7), suggesting a breed predisposition.
• Shunt size was limited to 25% of spinal cord diameter, typically 3–3.5 Fr.
• CSF flow through the shunt was confirmed intraoperatively, supporting the role of SDS in maintaining flow and possibly preventing recurrence.
• Immediate postoperative outcomes were not different between groups (≈42% deteriorated), but long-term recovery was better with SDS.
• Steroid use pre-surgery did not correlate with improved outcome; fewer SDS dogs received steroids pre-op.

🔍 Key Findings

• Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
• Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
• Training effect was evident, as less experienced observers improved between first and second readings.
• Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
• CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
• Approximately 90% of menisci were correctly classified in second readings.
• No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
• CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.

🔍 Key Findings

• Caudal superficial epigastric (CSE) flaps were most visible with NIRFA, scoring 4/4 VFP in 97% of evaluations.
• CSE flap margins were altered in 65% of observations after NIRFA, showing the strongest influence on surgical planning.
• Thoracodorsal (THO) and omocervical (OMO) flaps had lower visualization scores, with 60–81% of images scoring below 2.
• Surgeons were 17–25 times more likely to adjust margins for CSE flaps versus OMO or THO based on fluorescence imaging.
• Poor inter-rater agreement was found for OMO (ICC 0.49) and THO (ICC 0.35); CSE had near-perfect agreement, but ICC was low due to uniform high scoring.
• Visualization was affected by flap depth and panniculus, making deeper vessels (OMO, THO) harder to see.
• Surgeons often shortened flap length and reduced flap area when modifying based on NIRFA results.
• Real-time angiosome visualization via NIRFA-ICG may reduce necrosis risk and improve patient-specific APF design.

🔍 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

Overall accuracy of radiography to detect IAIP: 77.9%

Sensitivity: 97.2%
Specificity: 67.6%

False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating

Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)

Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)

Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)

No palpable abnormalities (e.g., crepitus) observed during ROM for any group

No significant difference in detection by specialty field or reviewer qualification

Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases

🔍 Key Findings

• 3D-printed patient-specific guides (PSGs) significantly improved accuracy of drill hole entry (p < 0.001) and exit (p = 0.044) compared to commercial aiming devices (AD).
• Zero joint penetrations occurred with PSGs, whereas 3 of 7 AD-guided screws were predicted to penetrate the joint (p = 0.19).
• Variance in exit point and drill angle was significantly lower in PSG group, suggesting more consistent results.
• One PSG case failed due to improper guide seating, but this was corrected with improved soft tissue clearance.
• PSGs enabled safer trajectories despite use by novice surgeons, emphasizing their value in less experienced hands.
• Drill holes placed with ADs deviated more cranially and distally, increasing the risk of articular violation.
• Use of PSGs allowed for tighter clustering of drill trajectories, especially in the cranial–caudal axis.
• Subjective feedback favored PSGs for ease of use and ergonomic design, despite requiring slightly larger incisions.

🔍 Key Findings

• LVSG was successfully performed in 9/10 cadavers and both live cats, demonstrating procedural feasibility.
• Mean stomach resected was 27.6% of total weight in cadavers, with no leaks in 8/8 tested or either live patient.
• Mean surgical time: 110.4 min (cadavers) and 115 min (live cats); no intra- or postoperative complications observed.
• Stenosis near the incisura occurred in 2 cadavers; attributed to staple placement too close to the lesser curvature.
• 3D printed cannulas (3DPCs) improved ergonomics and were used in 6/10 cadavers and both live procedures.
• Live cats lost 21–24% body weight over 3 months, with full return to pre-surgical BCS and no GI complications.
• Orogastric tube and proper tensioning were critical in preventing gastric stenosis during staple placement.
• No reinforcement or oversew was used on the staple line; TriStaple cartridges provided reliable closure.

🔍 Key Findings

• Craniolateral approach (CLA) exposed significantly more radial surface area than craniomedial approach (CMA) (19.4 cm² vs. 13.8 cm²; p = 0.01).
• Proximal width of exposure was greater in CLA, especially at 12.5% length (P2 level, p = 0.016), aiding plate placement.
• No significant difference in exposed bone length between approaches.
• CLA avoided major neurovascular structures, making dissection cleaner and safer proximally.
• CMA consistently encountered median nerve/artery/vein, complicating proximal exposure.
• CLA allowed better access to proximal radius for locking plate application, which may benefit MIPO techniques.
• CLA also enables ulna fixation via the same incision, whereas CMA requires a separate skin incision.
• Anatomical tilt of the proximal cranial surface favored CLA, requiring less plate contouring than CMA for proper fit.

🔍 Key Findings Summary

• Study Design: Retrospective study of 100 radiographs using in silico and clinical data
• Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
• Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
• Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
• Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
• Increased distalization → greater under-correction of TPA (p = .01)
• Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
• Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA

🔍 Key Findings

• Partial cuneiformectomy (PC) did not increase complication rates compared to multilevel surgery alone (overall complications: PC = 16.3%, non-PC = 19.4%; p = .758).
• Major complication rates were not significantly different (PC = 11.6%, non-PC = 7.4%; p = .482).
• Significant improvement in BOAS grade was observed in dogs undergoing PC (p < .0001).
• BOAS index improved significantly in both groups, with greater median reduction in the PC group (28.5%) than non-PC (20.7%) (p < .0001).
• Low body condition score (BCS <4) was significantly associated with higher complication rates (odds ratio = 0.452; p = .004).
• Hospitalization duration did not differ between groups (median = 1 day; p = .743).
• Mortality was low (3.5%) in the PC group despite more severe airway disease, suggesting the technique is safe even in advanced collapse.
• The technique widened the rima glottidis without damaging surrounding structures, reducing airflow resistance and preserving laryngeal function.