🔍 Key Findings

• Six dogs with thyroid carcinoma underwent preoperative CT lymphography (CTL) and intraoperative sentinel lymph node (SLN) mapping using methylene blue (MB) and indocyanine green (ICG) with near-infrared (NIR) imaging.
• SLNs were successfully identified in all dogs (6/6).
• SLNs included medial retropharyngeal, cranial deep cervical, and superficial cervical nodes.
• Metastatic carcinoma was found in 3/12 SLNs, in 2/6 dogs.
• Some discordance occurred between CTL and intraoperative SLN findings (partial match in 3/6).
• Protocol modifications (e.g., reduced dye volume, post-exposure injection) improved localization and minimized dye diffusion.
• No intraoperative complications or adverse events occurred.
• Study supports further investigation of combined SLN mapping techniques in canine thyroid cancer.

🔍 Key Findings

• Combined intramedullary (IM) pin and rhBMP-2 use resulted in a low complication rate (7.4%) after proximal ulnar osteotomy (PUO).
• Major complications occurred in 5.3% of cases (4 infections, 1 pin breakage with ulnar tilt requiring revision).
• Minor complications occurred in 2.1% of cases (seroma, delayed union).
• No cases of non-union were observed; 98.9% of limbs achieved radiographic healing by 6 weeks.
• IM pin breakage was noted in 11.8% of limbs but did not affect healing outcomes.
• Chondrodystrophic breeds made up 64.8% of the cohort and tolerated the procedure well.
• Compared to prior studies, complication rates were substantially reduced with this technique (prior major: 13.9%; this study: 5.3%).
• The use of rhBMP-2 likely enhanced early bone healing and provided biologic support, particularly important in breeds at higher risk of complications.

🔍 Key Findings

• A positive meniscal flounce sign was associated with normal menisci in 95.5% of cases, demonstrating strong predictive value.
• Absence of the meniscal flounce sign was associated with meniscal tears in 92.7% of cases.
• Overall diagnostic accuracy of the flounce sign was 94.6%, with 96.6% sensitivity and 90.5% specificity.
• Most tears in flounce-negative stifles were bucket-handle tears (73.8%), while radial tears were present in some flounce-positive stifles.
• Radial tears did not consistently eliminate the flounce sign, suggesting they may not disrupt meniscal fiber tension sufficiently.
• All procedures were arthroscopically performed, with probing and visualization of the medial meniscus' caudal pole.
• Flounce sign should complement, not replace, probing—especially as some tear types (e.g., radial) may not abolish the sign.
• Limb positioning and joint distraction may affect flounce visibility, introducing minor observer variability.

🔍 Key Findings

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

• Rotating cup biopsy forceps (p < .001)
• Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

🔍 Key Findings

• Precontoured plates based on 3D-printed femurs produced accurate femoral alignment (median deviations <3 mm or <3° in all planes).
• Both fracture reduction system (FRS) and intramedullary pin (IMP) methods achieved near-anatomic alignment in cadaveric femoral fractures.
• FRS required fewer fluoroscopic images (median 7 vs. 26, P = .001), but longer surgical time (median 43 vs. 29 min, P = .011).
• Sagittal plane alignment: FRS led to mild increased recurvatum (median 2.9°), but still within near-anatomic limits (<5°).
• Axial alignment: Both groups achieved near-anatomic torsion (<10°), though one IMP case had acceptable (not near-anatomic) alignment.
• Custom drill guides and FRS improved fluoroscopy efficiency but were cumbersome and time-consuming to use. Authors do not recommend current prototype for clinical use.
• Clinical significance: 3D printed models allow accurate precontouring, reducing intra-op plate adjustment; custom guides may reduce radiation exposure for the surgical team.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

• Good to excellent outcome: 81% (17/21)
• Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

🔍 Key Findings

• Routine follow-up radiographs after MPL surgery influenced management in only 3% of asymptomatic cases.
• Isolated radiographic abnormalities were rare (3.3%) and even less likely to alter treatment unless accompanied by clinical concerns.
• Dogs with both radiographic changes and clinical/owner concerns had 32× higher odds of a management change (OR 32.16, P < .001).
• Lameness, NSAID use, or prior unplanned visits significantly increased the odds of altered post-op plans.
• Owner-reported concerns alone led to a change in only 1.6% of cases without corroborating clinical findings.
• Radiographic follow-up was deemed unnecessary in dogs without owner concerns or abnormal physical findings.
• Hands-on clinical exam remains critical, though video-based rechecks may aid triage in uncomplicated cases.
• The study supports selective radiographic follow-up, reducing unnecessary imaging, stress, and clinician workload.

🔍 Key Findings

• No infections (0/102) occurred in cases where preclosure povidone-iodine lavage (PrePIL) was used, compared to 21/2111 (0.99%) with saline lavage.
• Break-even cost for PrePIL was calculated at $49.74, while the actual cost was only $2.07, confirming strong cost-effectiveness.
• No adverse reactions or healing complications were reported in the 102 PrePIL cases.
• The PrePIL protocol used 0.35% povidone-iodine for 3 minutes before closure, followed by sterile saline lavage.
• Majority of THRs (97%) used cementless fixation (BFX) in PrePIL group; only 3 cases used CFX components.
• Surgeries followed consistent perioperative antibiotic protocols, making PrePIL the only major protocol variable.
• Antibiotics were not added to lavage, aligning with WHO and CDC guidelines for antimicrobial stewardship.
• The infection reduction with PrePIL supports routine use in total hip replacement to reduce periprosthetic joint infections.

🔍 Key Findings

139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:

• Owner concerns (OR: 7.6)
• Analgesic use at follow-up (OR: 7.9)
• Lameness (OR: 5.9)
• Abnormal clinical exam (OR: 44.8)
• Radiographic abnormalities (OR: 51.9)

No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.

🔍 Key Findings

• Study Design: Canine cadaveric study comparing intercostal thoracotomy (ICT), median sternotomy (MS), and transdiaphragmatic with caudal median sternotomy (TDCM) for accessory lung lobectomy (ALL).
• Main Outcomes:
  • Exposure Area: TDCM (193.5 cm²) > MS (106.5 cm²) > ICT (73.5 cm²) (p = .01).
  • TDCM provided significantly greater exposure than MS (p = .02) and ICT (p = .02); MS > ICT (p = .04).
  • Surgical Time: No significant difference (p = .06).
  • Lobe Excision (% by weight/surface area): No significant difference between groups (p = .4).
  • Staple Line Leak: Leak at ≤40 cmH₂O in 2/4 ICT, 0/4 MS, 0/4 TDCM (p = .09).
• Complications:
  • 1/4 MS cases had iatrogenic damage to an adjacent lobe.
• Technical Insights:
  • TDCM approach allowed immediate visualization of all three parts of the right pulmonary ligament.
  • The TDCM approach offers improved access without requiring en bloc removal with the right caudal lobe.
• Conclusion: The TDCM approach provides improved exposure for ALL lobectomy with no increase in surgical time or complications relative to other approaches.