🔍 Key Findings Summary

• 62 fractures in 61 dogs (44 lateral condylar, 18 intracondylar); mostly Spaniels
• LEAP plate used in all cases; minimal intraoperative contouring needed (1 French Bulldog)
• Overall complication rate: ~33%, mostly minor; 1 amputation due to catastrophic infection
• Radiographic healing:
  • Lateral epicondylar part healed in 100%
  • Condylar part healed in ~61.5% LCF and ~57.1% ICF
• Functional outcomes:
  • 87% returned to full limb use
  • Median LOAD score: 2 for LCF, 6.5 for ICF
• Design adjustments made post-study to strengthen weak zones around 3rd–4th screw holes

🔍 Key Findings

Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.

Clinical function:

• Improved ROM from 90° pre-op to 120° post-op.
• Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
• No visible lameness by 14 weeks.

Implant performance:

• No complications at any follow-up points.
• No osteolysis, loosening, or metallosis at 6-year necropsy.

Wear evaluation:

• Mild UHMWPE insert wear, localized to caudal edges.

Histologic findings:

• Robust osseointegration at implant-bone interface.
• Fibrous tissue only in areas lacking porous coating.

Conclusion:

• Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
• Support for considering early surgical intervention in severe stifle OA.

🔍 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

• Major complications occurred in 25.6% of limbs treated with PAUL, including non-union, implant failure, and infection requiring revision surgery.
• Increased body weight was significantly associated with a higher risk of complications (7% increased risk per additional kg; p = .04).
• Post-operative radiographic assessment was unreliable in predicting complications; inter-observer agreement was poor (kappa ≤ 0.12).
• Expert evaluation of implant or reduction errors had low predictive value (k < 0.2) for postoperative complications.
• Common major complications included non-union (6 limbs), screw breakage, and surgical site infections.
• Implant removal was required in 11.5% of limbs, mostly due to non-union or infection.
• Being a Labrador appeared protective on univariate analysis, but not on multivariate analysis after adjusting for weight.
• Radiographs showing suboptimal plate placement or osteotomy reduction did not reliably correlate with actual complication occurrence.

🔍 Key Findings Summary

• 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
• Mean TPA correction: from 39.4° to 6.3°
• Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
• Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
• Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
• The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO

🔍 Key Findings

• 39 of 40 checklist items for simulated OVH surgical assessment had good content validity (CVI = 0.81)
• Only 1 of 6 items from the OSATS GRS (respect for tissue) met inclusion criteria (CVI = 0.80)
• Checklist showed strong reliability (G-coefficient = 0.85) for moderate-stakes exams
• Modified OSATS GRS showed acceptable reliability (G-coefficient = 0.79)
• Two raters needed for acceptable reliability in high-stakes exams when using the checklist
• Minimal interrater bias found; variance largely due to interaction among student, rater, and item
• Digital recordings were a reliable method of evaluating surgical performance
• Study supports using checklist over OSATS GRS for assessing preclinical students on simulated models

🔍 Key Findings

• Superior and inferior labial arteries in cats perfuse robust angiosomes, which support musculomucosal axial pattern flaps.
• Cadaver angiography confirmed vascular anatomy, with consistent patterns between sides and among specimens.
• The vascular supply is located primarily in the musculomucosal layer, not the skin, critical for flap viability.
• Flap harvest requires inclusion of the orbicularis oris (± buccinator) muscle to ensure vascular integrity and flap survival.
• Two clinical cases demonstrated successful use of superior and inferior labial musculomucosal flaps for palatal reconstruction with complete flap survival and resolution of clinical signs.
• Intraoperative transillumination aided vessel localization, facilitating surgical planning and flap design.
• No cases of distal flap necrosis or dehiscence occurred, although mild donor site morbidity (lip retraction, mucosal denuding) was noted.
• These flaps offer a valuable option when local tissues are compromised, especially after failed previous repairs or radiation therapy.

🔍 Key Findings

• Near-infrared fluorescence cholangiography (NIRFC) was feasible and safe in all healthy dogs studied, with no major adverse effects noted.
• Low-dose ICG (0.05 mg/kg) at 3 h pre-op achieved the highest target-to-background (cystic duct-to-liver) contrast ratio, reaching nearly 4:1 at 280 minutes.
• Early imaging (time 0) favored low-dose ICG for optimal cystic duct visualization; high-dose ICG led to excessive liver fluorescence and reduced contrast.
• Visualization of biliary tree occurred within 10–20 min post-injection regardless of dose, but longer delays improved background clearance and contrast.
• No significant cardiovascular or histamine-related side effects were observed with either dose of ICG.
• Repeated ICG injections showed minimal residual fluorescence when using a >72 h washout period; shorter intervals caused mild carryover in high-dose groups.
• Surgeon scoring matched contrast ratios, confirming clinical relevance of imaging outcomes.
• Recommended dose for laparoscopic imaging: 0.05 mg/kg ICG given 3–5 h before surgery, or at premedication for urgent cases.

🔍 Key Findings

• Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
• Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
• No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
• Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
• Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
• Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
• Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
• Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.

🔍 Key Findings

• Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
• PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
• Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
• DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
• PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
• Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
• Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
• Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.