🔍 Key Findings

• Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
• TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
• No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
• All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
• CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
• Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
• Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
• Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.

🔍 Key Findings

Design: In vitro study on cadaveric femurs (n=21) with basilar femoral neck fractures stabilized using 2 vs 3 titanium cannulated screws.

Stiffness: Control > 3-screw > 2-screw (674 > 120 > 90 N/mm).

Yield Load: 3-screw (586 N) > 2-screw (303 N); both < intact femur (2692 N).

Displacement: No difference across groups.

Complication: 3-screw technique more demanding; higher risk of cortical perforation, especially with narrow femoral necks.

Failure Mode: Dislodgement of femoral head + screw shaft bending.

Conclusion: 3 screws = stronger construct than 2 screws. Clinical implications need further study.

🔍 Key Findings

• Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
• Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
• Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
• Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
• Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
• Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
• No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
• The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.

🔍 Key Findings

• Postoperative complications occurred in 20% of stifles, including 7.5% minor, 10.3% surgical, and 3.4% medical complications.
• The PROSPECT machine-learning model achieved high predictive accuracy: 92.3% for surgical complications, 91.9% for minor, and 94.3% for medical.
• Top predictive features included surgical technique, implant type, patient age, and surgeon identity.
• Surgeon-specific variables influenced predictions, indicating operator experience and technique matter.
• Engineered interaction features (e.g., breed × implant) were more predictive than raw clinical data alone.
• Rottweiler, intact male status, and higher bodyweight were associated with increased complication risk; Labradors had decreased risk.
• Model calibration was strong, especially for high and low probability predictions; midrange predictions were less reliable.
• The model supports individualized, probabilistic risk assessment, which could inform client counseling and tailored postoperative care.

PROSPECT = Predicting Risk Of Surgical compli­cations aftEr CCWO and TPLO

🔍 Key Findings Summary

• Cadaveric study using 3 miniature breed dogs (6 hemipelves) to assess spinal neuronavigation accuracy for lumbar plate fixation
• 20 screws placed using CBCT-based navigation with real-time tracking
• 85% (17/20) of screws were safely and accurately placed
• Median deviation of screw entry points from plan: 1.8 mm
• All 3 misplaced screws occurred in a single cadaver, attributed to inexperienced drill handling
• Custom 3D-printed lightweight tracking array was necessary due to small spinous processes in miniature dogs
• No iatrogenic canal perforations or vertebral damage in any specimen
• Concludes neuronavigation offers precise, safe placement of spinal implants in small dogs, with minimal anatomic disruption

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

• Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
• Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
• Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
• Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
• Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

🔍 Key Findings Summary

• Lateral humeral condylar fractures = 69.8% of cases; medial = 16.2%; Y/T = 14.0%
• Falls/stairs were the inciting trauma in 45.6% of cases; significantly younger dogs were more likely to fracture after major trauma (p = 0.01)
• Complication rate = 22% (10 major, 20 minor); implant migration and seroma most common
• Fixation method had no significant impact on complication rates (p = 0.87)
• Epicondylar comminution was significantly associated with complications (p = 0.02, OR = 3.27)
• Contralateral intracondylar fissure found in 9.8%, none progressed to fracture during study
• Wide inter-center variation in complication rate (5–62%, p = 0.002)

🔍 Key Findings

• Short working length constructs had significantly higher stiffness and lower strain than long constructs in compression bending (p = 0.0172).
• In tension bending, short constructs also had higher precontact stiffness and lower strain, but this reversed after transcortical contact (~150 N).
• Transcortical contact increased stiffness only in long constructs, producing a bilinear load-displacement curve.
• Postcontact stiffness was higher in long constructs, but this may not reflect clinical benefit due to risks of high interfragmentary strain.
• Short working length reduced strain at multiple ROIs under both loading conditions, including over fracture gap (Tables 1–3).
• Increased working length promoted stress concentration and deformation, especially in compression bending.
• In vitro benefits of long constructs (via contact stability) may not translate to healing, as repetitive loading could increase plate strain and bone resorption.
• Plate strain was effectively mapped using 3D digital image correlation, confirming regional strain differences between configurations.