🔍 Key Findings

• Adding Locking Head Inserts (LHI) to a 3.5-mm LCP had no effect on plate strain, stiffness, or deformation in an open fracture gap model.
• Peak strain consistently occurred at the Combi-hole over the fracture gap, with values up to ~1837 µε.
• No significant difference in strain was found across configurations with 0, 3, or 9 LHI (p = 0.847).
• Construct stiffness and compressive displacement also remained unchanged regardless of LHI count (p = 0.311 and 0.069 respectively).
• Study contradicted the hypothesis that LHI would reduce strain and increase stiffness under biologic loading.
• Combi-hole design may limit the efficacy of LHI, as LHI only fill the locking portion, not the compression side where strain peaks.
• Implant fatigue risk remains highest over unfilled screw holes, especially over fracture sites—confirming previous failure patterns.
• Surgeons should consider alternative methods to reduce strain when facing high implant load scenarios.

🔍 Key Findings

Increased risk with gonadectomy:

• Pooled OR for CrCLD:
  • Females: 2.29 (95% CI: 1.77–2.95)
  • Males: 2.12 (95% CI: 1.67–2.69)

Early gonadectomy (≤1 year) further increased risk:

• OR vs >1 year:
  • Females: 3.39
  • Males: 3.13

Late gonadectomy (>1 year) had no significant difference vs intact dogs.

Breed-specific findings:

• Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
• Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)

Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)

🔍 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

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

• Modified preputial urethrostomy without penile amputation was successfully performed in 4 male dogs with urethral stenosis or trauma.
• The technique involved anastomosis of the pelvic urethra to the preputial mucosa via caudal celiotomy, avoiding perineal urethrostomy complications.
• No cases of skin scalding or stoma stenosis were reported during short- and long-term follow-up.
• Two dogs developed mild urinary incontinence, particularly when excited; one improved with phenylpropanolamine.
• The approach preserved local anatomy, avoiding penile amputation, osteotomies, and preputial dissection.
• Postoperative urinary catheterization was used to protect the anastomosis, although optimal duration remains debated.
• Surgical access via the linea alba minimized tension at the anastomosis site and avoided complications from paramedian approaches.
• This technique may serve as a viable alternative to prepubic urethrostomy, reducing urine-related skin complications and improving cosmetic outcome.

🔍 Key Findings

• 3D CT volume rendering and CAL measurement successfully guided correction of femoral and tibial torsion in dogs with patellar luxation (PL).
• Physiological patellar tracking was restored in 100% (22/22) of cases after detorsional osteotomy.
• 94% of dogs (17/18) had either full or acceptable functional outcomes post-surgery.
• CAL-based correction was accurate in 19/22 cases, confirming reliability of the measurement technique.
• Complication rate was 45%, with major complications in 2/22 cases—both involved combined femoral and tibial osteotomies.
• Combined femoral and tibial osteotomies in the same limb were linked to a higher risk of complications and poorer outcomes.
• Diaphyseal osteotomies offered more implant space, but metaphyseal locations were associated with faster bone healing.
• Use of a TPLO jig or goniometer was not essential—CAL-based bone marking was sufficient in most cases.

🔍 Key Findings

• DPO improved joint congruity and clinical signs in dogs ≥10 months old with minimal osteoarthritis.
• Median Norberg angle increased by 21.8% 1 year postoperatively (from 87° to 106°; p < .01).
• Femoral head coverage increased significantly, with PC rising 66.7% and LHC by 162.5% at 1 year (p < .01).
• No significant change in pelvic canal width postoperatively, suggesting pelvic conformation was preserved.
• All ilial osteotomies healed with complete osseous bridging by 8 weeks; 7/11 pubic osteotomies achieved full healing.
• No intraoperative or postoperative complications were reported, including implant failure.
• Locking plates and additional ventral plating were used in select cases and may have contributed to implant stability.
• DPO may be extended to older dogs with suitable hip morphology and minimal OA, expanding traditional age criteria.

🔍 Key Findings

• CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
• Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
• Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
• Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
• One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
• CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
• In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
• No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.

🔍 Key Findings

• Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for diagnosing medial meniscal tears in dogs with CCLR.
• NA missed 1 medial and 1 lateral meniscal tear, both nondisplaced and stable.
• Visibility of all meniscal horns was significantly lower with NA compared to standard arthroscopy (SA) (P < .005 for all horns).
• Probing the caudal horn of the lateral meniscus was significantly more difficult with NA (P = .0017), though medial horn probing was similar.
• Mean NA procedure time was 8 ± 3 minutes, significantly shorter than SA (15 ± 9 min, P = .0041).
• No increase in lameness observed after NA, indicating minimal procedural morbidity.
• NA was performed under sedation in most dogs, though 10/26 required additional chemical restraint or short anesthesia.
• NA was most accurate for displaced vertical longitudinal tears, with all 14 correctly identified; one stable tear and a lateral tear were missed.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

• Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
• Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
• Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
• Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
• Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
• Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
• Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
• Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.