🔍 Key Findings

• Hybrid THR in cats showed no major complications across 17 hips in 15 cats, including 2 bilateral cases.
• Postoperative radiographs confirmed stable implant positioning with no loosening, migration, or dislocation in follow-up imaging.
• Mean owner satisfaction was high, with a mean short-form feline musculoskeletal pain index (sf-FMPI) score of 2/36 at a mean follow-up of 438 days.
• SCFE (slipped capital femoral epiphysis) was the most common indication, seen in 13/17 hips.
• Partial tenotomy of rectus femoris origin resolved intraoperative medial patella luxation in 3 cases—no cats required surgical correction later.
• A micro BFX cup allowed for increased acetabular offset, possibly reducing luxation risk even when using a +0 femoral head offset.
• Hybrid THR was successfully used as a revision for failed CFX THR due to recurrent luxation—implants remained stable post-revision.
• Use of oversized cups (12 mm) with shallow seating or medial breach still resulted in stable outcomes, suggesting good implant fixation even with reduced bone stock.

🔍 Key Findings

• Fascial planes in dogs were consistently classifiable into four surgical types:
• Type I (discrete sheets), Type II (tightly adhered to thin muscle), Type III (tightly adhered to thick muscle), and Type IV (periosteum-associated).
• Two junction types were identified: Type A (easily elevated) and Type B (higher risk of disruption).
• Disruption-prone areas include the scapular spine (type IV fascia) and lateral thorax near the 13th rib, where rib resection may be needed to preserve margins.
• The latissimus dorsi transition zones and fascial areas near the thoracic inlet and scapulohumeral joint were prone to fascial thinning or disruption.
• Partial muscle resections or periosteal elevations may be required in areas with fragile fascia to maintain oncologic margins.
• Dorsal spinous processes (T6–L6) showed type IV fascia; however, osteotomy may be needed in some dogs for clear margins.
• Blended fascial transitions (e.g., rectus abdominis: type II cranially, type I caudally) necessitate intraoperative judgment on resection depth.
• Cutaneous trunci may suffice as a deep margin for small, low-grade tumors in well-muscled dogs, but not reliably for high-grade or larger masses.

🔍 Key Findings Summary

• 3 dogs developed permanent fibular nerve dysfunction following TPLO
• Common findings:
  • Drill hole or screw in caudal tibial cortex just distal to osteotomy
  • Caudal malpositioning of TPLO plate (esp. right limb of case 3)
  • Post-op signs: cranial tibial atrophy, knuckling, exaggerated gait, no hock flexion
• One case had confirmed deep/superficial fibular neuropathy via electrodiagnostics
• Recommended prevention: avoid overly caudal drill paths; careful gait assessment at follow-up is key

🔍 Key Findings

• Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
• Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
• Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
• Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
• Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
• Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
• Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
• Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.

🔍 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

Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)

Revision Indications:

• 7 luxations (5 ventral, 2 craniodorsal)
• 1 femoral stem fracture
• 1 aseptic stem loosening

Implants:

• 8 BFX cups, 1 Helica; all revised to BFX
• 7/9 required a larger cup than original

Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted

Complications:

• 1 recurrent luxation
• 1 low-grade infection with possible metallic debris-associated osteolysis
• 2 femoral fissures managed intraoperatively

Outcomes:

• Good to excellent function in 6/6 dogs available at median 621 days
• Minimal complications with success in re-osteointegration of new cup

Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing

🔍 Key Findings

• Telovelar approach enabled complete resection of a fourth ventricle choroid plexus tumor in a dog without postoperative complications.
• Postoperative MRI confirmed gross total tumor removal, and the dog remained neurologically normal 28 months post-surgery.
• The tela choroidea was used as a surgical landmark and incised to allow atraumatic access to the tumor.
• Cerebellum was spared using this technique, minimizing risk of cerebellar injury (e.g., cerebellar mutism).
• No hemorrhagic complications were noted during surgery due to dissection through avascular planes.
• Histopathology favored choroid plexus carcinoma based on mitotic index (9/10 HPFs), though definitive diagnosis remained pending.
• The case highlights the utility of telovelar over transvermian approach, given its minimally traumatic nature and improved exposure.
• Survival beyond 2 years without adjunctive therapy suggests surgical excision alone may be curative in select cases.

🔍 Key Findings

• TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
• 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
• Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
• Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
• One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
• Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
• Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
• TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.

🔍 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.