🔍 Key Findings

• Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
• Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
• No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
• Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
• Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
• Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
• Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
• Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.

🔍 Key Findings

• Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
• Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
• Training effect was evident, as less experienced observers improved between first and second readings.
• Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
• CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
• Approximately 90% of menisci were correctly classified in second readings.
• No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
• CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.

🔍 Key Findings

• Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
• Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
• Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
• Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
• Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
• Osteotomy length had no significant effect on change in angle.
• Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
• No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

🔍 Key Findings

• Bilateral radial head OCD lesions were identified in a 6-month-old English Bulldog with elbow lameness.
• Medial arthroscopic portals allowed only partial visualization of radial head lesions, insufficient for treatment.
• Lateral arthroscopy portals provided excellent access for fragment removal and abrasion arthroplasty.
• Histopathology confirmed OCD, showing cartilage degeneration and retained cartilaginous cores.
• Dog showed complete resolution of lameness and no elbow pain at 5 months post-op.
• Lesions were caudolateral on the radial head, with discoid elevation of cartilage and clefts.
• Lateral approach avoids major neurovascular structures, reducing iatrogenic risk.
• The authors suggest lateral elbow arthroscopy may have broader indications, including for medial compartment disease or synovial biopsies.

🔍 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

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

• 3 dogs = primary ligamentous repair
• 8 dogs = synthetic ligament reconstruction
• 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

• All 10 dogs had improved or resolved lameness.
• All 5 farm dogs returned to work (most at full or substantial capacity).
• Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

🔍 Key Findings Summary

• Study Design: Prospective case series of 52 scans from 44 dogs with CCL injury.
• Main Technique: 16-slice CTA; evaluated by 3 observers with varying experience; validated against surgical mini-medial arthrotomy findings.
• Diagnostic Metrics (Reading 2):
  • Sensitivity: 1.00 (Observers 1 & 2), 0.93 (Observer 3)
  • Specificity: 0.78–0.91
  • Positive Likelihood Ratio: Up to 10.71
  • Negative Likelihood Ratio: As low as 0.08
  • Accuracy: 90%+ for all in Reading 2
• Observer Effect: Significant improvement between first and second reading for less experienced observers (p < 0.05); learning curve evident.
• Meniscal lesions found:
  • 9/12 in suspected late meniscal injury cases
  • 19/40 in newly diagnosed CCL cases
  • Most common = bucket handle tears
• Conclusion: Multidetector CTA is a clinically useful, non-invasive tool for identifying medial meniscal lesions in dogs with CCL disease.

🔍 Key Findings

• Resident involvement significantly increased TPLO surgery duration compared to cases performed by faculty surgeons (FS)-only. Residents required 54% more surgery time (GLSM, 153 min) than FS-only cases (GLSM, 99 min), representing a 1.54-fold increase.
• The study did not report on short-term complication rates. No conclusions can be drawn from this source regarding complications between resident and faculty groups.
• Bone plate contouring was not evaluated. The source does not provide data regarding contouring frequency or its comparison between groups.
• Surgery duration significantly decreased after the first year of residency, but remained stable between second- and third-year residents. This was largely due to shorter tibial osteotomy durations, while arthroscopy times remained unchanged across residency years.
• Meniscal treatment was performed in 80% of cases, and it was associated with increased surgical duration, but the study did not compare the frequency of medial meniscal release between resident and faculty cases.
• The study did not evaluate osteotomy healing or revision surgery. Cases requiring immediate reoperation were excluded.
• Bone union outcomes were not assessed at 8 weeks or any other time point.
• The study concludes that resident participation significantly prolongs surgical time, but no data are provided regarding the effect on short-term clinical outcomes.

🔍 Key Findings

• Cook system had good reliability across all cases (ICC = 0.848), even when complications, sequelae, and failure-to-cure were included.
• aCD system had excellent reliability when excluding sequelae/failure-to-cure cases (ICC = 0.975) but only moderate reliability when including them (ICC = 0.620).
• Majority of complications (60–63%) were graded as Grade 3 in the aCD system, corresponding to surgical or anesthetic intervention.
• Cook system classified most cases (78–81%) as major complications.
• Assessors had difficulty distinguishing sequelae from Grade 1 complications, and failure-to-cure from Grades 1–2, reducing aCD reliability.
• The aCD system offers more resolution (5 grades vs. 3) and less subjectivity through objective definitions.
• Novel terminology (e.g., sequelae, failure to cure) in the aCD system may hinder its uptake without proper training.
• Reclassifying expected events (e.g., swelling, bruising) as sequelae could significantly reduce reported complication rates in other studies.

🔍 Key Findings

• 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
• 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
• Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
• Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
• Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
• Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
• Surgeons and OR staff were most commonly identified as noncompliant team members.
• SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.