🔍 Key Findings

• A linear relationship was observed between wedge angle and tibial plateau angle (TPA) correction across all four CCWO techniques.
• All techniques produced predictable TPA corrections using linear regression-derived equations, allowing wedge angle extrapolation to achieve a target postoperative TPA of 5°.
• TLA shift (tibial long axis) increased with wedge angle and influenced final TPA; greatest in Frederick & Cross method.
• Tibial shortening (mTL%) varied by technique, being most severe (up to 40.9%) in traditional Slocum & Devine CCWO and least in newer techniques (7.5–12%).
• The Oxley mCCWO technique showed lower TLA shift compared to the Frederick & Cross and Christ techniques, though similar to Slocum & Devine; tibial shortening was more pronounced than other modified techniques at wedge angles ≤40°.
• Techniques varied in craniocaudal translation and wedge apex positioning, influencing planning accuracy and mechanical axis alignment.
• The corrective wedge angle equations reliably predicted TPA within 4–6° across varied tibial conformations.
• The study supports equation-based planning over static TPA–5° subtraction to reduce risk of under- or over-correction.

🔍 Key Findings

• All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
• Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
• Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
• Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
• Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
• Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
• All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
• Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.

🔍 Key Findings

• Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
• 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
• Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
• Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
• Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
• Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
• VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
• Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.

🔍 Key Findings

• Fasting ammonia (FA) was the most specific test (100%) for confirming EHPSS closure postoperatively.
• Serum hyaluronic acid (SHA) and MEGX at 15 minutes post-lidocaine were the most sensitive tests (96.9% and 96.2%, respectively).
• SHA combined with MEGX T15, or with FA or postprandial serum bile acids (SBA), provided 100% sensitivity with good specificity (72.4–82.8%).
• SHA levels remained elevated in all dogs with persistent shunting, even when other tests were normal.
• Paired SBA had moderate sensitivity (90%) and variable specificity (89%).
• The L/MEGX test at 30 min was less useful than at 15 min for assessing closure.
• Traditional SBA testing showed reduced utility postoperatively; normal values did not rule out persistent shunting.
• Blood tests improved when combined, but imaging remains essential to definitively confirm EHPSS closure.

🔍 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

• Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
• Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
• No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
• No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
• Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
• Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
• Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
• Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.

🔍 Key Findings

• Lateral humeral condylar fractures (LHCF) were most common, comprising 63.6% of cases.
• Transcondylar screw (TCS) + K-wire(s) fixation had a 7.62x higher risk of major complications compared to other methods (p = .009).
• All cases of TCS migration occurred in the TCS + K-wire group; none occurred with plate fixation.
• Overall complication rate was 40.9%, with 29.5% being major and requiring intervention.
• Contralateral humeral intracondylar fissures (HIF) were found in 58.1% of French Bulldogs with CT data.
• No significant association between age and presence of HIF, but fissure length increased with age (R = 0.47, p = .048).
• Younger, lighter dogs had higher complication and screw migration rates, possibly due to softer bone and smaller condyles.
• TCS + plate fixation had the lowest complication rate, suggesting biomechanical superiority.

🔍 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

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

• GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
• FHVS produced significantly shorter slots than intended (p < .01)
• No difference in surgical time (p = .071)
• Shape ratio and slot divergence from midline were similar between groups (p > .4)
• Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

🔍 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.