🔍 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

• CT correctly identified ectopic ureters in 91% of dogs, but missed 50% of normal ureters, limiting its negative predictive value.
• Sensitivity for intramural ectopic ureters was 65%, while specificity was 71%, indicating moderate diagnostic performance.
• Sensitivity for extramural ectopic ureters was only 29%, despite a high specificity of 97%.
• CT was inaccurate in predicting ureteral orifice location, with sensitivity ranging from 0% to 76% depending on the site.
• 26% of dogs were misclassified for cystoscopic laser ablation (CLA) eligibility based on CT findings alone.
• Overall CT accuracy for CLA candidacy was 74%, but a significant minority would have been inappropriately treated.
• Multivariate analysis found no predictive factors (e.g., colon distension, body weight) for when CT would be incorrect.
• Authors recommend confirmatory cystoscopy to verify CT findings prior to treatment planning.

🔍 Key Findings

• Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
• Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
• Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
• Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
• Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
• Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
• Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
• One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.

🔍 Key Findings

• The CORA-based cranial closing wedge ostectomy (CCWOCORA) consistently achieved the target postoperative TPA of 5° across all tibial morphologies.
• CCWOCORA produced significantly less variability in postoperative TPA compared to other methods (TPA range: 5.00–5.00°; p < .001).
• Mechanical axis advancement (MAA) was precisely controlled at 3° in CCWOCORA, leading to greater surgical predictability.
• Other techniques (e.g., CCWO_TPA, CCWO_TPA–5, CCWO_ISO) showed greater variance in TPA, MAA, and tibial length.
• In small-breed dogs, increasing the MAA from 3° to 5° did not affect TPA outcomes, but increased proximal bone stock, improving feasibility.
• Wedge angles and tibial length changes varied by method, but CCWOCORA maintained length better than TPA-based methods.
• The technique allows preoperative planning of both desired MAA and TPA, enhancing predictability and customization.
• CORA methodology enables precise geometric correction and alignment of mechanical axes, reducing reliance on trial-and-error alignment.

🔍 Key Findings

Objective: Validate a new 3D CT-based method for measuring tibial torsion in dogs with MPL, comparing it to a traditional method.

Sample: 40 tibiae from client-owned dogs with MPL (primarily small-breed).

Repeatability (intraobserver):

• New method: ICC = 0.99 → excellent agreement

Reproducibility (interobserver):

• New method: ICC = 0.83 → high agreement
• Traditional method: ICC = 0.52 → moderate agreement

Torsion angle measurements:

• New method avg: 16.00° ± 8.77
• Traditional method avg: 8.76° ± 4.92

Conclusion: The new method is more repeatable, reproducible, and provides higher torsion values than the traditional Aper method, especially reliable for small-breed dogs.

🔍 Key Findings Summary

• 95 TPLO procedures reviewed retrospectively with follow-up radiographs
• Rock-back defined as increase in tibial plateau angle (TPA) ≥2° from immediate post-op to recheck
• 21% of stifles (20/95) experienced rock-back
• Mean ΔTPA among rock-back cases = 3.2° ± 2.6°
• No implant failures or tibial tuberosity fractures were reported in these cases
• Plate inclination and exit cut angle (ECA) were not associated with increased risk of rock-back (p = 0.4 and 0.2)
• Authors hypothesize that compression across osteotomy in vivo may mitigate torsional effects from ECA, unlike in gap-model studies
• Emphasizes that rock-back is relatively common, even with well-placed implants

🔍 Key Findings

• TCF risk increased significantly with 10° insertion angle at both 650 rpm (12.5%) and 1350 rpm (17.5%), compared to 0% in the control group (0° at 650 rpm).
• Hand insertion at 10° angle resulted in only 3.75% TCF rate, suggesting lower insertion speed reduces risk.
• No TCFs occurred when screws were inserted coaxially (0°) at either 650 or 1350 rpm, indicating angle is a critical factor.
• Screw speed alone did not increase TCF risk unless combined with off-axis insertion.
• Radiographically detectable TCFs were only considered; actual rates may be higher with direct bone inspection.
• Cutting flutes engaging undrilled bone during off-axis insertion likely contribute to TCF formation.
• Clinical implication: Ensure screws are inserted coaxially and at lower speeds to reduce TCF risk during procedures like TPLO.
• Statistically significant differences were found between control and high-angle insertion groups: Group C (p = .001), Group E (p < .001).

🔍 Key Findings

• NAS-ILN had significantly greater stiffness in both axial compression and 4-point bending compared to LCP constructs.
• Ultimate load to failure was significantly higher for NAS-ILN in compression (804 N vs 328 N) and bending (25.7 Nm vs 16.3 Nm).
• Torsional stiffness and angular deformation were similar, but NAS-ILN resisted higher torque to failure than LCP (22.5 Nm vs 19.1 Nm).
• No slack was observed with the NAS-ILN construct, unlike older nail designs.
• Failure modes differed: LCPs failed via plate bending; NAS-ILNs failed at the implant or bone near screw holes.
• Titanium alloy and curved design of NAS-ILN provides better anatomic fit and more uniform stress distribution.
• A third, perpendicular locking hole in NAS-ILN may enhance torsional stability but was not utilized in this study.
• The curved, angle-stable design of NAS-ILN is a novel advancement in veterinary orthopedics.

🔍 Key Findings

• First reported case of total cystectomy and bilateral cutaneous ureterostomy in a cat using a modified Toyoda technique.
• Histologically complete tumor resection was achieved, with tumor-free ureter and urethral margins >20 mm.
• The modified Toyoda technique involved shaping the ureter into a fish-mouth aperture and anastomosing it to a rectangular skin defect for stomal formation.
• Incontinence was managed using a diaper changed every 6–8 hours, with no dermatological complications.
• Obstruction of the right ureter occurred 14 months post-op, associated with a subcutaneous nodule at the anastomosis site.
• Despite incontinence, owner satisfaction and perceived quality of life were high, with the cat living ~16 months post-op.
• The stents were removed on days 7 (left) and 28 (right) postoperatively, with initial patency maintained until 14 months.
• This surgical approach may offer palliative or curative benefit for feline trigonal TCC where partial cystectomy is not feasible.

🔍 Key Findings

• Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of 3° (range: 0–4.5°), showing excellent accuracy.
• The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
• Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
• Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
• Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
• Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
• Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
• Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.