🔍 Key Findings

• Partial cuneiformectomy (PC) did not increase complication rates compared to multilevel surgery alone (overall complications: PC = 16.3%, non-PC = 19.4%; p = .758).
• Major complication rates were not significantly different (PC = 11.6%, non-PC = 7.4%; p = .482).
• Significant improvement in BOAS grade was observed in dogs undergoing PC (p < .0001).
• BOAS index improved significantly in both groups, with greater median reduction in the PC group (28.5%) than non-PC (20.7%) (p < .0001).
• Low body condition score (BCS <4) was significantly associated with higher complication rates (odds ratio = 0.452; p = .004).
• Hospitalization duration did not differ between groups (median = 1 day; p = .743).
• Mortality was low (3.5%) in the PC group despite more severe airway disease, suggesting the technique is safe even in advanced collapse.
• The technique widened the rima glottidis without damaging surrounding structures, reducing airflow resistance and preserving laryngeal function.

🔍 Key Findings

• Survival rates did not differ between immediate (90 min) and delayed (≥5 h) surgical stabilization groups at discharge or 1-month post-op (approx. 80% survival in both).
• Hyperlactatemia at 24 hours post-fluid therapy was significantly associated with in-hospital and 1-month mortality (P = .01 and P = .02).
• Persistent tachycardia during hospitalization was linked to increased 1-month mortality (P = .015).
• Partial gastrectomy was required in ~6–10% of cases, with high associated mortality.
• Preoperative stabilization protocols (trocarization, nasogastric tube) allowed safe surgical delays up to 13.7 hours without impacting survival.
• Degree of gastric torsion differed between groups; more 0° torsions in delayed cases, potentially due to decompression-induced derotation.
• No difference in post-op complications such as arrhythmias, hypotension, or AKI between groups.
• More intra-anesthetic deaths occurred in immediate surgery group, highlighting importance of adequate pre-op stabilization.

🔍 Key Findings

• m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
• Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
• Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
• Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
• Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
• All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
• Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
• Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.

🔍 Key Findings

• Postoperative complications occurred in 20% of stifles, including 7.5% minor, 10.3% surgical, and 3.4% medical complications.
• The PROSPECT machine-learning model achieved high predictive accuracy: 92.3% for surgical complications, 91.9% for minor, and 94.3% for medical.
• Top predictive features included surgical technique, implant type, patient age, and surgeon identity.
• Surgeon-specific variables influenced predictions, indicating operator experience and technique matter.
• Engineered interaction features (e.g., breed × implant) were more predictive than raw clinical data alone.
• Rottweiler, intact male status, and higher bodyweight were associated with increased complication risk; Labradors had decreased risk.
• Model calibration was strong, especially for high and low probability predictions; midrange predictions were less reliable.
• The model supports individualized, probabilistic risk assessment, which could inform client counseling and tailored postoperative care.

PROSPECT = Predicting Risk Of Surgical compli­cations aftEr CCWO and TPLO

🔍 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

• Cholelithiasis was the most common indication for cholecystectomy in cats.
• Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
• Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
• 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
• Vomiting was the most common short- and long-term complication, though most cats were medically managed.
• Concurrent EHBDO was not a contraindication provided CBD patency was restored.
• Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
• Owner-reported outcomes were excellent in all cats that survived long-term.

🔍 Key Findings

• Spacer pin fixation showed no difference in failure force or stiffness compared to tension band wire (TBW) or 2-pin techniques.
• All constructs failed under loads >1000 N, exceeding estimated peak quadriceps force in dogs during walking (~240 N).
• Patellar ligament failure was the most common mode of failure across all groups (5–8 samples per group).
• Distal tibial crest fractures were seen only in 2-pin and spacer pin groups, not in TBW group, suggesting TBW may protect against crest failure.
• No failures occurred at pin tracts, possibly due to pin placement within patellar ligament footprint.
• Spacer pin technique avoids placing pins through the tuberosity, potentially reducing risks of soft tissue complications like tendinopathy or irritation.
• Use of partial osteotomy with robust distal crest may substitute for TBW without compromising initial mechanical strength.
• Further in vivo or cyclic loading studies are required, as this cadaveric study tested only acute tensile failure.

🔍 Key Findings Summary

• Cadaveric study using 3 miniature breed dogs (6 hemipelves) to assess spinal neuronavigation accuracy for lumbar plate fixation
• 20 screws placed using CBCT-based navigation with real-time tracking
• 85% (17/20) of screws were safely and accurately placed
• Median deviation of screw entry points from plan: 1.8 mm
• All 3 misplaced screws occurred in a single cadaver, attributed to inexperienced drill handling
• Custom 3D-printed lightweight tracking array was necessary due to small spinous processes in miniature dogs
• No iatrogenic canal perforations or vertebral damage in any specimen
• Concludes neuronavigation offers precise, safe placement of spinal implants in small dogs, with minimal anatomic disruption

🔍 Key Findings

• Intraoral approach (IOA) reduced surgical time compared to lateral orbitotomy (median: 42.0 vs 65.7 minutes, p = .005)
• Ease of closure (Stage III) was better with IOA (p < .001), though gland removal (Stage II) was easier with LOA (p = .039)
• Complete gland removal was achieved in 8/10 IOA vs 10/10 LOA cases in cadaveric study
• All 3 clinical cases had uneventful recoveries post-IOA, including one carcinoma, with no intra- or short-term postoperative complications
• LOA had superior surgical exposure, but was more invasive and time-consuming
• IOA posed greater difficulty in complete gland removal in brachycephalic dogs, with remnant tissue noted in 2/10 cadavers
• IOA avoids osteotomy, reducing potential complications like delayed union and postoperative pain
• Cosmetic outcomes and healing were better with IOA, and no E-collar was required postoperatively

🔍 Key Findings

• Modified Heller myotomy with Dor fundoplication improved vomiting/regurgitation scores by 180%, QoL by 100%, and owner-perceived body weight by 63% (P < .05).
• 6 of 9 dogs with postoperative VFSS showed objective improvement in gastric filling scores; others remained stable.
• Oral sildenafil was discontinued postoperatively in all dogs, indicating surgical success comparable to medical management.
• 12 of 13 dogs survived to discharge; one dog was euthanized due to aspiration pneumonia postoperatively.
• 50% of dogs experienced gastrostomy tube complications, higher than reported in previous literature.
• Most complications were gastrostomy-tube related, with some requiring surgical correction (e.g., tube migration, leakage).
• Feeding strategies (Bailey chair, elevated bowls) and food consistency (gruel/liquid) remained essential postoperatively to control regurgitation.
• 9 of 11 owners would opt for the surgery again; those who wouldn’t cited risk or lack of efficacy.