🔍 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

• Bone-to-tendon plate fixation allowed successful stabilization of a highly comminuted calcaneus fracture in a dog with fragments too small for traditional fixation.
• The plate was sutured to the common calcaneal tendon using a figure-of-8 pattern, bypassing the need for screw fixation into small proximal fragments.
• Radiographic union was achieved by 17 weeks, though considered delayed, with the dog returning to normal function by 36 weeks post-op.
• A second surgery was required to replace the tendon-anchored plate with a calcaneus-only plate due to skin ulceration and implant prominence.
• Implant-associated infection was suspected; cultures confirmed Staphylococcus pseudintermedius, managed with doxycycline and clindamycin.
• Use of human placental matrix (hPM) and both autogenous and allogenic bone grafts supported healing, though their specific contribution remains uncertain.
• Postoperative complications included delayed union and skin ulceration, emphasizing challenges of implant design and soft tissue management.
• This is the first report of using a bone-to-tendon plate for a calcaneus fracture in dogs and demonstrates its potential in cases where traditional methods are not viable.

🔍 Key Findings

• All dogs developed progressive osteoarthritis (OA) after surgical debridement of proximal humeral OC.
• Ipsilateral muscle atrophy and reduced shoulder range of motion were common, particularly in unilaterally affected dogs.
• Arthroscopically, lesions showed incomplete cartilage infilling even years after surgery, averaging only ~37% infilling.
• Synovitis was present in all joints, with moderate-to-severe hypertrophy and vascularity scores.
• CT identified OC lesions as deeper and wider than radiography, and all affected joints had more advanced OA than contralateral limbs (P = .001 radiograph, P = .005 CT).
• Kinetic gait analysis showed no significant differences in peak vertical force or impulse, but a subtle 4.4% asymmetric load reduction on the operated limb.
• Median LOAD score was 6, indicating mild owner-perceived disability despite measurable clinical and imaging abnormalities.
• Cartilage infilling was incomplete in all cases, with no lesion exceeding 60% restoration, raising questions about the healing potential of debridement alone.

🔍 Key Findings

• No infections (0/102) occurred in cases where preclosure povidone-iodine lavage (PrePIL) was used, compared to 21/2111 (0.99%) with saline lavage.
• Break-even cost for PrePIL was calculated at $49.74, while the actual cost was only $2.07, confirming strong cost-effectiveness.
• No adverse reactions or healing complications were reported in the 102 PrePIL cases.
• The PrePIL protocol used 0.35% povidone-iodine for 3 minutes before closure, followed by sterile saline lavage.
• Majority of THRs (97%) used cementless fixation (BFX) in PrePIL group; only 3 cases used CFX components.
• Surgeries followed consistent perioperative antibiotic protocols, making PrePIL the only major protocol variable.
• Antibiotics were not added to lavage, aligning with WHO and CDC guidelines for antimicrobial stewardship.
• The infection reduction with PrePIL supports routine use in total hip replacement to reduce periprosthetic joint infections.

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

• Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
• Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
• Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
• Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
• Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

🔍 Key Findings

• No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
• Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
• Tibial tuberosity advancement (TTA) was the most common procedure (61%).
• Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
• Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
• Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
• Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
• Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.

🔍 Key Findings

Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:

• Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
• No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).

Cortical Width:

• Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).

Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:

• Moderate negative for trochanteric growth.
• Moderate positive for proximal femoral width.

🔍 Key Findings

• Overall survival to discharge: 107 of 132 dogs (81%)
• Quartile improvement: Survival increased steadily from 67% in Q1 to 91% in Q4
  • Q1: 22/33 survived
  • Q2: 27/33
  • Q3: 28/33
  • Q4: 30/33
• Statistical significance: Higher operative rank significantly associated with improved survival (p < .05)
• Median cross clamp time (XCT): 73 min (range 40–165), but increased again in Q4
• Fatalities (n=25) were often due to:
  • Failure to wean from CPB
  • Intracranial vascular events (stroke)
  • Intrathoracic hemorrhage
• Breed representation: CKCS (23.5%), Chihuahua (22%), Crossbreeds (21%)
• Stages of MMVD: Stage C (67%), Stage D (27%), Stage B2 (6%)
• Emphasis on deliberate multidisciplinary teamwork for outcome improvement
• Highlights importance of technical and non-technical team skills, procedural standardization, and consistent personnel

🔍 Key Findings

• 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
• Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
• Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
• Live patients experienced no postoperative complications, including no incision site infections or discomfort.
• Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
• Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
• Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
• Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.

🔍 Key Findings

• Supracutaneous locking plates (SLPs) were successfully used to manage 33 diaphyseal fractures (radial–ulnar and tibial) in 30 cats and dogs.
• Median fracture healing time was 50.5 days (range: 27–88), with most patients regaining limb use within days postoperatively.
• CT-based metrics (callus area, HU, and 3D bone volume) increased significantly during healing (p < 0.05), validating CT as a quantitative tool for assessing healing.
• Complications were minimal: minor in 15/33 (e.g., screw tract discharge, edema), and major in 3/33 (e.g., implant failure, delayed union, nonunion).
• Minimally invasive osteosynthesis required longer surgery times than closed reduction (p < 0.05), but both techniques were viable.
• SLPs enabled successful bilateral fracture management without inter-plate interference due to their compact design.
• Screw orientation challenges were noted in cats, especially with cranial application to the radius due to narrow anatomy.
• Polyaxial locking screws were used safely and did not dislodge, allowing for angular insertion (≤10°) to avoid neurovascular structures.