🔍 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 Summary

• Primary 3.5-mm LCP used with short (SWL), medium (MWL), and long (LWL) working lengths
• Addition of orthogonal 2.7-mm LCP resulted in:
  • Significantly higher bending stiffness for SWL, MWL, and LWL (p < 0.0001)
  • Higher torsional stiffness for MWL and LWL (not for SWL)
  • Significantly lower strain across all working lengths in bending (p < 0.01)
• Working length inversely related to construct stiffness and directly to plate strain
• Orthogonal plates eliminated stiffness differences across working lengths in bending
• Suggests orthogonal plates can improve implant fatigue life and allow compensation when short working lengths are unachievable

🔍 Key Findings

• The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
• In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
• Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
• Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
• 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
• MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
• The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
• Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.

🔍 Key Findings

• All FEESA configurations leaked at lower pressures than intact segments, confirming reduced integrity vs. native tissue.
• FEESA with 3-row transverse staples (3V/3T or 2V/3T) had significantly higher leak pressures than 2-row configurations.
• 3V/3T configuration had the highest ILP (69.88 ± 21.23 mmHg) among all groups, significantly greater than 2V/2T and 3V/2T (P < .001).
• Leakage consistently occurred at the transverse staple line (not vertical), regardless of configuration.
• No significant difference in maximum intraluminal pressure (MIP) between FEESA groups.
• All FEESA constructs withstood intraluminal pressures >25 mmHg, exceeding normal physiological jejunal pressure in dogs.
• No leaks occurred from the vertical staple line, highlighting it as a more robust closure site.
• Third staple row in transverse line may be a viable alternative to suture oversew, pending further clinical evaluation.

🔍 Key Findings

• Locking plates (except ALPS-5) withstood significantly more cycles before failure than nonlocking DCP constructs.
• ALPS-6.5, LCP, and FIXIN plates endured higher loads and resisted displacement better than DCP and ALPS-5.
• ALPS-5 plates showed lower bending stiffness than all other constructs (P < .05).
• DCP constructs failed due to screw loosening, seen in all specimens.
• Locking constructs failed by bone slicing, affecting 100% of specimens.
• Catastrophic implant failure (fracture or plastic deformation) occurred only in ALPS-5 group.
• Plate size and screw-plate interface both influence resistance to cyclic loading in feline ilial fracture repair.
• Locking plates are preferable for reducing screw pullout, but plate strength (e.g., cross-section) must match loading forces.

🔍 Key Findings

• Fascia lata autograft reconstruction of the FCU tendon successfully treated carpal hyperextension in both dogs.
• Primary repair was not possible in one dog due to complete rupture; a fascia lata graft bridged the tendon gap.
• In the second case, elongated tendon was corrected and reinforced with fascia lata to prevent recurrence.
• Type I external skeletal fixation was used for 6 weeks to support tendon healing in both dogs.
• Postoperative gait and range of motion returned to normal, with no recurrence at 36-month follow-up.
• Ultrasonography aided diagnosis, revealing thinning and echogenic changes in the FCU tendon.
• Histologic findings showed mild, nonspecific muscle changes, suggesting injury rather than a systemic disease.
• No complications occurred, and fascia lata showed potential for biological integration and remodeling into tendon-like structure.

🔍 Key Findings

• Rupture occurred in 7.0% of dogs undergoing surgical PDA ligation (20/285).
• Overall mortality was low (0.4%), with only one death occurring post-rupture.
• Residual flow occurred in 9.4% of dogs; significantly more common in dogs with rupture.
• Residual flow odds were not increased when ligation was successfully performed despite rupture.
• No significant associations between rupture and age, weight, suture size, or dissection technique.
• Jackson-Henderson and intrapericardial techniques were helpful in managing rupture or fibrosis.
• Major complications (non-rupture) were rare (1.4%), including pulmonary artery ligation and cardiac arrest.
• Surgeon preparedness (e.g., hemostatic tools, alternate techniques) was key to successful outcomes.

🔍 Key Findings

• Arthroscopic-assisted hip toggle stabilization (AA-HTS) was successfully completed in all 14 feline cadaver joints.
• Femoral and acetabular tunnel creation was feasible in all cases, though femoral tunnel placement had a higher rate of deviations.
• Intraoperative complications occurred in 5/14 joints, mostly related to femoral tunnel creation and toggle lodging.
• Minor articular cartilage injury (<10% total cartilage area) occurred in 10/14 joints, but no injury to neurovascular or intrapelvic structures.
• Thirteen surgical technique deviations (8 major, 5 minor) were identified in 7 joints, all involving the femoral tunnel.
• Toggle passage through the femoral tunnel was the most challenging step, being mildly difficult in 6 joints.
• Postoperative CT and gross dissection confirmed all toggles and buttons were in correct position, without damage to major surrounding structures.
• No deviations, complications, or cartilage injuries occurred in the last 4 joints, suggesting a learning curve effect.

🔍 Key Findings

• Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
• Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
• Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
• Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
• Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
• Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
• Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
• Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.

🔍 Key Findings

Sample: 21 cats (10 control, 11 affected); 14 normal limbs vs 18 with MPL (MPL II: 7, MPL III: 11).

Significantly different CT measurements in MPL vs control:

• aLDFA: MPL II > control and MPL III (p = 0.014)
• FTW: MPL III > control (p = 0.021)
• FTD: control > MPL II and III (p < 0.001)
• TTA: MPL II and III had increased external tibial torsion vs control (p < 0.001)
• fPL and PV: MPL III cats had longer and more voluminous patellae

No significant differences in AA, mMPTA, TTD, fPW, aPH.
Patella width exceeded trochlear width in all groups.
Authors suggest femoral and tibial angular correction may not be indicated in most feline MPL II–III cases.
Soft tissue techniques and trochleoplasty warrant further investigation.
CT method: Intraobserver ICC good in 64%, interobserver poor in 36% of metrics.