🔍 Key Findings Summary

• 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
• Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
• Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
• Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
• No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
• One complication due to domestic trauma, not surgical failure.
• Early surgery appeared to preserve alignment and prevent deformity progression.

🔍 Key Findings Summary

• 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
• Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
• Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
• Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
• No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
• One complication due to domestic trauma, not surgical failure.
• Early surgery appeared to preserve alignment and prevent deformity progression.

🔍 Key Findings

Internal fixation (IF) group (n=59):

• Complication rate: 20.3%
• Major complications: 15.3%
• Longer time to discharge if complications occurred (median: 12.5 weeks)

External skeletal fixation (ESF) group (n=36):

• Complication rate: 55.6% (p < .001 vs IF)
• Major complications: 52.8%
• Most common issue: pin tract morbidity

Multivariable analysis:

• Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
• Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)

Fixation choice influenced by age:

• Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)

Breed & fracture distribution:

• Common breeds: Labrador, Border Collie, Whippet
• Common fracture sites: middle and proximal third of tibia

🔍 Key Findings

• This study evaluated whether high-fidelity surgical simulator training improved live animal and student outcomes in a feline OHE teaching lab involving 186 cats and 146 students.
• Simulator training significantly improved surgical performance and outcomes:
  • Live surgery was 6 minutes shorter on average in the SIM group vs. NO-SIM (115 ± 21 min vs. 121 ± 16 min, p = .04).
  • Pain scores ≥5/20 occurred in 1% of SIM group cats vs. 15% of NO-SIM group cats (p < .01).
  • Rescue analgesia was needed less frequently in the SIM group (5% vs. 15%, p = .03).
  • Student confidence was significantly higher in the SIM group (median 7/10 vs. 6/10, p < .01).
• The simulator used a realistic abdominal model with friable tissues and required performance of a full OHE procedure.
• The study design was nonrandomized, grouped by class year, with limitations including lack of blinding during pain assessment in year two.
• Authors concluded that pre-lab simulator competency improves both animal welfare and student confidence, recommending it as a prerequisite for live surgical training.

🔍 Key Findings Summary

• Retrospective study of 33 fractures in 31 cats with Salter–Harris I or II distal femoral fractures
• Used 1 intramedullary Steinmann pin + 1 laterally placed antirotational pin
• 96.9% achieved full functional outcome at mid-term follow-up
• No implant migration or removal required
• Minor complications: 2 seromas; Major: 3 (patellar luxation [2], osteomyelitis [1])
• Growth plate remained open in 27.3% of cases at 6–8 weeks post-op

🔍 Key Findings

• Study population: 116 dogs underwent cementless THR; grouped by age:
  • Group A: ≤6 months (n = 27)
  • Group B: >6 to ≤12 months (n = 41)
  • Group C: >12 months (n = 48)
• Overall perioperative complication rate: 31.9% (37/116)
  • Group A: 22.2%
  • Group B: 26.8%
  • Group C: 41.7%
• No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
• Luxation was significantly more common in dogs >12 months:
  • Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
• Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
• Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
• No infections or aseptic loosening observed during the 8-week follow-up.

🔍 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

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

• Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
• PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
• Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
• DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
• PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
• Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
• Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
• Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.

🔍 Key Findings Summary

• Study Design: Retrospective study of 100 radiographs using in silico and clinical data
• Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
• Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
• Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
• Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
• Increased distalization → greater under-correction of TPA (p = .01)
• Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
• Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA