🔍 Key Findings

• Surgeons with smaller glove sizes experienced more difficulty using laparoscopic instruments, especially endoscopic staplers, cup biopsy forceps, and vessel sealing devices.
• Endoscopic stapler was rated the most difficult instrument, with a median difficulty score of 4/10 and 25% usage difficulty.
• Female surgeons reported significantly more difficulty with several instruments due to smaller glove size.
• Reusable instruments were preferred over disposable ones for all tasks.
• Pistol grips were preferred for grasping/retracting and fine dissection, while axial grips were preferred for suturing/knot tying.
• Articulating handles were consistently associated with increased reported difficulty, especially with scissors and cup biopsy forceps.
• Left-handed surgeons had more difficulty operating endoscopic staplers, suggesting limited design inclusivity.
• Surgeons in academic settings reported more difficulty with laparoscopic maneuvers than those in private practice.

🔍 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

Synovitis was present in 100% of canine stifles with CCL disease (n = 163).

The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).

Higher synovitis scores were significantly associated with:

• Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
• Longer duration of clinical signs (p < .001, OR = 1.27 per month)

Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.

Bucket handle meniscal tears were not associated with synovitis severity.

Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.

🔍 Key Findings Summary

• 86 elbows assessed: 32 Guide Dogs, 11 Border Collies
• Guide Dogs showed significantly higher HU values in:
  • MCP: min (p = 0.022), mean (p < 0.01), max (p < 0.01)
  • Humeral trochlea: mean (p < 0.01), max (p < 0.01)
• Results imply breed-associated HU variation, not necessarily pathologic sclerosis
• Relevance: Important to avoid false positives for elbow dysplasia during CT-based breeding screens
• Good interobserver agreement for mean HU values (ICC ~0.82–0.90)

🔍 Key Findings Summary

• HIF typically originates 57° caudal to the supratrochlear foramen and propagates cranially in a segmental pattern.
• %HIF correlated significantly with both fissure depth and length:
  • %DHIF increased linearly (r = 0.989, p < 0.001)
  • %LHIF followed a sigmoidal relationship with %HIF (p < 0.001)
• Higher %HIF was significantly associated with:
  • Clinical lameness (p = 0.004)
  • Distal shift in the fissure center (CHIF)
• Implant complications in 5/17 elbows treated with transcondylar screws
• Isthmus diameter increased with weight (p = 0.002), relevant for screw sizing

🔍 Key Findings Summary

• Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
• No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
• Force plate analysis was more sensitive than visual lameness scoring.
• Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
• Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.

🔍 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

• Resident involvement significantly increased TPLO surgery duration compared to cases performed by faculty surgeons (FS)-only. Residents required 54% more surgery time (GLSM, 153 min) than FS-only cases (GLSM, 99 min), representing a 1.54-fold increase.
• The study did not report on short-term complication rates. No conclusions can be drawn from this source regarding complications between resident and faculty groups.
• Bone plate contouring was not evaluated. The source does not provide data regarding contouring frequency or its comparison between groups.
• Surgery duration significantly decreased after the first year of residency, but remained stable between second- and third-year residents. This was largely due to shorter tibial osteotomy durations, while arthroscopy times remained unchanged across residency years.
• Meniscal treatment was performed in 80% of cases, and it was associated with increased surgical duration, but the study did not compare the frequency of medial meniscal release between resident and faculty cases.
• The study did not evaluate osteotomy healing or revision surgery. Cases requiring immediate reoperation were excluded.
• Bone union outcomes were not assessed at 8 weeks or any other time point.
• The study concludes that resident participation significantly prolongs surgical time, but no data are provided regarding the effect on short-term clinical outcomes.

🔍 Key Findings

• Ex vivo study using 24 canine cadaver pelves to test screw thread direction in SI luxation.
• Four groups: RhRSI, RhLSI, LhRSI, LhLSI.
• Right-handed screws on right side (RhRSI) had 313% higher torque and 274% higher load vs left side (p < .01).
• Left-handed screws on left side (LhLSI) had 198% higher torque and 195% higher load vs right side (p < .03).
• All failures occurred due to rotation, with no screw breakage or fractures.
• Body weight and moment arm were similar across groups.
• Clinical implication: Use of screw matching handedness to luxation side improves stability.

🔍 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.