Veterinary surgery : VS最新文献

{"title":"Minimally invasive cranial ostectomy for the treatment of impinging dorsal spinous processes in 102 standing horses.","authors":"Therese C de Souza,&nbsp;Oliver M Crowe,&nbsp;Danielle Bowles,&nbsp;Luke A Poore,&nbsp;Joanna M Suthers","doi":"10.1111/vsu.13736","DOIUrl":"https://doi.org/10.1111/vsu.13736","url":null,"abstract":"<p><strong>Objective: </strong>To describe a minimally invasive cranial ostectomy for the treatment of impingement of dorsal spinous processes (DSPs) in the standing horse.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>One hundred two horses with impinging DSPs.</p><p><strong>Methods: </strong>The case records of all horses that had the described technique between 2011 and 2019 were reviewed. All sites of impinging DSPs were treated under standing sedation and local anesthesia. The minimally invasive cranial ostectomy of the caudal DSP was performed with bone rongeurs through multiple small incisions.</p><p><strong>Results: </strong>Of the 102 horses treated with this technique, no surgical complications were recorded. Median (range) long-term follow-up for all horses was 18 months (12-50 months) postoperatively. Of the 66 horses available for follow-up that were still alive, 53 horses (80%) had complete resolution of clinical signs and returned to the intended work. There were 36 horses with a concurrent orthopedic issue presurgery, and 25/36 (69%) returned to the same level of intended work; of the horses with no evidence of another orthopedic issue presurgery, 28/30 (93%) returned to the same level of intended work.</p><p><strong>Conclusion: </strong>Minimally invasive cranial ostectomy of the caudal DSP had a good success rate in horses with impingment of DSPs.</p><p><strong>Clinical significance: </strong>The described minimally invasive ostectomy technique in standing horses is a low-risk procedure that provides success rates similar to other techniques.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O60-O68"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39507582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic portosystemic shunt attenuation in 20 dogs (2018-2021).","authors":"Edoardo Poggi,&nbsp;David Garcia Rubio,&nbsp;Francisco J Pérez Duarte,&nbsp;Jorge Gutiérrez Del Sol,&nbsp;Luciano Borghetti,&nbsp;Francesca Izzo,&nbsp;Filippo Cinti","doi":"10.1111/vsu.13785","DOIUrl":"https://doi.org/10.1111/vsu.13785","url":null,"abstract":"<p><strong>Objective: </strong>To describe the technique, complications, and outcome of laparoscopic portosystemic shunt attenuation (LPSSA) in dogs.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>Twenty client-owned dogs.</p><p><strong>Methods: </strong>Medical records were searched for dogs with a single congenital extrahepatic portosystemic shunt (CEPSS) that was treated with LPSSA. Signalment, clinical signs, CEPSS location, diagnostic imaging, laparoscopic approach, operative technique, complications, and clinical outcome were reviewed.</p><p><strong>Results: </strong>Fourteen dogs with CEPSS located in the epiploic foramen had a right (13/14) or left (1/14) paramedian approach. In 6 dogs a CEPSS was not located in the epiploic foramen, and a left paramedian approach was used. A 3 or 4-port technique was used in 7 and 13 dogs, respectively. A thin film band was used for CEPSS attenuation in all dogs. The median operating time for LPSSA was 62 min (range 27-98 min). Intraoperative complications requiring conversion to an open technique occurred in 5 dogs. Mild perioperative self-limiting portal hypertension occurred in 3 dogs, while severe portal hypertension with surgical revision occurred in 1 case. The complications were resolved, and all dogs had a good outcome.</p><p><strong>Conclusion: </strong>Laparoscopic portosystemic shunt attenuation can be performed in dogs, in particular for a CEPSS located in the epiploic foramen using a right paramedian approach. For CEPSS not located in the epiploic foramen, a left paramedian approach is recommended. Conversion to open celiotomy was required in around a third of cases.</p><p><strong>Clinical significance: </strong>Laparoscopic attenuation of CEPSSs can be performed in dogs and has a good clinical outcome, particularly for CEPSS located in the epiploic foramen.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O138-O149"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39945098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training residents in minimally invasive surgery; confirming competence or hoping for the best?","authors":"Boel A Fransson","doi":"10.1111/vsu.13850","DOIUrl":"https://doi.org/10.1111/vsu.13850","url":null,"abstract":"<p><strong>Background: </strong>Veterinary minimally invasive surgery (MIS) is rapidly developing, and most surgeons are performing MIS in their clinical practice. The technical skills of presented surgical techniques are increasingly complex. Required training of American College of Veterinary Surgeons (ACVS) surgical residents in soft tissue MIS (laparoscopy/thoracoscopy) are limited to traditional apprentice training. Unfortunately, such training has been found insufficient to create competent MIS surgeons.</p><p><strong>Aim of the review: </strong>This review discusses development of MIS training for Doctor of Medicine (M.D.) residents in context of veterinary applicability and investigates comparative evidence for how to best train veterinary residents in soft tissue MIS.</p><p><strong>Conclusions: </strong>A structured curriculum, with validated tasks and clear training goals have been found imperative for training success. Such a curriculum includes both didactic sessions and manual skills training, with video tutorials and reading material to inform and motivate the residents.</p><p><strong>Implications of key findings: </strong>ACVS residents and diplomates may benefit if a MIS curriculum was developed and made available to all training programs.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O5-O11"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40565342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic salpingectomy in Papio hamadryas for birth control in captivity.","authors":"Luca Lacitignola,&nbsp;Pietro Laricchiuta,&nbsp;Annarita Imperante,&nbsp;Claudia Acquafredda,&nbsp;Marzia Stabile,&nbsp;Francesco Staffieri","doi":"10.1111/vsu.13760","DOIUrl":"https://doi.org/10.1111/vsu.13760","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility of laparoscopic salpingectomy in baboons (Papio hamadryas). We hypothesized that laparoscopic salpingectomy could be performed in baboon species within a reasonable amount of surgical time, with minor complications occurring at low rates.</p><p><strong>Study design: </strong>Case series and technique description.</p><p><strong>Animals: </strong>Sixteen baboons (n = 16).</p><p><strong>Methods: </strong>The surgical procedures were performed using the 3-port technique, with 5 mm instruments and a telescope placed at the umbilical and hypogastric regions. A salpinx dissection was performed, using a radiofrequency bipolar vessel sealing device, from the fimbriae to the uterine attachments. We evaluated the surgical duration, learning curve, and intraoperative and early postoperative complications.</p><p><strong>Results: </strong>Ten adult and 6 subadult baboons with a mean weight of 9.32 kg, a range of 4-14.2 kg, and a standard deviation (SD) of 3.09 kg were included in the study. The total duration of surgery was 28.75 min (range, 16-50 min; SD, 9.60 min). The installation phase was completed in a mean time of 7.68 min (range, 3-15 min; SD, 3.43 min), and the time to complete the salpingectomy of both salpinges was 9.68 min (range, 4-20 min; SD, 3.97 min). No complications were observed in the postoperative period.</p><p><strong>Conclusion: </strong>Laparoscopic salpingectomy in Papio hamadryas was feasible, with an acceptable surgical time, low invasiveness, and only minor technical perioperative complications.</p><p><strong>Clinical significance: </strong>Laparoscopic salpingectomy could be a viable and safe therapeutic option in nonhuman primate birth-control programs.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O98-O106"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39662821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hybrid natural orifice transluminal endoscopy surgery (NOTES) to perform bilateral ovariectomy in mares.","authors":"A Velloso Alvarez,&nbsp;Lindsey Boone,&nbsp;Katharine Horzmann,&nbsp;R Reid Hanson","doi":"10.1111/vsu.13687","DOIUrl":"https://doi.org/10.1111/vsu.13687","url":null,"abstract":"<p><strong>Objectives: </strong>To combine laparoscopic techniques with natural orifice transluminal endoscopic surgery (hybrid NOTES) to minimize number and enlargement of paralumbar laparoscopic portals for bilateral ovariectomy in standing, sedated mares.</p><p><strong>Study design: </strong>Case series.</p><p><strong>Animals: </strong>Six horses.</p><p><strong>Materials and methods: </strong>Six mares with palpably normal ovaries were restrained in stocks, sedated, and had caudal epidural anesthesia performed. A 7.5 MHz ultrasound probe was used transvaginally to select placement of vaginotomy. An attempt was made to remove both ovaries with 70 cm esophageal forceps through the vaginotomy, while visualized and transected via ipsilateral paralumbar fossa laparoscopic portals. Surgical time, intraoperative, and postoperative complications were recorded. Vaginoscopy was performed at days 0, 3, 7, and 14 postoperatively. After 14 days, mares were euthanized and necropsied.</p><p><strong>Results: </strong>Hybrid NOTES allowed successful bilateral ovariectomy in all six mares, with a mean surgical time of 70 ± 25 min. In two mares, one ovary was dislodged from the forceps during vaginotomy extraction. Abdominal retrieval of the ovary was successful with reapplication of forceps or a surgeon's hand via vaginotomy. At necropsy, five mares had no adhesions within the abdominal cavity or at the vaginotomy site. One mare in which hand retrieval of the ovary was necessary, developed an adhesion between the bladder and the vaginotomy.</p><p><strong>Conclusions: </strong>This technique appears to offer a safe alternative for bilateral ovariectomy with minimal postoperative complications.</p><p><strong>Clinical significance: </strong>Decreased number and size of paralumbar laparoscopic incisions could decrease complications associated with exteriorization of ovaries through the flank.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O174-O182"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39193276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Owner-reported outcome measures in veterinary care for companion animal orthopedic patients: An international online survey of veterinarians' expectations and practices.","authors":"H. Radke, Tracy Y. Zhu, C. Knoll, M. Allen, A. Joeris","doi":"10.1111/vsu.13842","DOIUrl":"https://doi.org/10.1111/vsu.13842","url":null,"abstract":"OBJECTIVE\u0000To report veterinarians' familiarity with and perceptions of owner/observer-reported outcome measures (OROMs) and their applications in routine clinical practice.\u0000\u0000\u0000STUDY DESIGN\u0000Cross-sectional online survey.\u0000\u0000\u0000ANIMALS OR SAMPLE POPULATION\u0000A total of 441 veterinarians with a caseload of companion animal orthopedic patients.\u0000\u0000\u0000METHODS\u0000Respondents answered questions regarding their familiarity with and application of OROMs. Respondents provided opinions on statements related to reasons for using or not using OROMs in routine clinical practice, prerequisites to implement OROMs in routine clinical practice, and whether they would implement OROMs in routine clinical practice if adequate tools/technologies were available.\u0000\u0000\u0000RESULTS\u0000Most (293/441, 66.4%) respondents felt familiarity with at least one OROM. Only 17.5% (77 out of the 440 answering the question about the application of OROMs) applied OROMs in routine clinical practice. The two main reasons for not using OROMs in routine clinical practice were the lack of opportunity/feasibility and the lack sufficient information/knowledge/experiences. User-friendliness, time efficiency, and interpretability were considered the most important prerequisites for implementing OROMs in routine clinical practice. If adequate tools/technologies were available, 266/439 (60.6%) respondents indicated that they would definitely implement OROMs in routine clinical practice.\u0000\u0000\u0000CONCLUSION\u0000Although most respondents were familiar with at least one OROM, fewer than one-fifth applied them in routine clinical practice. Most respondents were willing to implement OROMs in routine clinical practice if adequate tools/technologies were available.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Our results justify further investigations to improve the application of OROMs in routine clinical practice in veterinary care of companion animal orthopedic patients.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131154538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective evaluation of lymphatic embolization as part of the treatment in dogs with presumptive idiopathic chylothorax.","authors":"J. Carvajal, J. Case, Federico R Vilaplana Grosso, W. A. Fox-Alvarez, Penny J. Regier, Valentine D Verpaalen, B. Toskich","doi":"10.1111/vsu.13825","DOIUrl":"https://doi.org/10.1111/vsu.13825","url":null,"abstract":"OBJECTIVE\u0000To describe the embolization technique and short-term clinical outcome in dogs undergoing lymphatic embolization (LE) as part of treatment for presumptive idiopathic chylothorax (IC). Additionally, to document findings in computed tomography lymphangiography (CTLa) following embolization.\u0000\u0000\u0000STUDY DESIGN\u0000Prospective case series ANIMALS: Eight client-owned dogs.\u0000\u0000\u0000METHODS\u0000Dogs underwent CTLa followed by thoracic duct ligation (TDL), pericardiectomy (PC) and LE. A mixture of 3:1 lipiodol: n-butyl cyanoacrylate embolic solution was injected through a catheterized mesenteric lymphatic vessel via limited abdominal approach using intraoperative fluoroscopy. CTLa was scheduled for 12 weeks postoperatively, and long-term follow-up was obtained via telephone contact.\u0000\u0000\u0000RESULTS\u0000LE was technically successful in six of the eight dogs; and clinically successful in five of the six dogs. In the unsuccessful dog, a diagnosis of lymphangiosarcoma was determined, and the owners elected for euthanasia. Five dogs who underwent successful LE underwent CTLa at 12 weeks. Complete resolution of pleural effusion occurred in three dogs and scant pleural effusion in two dogs. A robust lymphatic embolus preventing antegrade continuation of radiocontrast was documented in all five dogs. Five of the six dogs that underwent LE, are alive and clinically normal at 358-960 days postoperatively.\u0000\u0000\u0000CONCLUSIONS\u0000LE is feasible as part of treatment for dogs with IC. Additionally, a robust lymphatic embolus and lack of radiocontrast flow past the embolus was documented at 12 weeks following surgery.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000LE has the potential to reduce surgical failure by reducing efferent lymphatic chyle flow, occluding missed lymphatic branches and preventing the development of collateral branches.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115295472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanical evaluation of a novel angle-stable interlocking nail in a gap fracture model.","authors":"Julie Deprey, M. Blondel, C. Saban, M. Massenzio, O. Gauthier, P. Moissonnier, E. Viguier, T. Cachon","doi":"10.1111/vsu.13837","DOIUrl":"https://doi.org/10.1111/vsu.13837","url":null,"abstract":"OBJECTIVE\u0000To describe the mechanical characteristics of a novel angle-stable interlocking nail (NAS-ILN) and compare them to those of a locking compression plate (LCP) by using a gap-fracture model.\u0000\u0000\u0000STUDY DESIGN\u0000Experimental study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Synthetic bone models.\u0000\u0000\u0000METHODS\u0000Synthetic bone models simulating a 50 mm diaphyseal comminuted canine tibial fracture were treated with either a novel angle-stable interlocking nail (NAS-ILN) or a locking compression plate (LCP). Maximal axial deformation and load to failure in compression and 4-point bending, as well as maximal angular deformation, slack, and torque to failure in torsion, were statistically compared (P < .05).\u0000\u0000\u0000RESULTS\u0000In compression, the maximal axial deformation was lower for NAS-ILN (0.11 mm ± 0.03) than for LCP (1.10 mm ± 0.22) (P < .0001). The ultimate load to failure was higher for NAS-ILN (803.58 N ± 29.52) than for LCP (328.40 N ± 11.01) (P < .0001). In torsion, the maximal angular deformation did not differ between NAS-ILN (22.79° ± 1.48) and LCP (24.36° ± 1.45) (P = .09). The ultimate torque to failure was higher for NAS-ILN (22.45 Nm ± 0.24) than for LCP (19.10 Nm ± 1.36) (P = .001). No slack was observed with NAS-ILN. In 4-point bending, the maximal axial deformation was lower for NAS-ILN (3.19 mm ± 0.49) than for LCP (4.17 mm ± 0.34) (P = .003). The ultimate bending moment was higher for NAS-ILN (25.73 Nm, IQR [23.54-26.86] Nm) than for LCP (16.29 Nm, IQR [15.66-16.47] Nm) (P = .002).\u0000\u0000\u0000CONCLUSION\u0000The NAS-ILN showed greater stiffness in compression and 4-point bending, and a greater resistance to failure in compression, torsion, and 4-point bending, than LCP.\u0000\u0000\u0000CLINICAL IMPACT\u0000Based on these results, NAS-ILNs could be considered as alternative implants for the stabilization of comminuted fractures.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133517627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proximal sesamoid bone microdamage is localized to articular subchondral regions in Thoroughbred racehorses, with similar fracture toughness between fracture and controls.","authors":"L. Luedke, Phoebe Ilevbare, K. Noordwijk, P. Palomino, S. McDonough, S. Palmer, P. Basran, E. Donnelly, H. Reesink","doi":"10.1111/vsu.13816","DOIUrl":"https://doi.org/10.1111/vsu.13816","url":null,"abstract":"OBJECTIVE\u0000To determine whether proximal sesamoid bone (PSB) microdamage and fracture toughness differ between Thoroughbred racehorses sustaining PSB fracture and controls.\u0000\u0000\u0000STUDY DESIGN\u0000Cadaveric case-control.\u0000\u0000\u0000ANIMALS\u0000Twenty-four Thoroughbred racehorses (n = 12 PSB fracture, n = 12 control).\u0000\u0000\u0000METHODS\u0000Proximal sesamoid bones were dissected, and gross pathological changes and morphological measurements were documented. High-speed exercise history data were evaluated. Microdamage was assessed in fracture, fracture-contralateral limb (FXCL) and control PSBs using whole bone lead uranyl acetate (LUA) staining with micro-CT imaging or basic fuchsin histological analysis. Fracture toughness mechanical testing was carried out in 3-point-bending of microbeams created from PSB flexor cortices. Data were analyzed using ordinal logistic and linear regression models.\u0000\u0000\u0000RESULTS\u0000Microdamage was detected most commonly in the articular subchondral region of PSBs via LUA micro-CT and basic fuchsin histology. There were no differences in microdamage between FXCL and control PSBs. Fracture toughness values were similar for FXCL (1.31 MPa√m) and control (1.35 MPa√m) PSBs. Exercise histories were similar except that horses sustaining fracture spent a greater percentage of their careers in rest weeks.\u0000\u0000\u0000CONCLUSION\u0000Microdamage was detected in the articular region of PSBs but was not greater in horses sustaining catastrophic PSB fracture. Fracture toughness of PSB flexor cortices did not differ between FXCL and control PSBs.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Although uncommon, microdamage is localized to the articular region of Thoroughbred racehorse PSBs. Catastrophic PSB failure is not associated with lower PSB flexor cortex fracture toughness.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131042483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010-2020).","authors":"Verónica Rodiño Tilve, S. Allaith, S. Girling, A. Moores, Lauren Mulholland, Shane D. Morrison, J. Onyett, T. Maddox, B. Lascelles, S. Langley-Hobbs, E. Comerford","doi":"10.1111/vsu.13822","DOIUrl":"https://doi.org/10.1111/vsu.13822","url":null,"abstract":"OBJECTIVE\u0000To report indications, complications, and long-term outcomes following feline total hip replacement (THR) using a client-based clinical metrology questionnaire, the Feline Musculoskeletal Pain Index (FMPI), and owner satisfaction.\u0000\u0000\u0000STUDY DESIGN\u0000Multi-institutional retrospective cohort study.\u0000\u0000\u0000ANIMALS\u0000Cats (n = 44) that underwent THR (n = 56).\u0000\u0000\u0000METHODS\u0000Feline THRs submitted to a registry over a 10-year period were reviewed. The FMPI and owner satisfaction surveys were used to assess outcome.\u0000\u0000\u0000RESULTS\u0000Forty-four cats met the inclusion criteria. Median age was 2 years (range: 0.9-11), and median bodyweight 5 kg (range: 3.3-7.6). British Shorthair and Domestic Shorthair were the most frequent breeds. Most cats were neutered males (33/44) and slipped capital femoral epiphysis (SCFE) was the most common surgical indication (34/56). All implants were cemented micro and nano hip implants. Overall complications (11/56) included 9 major complications. The median duration of follow up was 752 days (range: 102-3089). No association was found between clinical variables and complications. The FMPI score improved from 0.111 (range: 0-1.222) to 2.111 (range: 0.888-3.666) postoperatively (P < .001). Owner satisfaction was reported as \"very good\" in 30/33 cases (90.9%).\u0000\u0000\u0000CONCLUSION\u0000A validated client metrology questionnaire showed clinical improvement in cats following THR. The most common indication for THR in cats was SCFE occurring in young male neutered cats. Complication rates were comparable to previous reports.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Total hip replacement appears to be a successful surgical treatment for feline hip disease with very good owner satisfaction and acceptable complication rates.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129305748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}