Veterinary Surgery最新文献

{"title":"Use of full-thickness mesh grafts and full-thickness meek micrografts in five horses with ear skin defects caused by trauma or neoplasm resection.","authors":"Nina Resetic, Francesco Comino, Jacintha Wilmink, Dylan A Gorvy","doi":"10.1111/vsu.14220","DOIUrl":"https://doi.org/10.1111/vsu.14220","url":null,"abstract":"<p><strong>Objectives: </strong>To report the management and outcomes of five horses with ear skin defects treated with the use of full-thickness mesh grafts and full-thickness Meek micrografts.</p><p><strong>Animals: </strong>Five horses with acute or granulating pinna skin wounds.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Methods: </strong>A full-thickness graft was harvested from the pectoral region under general anesthesia. The sheet graft was stretched on a sterile plastic board with the epidermal side facing down. The subcutaneous fat and fascia were removed by sharp dissection. The skin graft was then meshed by hand or using a block mesher, or manually cut into micrografts, and transferred to the ear wounds. Cyanoacrylate glue or staples were used to fixate the graft. Immobilization was achieved with a thermoplastic splint, stockinette and an adhesive elastic bandage.</p><p><strong>Results: </strong>A full-thickness meshed sheet graft was used in two horses to cover a fresh or granulating degloving wound, and in two horses to cover a fresh skin defect after excision of a cutaneous neoplasm. A full-thickness Meek micrograft was used in one horse to cover a granulating degloving wound. Complete acceptance of the graft was achieved in all five cases within 2 weeks after grafting, with a good to excellent cosmetic appearance and retained function of the pinna.</p><p><strong>Conclusion: </strong>Full-thickness meshed sheet grafts or full-thickness Meek micrografts provide an effective treatment for ear skin defects with an excellent outcome regardless of etiology.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs.","authors":"Kevin A de Moya, Christopher M Gauthier, Robert M Radasch, Dan D Lewis, Stanley Kim, Ross H Palmer, Jason Bleedorn","doi":"10.1111/vsu.14214","DOIUrl":"https://doi.org/10.1111/vsu.14214","url":null,"abstract":"<p><strong>Objective: </strong>To report clinical outcomes of skeletally immature dogs with antebrachial deformities secondary to premature closure of the distal radial physis (PCDRP) treated with angular corrections and distraction osteogenesis using circular external skeletal fixation (CESF).</p><p><strong>Study design: </strong>Retrospective multi-institutional case series.</p><p><strong>Animals: </strong>A total of 12 client-owned dogs with premature distal radial physeal closure.</p><p><strong>Methods: </strong>Medical records from four hospitals between 2009 and 2022 were reviewed. Preoperative and final radiographic measurements of limb alignment and osteoarthritis were compared. Long-term outcomes were obtained using an owner questionnaire.</p><p><strong>Results: </strong>Mean ± SD age and bodyweight were 7.5 ± 1.7 months and 12.8 ± 11.1 kg. Distal radial corrective osteotomies and distraction osteogenesis were performed in all dogs. Mean ± SD time between surgery and fixator removal was 78 ± 20 days. Uncomplicated osseous union was documented in 9/12 dogs. Final mean affected limb anatomic lateral distal radial angle (aLDRA) of 85.6° was higher than preoperative values 71.6° and within reported normal ranges. A total of 10 of 12 dogs had mild non-progressive elbow osteoarthritis at final follow up, including two dogs with mild residual elbow incongruity. Major complications occurred in two dogs and included permanent carpal flexor contracture and radial fracture through a pin tract. Minor complications including persistent loss of carpal extension, radioulnar synostosis, and pin tract drainage occurred in 10/12 dogs. Owner questionnaires were obtained from 8/12 dogs and all reported good to excellent function.</p><p><strong>Conclusion: </strong>Angular correction and lengthening using CESF can achieve target alignment and improved clinical function with moderate complications in growing dogs with PCDRP.</p><p><strong>Clinical significance: </strong>Distraction osteogenesis and angular corrections can be considered as a treatment option for PCDRP in skeletally immature dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures.","authors":"Colin Chik, Nicole Buote, Galina Hayes, Manuel Martin-Flores","doi":"10.1111/vsu.14215","DOIUrl":"https://doi.org/10.1111/vsu.14215","url":null,"abstract":"<p><strong>Objective: </strong>To determine if prestretching (PS) of the abdominal wall provided improved working space during elective laparoscopic procedures in dogs.</p><p><strong>Study design: </strong>Prospective cohort study.</p><p><strong>Animals: </strong>Fifty client-owned dogs undergoing elective laparoscopic procedures.</p><p><strong>Methods: </strong>Skin markings were used to evaluate stretching of the abdominal wall. The distance from the subumbilical port to the caudal aspect of the gallbladder was measured as a proxy for intra-abdominal working length (IWL). Prestretching was performed by insufflating to an intra-abdominal pressure (IAP) of 10 mmHg for 3 min. The abdomen was desufflated back to 6 mmHg for the remainder of the procedure. A computed volumetric value utilizing skin measurements and IWL was used as a proxy for intra-abdominal working space (IWS). Percentage changes in IWL and IWS were compared.</p><p><strong>Results: </strong>Increasing the IAP from 6 to 10 mmHg increased the IWL by 7% (IQR 9.5%) and the IWS by 10.4% (IQR 13.8%) (p = .004 and .005, respectively). Returning to 6 mmHg after prestretching resulted in a median increase in IWL of 4.4% (IQR 5.7%) and IWS of 6.9% (IQR 5.4%) compared with the initial 6 mmHg IAP measurements (p < .001 for both). Intra-abdominal working length and IWS were similar at the end of surgery compared with post-PS 6 mmHg IAP measurements.</p><p><strong>Conclusion: </strong>Prestretching resulted in improved IWL and IWS, although not to the extent achieved by higher insufflation pressures. The effects of PS persisted throughout the laparoscopic procedures performed in this study.</p><p><strong>Clinical significance: </strong>Prestretching can provide additional laparoscopic IWL and IWS at a lower IAP.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of age at total hip replacement on perioperative complications associated with a press-fit cementless stem with lateral bolt in dogs.","authors":"Panagiotis Kokkinos, Kevin Parsons, Alex Belch, Nicholas Barthelemy","doi":"10.1111/vsu.14203","DOIUrl":"https://doi.org/10.1111/vsu.14203","url":null,"abstract":"<p><strong>Objective: </strong>To assess the influence of age on perioperative stem-associated complications when total hip replacement (THR) was performed with a BFX lateral bolt stem.</p><p><strong>Study design: </strong>Retrospective (2017-2022).</p><p><strong>Sample population: </strong>A total of 197 client-owned dogs.</p><p><strong>Methods: </strong>Medical records of dogs that underwent THR with a lateral bolt stem were reviewed. Perioperative complications were recorded. Stem and femoral features were measured on postoperative and follow-up radiographs. The population was divided into juveniles (6-10 months), adults (>10 months to <7 years), and older dogs (≥7 years old). Association between groups and perioperative complications was assessed.</p><p><strong>Results: </strong>Two-hundred and fifty five THRs were recorded: 139 unilateral and 58 bilateral. Intraoperative and early postoperative stem complication rates were 8.6% and 2%, respectively. Juveniles were at increased risk of developing intraoperative fissures. Age was not associated with early postoperative stem complications. German shepherd dogs were associated with postoperative fractures. Subsidence was weakly, but positively, associated with weight and canal flare index.</p><p><strong>Conclusion: </strong>Juveniles were at increased risk of developing fissures. There was no difference in postoperative stem complications among age groups. German shepherds were at increased risk of postoperative fracture despite the use of a lateral bolt stem. More studies are required to assess the effect of giant breeds on the risk of subsidence, as well as the effect of young age on fissure development.</p><p><strong>Clinical significance: </strong>Age influenced the development of intraoperative, but not postoperative, stem complications with a lateral bolt stem. Prophylactic cerclage application could be considered in juvenile and German shepherd dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a patient-specific 3D-printed guide for ventral slot surgery in dogs: An ex vivo study.","authors":"Meagan A Walker, Adam T Ogilvie, Grant McSorley, William Montelpare, Katie L Hoddinott","doi":"10.1111/vsu.14210","DOIUrl":"https://doi.org/10.1111/vsu.14210","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the accuracy of ventral slot creation in canine cadavers with a three-dimensional (3D)-printed drill guide compared to the freehand technique.</p><p><strong>Study design: </strong>Ex vivo study.</p><p><strong>Sample population: </strong>Eight canine cadavers (23.4-39.8 kg).</p><p><strong>Methods: </strong>Computed tomography (CT) data was used to create patient-specific 3D-printed surgical guides for ventral slot creation. Intervertebral sites were randomized to undergo either a guided (n = 12) or freehand (n = 12) ventral slot by a novice surgery resident. Postoperative CT images were used to compare ventral slot dimensions, shape, and position.</p><p><strong>Results: </strong>Free-hand ventral slots were significantly shorter than the intended dimensions (p < .01). Dimensions of the guide-assisted ventral slots were not statistically different from the planned dimensions (p = .88, p = .72). Use of the guides resulted in improved accuracy for ventral slot positioning relative to midline and slot shape (difference in coefficient of variations, 32%, and 40%, respectively).</p><p><strong>Conclusion: </strong>Ventral slot dimensions were more accurate when created with the patient-specific 3D-printed guide compared to the freehand technique.</p><p><strong>Clinical significance: </strong>Use of a 3D-printed patient specific surgical guide improves accuracy of ventral slot creation in canine cadavers and improves surgical precision when used by a single novice surgical resident. The results of this study support evaluation of the guides in small breed cadavers and live patients.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats.","authors":"Adrien Aertsens, Helen Tsoi, Micah Esala, Emily P Wheeler","doi":"10.1111/vsu.14204","DOIUrl":"https://doi.org/10.1111/vsu.14204","url":null,"abstract":"<p><strong>Objective: </strong>To report the technique and outcomes of utilizing chest wall lift to perform thoracoscopic surgery in two cats.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Animals: </strong>Client-owned cats (n = 2).</p><p><strong>Methods: </strong>A geriatric cat was referred for pleural effusion secondary to a left cranial lung lobe mass. A thoracoscopic exploration of the left hemithorax was planned with a lift device used for laparoscopy and attached to a ceiling mount. A young cat was referred for a foreign body lodged in the right caudal bronchus. Attempted bronchoscopic retrieval was unsuccessful. Thoracoscopic lung lobectomy was planned using a bent Steinmann pin as a lift device placed at the eighth intercostal space, along one of the cannula.</p><p><strong>Results: </strong>Thoracic lift was achieved with the patient in right lateral recumbency for the first cat, leading to immediate improvement in the oxygenation and ventilation status of the patient while simultaneously allowing for continued thoracoscopic exploration of the hemithorax. With two additional ports, thoracoscopic dissection of the adhesions was performed prior to thoracoscopic assisted lung lobectomy at the fourth intercostal space. For the second cat, thoracic lift was performed with the patient in left lateral recumbency and allowed successful 3-port thoracoscopic lung lobectomy. No complication related to the use of either lift device was noted.</p><p><strong>Conclusion: </strong>Chest wall lift improved anesthesia respiratory status in one cat and increased the working space to perform thoracoscopic procedures in both cats.</p><p><strong>Clinical significance: </strong>This novel and simple technique could increase working space without anesthesia impairment, allowing thoracoscopic procedures in selected feline patients.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Teaching experience, not surgical residency training, is the critical factor in optimizing student learning outcomes in performing ovariohysterectomy on a model.","authors":"Julie A Hunt, Robbia Hendrix, Stacy L Anderson","doi":"10.1111/vsu.14205","DOIUrl":"https://doi.org/10.1111/vsu.14205","url":null,"abstract":"<p><strong>Objective: </strong>To determine if surgical skills instructors' experience and qualifications influence students' learning of small animal ovariohysterectomy on a model (mOVH).</p><p><strong>Sample population: </strong>Second-year veterinary students (n = 105).</p><p><strong>Methods: </strong>Students were randomized to three groups, taught by: (1) residency-trained surgeons with over 3 years' experience teaching mOVH, (2) general practitioners with over 3 years' experience teaching mOVH (GP >3), and (3) general practitioners with under 3 years' experience (GP <3). Students completed four 3-h laboratories where they performed mOVH under the supervision of one of the three types of instructors. Students were assessed performing mOVH using a validated 22-item rubric and completed a survey about their experience.</p><p><strong>Results: </strong>GP <3 group students achieved lower total rubric scores than GP >3 group students (p = .021). Surgeon-taught students' scores did not differ from those taught by GP >3 (p = .685) or GP <3 (p = .052). GP <3 group students were more likely to require remediation than those taught by surgeons (p = .001); there were no differences between the other groups (surgeons vs. GP >3 p = .44; GP <3 vs. GP >3 p = .11). Students reported similar satisfaction with their instruction. Instructors with over 3 years' experience teaching mOVH had better student learning outcomes compared to instructors with under 3 years of experience. While mOVH teaching experience did influence learning, the instructor's completion of a surgical residency did not.</p><p><strong>Conclusion: </strong>The results of the study indicate a need for more extensive training for new surgical skills instructors and demonstrates that GPs with experience teaching surgical skills are suitable instructors for teaching ovariohysterectomy on a model.</p><p><strong>Clinical relevance: </strong>This study indicates a need for more extensive training for new surgical skills instructors and demonstrates that GPs with experience teaching surgical skills are suitable instructors for teaching ovariohysterectomy on a model.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ex vivo comparison of one-layer versus two-layer closures in end-to-end anastomoses in normal equine descending colon.","authors":"Michael P St Blanc, Mustajab H Mirza, Laura M Riggs, Britta S Leise","doi":"10.1111/vsu.14150","DOIUrl":"10.1111/vsu.14150","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to evaluate time to closure, bursting pressures and luminal diameters of a single and double-layer end-to-end anastomoses in normal equine descending colon.</p><p><strong>Study design: </strong>Experimental study.</p><p><strong>Sample population: </strong>Eight adult horses.</p><p><strong>Methods: </strong>Four segments of descending colon from each horse were randomly assigned to a control (n = 8, CON), one-layer (n = 12, group 1; continuous Lembert pattern), or two-layer group (n = 12, group 2; simple continuous oversewn with Cushing pattern). Anastomoses were performed, and time to closure and luminal diameter were measured. Bursting pressures were determined, and location of failure was recorded. Mixed analysis of variance (ANOVA) was employed.</p><p><strong>Results: </strong>Mean time to completion was decreased (p = .003) in group 1 (18.6 min ± 22.8 s) compared with group 2 (21.35 min ± 22.8 s). Luminal diameter was reduced (p < .0001) in group 2 (47 ± 2.46 mm) compared to group 1 (65 ± 2.77 mm). Location of failure was remote to the anastomosis in all but one segment; therefore, differences in anastomotic bursting pressures could not be determined.</p><p><strong>Conclusion: </strong>Two-layer closures resulted in significant luminal reduction and took longer to complete than one-layer anastomoses.</p><p><strong>Clinical significance: </strong>Use of one-layer closures may be advantageous primarily with respect to luminal diameter.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"164-171"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of three approaches for accessory lung lobectomy in the canine cadaveric model: Intercostal thoracotomy, median sternotomy, and a transdiaphragmatic approach combined with caudal median sternotomy.","authors":"Camille B Duvieusart, Laura A Barbur, Marie F Burneko, Rebecka S Hess","doi":"10.1111/vsu.14174","DOIUrl":"10.1111/vsu.14174","url":null,"abstract":"<p><strong>Objective: </strong>To describe a combined transdiaphragmatic and caudal median sternotomy (TDCM) approach to the accessory lung lobe and to compare its accessibility with intercostal thoracotomy (ICT) and median sternotomy (MS).</p><p><strong>Study design: </strong>Cadaveric study.</p><p><strong>Animals: </strong>Twelve canine cadavers.</p><p><strong>Methods: </strong>Cadavers underwent an accessory lung lobectomy using an articulating EndoGIA stapler via randomly assigned approach: ICT (n = 4), MS (n = 4) or TDCM (n = 4). The percentage of accessory lung tissue removed was measured in surface area and weight. Exposure was measured as area of cavitary or bicavitary exposure at maximal retraction, by tracing a line around the circumference of the exposed cavity using an imaging software. Staple line leak pressures were evaluated to 40 cmH₂O.</p><p><strong>Results: </strong>The average area of exposure was larger in the TDCM approach (TDCM = 193.5 cm², MS = 106.5 cm², ICT = 73.5 cm²); (p = .01). Two of four ICT staple lines leaked at 40 cmH₂O or lower, and 1/4 MS resulted in iatrogenic damage to an adjacent lobe. There was no difference in the percentage of the lobe excised by weight or surface area between groups.</p><p><strong>Conclusion: </strong>The transdiaphragmatic and caudal median sternotomy approach provided greater exposure, although the percentage of the lobe excised and the surgical time did not differ between approaches.</p><p><strong>Clinical significance: </strong>All three approaches allowed for adequate excision of the accessory lung lobe (ALL) with similar surgical times; however, the TDCM approach provided a greater area of exposure, which could increase accessibility to the ALL.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"89-97"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi).","authors":"Benoît Cruciani, Lucile Gros, Guillaume Ragetly","doi":"10.1111/vsu.14177","DOIUrl":"10.1111/vsu.14177","url":null,"abstract":"<p><strong>Objective: </strong>To describe the surgical technique and outcomes of arthroscopic treatment for talar osteochondritis dissecans (OCD) in dogs, using scope and instrument portals placed on the same side of the joint as the lesion.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animals: </strong>Fifteen client-owned dogs (19 tarsi).</p><p><strong>Methods: </strong>The records of dogs with talar OCD lesions managed by arthroscopy using this modified approach to portal placement were reviewed. Signalment, owner-completed questionnaires-the Canine Brief Pain Inventory (CBPI) and a visual analog scale (VAS)-together with clinical and imaging data, surgical techniques, and postoperative complications were recorded. Mid- to long-term outcomes (over 6 months) were assessed using orthopedic examinations, osteoarthritis radiographic scores, and owner-completed questionnaires.</p><p><strong>Results: </strong>Visualization of the affected articular structures was adequate in all cases. The multiple OCD fragments identified on CT scans were removed without intraoperative complication in 17 tarsi. Mini-arthrotomy was performed in one dog and mini-tenotomy of the deep digital flexor sheath was performed in another. Minor postoperative complications (synovial cysts) were reported in four cases. Mid- to long-term outcomes were good to excellent in 11 of the 14 dogs with substantial improvement in lameness, CBPI, and VAS scores compared with preoperative results. Degenerative joint disease progression was observed in 10 of the 14 cases.</p><p><strong>Conclusion: </strong>The modified arthroscopic technique resulted in few complications, rapid clinical improvement, and full or acceptable function in most cases.</p><p><strong>Clinical significance: </strong>This modified approach to portal placement is an appealing and suitable alternative to the approach described previously for managing tarsal OCD lesions.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"107-117"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}