Veterinary Surgery最新文献_第2页

Medium-term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020-2023). 猫混合全髋关节置换术的中期结果：17髋的骨水泥股骨和无骨水泥髋臼杯（2020-2023）。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2025-06-05 DOI: 10.1111/vsu.14274

Daniel Lomas, Sorrel Langley-Hobbs, Kevin Parsons, Nicolas Barthelemy

{"title":"Medium-term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020-2023).","authors":"Daniel Lomas, Sorrel Langley-Hobbs, Kevin Parsons, Nicolas Barthelemy","doi":"10.1111/vsu.14274","DOIUrl":"https://doi.org/10.1111/vsu.14274","url":null,"abstract":"Objective: To describe the surgical technique, complications and outcome of hybrid total hip replacement (THR) in cats using a BioMedtrix cemented femoral stem and cementless acetabular cup.Study design: A retrospective case series.Animals: Cats undergoing hybrid THR between 2020 and 2023.Methods: The present study was a retrospective review of medical records. Postoperative radiographs were reviewed and implant positioning measured. Owner-reported follow-up was obtained via questionnaire utilizing the short-form feline musculoskeletal pain index (sf-FMPI).Results: A total of 17 hybrid THRs were performed with two cats undergoing bilateral THR. A 12 mm BioMedtrix micro BFX acetabular cup was placed in all cats in combination with a CFX femoral stem. Follow up imaging demonstrated no change in implant position. No intra- or postoperative complications were reported. Hybrid THR was successfully performed in one case as a revision strategy for recurrent hip luxation following CFX THR. Owner-reported follow-up was obtained for 10 out of 15 cats (mean 438 days postoperatively; range, 185-1084 days). Overall satisfaction was excellent and the mean sf-FMPI score was 2/36.Conclusion: This study demonstrates that hybrid THR using a micro BFX acetabular cup is feasible in cats with a good medium to long-term outcome. These results compare favorably to previous reports of feline THR.Clinical significance: Hybrid THR in cats has a low complication rate and high owner satisfaction. This technique should be considered for the management of coxofemoral disease in cats and can be considered for CFX cup revision.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235376","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}

引用次数: 0

An ex vivo comparison of mono-versus polyaxial locking compression plates for metacarpophalangeal joint arthrodesis in the horse. 马掌指关节融合术中单轴与多轴锁定加压钢板的离体比较。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2025-06-02 DOI: 10.1111/vsu.14287

Lawrence I M Kadic, Chin-Chi Liu, Britta S Leise, Charles T McCauley, Laura M Riggs

{"title":"An ex vivo comparison of mono-versus polyaxial locking compression plates for metacarpophalangeal joint arthrodesis in the horse.","authors":"Lawrence I M Kadic, Chin-Chi Liu, Britta S Leise, Charles T McCauley, Laura M Riggs","doi":"10.1111/vsu.14287","DOIUrl":"https://doi.org/10.1111/vsu.14287","url":null,"abstract":"Objective: The aim of the study was to determine if a novel arthrodesis technique for the equine metacarpophalangeal (MCP) joint using a human non-contact bridging (NCB), polyaxial locking compression plate system has biomechanical and potential clinical advantages versus a traditional 5.5 mm stainless steel locking compression plate (LCP) under biomechanical testing.Study design: An ex vivo biomechanical equine cadaver study.Sample population: A total of 11 MCP joints collected from adult Thoroughbred horses euthanized unrelated to musculoskeletal disease.Methods: Each pair of MCP joints were randomly implanted with either an A LCP or NCB plate. Each construct was tested in cyclic loading followed by single cycle to failure in axial compression. Displacement at a target load of 1 kN over 3600 cycles at 1 Hz was recorded prior to single cycle to failure testing.Results: In cyclic testing, overall displacement recorded in constructs with the NCB plates was less than that of the LCP constructs with a mean (least square mean - LSM) difference of 0.33 mm (p = .03). There was no difference between groups in single cycle testing for yield point (p = .55) and maximum load at failure (p = .95).Conclusion: While a significant difference was found between constructs during cyclic testing, LCP versus NCB constructs conferred no difference in stability in single cycle to failure testing.Clinical significance: The increased stability of the NCB plate in cyclic loading, comparable failure strength to the LCP and versatility of polyaxial screws support further investigation for possible clinical use of the NCB plate for equine fetlock arthrodesis.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209651","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}

引用次数: 0

Accuracy of intraoperative identification of the tibial intercondylar eminence in the sagittal plane in dogs. 犬矢状面胫骨髁间隆起术中识别的准确性。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2025-06-02 DOI: 10.1111/vsu.14285

Brenda M Alcântara, Bruno W Minto, Alefe L C Carrera, Rodrigo C S Faustino, Lara C M Lopes, Luis G G G Dias

{"title":"Accuracy of intraoperative identification of the tibial intercondylar eminence in the sagittal plane in dogs.","authors":"Brenda M Alcântara, Bruno W Minto, Alefe L C Carrera, Rodrigo C S Faustino, Lara C M Lopes, Luis G G G Dias","doi":"10.1111/vsu.14285","DOIUrl":"https://doi.org/10.1111/vsu.14285","url":null,"abstract":"Objective: To assess the accuracy of intraoperative identification of the tibial intercondylar eminence (TIcE) in the sagittal plane in dogs.Study design: Ex vivo experimental study.Animals: A total of 20 stifles from 10 dogs (weight range: 20-30 kg; n = 20).Methods: Stifles were positioned for a mediolateral radiographic projection with a hypodermic needle placed at the center of the medial collateral ligament (MCL) (C), immediately cranial (Cr), and caudal (Cd) to the ligament. Variables were assessed at the stifle flexions of 90° and 135° with both intact cranial cruciate ligament (CCL-In) and after mechanical transection (CCL-MT). Three evaluators measured the distance (d) between the TIcE and needle center. Statistical analysis involved a linear mixed model, with the Bonferroni test (p < .0125).Results: Analyses of CCL-In and CCL-MT groups revealed statistically significant differences between needle positions and stifle flexion angles. In the CCL-In group, the C-90° position was closest to the stifle center (d = 0.45 ± 2.39). For the CCL-MT group, the C-135° position was nearest (d = 0.11 ± 2.18).Conclusion: The center of the MCL in the sagittal plane, at 135° of stifle flexion, served as a reliable anatomical reference for identifying the TIcE in dogs with CCL disease.Clinical significance: A meticulous intraoperative identification of the TIcE can improve the accuracy of tibial osteotomies, potentially optimizing tibial plateau leveling osteotomy outcomes.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209650","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}

引用次数: 0

Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse. 晚期喉塌陷犬喉部楔形骨切除术的并发症发生率及预后。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2025-06-02 DOI: 10.1111/vsu.14270

Alexander J Chan, Nai-Chieh Liu, Jane F Ladlow

{"title":"Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse.","authors":"Alexander J Chan, Nai-Chieh Liu, Jane F Ladlow","doi":"10.1111/vsu.14270","DOIUrl":"https://doi.org/10.1111/vsu.14270","url":null,"abstract":"Objective: To describe the complication rate and outcomes of dogs undergoing multilevel airway surgery for brachycephalic airway syndrome (BOAS) with and without the addition of uni- or bilateral cuneiformectomy.Study design: Retrospective study.Animals: A total of 180 dogs undergoing BOAS surgery: 94 dogs undergoing modified multilevel surgery (non-PC); 86 additionally undergoing cuneiformectomy (PC).Methods: Case records from the University of Cambridge and Animal Health Trust databases between 2014 and 2021 were analyzed including data on laryngeal collapse grade, respiratory functional grading scores, BOAS index, hospitalization length and complications.Results: Neither the incidence risk of overall (non-PC = 19.4%, PC = 16.3%, p = .758), nor major (non-PC = 7.4%, PC = 11.6%, p = .482) complications differed between non-PC and PC dogs. Median hospitalization duration (non-PC = 1 day, PC = 1 day) did not differ between the two groups (p = .743). Both BOAS grade (median reduction = 1, p < .0001) and BOAS index (median reduction = 28.5%, p < .0001) reduced in dogs that underwent cuneiformectomy. Lower BCS was associated with increased postoperative complications (odds ratio = 0.452, p = .004) when preoperative BOAS grade and gender were controlled.Conclusion: Cuneiformectomy was not associated with a higher incidence risk of complications than multilevel BOAS surgery alone. Significant improvements in respiratory parameters were observed following cuneiformectomy in addition to multilevel airway surgery.Clinical significance: Cuneiformectomy represents a safe and effective adjunctive technique to manage higher grade laryngeal collapse in dogs with BOAS.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209653","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}

引用次数: 0

Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure. 有无肱骨髁内裂犬肱骨髁形态分析。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2025-06-02 DOI: 10.1111/vsu.14286

Emily Frapwell, Moira Watkins, Bryony Halcrow, Heather Goodrum, Neil J Burton, Daniel M Ogden, Steve Bright, Bill Oxley

{"title":"Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure.","authors":"Emily Frapwell, Moira Watkins, Bryony Halcrow, Heather Goodrum, Neil J Burton, Daniel M Ogden, Steve Bright, Bill Oxley","doi":"10.1111/vsu.14286","DOIUrl":"https://doi.org/10.1111/vsu.14286","url":null,"abstract":"Objective: To quantify the morphology of the humeral condyle in dogs with and without humeral intracondylar fissure (HIF).Study design: Retrospective case control.Sample population: A total of 171 elbows.Methods: Computed tomography (CT) scans of elbows were retrospectively analyzed. The population comprised three groups; non-chondrodystrophic control dogs (n = 44), Springer Spaniel control dogs (n = 27), and humeral intracondylar fissure (HIF)-affected dogs (n = 100). A condylar template was constructed on three-dimensional (3D) surface-rendered images with measurement of 10 parameters by three observers.Results: A total of 171 elbows were analyzed. Angle A, representing the axial surface of the medial humeral condyle and angle B, representing the axial surface of the lateral humeral condyle were both significantly greater in HIF-affected dogs (p < .001). Length a (p = .007) and b (p < .001), representing the vertical distance between the most proximal and most distal points of the medial and lateral humeral condyles respectively, were also significantly greater in HIF-affected dogs.Conclusion: From the population sampled, HIF-affected dogs had both significantly greater vertical height as well as angulation of the axial surface of both the medial and lateral humeral condyle.Clinical significance: Greater angulation of the axial surfaces of the humeral condylar articular surface could create an intracondylar shear force orthogonal to the orientation of the fissure, predisposing to HIF formation.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209652","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}

引用次数: 0

Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization. 开发和测试动物专用和珍珠链（SOP）钢板专用的三维（3D）打印钻孔指南：犬胸腰椎稳定的概念验证研究。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2025-05-28 DOI: 10.1111/vsu.14279

Zachary A Miller, Alexandra Kalamaras, Andrew H Jackson

{"title":"Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization.","authors":"Zachary A Miller, Alexandra Kalamaras, Andrew H Jackson","doi":"10.1111/vsu.14279","DOIUrl":"https://doi.org/10.1111/vsu.14279","url":null,"abstract":"Objective: To describe novel patient-specific, string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed, drilling guides for spinal stabilization.Study design: Model- and cadaveric-based experimental, proof of concept study.Sample population: Three normal cadaver spines, three normal cadaver spinal models, and three historical canine spinal fracture models were used bilaterally, allowing 18 mock surgeries from T12-L5, and 140 screws.Methods: Computed tomography (CT) was used to virtually straighten all spines and virtually reduce the fractures in the spinal fracture cases. Spinal models and animal-specific drill guides for a SOP plate were created. Screw holes were predrilled using guides, and the spines stabilized with a SOP plate and screws. Post-surgical CTs were performed. Screw placement accuracy was assessed with both the Zdichavski classification and by comparing the post-surgical measurements to the presurgical planning.Results: All 140 screw trajectories were optimally placed (grade 1 modified Zdichavski score). The transverse and craniocaudal angles were similar across all groups. All but two entry and exit measurements were different, with mean deviations <1 mm from the planned measurements.Conclusion: Patient-specific, SOP plate specific, 3D-printed drilling guides allowed safe and relatively accurate placement of screws in the T12-L5 vertebra of dogs.Clinical significance: With presurgical planning and the described drilling guides, spinal stabilization using a SOP plate may be a safe method of repair. The technique may allow for easier reduction and fixation of vertebral fractures/luxations, but further clinical studies are needed.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162456","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}

引用次数: 0

Pancreaticoduodenectomy with choledochoduodenostomy and pancreaticojejunostomy in a cat with bile and pancreatic duct obstruction secondary to a recurrent carcinoid. 胰十二指肠切除术合并胆总管十二指肠吻合术及胰空肠吻合术治疗复发性类癌继发胆汁及胰管阻塞1例。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2025-05-28 DOI: 10.1111/vsu.14282

Kazuyuki Suzuki, Kumiko Ishigaki, Takeshi Hayakawa, Yuma Tomo, Kazushi Asano

{"title":"Pancreaticoduodenectomy with choledochoduodenostomy and pancreaticojejunostomy in a cat with bile and pancreatic duct obstruction secondary to a recurrent carcinoid.","authors":"Kazuyuki Suzuki, Kumiko Ishigaki, Takeshi Hayakawa, Yuma Tomo, Kazushi Asano","doi":"10.1111/vsu.14282","DOIUrl":"https://doi.org/10.1111/vsu.14282","url":null,"abstract":"Objective: To describe the surgical procedure for pancreaticoduodenectomy with choledochoduodenostomy and pancreaticojejunostomy for carcinoids of the common bile duct (CBD) in a cat and to report its outcomes.Study design: Case report.Animal: A 6-year-old neutered male Munchkin cat.Methods: A small tissue plug causing CBD obstruction was surgically removed from a cat. The obstructive plug was diagnosed histopathologically as carcinoid. Nine months after initial surgery, the cat developed anorexia and vomiting. Diagnostic imaging revealed dilation of both the CBD and pancreatic duct, and the cat underwent a second surgery 11 months after the initial procedure. En bloc resection of the pancreatic body and duodenum, including the site of the CBD obstruction, was performed. Following the duodenal reconstruction with end-to-end anastomosis, the biliary system was rebuilt with end-to-side anastomosis, connecting the CBD's resected end to the duodenum. Pancreatojejunostomy of the distal end of the left pancreatic lobe and jejunum was performed to reconstruct the pancreatic duct.Results: No postoperative complications such as bile leakage, pancreatic fluid leakage, or pancreatitis were observed. Toceranib therapy was initiated postoperatively. The cat showed good general condition 524 days after the second surgery and exhibited favorable progress at the time of writing.Conclusion: This is the first report of a successful reconstructive surgery with choledochoduodenostomy and pancreatojejunostomy after en bloc resection of the pancreatic body and proximal duodenum in a cat with recurrent carcinoid-induced ductal obstruction. Pancreatic body duodenectomy may be a viable and effective option for managing pancreatic duct obstruction in cats.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162458","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}

引用次数: 0

Endoscopic-assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study. 内窥镜辅助下胆总管激光括约肌切开术：一项尸体试验研究。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2025-05-23 DOI: 10.1111/vsu.14280

Hiroshi Miyagi, Galina M Hayes

{"title":"Endoscopic-assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study.","authors":"Hiroshi Miyagi, Galina M Hayes","doi":"10.1111/vsu.14280","DOIUrl":"https://doi.org/10.1111/vsu.14280","url":null,"abstract":"Objective: To (1) develop a minimally invasive technique for endoscopic-assisted retrograde catheterization (EARC) of the major duodenal papilla (MDP) in dogs and (2) pilot a safe method of endoscope-guided laser sphincterotomy of the intramural segment of the common bile duct (ICBD).Study design: Descriptive study.Animals: Twenty fresh canine cadavers.Methods: Following mini-midline celiotomy and exteriorization of the distal duodenum, endoscopy of the duodenal lumen was performed under saline irrigation via a 5 mm cuffed endoscopic port using a 2.7 mm 30° rigid cystoscope and HoYag laser fiber. Endoscopic-assisted retrograde catheterization of the MDP and laser sphincterotomy extended to the end of the ICBD was performed. The duodenal segment was dissected under magnification following the endoscopic procedure. The length of the ICBD and the incidence of iatrogenic injury were recorded.Results: The EARC of the MDP and laser sphincterotomy were successful in 18 of 18 attempts. The ICBD segments ranged from 10 to 21 mm long (n = 20) (body weight 6.6-37.0 kg). There was no correlation between body weight and length of the ICBD (Pearson's rho = .06, p = .79). Partial thickness lateral perforations occurred in two specimens. Division of the submucosal layer during ablation heralded the start of the extramural segment and could be identified consistently (16/18; 88%).Conclusion: Endoscopic-assisted retrograde catheterization and extended laser sphincterotomy appeared feasible and safe in canine cadavers. Further evaluation in a live-animal setting is warranted.Clinical significance: Endoscopic-assisted retrograde catheterization may have advantages over current open techniques for accessing the duodenal papilla and endoscopic laser sphincterotomy may assist resolution of ICBD obstructions.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128812","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}

引用次数: 0

Internal fixation of a fractured cranial articular process of the sixth cervical vertebra by means of computer-assisted surgery in a Warmblood gelding. 计算机辅助手术治疗温血骟马第六颈椎颅关节突骨折的内固定。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2025-05-23 DOI: 10.1111/vsu.14273

Melanie J Käfer-Karrer, Mathieu de Preux, Elke Van der Vekens, Larissa I Mattei, Jovana Kuhlmann, Micaël D Klopfenstein Bregger, Jeremiah T Easley, Christoph Koch

{"title":"Internal fixation of a fractured cranial articular process of the sixth cervical vertebra by means of computer-assisted surgery in a Warmblood gelding.","authors":"Melanie J Käfer-Karrer, Mathieu de Preux, Elke Van der Vekens, Larissa I Mattei, Jovana Kuhlmann, Micaël D Klopfenstein Bregger, Jeremiah T Easley, Christoph Koch","doi":"10.1111/vsu.14273","DOIUrl":"https://doi.org/10.1111/vsu.14273","url":null,"abstract":"Objectives: To describe the repair of a fractured cranial articular process (AP) of the sixth cervical vertebra (C6) with cortex screws placed in lag fashion using computer-assisted surgery.Animal: A 12-year-old Swiss Warmblood gelding.Study design: Case report.Methods: The gelding was presented with neck pain and ataxia after a fall. A fracture of the right cranial AP of C6 was identified on radiographs. The fracture was repaired by internal fixation with two 4.5 mm cortex screws of 58 and 48 mm length placed in lag fashion using computer-assisted surgery.Results: During general anesthesia, it was suspected that the gelding developed brain edema that prolonged the recovery process. Postoperatively, the horse showed transient ataxia and myopathy of the left triceps muscle. Except for focal muscular atrophy of the right supraspinatus muscle, all complications resolved. Radiographs confirmed healing of the fracture with minimal callus formation. One year after surgery, the gelding had returned to ridden exercise and was performing well.Conclusion: Computer-assisted surgery facilitates lag screw fixation of AP fractures and makes this a potential alternative to intervertebral body fusion, which is recommended for this type of fracture to avoid excessive callus formation and subsequent spinal cord or cervical spinal nerve compression.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128822","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}

引用次数: 0

Evaluation of iatrogenic articular cartilage injury associated with arthroscopic exploration of the canine elbow. 犬肘关节镜探查相关的医源性关节软骨损伤的评价。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2025-05-19 DOI: 10.1111/vsu.14272

Ashley E Iodence, Valentine D Verpaalen, Whitney D Hinson, Steven C Budsberg

{"title":"Evaluation of iatrogenic articular cartilage injury associated with arthroscopic exploration of the canine elbow.","authors":"Ashley E Iodence, Valentine D Verpaalen, Whitney D Hinson, Steven C Budsberg","doi":"10.1111/vsu.14272","DOIUrl":"https://doi.org/10.1111/vsu.14272","url":null,"abstract":"Objective: To quantify the incidence, extent, and distribution of iatrogenic articular cartilage injury (IACI) during canine elbow arthroscopy and to investigate the effect of arthroscope size on IACI.Study design: Experimental study.Sample population: A total of 72 elbows from fresh frozen large breed canine cadavers.Methods: Elbows were alternately assigned to nine groups consisting of different combinations of arthroscope size (1.9, 2.4, 2.7 mm) and surgeon experience (novice, intermediate, advanced). Routine arthroscopic exploration of the elbow was performed. Number of obturator insertions and procedure time were recorded. Joints were disarticulated and stained with India ink. The incidence and total surface area of IACI were determined. A linear mixed model was used to evaluate the effect of arthroscope size on IACI, procedure time, and number of obturator insertions.Results: The incidence of IACI was 100% with a median affected surface area of 10.6 mm2 (interquartile range [IQR]: 6.4-15.6). Median IACI was lowest for the 2.4 mm arthroscope, which was significantly less than the 2.7 mm arthroscope (p = .006). There were no significant differences in number of obturator insertions per arthroscope size (p = .96). Procedure time was significantly longer with the 1.9 mm than the 2.7 mm arthroscope (p = .03).Conclusion: Routine arthroscopic joint exploration resulted in IACI in 100% of elbows. The 2.4 mm arthroscope was associated with the lowest extent of IACI.Clinical significance: Surgeons should be aware that IACI occurs routinely during canine elbow arthroscopy. Further research is warranted to investigate clinical significance and to develop methods that minimize IACI during canine elbow arthroscopy.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095327","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}

引用次数: 0