Veterinary Surgery最新文献

{"title":"Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technology: Results in six clinical cases (5 dogs).","authors":"Riccarda Schuenemann, Sabine Strauss","doi":"10.1111/vsu.14244","DOIUrl":"10.1111/vsu.14244","url":null,"abstract":"<p><strong>Objectives: </strong>To report biceps tenodesis with a bioabsorbable bone anchor in working or sporting dogs with biceps tendon pathology.</p><p><strong>Animals: </strong>Five working or sporting dogs with six cases of biceps tendon pathology.</p><p><strong>Study design: </strong>Retrospective clinical case series.</p><p><strong>Methods: </strong>Three dogs had chronic partial biceps tendon ruptures with inflammation and two dogs (three cases) had biceps tendon luxation with fraying of the biceps tendon as diagnosed with ultrasound, computed tomography (CT) and/or arthroscopy. All were treated with biceps tenodesis with a bioabsorbable bone anchor inserted by BoneWelding technology. Mid- to long-term outcomes were assessed with lameness examination, CT examination, and a validated owner questionnaire (LOAD score).</p><p><strong>Results: </strong>All dogs were free of lameness within 1 to 5 weeks and returned to working or sports. CT assessment confirmed mid- to long-term integrity of the tenodesis.</p><p><strong>Conclusion: </strong>In this retrospective case series with a small number of dogs, biceps tenodesis using a bioabsorbable bone anchor resulted in rapid restoration of full function in dogs with biceps tendon pathologies. It may be a valuable treatment option for dogs intended for working or sports. The bioabsorbable bone anchor made tenodesis easy and durable with a minimal risk of implant related complications. Larger prospective case series comparing tenodesis and tenotomy are recommended.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"799-806"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606446","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":"Short-term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs.","authors":"Jake W Chitty, Callum A T Sharp, Daniel Low, Thomas Chapman, David Singleton, Andrew Murdoch, Paul Aldridge","doi":"10.1111/vsu.14221","DOIUrl":"10.1111/vsu.14221","url":null,"abstract":"<p><strong>Objective: </strong>To determine the influence of fixation method (internal vs. external) on short-term postoperative complications of closed diaphyseal tibial fractures in skeletally immature dogs.</p><p><strong>Study design: </strong>Retrospective observational multicenter study.</p><p><strong>Animal population: </strong>Skeletally immature dogs stabilized with internal fixation (IF) via plate osteosynthesis (n = 59) and external skeletal fixation (ESF) (n = 36).</p><p><strong>Methods: </strong>Medical records from skeletally immature dogs with closed tibial diaphyseal fractures were reviewed. Data collected included signalment, fracture morphology, etiology, fixation technique, surgeon status, complications, time to discharge and time to final discharge.</p><p><strong>Results: </strong>The total complication rate for IF was lower at 20.3% (p < .001, CI: 11.0-32.8) compared to ESF at 55.6% (CI: 38.1-72.1). A total of 95% of complications were considered major for external fixation versus 75% for internal fixation. Multivariable analysis revealed decreased odds of a postoperative short-term complication when a closed tibial diaphyseal fracture was stabilized with IF compared to ESF (p = .004, OR: 0.2, CI: 0.09-0.63). The median time to final discharge for ESF was 4 weeks (range: 2-13) and for IF was 6 weeks (range: 4-32) (p = .01).</p><p><strong>Conclusion: </strong>ESF had a higher rate of short-term complications than IF, primarily due to pin-tract morbidity. The complication rate was 35.3% higher for ESF than for IF.</p><p><strong>Clinical significance: </strong>Surgeons should consider the use of IF over ESF for skeletally immature dogs to reduce the risk of major complications.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"731-743"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365079","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":"Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases.","authors":"Patrick J Rocheleau, Sarah D Bird, Alex Robson, Kali A Holz","doi":"10.1111/vsu.14239","DOIUrl":"10.1111/vsu.14239","url":null,"abstract":"<p><strong>Objective: </strong>To describe the technique and long-term outcomes in a group of eight dogs undergoing arthroscopic debridement with implant retention or subsequent revision surgery for total hip replacement (THR) infection.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Methods: </strong>Dogs underwent a THR procedure and subsequently developed signs consistent with a periprosthetic joint infection (PJI). Two groups of subjects were identified: those where the procedure had curative intent to resolve the infection with retention of implants (CI group) and those where the procedure was diagnostic in nature but also may have included various debulking procedures (NCI group). Dogs underwent an arthroscopic procedure that included sample collection, partial synovectomy, high volume lavage and other antimicrobial therapies.</p><p><strong>Results: </strong>Five dogs were treated in the CI group, four of which had no recurrence of infection during the reporting period. In the NCI group, three dogs underwent arthroscopic debridement and debulking procedures prior to planned revision surgeries. Arthroscopically obtained samples produced positive cultures in four of five dogs in the CI group and one of three dogs in the NCI group. Arthroscopic treatment of PJIs was associated with a successful outcome in seven of eight dogs in this case series.</p><p><strong>Conclusion: </strong>Arthroscopic treatment of PJIs was successful in four of five cases (80%) of dogs in the CI group, which is consistent with that reported in humans. Arthroscopic sampling for bacteria culture had good sensitivity for type 1 PJIs and poor sensitivity for type 2 PJIs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"705-713"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543544","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":"Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs.","authors":"Yael Huerta, William T N Culp, Giacomo Gianotti, Nimar Gill, Darko Stefanovski, Maureen A Griffin","doi":"10.1111/vsu.14207","DOIUrl":"10.1111/vsu.14207","url":null,"abstract":"<p><strong>Objective: </strong>To compare leakage pressures of stapled partial and total lung lobectomies using thoracoabdominal (TA) staplers in canine cadaveric specimens.</p><p><strong>Study design: </strong>Ex vivo experimental study.</p><p><strong>Sample population: </strong>A total of 29 lung lobes from six canine cadavers.</p><p><strong>Methods: </strong>Lower respiratory tracts were harvested from canine cadavers >15 kg. Lung lobes were randomized to groups: total lobectomy with a TA30-V3 (TL-30), partial lobectomy with two TA30-V3 cartridges in a wedge configuration (PL-30), and partial lobectomy with a TA60-3.5 mm (PL-60). The leakage pressure (pressure at which air bubbles were first seen from submerged tissue) was assessed, and groups were compared.</p><p><strong>Results: </strong>All nine PL-30 and all nine PL-60 sites leaked at median pressures of 10 cm H₂O (range 10-15) and 18 cm H₂O (range 10-20), respectively. Only 1/11 TL-30 site leaked during testing at a pressure of 22 cm H₂O. PL-30 and PL-60 sites were more likely to leak at 20 (OR: 437; 95% CI: 7.9-24 171; p = .003) and 30 (OR: 133; 95% CI: 4.8-3674.2; p = .003) cm H₂O compared to TL-30 sites, and the leakage pressure was greater for TL-30 as compared to PL-30 (marginal effect: -46.14; 95% CI: -55.9 to -36.38; p < .001) and PL-60 (marginal effect: -41.2; 95% CI: -51.73 to -30.67; p < .001) sites. PL-60 leakage pressures were greater than those of PL-30 (marginal effect: 4.94; 95% CI: 1.43-8.44; p = .006).</p><p><strong>Conclusion: </strong>In canine cadaveric lung, total lobectomies with a TA30-V3 were less likely to leak at physiological pressures than partial lobectomies with either TA30-V3 or TA60-3.5 mm staplers.</p><p><strong>Clinical significance: </strong>These results suggest a greater potential risk for air leakage at physiologically relevant pressures following partial as compared to total lobectomies with the TA stapling devices and techniques used commonly in veterinary surgery.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"724-730"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450366","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":"Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017-2022).","authors":"XiaoXiao J Lederer, Daniel D Lewis, Richard B Evans, Matthew D Johnson, Stanley E Kim","doi":"10.1111/vsu.14232","DOIUrl":"10.1111/vsu.14232","url":null,"abstract":"<p><strong>Objective: </strong>To investigate differences in outcome measures between radius and ulna fractures stabilized with minimally invasive plate osteosynthesis (MIPO) or open reduction and plate stabilization (ORPS) and to determine if certain preoperative factors such as the dog's age and weight, fracture morphology, or the attending surgeon influenced which application method was employed.</p><p><strong>Study design: </strong>Retrospective clinical outcome study.</p><p><strong>Sample population: </strong>Dogs undergoing plate stabilization of antebrachial fractures.</p><p><strong>Methods: </strong>Medical records and radiographs of dogs that underwent MIPO or ORPS of unilateral antebrachial fractures were reviewed. Signalment, fracture characteristics, attending surgeon, implant type, postoperative radial alignment and length, time to clinical union, and explant, were compared between application groups.</p><p><strong>Results: </strong>One hundred and five dogs (73 ORPS; 32 MIPO) were included. The proximal extent of the fracture (p = .004) and the attending surgeon (p < .001) were identified as factors influencing the decision to perform MIPO or ORPS. Median surgical time was 85 (ORPS) and 130 (MIPO) min (p < .001). The discrepancy between contralateral and postoperative radial frontal plane alignment (p = .047), sagittal plane alignment (p = .771), and radial length (p = .183) did not differ between application groups. Three (4.1%) fractures in the ORPS group and eight (25%) in the MIPO group underwent explant (p = .003). There was also an association between open (p < .001) or comminuted (p = .007) fractures and explant of the plate and screws.</p><p><strong>Conclusion: </strong>The results do not corroborate several of the purported advantages ascribed to MIPO.</p><p><strong>Clinical relevance: </strong>The authors would advocate that additional, well-designed, prospective clinical studies comparing MIPO to ORPS are warranted.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"714-723"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516766","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":"Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion.","authors":"Daniel Low, Sophie Stables, Laura Kondrotaite, Ben Garland, Scott Rutherford","doi":"10.1111/vsu.14250","DOIUrl":"10.1111/vsu.14250","url":null,"abstract":"<p><strong>Objective: </strong>To develop and compare machine-learning algorithms to predict recovery of ambulation after decompressive surgery for acute intervertebral disc extrusion (IVDE).</p><p><strong>Study design: </strong>Multicenter retrospective cohort study.</p><p><strong>Sample population: </strong>Deep-pain-negative dogs with acute IVDE (n = 162).</p><p><strong>Methods: </strong>Clinical variables were preprocessed for machine learning and split into independent training and test sets in an 80:20 ratio. Each model was trained and internally validated on the full test set (Test_full) and the XGBoost algorithm validated on the same test set with preoperative variables withheld (Test_wh).</p><p><strong>Results: </strong>Recovery of ambulation was recorded in 86/162 dogs (53.1%) in this sample population after decompressive surgery. The XGBoost algorithm achieved the best performance with an area under the receiver operating characteristic curve (AUC) of .9502 (95% CI: .8919-.9901), an accuracy of .8906 (95% CI: .8125-.9531), a sensitivity of .8750, and a specificity of .9063 on Test_full. XGBoost performance on Test_wh was decreased, with an AUC of .8271 (95% CI: .7186-.9209), an accuracy of .7187 (95% CI: .6093-.8281), a sensitivity of .5625, and a specificity of .8750.</p><p><strong>Conclusion: </strong>Machine-learning algorithms may predict outcomes accurately in deep-pain-negative dogs with IVDE after decompressive surgery. The XGBoost algorithm performed best on tabular data from this veterinary population undergoing spinal surgery.</p><p><strong>Clinical significance: </strong>Machine-learning algorithms outperform current methods of prognostication. Pending external validation, machine-learning algorithms may be useful as assistive tools for surgical decision making.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"665-674"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A combination of pre- and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study.","authors":"Maureen A Griffin, Deanna R Worley, Brian K Flesner, Jennifer Reetz, David E Holt, Amy Durham, Nimar Gill, JoAnne Winget, Wilfried Mai","doi":"10.1111/vsu.14242","DOIUrl":"10.1111/vsu.14242","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to develop and describe pre- and intra-operative sentinel lymph node (SLN) mapping techniques in dogs with thyroid carcinoma.</p><p><strong>Study design: </strong>A prospective, pilot clinical trial was performed.</p><p><strong>Animals: </strong>Six client-owned dogs with unilateral thyroid carcinoma and no overtly metastatic locoregional lymph nodes (LNs) were enrolled.</p><p><strong>Methods: </strong>All dogs underwent preoperative indirect computed tomography (CT)-lymphography (CTL) with peritumoral iohexol injection and intraoperative SLN mapping with peritumoral injection of a visible dye (methylene blue [MB]) and near-infrared (NIR) fluorescent dye (indocyanine green [ICG]). Subsequent LN extirpation and routine thyroidectomy were performed. All excised tissues were evaluated histologically.</p><p><strong>Results: </strong>Pre- and intra-operative SLN mapping identified at least one SLN in all dogs. A median of one SLN (range, 1-2) was identified on both CTL and intraoperative SLN mapping. Identified SLNs included medial retropharyngeal, cranial deep cervical, and superficial cervical LNs. Variability between pre- and intra-operative SLN findings occurred in 3/6 dogs. A median of two LNs (range, 1-3) were extirpated for each dog. Metastatic carcinoma was diagnosed in extirpated LNs in 2/6 dogs and 3/12 extirpated LNs.</p><p><strong>Conclusion: </strong>In this pilot study, preoperative CTL and intraoperative MB and ICG/NIR allowed for identification of SLNs in dogs with thyroid carcinoma.</p><p><strong>Clinical significance: </strong>Sentinel lymph nodes were identified and extirpated using the described techniques, with nodal metastasis identified in a subset of these dogs due to SLN mapping. Large-scale, powered studies are needed to accurately determine the incidence and prognostic significance of nodal metastasis identified by SLN mapping and extirpation in dogs with thyroid carcinoma.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"788-798"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625967","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":"Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model.","authors":"Peter J Welsh, Adam M Nylund, Peter J Gilbert, Nick A Smith, Lloyd V Smith","doi":"10.1111/vsu.14206","DOIUrl":"10.1111/vsu.14206","url":null,"abstract":"<p><strong>Objective: </strong>To compare unilaterally plated (UP) constructs and orthogonally plated (OP) constructs of differing sizes (3.5 mm + 2.0 mm locking plates [OP2.0], 3.5 mm + 2.4 mm locking plates [OP2.4] and 3.5 mm + 3.0 mm locking plates [OP3.0]) under cyclic and static axial compression load to failure testing using a fracture gap model.</p><p><strong>Study design: </strong>In vitro experimental biomechanical study.</p><p><strong>Sample population: </strong>Acetal homopolymer (Delrin) rods stabilized with locking plates and screws (Arthrex OrthoLine).</p><p><strong>Methods: </strong>One of four stabilization techniques (UP, OP2.0, OP2.4, OP3.0) was applied to rods with a fixed fracture gap. Constructs were fatigue tested under axial compression (90,000 cycles; 4-196 N) followed by static load to failure. Cyclic displacement was evaluated after the first, middle, and last 100 cycles. Stiffness and strength were analyzed during static axial compression load to failure.</p><p><strong>Results: </strong>During cyclic testing, UP experienced 3.5, 3.8, and 4.1 times the gap strain of OP2.0, OP2.4, and OP3.0, respectively (p < 0.0075). Fatigue and construct design had significant effects on displacement (p < .0001). OP2.0, OP2.4, and OP3.0 demonstrated 2.5, 3.0, and 4.1 times the strength and 3.0, 3.6, and 4.2 times the stiffness of UP, respectively (p < .0002).</p><p><strong>Conclusion: </strong>In the present in vitro fracture gap model, OP constructs were stronger and stiffer than UP under dynamic and static axial compression, and OP stiffness increased with increasing implant size.</p><p><strong>Clinical significance: </strong>The results of this study demonstrate objective biomechanical advantages of OP compared to UP. Based on these results, orthogonal plating can be considered when increased fixation strength and stiffness are warranted.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"757-765"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459866","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":"Correction to \"Fundamental principles of rehabilitation and musculoskeletal tissue healing\".","authors":"","doi":"10.1111/vsu.14253","DOIUrl":"10.1111/vsu.14253","url":null,"abstract":"","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"647"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658860","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":"Synovial fluid parameters following acute articular fracture in the horse.","authors":"Silas J Mason, Henry D O'Neill, Bruce M Bladon","doi":"10.1111/vsu.14243","DOIUrl":"10.1111/vsu.14243","url":null,"abstract":"<p><strong>Objective: </strong>The objective was to investigate synovial sample appearance, total nucleated cell count (TNCC), total protein concentration (TP), and neutrophil percentage in horses with acute articular fractures to aid decision making in acutely lame horses.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Sample population: </strong>Synovial fluid samples (n = 55).</p><p><strong>Methods: </strong>Synovial fluid records were analyzed over an 11 year period from horses undergoing lag screw fixation or arthroscopic fragment removal of intra-articular fractures within 48 h of occurrence. Horses were excluded when presented with wounds close to the joint or when treatment was delayed by 48 h or more. The TNCC was compared between two groups according to time from occurrence (<8 and >8 h).</p><p><strong>Results: </strong>A total of 54 horses met inclusion criteria yielding 55 synovial samples obtained from either the metacarpo/tarsophalangeal (n = 49) or intercarpal joints (n = 6). The median TNCC for all samples was 20.6 × 10⁹/L (range 0.1-76.1 × 10⁹/L). The TNCC was greater than 30 × 10⁹/L in 17 cases (30.9%). The highest median TNCC was recorded in the earlier group (<8 h). The median TP concentration was 40 g/L (n = 48, range 4-76 g/L) and median neutrophil percentage was 83.0% (n = 27, range 0% to 93%). No differences were observed in samples from different joints or different fracture configurations. Hemarthrosis was present in 94.6% of cases where gross appearance was described (n = 35).</p><p><strong>Conclusion: </strong>Acute intra-articular fracture in the horse had the potential to elevate synovial fluid parameters above values considered diagnostic for septic arthritis. Limitations of this study include the small sample size and the absence of serial samples to assess temporal variations.</p><p><strong>Clinical significance: </strong>The findings demonstrate that there can be overlap in synovial fluid parameters between cases of acute intra-articular fracture and septic arthritis.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"751-756"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658863","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}