Veterinary Surgery最新文献

{"title":"Accuracy of computer-assisted drilling of equine cervical vertebral bodies using a purpose-built cervical frame-An experimental cadaveric study.","authors":"Thimo Maurer, Mathieu de Preux, Christina Precht, Beatriz Vidondo, Christoph Koch","doi":"10.1111/vsu.14271","DOIUrl":"https://doi.org/10.1111/vsu.14271","url":null,"abstract":"<p><strong>Objective: </strong>To assess the accuracy of computer-assisted surgery (CAS) of equine cervical vertebrae using a purpose-built cervical frame (CF) for neck stabilization.</p><p><strong>Study design: </strong>Experimental cadaveric study.</p><p><strong>Sample population: </strong>Six whole fresh equine cadavers.</p><p><strong>Methods: </strong>Cadavers were positioned in dorsal recumbency with the neck extended within the CF. A cone-beam computed tomography (CBCT)-based surgical navigation system with optical tracking was used. A ventral approach exposed cervical vertebrae C3-C5. In each cadaver, 12 drill corridors were prepared with the patient tracker on the CF (position CF), followed by 12 corridors with the patient tracker on C3 (position C3). Surgical accuracy aberration (SAA) was assessed by measuring Euclidean distances between planned and executed entry and target points on merged pre- and postoperative datasets. Descriptive statistics and repeated-measures analyses of variance (rep.-meas. ANOVA) compared SAA measurements between groups.</p><p><strong>Results: </strong>The mean ± SD SAA (Euclidean distance) was 2.00 ± 0.98 mm in patient tracker position CF, and 2.41 ± 1.31 mm in position C3 (rep.-meas. ANOVA p = .215). At the most dorsal point of the drill corridor, dorsoventral deviations >2 mm occurred in 5/72 measurements in patient tracker position CF, and in 12/72 measurements in position C3.</p><p><strong>Conclusion: </strong>The CF allowed for unrestricted pre- and intraoperative CBCT imaging and computer-assisted drilling with a SAA in the close range of 2 mm. Positioning the patient tracker on the CF, outside the surgical field, did not compromise surgical accuracy.</p><p><strong>Clinical significance: </strong>A CF can facilitate CAS for surgeries with a ventral approach to the equine cervical vertebral column.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080781","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":"Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats.","authors":"Joanna McCagherty, Jolinda Pollock, Tom W Maddox, Gavin K Paterson, Jon L Hall","doi":"10.1111/vsu.14266","DOIUrl":"https://doi.org/10.1111/vsu.14266","url":null,"abstract":"<p><strong>Objective: </strong>To determine if a hand-held point of care imaging device would improve the detection of bacteria on the surface of wounds in dogs and cats in postoperative and traumatic wounds.</p><p><strong>Study design: </strong>Clinical prospective study.</p><p><strong>Sample population: </strong>Three cats and 15 dogs.</p><p><strong>Methods: </strong>Wounds were swabbed without and with the point of care wound imaging device (WID). Quantitative bacterial culture (QBC), polymerase chain reaction (PCR) and microbiome analysis were performed to assess for any significant difference in the findings of image-guided and non-guided sampling methods.</p><p><strong>Results: </strong>A total of four feline and 17 canine wounds were evaluated. Bacterial fluorescence was detected in all wounds using the point of care WID. Bacterial infections of wounds in dogs and cats was detected by the fluorescent imaging device. No significant difference was identified between the results of QBC and PCR for image-guided and non-guided wound swabs (p > .05).</p><p><strong>Conclusion: </strong>The WID was able to detect bacteria on the surface of wounds in dogs and cats, accurately confirming the presence of a clinically relevant wound infection at the time of wound evaluation in all wounds but there was no significant difference in the bacterial yield with guided and non-guided swabs.</p><p><strong>Clinical significance: </strong>The WID device was able to confirm the presence of a clinically relevant wound infection in real-time, enabling the clinician to initiate appropriate systemic and/or topical antibacterial treatment immediately. This study provides proof of concept of the point of care WID in dogs and cats upon which further studies can be based.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080783","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":"Prognostic factors for short-term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts.","authors":"Ignacio Otero Balda, Laura E Selmic, Polina Stamenova, Matthew Simpson, Victoria J Lipscomb, Anne Kummeling, Nausikaa Devriendt, Hilde de Rooster, Katarzyna M Grzywa, Michael S Tivers, Guillaume Chanoit, Adrien Maggiar, Jean-Philippe Billet, Román Soto Muñoz, Alberto Oramas, Ameet Singh, Ronan A Mullins","doi":"10.1111/vsu.14267","DOIUrl":"https://doi.org/10.1111/vsu.14267","url":null,"abstract":"<p><strong>Objective: </strong>To report 30-day survival of cats that experienced postattenuation neurologic signs (PANS) after surgical attenuation of a single congenital portosystemic shunt (cPSS), and to investigate prognostic factors for short-term survival.</p><p><strong>Study design: </strong>Multi-institutional retrospective study.</p><p><strong>Sample population: </strong>A total of 59 cats with cPSS that experienced PANS.</p><p><strong>Methods: </strong>The medical records of 10 institutions were retrospectively reviewed to identify cats that underwent cPSS attenuation from January 1, 2010 through June 30, 2023 and developed PANS within 7 days postoperatively. Exclusion criteria were cats with arteriovenous malformation and cats lost-to-follow-up prior to 30 days. Logistic regression identified factors associated with 30-day survival. Odds Ratios (OR) and 95% CIs were calculated.</p><p><strong>Results: </strong>A total of 46 (78.0%) PANS-affected cats survived to 30 days. A total of 13 (50.0%) of 26 cats that experienced postattenuation seizures (PAS) survived to 30 days, with most non-surviving cats experiencing generalized PAS. Cats that experienced PAS (p < .01, OR: 0.015, 95% CI: <0.001-0.281) and treatment of PANS with propofol (p < .01, OR: 0.112, 95% CI: 0.022-0.569) were associated with decreased odds of 30-day survival.</p><p><strong>Conclusion: </strong>Most cats that experienced PANS survived to 30 days; however, short-term survival rate was worse for cats that experienced PAS.</p><p><strong>Clinical significance: </strong>The prognosis for cats that experience PANS is generally good but experiencing PAS and requiring treatment with propofol are negative prognostic factors.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034966","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":"Effect of a ventral midline colopexy on large colon volvulus recurrence and days to next live foal in Thoroughbred broodmares.","authors":"Alexandra S Warren, Laura A Werner, Lori A Thombs, Dwayne H Rodgerson, Michael A Spirito, Cole B Sandow, Megan J McCracken","doi":"10.1111/vsu.14269","DOIUrl":"https://doi.org/10.1111/vsu.14269","url":null,"abstract":"<p><strong>Objective: </strong>To report the impact of ventral midline colopexy on colic, recurrence of large colon volvulus (LCV) and time to next live foal.</p><p><strong>Study design: </strong>Retrospective case control study.</p><p><strong>Animals: </strong>A total of 188 Thoroughbred broodmares surgically treated for LCV (2016-2020).</p><p><strong>Methods: </strong>Horses treated for LCV were grouped based on whether they received a colopexy (CP) or did not (NCP). All broodmares that underwent a second LCV surgery were subsequently categorized into two groups: those that received a colopexy (RCP) and those that did not (NRCP). Differences in the number of horses with large colon compromise, postoperative complications, days until discharge, survival, re-presentation for colic, LCV recurrence and days to next live foal were compared between the CP and NCP groups and between the RCP and NRCP groups.</p><p><strong>Results: </strong>The OR for re-presenting for colic when a colopexy was not performed was 3.13 (95% CI: 1.03-9.48, p-value .046) and 9.74 (95% CI: 1.28-74.90, p-value .0054) for recurrent LCV compared to when a colopexy was performed at the initial surgery. At the subsequent surgery, the OR for re-presentation for colic when a colopexy was not performed was 7.0 (95% CI: 1.23-39.78, p-value .034) and 14.0 (95% CI: 1.52-129.22, p-value .009) for recurrent LCV. Days to next live foal was not significantly different between groups.</p><p><strong>Conclusion: </strong>Ventral midline colopexy reduced the risk of repeat LCV and colic with no effect on foaling.</p><p><strong>Clinical significance: </strong>These results support the use of the ventral midline colopexy in broodmares. Further research is needed on effects on foaling.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050561","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":"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":"694-704"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063712/pdf/","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":"OA","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":"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":"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}