Veterinary Surgery最新文献_第8页

Closure of a massive truncal defect post sarcoma resection by using the preserved skin from the amputated forelimb in a cat. 用保存完好的猫前肢皮肤修复肉瘤切除后的大面积躯干缺损。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2026-06-18 DOI: 10.1111/vsu.70127

Kirsty A Maskell, Nicholas J Bacon

{"title":"Closure of a massive truncal defect post sarcoma resection by using the preserved skin from the amputated forelimb in a cat.","authors":"Kirsty A Maskell, Nicholas J Bacon","doi":"10.1111/vsu.70127","DOIUrl":"https://doi.org/10.1111/vsu.70127","url":null,"abstract":"Objective: To describe a surgical technique for extensive wound closure following radical excision of a feline injection-site sarcoma (FISS) using skin harvested from an amputated limb, adopting the \"spare parts\" concept from human oncologic surgery.Animal: One cat diagnosed with a feline injection-site sarcoma involving the thoracic limb region.Study design: Case report.Methods: Following diagnosis of a large, infiltrative FISS requiring radical excision and limb amputation, the resected limb was used to harvest viable skin for wound closure. A limb fillet flap technique, adapted from human reconstructive surgery, was used to achieve tension-free closure of the extensive surgical defect without the need for additional donor sites.Results: The wound healed uneventfully, with satisfactory cosmetic and functional outcomes. No major postoperative complications were observed, and the use of filleted limb skin provided adequate coverage of the resection site.Conclusion: Successful adaptation of a limb fillet flap technique from human reconstructive oncology for wound closure following radical FISS excision was achieved. To the authors' knowledge, this approach has not been previously reported in the veterinary literature and represents a practical option for reconstruction of large oncologic defects in cats.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279037","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

Clinical outcomes of laparoscopic hepatectomy using en bloc hilar pedicle control in dogs with hepatic masses. 应用肝门蒂整体控制的腹腔镜肝切除术治疗肝肿物的临床效果。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2026-06-10 DOI: 10.1111/vsu.70124

Ikuya Ehara, Naoyuki Aihara, Yusuke Kimura, Yuki Hayabe, Kiyotaka Hoshi, Ayaka Takagi, Makiko Ichimura, Hiroyuki Nitta

{"title":"Clinical outcomes of laparoscopic hepatectomy using en bloc hilar pedicle control in dogs with hepatic masses.","authors":"Ikuya Ehara, Naoyuki Aihara, Yusuke Kimura, Yuki Hayabe, Kiyotaka Hoshi, Ayaka Takagi, Makiko Ichimura, Hiroyuki Nitta","doi":"10.1111/vsu.70124","DOIUrl":"https://doi.org/10.1111/vsu.70124","url":null,"abstract":"Objective: To describe the surgical techniques and evaluate outcomes of laparoscopic hepatectomy using en bloc hilar pedicle control (EHPC) in dogs with hepatic masses.Study design: Prospective study.Animals: A total of 10 client-owned dogs.Methods: Dogs with hepatic masses not involving the hilar pedicle (portal vein, hepatic artery, and bile duct), hepatic veins at the hilus, and caudal vena cava (CVC) underwent laparoscopic hepatectomy using EHPC. Data on signalment, blood tests, imaging, intraoperative findings, histopathology, and clinical outcomes were collected.Results: Masses were located in the right lateral, right medial, left medial, and left lateral lobes, or the caudate process of the caudate lobe. All dogs completed laparoscopic hepatectomy without conversion to laparotomy. Median operation time was 165 min (range: 90-230 min). Histopathology revealed hepatocellular carcinoma (n = 9) and adenoma (n = 1) and nodular hyperplasia (n = 2). Median hospital stay was 3 days (range: 2-4 days). One dog developed tension pneumothorax from an iatrogenic diaphragmatic injury, and three were diagnosed with bradycardia and hypotension following the Pringle maneuver. Disseminated hepatocellular carcinoma lesions were detected on the greater omentum in one dog 724 days post-surgery. All dogs were discharged.Conclusion: Laparoscopic hepatectomy using EHPC was safely performed in dogs with liver masses, with favorable short- and long-term outcomes.Clinical relevance: Laparoscopic hepatectomy using EHPC is a viable option for dogs with liver masses, provided there is no involvement of the hilar pedicle, hepatic veins at the hilus, and CVC.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148219657","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

Novel dorsal occipito-cervical fixation using a patient-specific implant and drill guide for a complex craniocervical junction anomaly in a dog. 新型枕颈背侧固定采用患者特异性植入物和钻孔导向治疗犬复杂颅颈交界处异常。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2026-06-10 DOI: 10.1111/vsu.70123

Tae-Wan Kwon, Kyu-Won Kang, Ji-Hey Lim, Cheongwoon Cho, Byung-Jae Kang

{"title":"Novel dorsal occipito-cervical fixation using a patient-specific implant and drill guide for a complex craniocervical junction anomaly in a dog.","authors":"Tae-Wan Kwon, Kyu-Won Kang, Ji-Hey Lim, Cheongwoon Cho, Byung-Jae Kang","doi":"10.1111/vsu.70123","DOIUrl":"https://doi.org/10.1111/vsu.70123","url":null,"abstract":"Objective: To describe a novel dorsal occipito-cervical fixation technique utilizing a patient-specific implant to stabilize complex craniocervical junction anomalies (CCJAs) in a small-breed dog.Study design: Case report.Animal: A 7-month-old male Pomeranian dog.Methods: The dog presented with ambulatory tetraparesis and cervical pain. Advanced imaging revealed fusion of the C2-C4 vertebrae, occipital condyle hypoplasia, and atlas ventral arch hypoplasia, resulting in atlanto-occipital dislocation and atlantoaxial instability. A patient-specific dorsal occipito-cervical implant and implant-specific drill guide were designed from computed tomography (CT)-based three-dimensional models to incorporate predefined geometric constraints and planned screw trajectories, enabling controlled intraoperative realignment and dorsal stabilization.Results: Postoperative CT confirmed satisfactory alignment with no evidence of implant migration. Neurologic function improved gradually, with ambulation achieved by two months, and stability was maintained through 33 months of follow-up.Conclusion: This case demonstrated the feasibility of patient-specific dorsal occipito-cervical fixation in a small-breed dog with complex CCJAs.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148219802","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

Impact of ununited plantar eminence of the first phalanx on early racing performance in North American Standardbreds. 第一指骨的足底隆起不统一对北美标准种早期比赛表现的影响。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2026-06-10 DOI: 10.1111/vsu.70121

Zuzanna Graczyk, Phillip Kapraun, Annette M McCoy

{"title":"Impact of ununited plantar eminence of the first phalanx on early racing performance in North American Standardbreds.","authors":"Zuzanna Graczyk, Phillip Kapraun, Annette M McCoy","doi":"10.1111/vsu.70121","DOIUrl":"https://doi.org/10.1111/vsu.70121","url":null,"abstract":"Objective: To determine the prevalence of ununited plantar eminence (UPE) of the first phalanx (P1) in North American Standardbreds and evaluate its association with early racing performance.Study design: Retrospective cohort study with matched sibling controls.Sample population: Imaging records from 1897 yearling Standardbred horses.Methods: Screening images were reviewed for the presence of UPE and other orthopedic abnormalities. Sex, age, sire, gait, and racing performance data were obtained from the United States Trotting Association. Affected horses were compared with unaffected siblings using non-parametric tests for performance outcomes. Within affected horses, regression analyses were used to assess the influence of sex, gait, and concurrent developmental orthopedic disease (DOD) lesions on performance.Results: UPE was identified in 74 of 1898 horses (3.9%). Most affected horses (67.6%) had concurrent DOD lesions, most commonly plantar osteochondral fragments. At two years of age, there were no differences in performance outcomes between groups. As 3-year-olds, affected horses were less likely to start, and had fewer starts and lower earnings than unaffected siblings.Conclusion: UPE of P1 was an uncommon finding frequently associated with other DOD lesions. While 2-year-old racing performance was similar between groups, affected horses showed reduced performance during the three-year-old season.Clinical significance: UPE could have meaningful implications for long-term athleticism in Standardbred racehorses, given the reduced racing performance at 3 years of age in the affected study cohort. However, as UPE is frequently found in combination with other DOD lesions, the clinical relevance of UPE as an isolated lesion is not clear.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148219668","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

Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 cats. 改良经皮膀胱取石术与传统开放式膀胱取石术52例疗效比较。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2026-05-01 Epub Date: 2025-06-16 DOI: 10.1111/vsu.14288

Alexis C Boone, Cassie N Lux, Katherine V Adair, Xiaocun Sun

{"title":"Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 cats.","authors":"Alexis C Boone, Cassie N Lux, Katherine V Adair, Xiaocun Sun","doi":"10.1111/vsu.14288","DOIUrl":"10.1111/vsu.14288","url":null,"abstract":"Objective: To compare short- and long-term clinical variables in cats undergoing a modified percutaneous cystolithotomy (PCCLm) or open cystotomy (OC) and to identify risk factors associated with complications and outcomes within the groups.Study design: Retrospective study.Animals: Fifty-two client-owned cats.Methods: Records were reviewed for cats that underwent PCCLm or OC between December 2010 and August 2023. Signalment, history, diagnostic findings, procedural and anesthetic details, hospitalization data, complications, urolith recurrence, and follow up were recorded. χ2 or Fisher's exact tests and two-sample t-tests were used to evaluate effects of categorical and numerical clinical variables respectively on outcomes within PCCLm and OC groups and between PCCLm and OC groups.Results: A total of 54 procedures were performed, 19 PCCLm (36.5%) and 35 OC (65.5%). Hospitalization duration (p = .031) and incision length (p = .002) were greater in the OC group. Incisional infections were associated with hospitalization duration in the OC group (p = .048). Incomplete urolith removal was associated with increased surgical time (p = .039) when no additional procedures were performed in the OC group. For PCCLm, incomplete urolith removal was associated with lower urinary tract signs within 14 days postoperatively (p = .018), increased incision length (p = .029), anesthesia time (p = .017), and hospitalization duration (p = .027).Conclusion: Modified percutaneous cystolithotomy resulted in shorter incisions and hospitalization duration postoperatively in comparison with OC but no other clear advantages of PCCLm were identified.Clinical significance: The PCCLm procedure is an acceptable alternative to OC for urolith removal in cats.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"693-701"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302971","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

A multiligament, internal brace, coaptationless stifle reconstruction technique for feline stifle luxation. 多韧带、内支架、无关节瓣重建技术治疗猫膝关节脱位。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2026-05-01 Epub Date: 2026-02-27 DOI: 10.1111/vsu.70092

Sebastian C Knell, Philipp A Schmierer, Antonio Pozzi

{"title":"A multiligament, internal brace, coaptationless stifle reconstruction technique for feline stifle luxation.","authors":"Sebastian C Knell, Philipp A Schmierer, Antonio Pozzi","doi":"10.1111/vsu.70092","DOIUrl":"10.1111/vsu.70092","url":null,"abstract":"Objective: To describe a novel, coaptationless surgical technique for the treatment of multiligament stifle injuries (MLSI).Study design: Retrospective case series.Animals: A total of 23 cats presenting with a rupture of two or more ligaments stabilizing the stifle.Methods: Specific surgical techniques were used to reconstruct each deficient ligament. The TightRope procedure was utilized to treat the cranial cruciate ligament and the lateral collateral ligament injuries. Intra-articular reconstruction was adopted for the caudal cruciate ligament. The medial collateral ligament was reconstructed using knotless anchors. Postoperative joint immobilization was not employed in any case. Clinical evaluations were performed up to 6 months postoperatively including the feline musculoskeletal pain index (FMPI).Results: Initial stabilization of MLSI using the described techniques was achieved in all cases. Major complications occurred in six cases: four involved recurrent caudal cruciate ligament instability, and two involved medial patellar luxation. All complications were resolved with revision surgery, except in one case where arthrodesis was required. At follow-up evaluations, lameness ranged from grade 1 to undetectable. FMPI scores ranged from 0.95 to 1.0.Conclusion: The surgical technique described offers an effective approach for managing MLSI in cats without the need for temporary immobilization, provided that all injured ligaments are appropriately reconstructed. Specifically, reconstruction of the caudal cruciate ligament should be performed when deficient, as it may help mitigate the risk of postoperative complications.Clinical significance: This coaptationless technique allows for effective restoration of stifle stability in feline patients, with low complication rates and good clinical outcomes.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"730-743"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318257","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}

引用次数: 0

Evaluation of the rate of residual polystomatic sublingual acinar tissue without tunneling dorsal to the digastricus using a ventral or ventrolateral approach in cats. 猫腹侧或腹侧入路不经双腹肌背侧隧道的舌下多口腺泡残留率的评价。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2026-05-01 Epub Date: 2025-12-15 DOI: 10.1111/vsu.70067

Ronan A Mullins, Irene Marirrodriga Larrocha, Cristina Ortega Jusdado, Ignacio Otero Balda, Pamela A Kelly

{"title":"Evaluation of the rate of residual polystomatic sublingual acinar tissue without tunneling dorsal to the digastricus using a ventral or ventrolateral approach in cats.","authors":"Ronan A Mullins, Irene Marirrodriga Larrocha, Cristina Ortega Jusdado, Ignacio Otero Balda, Pamela A Kelly","doi":"10.1111/vsu.70067","DOIUrl":"10.1111/vsu.70067","url":null,"abstract":"Objective: To evaluate the rate of residual polystomatic sublingual acinar tissue if tunneling dorsal to the digastricus muscle and dissection to the sublingual caruncle is not performed during mandibular-sublingual sialadenectomy in cats.Study design: Cadaveric study.Sample population: A total of 10 feline cadavers.Methods: Mandibular-sublingual sialadenectomy was performed bilaterally in 10 feline cadavers using a ventral or ventrolateral approach in a randomized fashion. Salivary ducts were dissected as far rostral as possible with retraction of the masseter and digastricus muscles until they traveled dorsal to the digastricus muscle, where a ligature was applied. The position of the lingual nerve was identified. Following tunneling, dissection continued rostrally to the sublingual oral mucosa, where ducts were excised. Histology of dissected tissue rostral to the ligature was performed.Results: Histology identified evidence of salivary acinar tissue in 13/19 (68.4%) specimens - 7/10 (70.0%) of specimens obtained with the ventral approach and 6/9 (66.7%) of those obtained with the ventrolateral approach (p > .99). In all cases, the lingual nerve was identified with retraction of the masseter and digastricus muscles without tunneling.Conclusion: Tunneling dorsal to the digastricus muscle exposed additional polystomatic salivary acinar tissue in most cases.Clinical significance: Tunneling dorsal to the digastricus via a ventral or ventrolateral approach may decrease the rate of polystomatic sublingual acinar tissue being left in situ in clinical cases.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"713-719"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757858","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}

引用次数: 0

Effects of proximal femoral fixation method and joint angulation on simulated muscle forces in a canine limb press model. 股骨近端固定方法和关节角度对犬肢体按压模型模拟肌肉力的影响。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2026-05-01 Epub Date: 2026-02-02 DOI: 10.1111/vsu.70080

Glauco V Chaves, James E Miles

{"title":"Effects of proximal femoral fixation method and joint angulation on simulated muscle forces in a canine limb press model.","authors":"Glauco V Chaves, James E Miles","doi":"10.1111/vsu.70080","DOIUrl":"10.1111/vsu.70080","url":null,"abstract":"Objective: To quantify how increasing axial loads, femoral fixation methods (rigid vs. flexion-extension mobility) and joint angles reflecting early versus mid-stance impact simulated quadriceps and gastrocnemius forces.Study design: Non-randomized, cadaveric experimental study.Sample population: Unpaired canine pelvic limbs (n = 10) from adult large-breed dogs.Methods: Limbs were mounted in a custom limb press with the femur sequentially rigidly fixed at 70° to horizontal or allowed flexion-extension. Quadriceps and gastrocnemius muscles were simulated with load cells and turnbuckles. Axial loads of 10%, 20% and 30% bodyweight (BW) were applied. Stifle and hock angles were sequentially fixed to represent mid- (135° and 145°) or early stance (145° and 135°). Outcome measures were BW normalized simulated muscle loads and their ratio. Data were analyzed using non-parametric repeated measures.Results: Quadriceps and gastrocnemius forces increased with axial load (p < .001). Quadriceps force was unaffected by fixation method but showed higher mid-stance values in flexion-extension models at 20% and 30% loads (p = .03). Gastrocnemius force varied by configuration (p = .01) and showed significant load-configuration interactions (p = .003); mid-stance values were lower than early stance in flexion-extension models. Muscle force ratios were consistent across loads (p = .2) but differed by configuration (p = .02), with higher mid-stance values in flexion-extension models.Conclusion: Femoral fixation method and stance configuration had limited impact on simulated muscle forces. Flexion-extension mobility did not substantially increase muscle loading.Impact: Rigid femoral fixation remains a valid approach for canine limb press models.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"828-836"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107352","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

Subsidence of the BFX standard stem after canine total hip replacement: A case series of 177 consecutive procedures. 犬全髋关节置换术后BFX标准柄的下沉：连续177例手术的病例系列。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2026-05-01 Epub Date: 2026-02-09 DOI: 10.1111/vsu.70084

Daniel Low, Rhys Treharne, Scott Rutherford

{"title":"Subsidence of the BFX standard stem after canine total hip replacement: A case series of 177 consecutive procedures.","authors":"Daniel Low, Rhys Treharne, Scott Rutherford","doi":"10.1111/vsu.70084","DOIUrl":"10.1111/vsu.70084","url":null,"abstract":"Objective: To describe postoperative subsidence observed after total hip replacement (THR) with the BFX standard stem.Study design: Retrospective case series.Sample population: A total of 177 THR procedures in 145 dogs.Methods: Clinical and radiographic follow-up data were collected between 12 weeks and six months postoperatively. A proportion correction was used to calculate subsidence between immediate postoperative and follow-up radiographs. Canal flare index, coronal canal fill, sagittal canal fill, coronal stem orientation and sagittal stem orientation were measured.Results: There were 24/177 (13.6%) intra- and postoperative complications. Of these, 11/177 (6.2%) were stem complications. Eight stem complications were intraoperative femoral fissures; one fissure progressed to postoperative femoral fracture. Subsidence was associated with stem complications (p = .005) and was not associated with non-stem complications (p = .76) or prosthetic luxation (p = .07). There were seven stems with more than 5.0 mm of subsidence; of these only 1/7 had a stem complication. There were 26 stems with more than 3.0 mm of subsidence; of these only 3/26 had a stem complication. There was no association between any femoral or stem measurements and subsidence.Conclusion: Subsidence of the BFX standard stem was associated with stem complications, which were mostly intraoperative femoral fissures. Thresholds of 3.0 and 5.0 mm were poorly predictive of complications, and substantial subsidence was often clinically inconsequential.Clinical significance: Cutoffs for excessive subsidence may have limited clinical utility. The significance of postoperative subsidence should be interpreted in the context of other clinical findings.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"763-770"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143535","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}

引用次数: 0

Comparison of canine femoral implant templating for total hip arthroplasty on 25 sets of craniocaudal extended and caudocranial flexed hip radiographs. 犬股假体模板全髋关节置换术在25套颅尾侧和尾侧髋关节屈曲x线片上的比较。

IF 1.3 2区农林科学

Veterinary Surgery Pub Date : 2026-05-01 Epub Date: 2025-12-12 DOI: 10.1111/vsu.70065

Nathan Zab, Daniel A Degner, Charles E DeCamp, Cody Doyle, Sarah Lloyd

{"title":"Comparison of canine femoral implant templating for total hip arthroplasty on 25 sets of craniocaudal extended and caudocranial flexed hip radiographs.","authors":"Nathan Zab, Daniel A Degner, Charles E DeCamp, Cody Doyle, Sarah Lloyd","doi":"10.1111/vsu.70065","DOIUrl":"10.1111/vsu.70065","url":null,"abstract":"Objective: To determine whether radiographic templating of femoral stem size for total hip arthroplasty (THA) using extended and flexed hip radiographs are interchangeable.Study design: Retrospective radiographic study.Sample population: A total of 25 dogs evaluated as THA candidates.Methods: Hip-extended and hip-flexed radiographs were templated for femoral stem implant size by three surgeons. A fourth investigator measured femoral length, canal flare index (CFI), and osteoarthritis scores for each projection and recorded implant size from surgical records. Templated stem sizes from each projection were compared with the implanted stem sizes using Bland-Altman analysis. Descriptive statistics were reported based on data distribution.Results: Templated femoral stem size differed between surgeons (p = .014); the median (IQR) stem size was #9 (8-10) for one surgeon, compared to #8 (7-9) for the other surgeons. Templated stem sizes on extended and flexed radiographs were #8 (7-9) and #9 (7-9), respectively (p < .0001). The mean (SD) CFI in extended and flexed projections were 1.61 (0.21) and 1.89 (0.30), respectively (p < .0001). Implant size was underestimated using the extended projection (mean difference: -0.54) and overestimated using the flexed projection (mean difference: 0.30). Positive proportional bias was present between the extended and flexed projections (slopes: 0.22 and 0.25; p < .003).Conclusion: Neither templating method consistently predicted the clinical femoral stem implant size.Clinical significance: Hip-flexed templating may serve as a practical alternative when extended projections are not possible, though intraoperative assessment remains essential for final implant selection, particularly since measurement bias increased for stems larger than size 9.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"807-815"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145744936","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