Veterinary Surgery最新文献

{"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":"10.1111/vsu.14270","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>A total of 180 dogs undergoing BOAS surgery: 94 dogs undergoing modified multilevel surgery (non-PC); 86 additionally undergoing cuneiformectomy (PC).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p><p><strong>Clinical significance: </strong>Cuneiformectomy represents a safe and effective adjunctive technique to manage higher grade laryngeal collapse in dogs with BOAS.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1043-1052"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344220/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Near-infrared fluorescence-guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023-2025).","authors":"Serena Monti, Fausto Brandao, Dario Drudi, Constantin V Ifteme, Bart Van Goethem, Paolo Sommaruga, Federico Massari","doi":"10.1111/vsu.14289","DOIUrl":"10.1111/vsu.14289","url":null,"abstract":"<p><strong>Objective: </strong>To describe laparoscopic extirpation of iliosacral lymph nodes (ISLNs) in tumor-bearing dogs using near-infrared fluorescence (NIRF) guidance with indocyanine green (ICG), detailing the surgical technique and complications.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animal population: </strong>A total of 18 client-owned dogs.</p><p><strong>Methods: </strong>Medical records of dogs that underwent laparoscopic ISLN excision with NIRF-ICG guidance between July 2023 and January 2025 were reviewed. Collected data included tumor location and histotype, sentinel lymph node (SLN) identified on preoperative computed tomography (CT) lymphangiography, and number, size, and metastatic status of the excised ISLNs. Complications were classified as intra- or postoperative and graded using a modified Clavien-Dindo system.</p><p><strong>Results: </strong>A total of 25 ISLNs were laparoscopically excised: 18 medial iliac, three internal iliac, and four sacral. All patients were positioned in lateral recumbency, and resected ISLNs were ipsilateral to the primary tumor and laparoscopic ports. Median laparoscopic dissection time was 12 min. Histopathology confirmed metastasis in 12/25 ISLN. Median size of the excised ISLN was 5 × 6 mm. Two dogs (11.1%) required conversion to open surgery: one due to LN capsular disruption and dye spread, and one due to a lack of ICG uptake. No postoperative complications were documented.</p><p><strong>Conclusion: </strong>Laparoscopic ISLN removal under NIRF-ICG using a standardized lateral recumbency approach is feasible and enables access to unilateral ISLN. Intraoperative fluorescence facilitates precise localization of target nodes, especially those of normal size or mildly enlarged, minimizing dissection-related damage.</p><p><strong>Clinical relevance: </strong>This technique supports accurate staging of various neoplasms in dogs. Further studies are warranted to refine indications and patient selection.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1185-1195"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258980","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":"Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips.","authors":"YoungJin Jeon, Jaemin Jeong, Aldo Vezzoni, Haebeom Lee","doi":"10.1111/vsu.14257","DOIUrl":"10.1111/vsu.14257","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the surgical technique and clinical outcomes of distal femoral shortening osteotomy (DFSO) to facilitate prosthesis reduction in dogs with irreducible luxoid hips undergoing total hip replacement (THR).</p><p><strong>Animals: </strong>Four client-owned dogs with luxoid hips.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Methods: </strong>Standard THR was performed to alleviate pain and restore limb function. After confirming the prostheses were non-reducible, DFSO was performed as a novel tension-relieving technique at a level that allowed internal fixation. The shortening length was determined by the intraoperative tension required to reduce and maintain the prosthesis. Data from medical records were collected, including signalment, clinical signs, implant used, shortening length, and outcomes.</p><p><strong>Results: </strong>Following DFSO, prosthesis reduction was successful in all dogs. The median femoral shortening length ratio was 13.8% (range, 10.7%-15.3%). One intraoperative complication involved a fissure of the greater trochanter, which occurred during trial reduction before DFSO. Median duration of follow-up was 21 months (range, 3-34 months). Two dogs showed good to excellent limb function. Bone union was consistently achieved in all DFSO procedures. Two postoperative complications were observed: one case of prosthesis luxation and one case of aseptic stem loosening. The owner declined revision surgery for luxation, and explantation was performed for the stem loosening.</p><p><strong>Conclusion: </strong>DFSO could effectively manage irreducible prostheses in dogs with luxoid hips when conventional methods fail. However, careful case selection and meticulous surgical planning were essential to avoid complications.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1239-1248"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754767","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":"Overground endoscopic examination following laryngeal tie-forward in horses with dorsal displacement of the soft palate.","authors":"Timothy P Barnett, Victoria A Colgate, Natalie Robinson, Lewis C R Smith, Lorraine Palmer, Safia Z Barakzai","doi":"10.1111/vsu.14245","DOIUrl":"10.1111/vsu.14245","url":null,"abstract":"<p><strong>Objectives: </strong>To compare overground endoscopy (OGE) findings and racing performance in horses before and after laryngeal tie-forward (LTF) surgery for the treatment of intermittent dorsal displacement of the soft palate (iDDSP).</p><p><strong>Study design: </strong>Retrospective case series with follow up.</p><p><strong>Animals: </strong>A total of 56 horses met the inclusion criteria.</p><p><strong>Methods: </strong>Clinical record review of all horses definitively diagnosed with iDDSP, treated with LTF surgery, and evaluated with a single OGE examination postoperatively. In addition to LTF, some horses underwent bilateral aryepiglottic fold resection (AEFR) and/or soft palate thermocautery (SPTC). Overground endoscopy findings and racing performance metrics were compared preoperatively and postoperatively.</p><p><strong>Results: </strong>There was a 75% reduction (p < .001, 95% CI: 64% to 86%) in the presence of iDDSP and a 23% reduction (p = .002, 95% CI: 10% to 36%) in the presence of palatal instability (PI) on OGE after LTF. Soft palate thermocautery was performed concurrently with LTF in 16 horses but they showed no additional reduction in prevalence of iDDSP after surgery. There was a 22% increase (p = .01, 95% CI: 5% to 38%) in the number of horses that raced and an 18% increase (p = .05, 95% CI: 1% to 35%) in those that were placed postsurgery. Horses reported to have suspected upper airway impairment postoperatively had higher odds of iDDSP on repeat OGE (OR: 11, 95% CI: 2-55).</p><p><strong>Conclusion: </strong>Seventy five percent of horses undergoing LTF had no evidence of iDDSP on postoperative OGE, and SPTC did not reduce the incidence further. Horses with reported suspected upper airway impairment postoperatively were more likely to have continued iDDSP.</p><p><strong>Clinical significance: </strong>Laryngeal tie-forward surgery is a successful treatment option for iDDSP in horses. Soft palate thermocautery does not appear to offer additional benefits. Reports of suspected ongoing upper airway impairment would warrant repeat OGE.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1053-1061"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650935","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":"Femoral cortical thickness index in a population of dogs undergoing total hip replacement.","authors":"Charlotte B Pfund, Kirk L Wendelburg","doi":"10.1111/vsu.14275","DOIUrl":"10.1111/vsu.14275","url":null,"abstract":"<p><strong>Objective: </strong>To establish a femoral cortical thickness index (CTI) for dogs undergoing total hip replacement (THR), determine the reproducibility of the established CTI measurements, and assess the efficacy of CTI as a preoperative variable in the femoral fracture/fissure occurrence in dogs undergoing THR.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>A total of 224 dogs with THR.</p><p><strong>Methods: </strong>Medical records for dogs undergoing THR were reviewed retrospectively, analyzing only the first side in dogs with bilateral THR. Three measuring points were defined on preoperative mediolateral radiographs: immediately distal to the lesser trochanter, one-quarter-, and midway down the femur. The CTI was calculated from the mean cortical and femoral diaphyseal diameters at the established locations. A total of 10 dogs with varying CTI scores were selected for interobserver comparisons and pre-/ postoperative analyses. The relationship between CTI and perioperative fissure/fracture risk was then evaluated.</p><p><strong>Results: </strong>Interobserver and pre-/ postoperative measurement comparisons showed near-perfect correlation. Analysis of 224 dogs revealed a significant association between lower CTI and incidence of perioperative fractures (p < .0001). The mean CTI for all dogs was 0.285, while it was statistically lower at 0.246 for dogs that sustained fissures/fractures. No other statistically significant risk factors were identified.</p><p><strong>Conclusion: </strong>This study quantitatively assessed femoral cortical thickness in dogs undergoing THR. The findings confirmed that lower CTI is a repeatable and accurate predisposing factor for perioperative fissure/fracture risk in canine THR.</p><p><strong>Clinical significance: </strong>Factoring CTI into the clinical decision making may minimize fracture risk, especially in dogs with other possible risk factors such as abnormal BCS.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1145-1156"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267343","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":"Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs.","authors":"Kevin A de Moya, Christopher M Gauthier, Robert M Radasch, Dan D Lewis, Stanley Kim, Ross H Palmer, Jason Bleedorn","doi":"10.1111/vsu.14214","DOIUrl":"10.1111/vsu.14214","url":null,"abstract":"<p><strong>Objective: </strong>To report clinical outcomes of skeletally immature dogs with antebrachial deformities secondary to premature closure of the distal radial physis (PCDRP) treated with angular corrections and distraction osteogenesis using circular external skeletal fixation (CESF).</p><p><strong>Study design: </strong>Retrospective multi-institutional case series.</p><p><strong>Animals: </strong>A total of 12 client-owned dogs with premature distal radial physeal closure.</p><p><strong>Methods: </strong>Medical records from four hospitals between 2009 and 2022 were reviewed. Preoperative and final radiographic measurements of limb alignment and osteoarthritis were compared. Long-term outcomes were obtained using an owner questionnaire.</p><p><strong>Results: </strong>Mean ± SD age and bodyweight were 7.5 ± 1.7 months and 12.8 ± 11.1 kg. Distal radial corrective osteotomies and distraction osteogenesis were performed in all dogs. Mean ± SD time between surgery and fixator removal was 78 ± 20 days. Uncomplicated osseous union was documented in 9/12 dogs. Final mean affected limb anatomic lateral distal radial angle (aLDRA) of 85.6° was higher than preoperative values 71.6° and within reported normal ranges. A total of 10 of 12 dogs had mild non-progressive elbow osteoarthritis at final follow up, including two dogs with mild residual elbow incongruity. Major complications occurred in two dogs and included permanent carpal flexor contracture and radial fracture through a pin tract. Minor complications including persistent loss of carpal extension, radioulnar synostosis, and pin tract drainage occurred in 10/12 dogs. Owner questionnaires were obtained from 8/12 dogs and all reported good to excellent function.</p><p><strong>Conclusion: </strong>Angular correction and lengthening using CESF can achieve target alignment and improved clinical function with moderate complications in growing dogs with PCDRP.</p><p><strong>Clinical significance: </strong>Distraction osteogenesis and angular corrections can be considered as a treatment option for PCDRP in skeletally immature dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1073-1083"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"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":"10.1111/vsu.14274","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Study design: </strong>A retrospective case series.</p><p><strong>Animals: </strong>Cats undergoing hybrid THR between 2020 and 2023.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p><p><strong>Clinical significance: </strong>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.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1122-1132"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344218/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of intramedullary pinning and recombinant human bone morphogenetic protein-2 on postoperative complications after proximal ulnar osteotomy in dogs.","authors":"Alan Danielski, Holly A Wilson, Miguel A Solano","doi":"10.1111/vsu.14260","DOIUrl":"10.1111/vsu.14260","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the complication rate following proximal ulnar osteotomy (PUO) performed in conjunction with the use of an intramedullary pin and bone morphogenetic proteins in dogs, and to assess the impact of these variables on surgical outcomes.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Sample population: </strong>A total of 93 limbs (74 dogs).</p><p><strong>Methods: </strong>Medical records and radiographs of dogs that underwent oblique PUO with intramedullary pin and recombinant human bone morphogenetic protein-2 (rhBMP-2) application between January 2022 and June 2024 were reviewed. Data collected included breed, age, weight, surgical indication, and postoperative complications, classified as minor or major. Radiographic assessments were performed to evaluate bone healing 6 weeks after surgery.</p><p><strong>Results: </strong>Follow-up examination and radiographs were performed in all cases at a mean time of 6 ± 1.1 weeks after surgery. The overall complication rate was 7.4%, with major complications, primarily surgical site infections (4 out of 5 cases), occurring in five of 93 limbs (5.3%). Minor complications, including seroma and delayed union, were observed in two of 93 limbs (2.1%). No cases of non-union were documented, with 92/93 limbs achieving radiographic healing within the expected timeframe. A total of 48 (64.8%) of the dogs treated were chondrodystrophic breeds, historically considered at high risk of complications.</p><p><strong>Conclusion: </strong>The combined use of an intramedullary pin and rhBMP-2 was associated with low complication rates and enhanced bone healing, even in chondrodystrophic breeds.</p><p><strong>Clinical significance: </strong>This study supports the use of an intramedullary pin and rhBMP-2 in PUO as a safe and effective strategy to minimize complications, including in high-risk breeds.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1094-1100"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042587","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":"Efficacy of needle and endoscopic lavage on the recuperation of microspheres from the adult equine metacarpo-/metatarsophalangeal joint and digital flexor tendon sheath.","authors":"Christopher P Beggan, Luca Panizzi, Laurinda J Oliver","doi":"10.1111/vsu.14298","DOIUrl":"10.1111/vsu.14298","url":null,"abstract":"<p><strong>Objectives: </strong>To measure microsphere recovery following needle-through-and-through lavage (NTAT) of the metacarpo-/metatarsophalangeal joint (fetlock) and digital flexor tendon sheath (DFTS) compared to endoscopic lavage (EL).</p><p><strong>Study design: </strong>Ex vivo experimental study.</p><p><strong>Animals: </strong>Adult equine cadavers immediately following euthanasia (n = 10).</p><p><strong>Methods: </strong>Colored 15 μm microspheres (2 million) were injected into fetlock joints and DFTS. Synovial structures were assigned to NTAT or EL groups. Each lavage was performed using 5 L of 0.9% NaCl, sequentially collecting egress fluid for microsphere quantification. Recovery was compared using a full-factorial general linear model.</p><p><strong>Results: </strong>There was a significant effect of the liter of egress fluid and microsphere recovery in both fetlocks (p < .01) and DFTS (p < .01), with most microspheres recovered in the first 2 L (79%-83%) for both techniques. More microspheres were recovered in the first liter using NTAT than EL (p < .01) in both fetlocks (659 883 ± 20 820 vs. 567 601 ± 24 452) and DFTS (644 341 ± 17 460 vs. 550 637 ± 38 022). No difference in total recovered microspheres was observed between NTAT lavage of fetlock (981 600 ± 46 839) and DFTS (957 419 ± 45 729) across 5 L (p = .88).</p><p><strong>Conclusion: </strong>Needle-through-and-through lavage was more effective than EL at recovering microspheres in the first liter from cadaveric equine fetlock joints and DFTS. Both techniques demonstrated comparable efficacy between fetlock and DFTS in microsphere recovery following increased lavage volumes.</p><p><strong>Clinical significance: </strong>Needle-through-and-through lavage (NTAT) is a viable alternative for suspected synovial contamination when EL is delayed or not feasible. This study does not evaluate NTAT's efficacy for treating established sepsis or removing pannus/foreign bodies.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1157-1166"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486029","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":"Outcomes of diode laser-facilitated ankylosis of the distal tarsal joints in horses: A retrospective study of 64 cases.","authors":"Rodrigo Sanchez-Arjona, Carla Lopez Cruz, Brent A Hague, Judith Jayawickrama, J Lacy Kamm","doi":"10.1111/vsu.14312","DOIUrl":"https://doi.org/10.1111/vsu.14312","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the outcomes of diode laser-facilitated (DLF) ankylosis using different surgical techniques to treat distal tarsal osteoarthritis (OA) in horses.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Animals: </strong>A total of 64 client-owned horses with distal tarsal OA treated with DLF ankylosis between 2011 and 2021 in a referral hospital were included.</p><p><strong>Methods: </strong>DLF ankylosis techniques included: intra-articular diode laser (L), diode laser with periarticular drilling (L + D) and diode laser with cuboidal bone fenestration (L + F). Horses requiring a second surgery formed a fourth group (T). Outcome was assessed through client telephone surveys. Preoperative variables and surgical technique were assessed using logistical regression and OR models.</p><p><strong>Results: </strong>A total of 64 horses met the inclusion criteria, and data was collected at a median follow-up time of 5 years (interquartile range [IQR]: 3-8 years). Improvement in lameness was observed in 83% (53/64) of horses, with 64% (39/61) returning to their previous level of athleticism. Sex significantly influenced outcome with males more likely to return to athleticism (p = .03, OR: 4.25). The return to previous level of athleticism for L, L + D and L + F was 67.9%, 50% and 66.7%, respectively. A smaller proportion of horses treated with L + D and L + F required additional surgical intervention compared to L (0%, 0%, and 20.8%, respectively).</p><p><strong>Conclusion: </strong>DLF ankylosis offered a reliable treatment for distal tarsal OA in horses. Incorporating cuboidal bone fenestration provided good athletic outcomes while reducing the need for reintervention.</p><p><strong>Clinical significance: </strong>DLF ankylosis offers a less invasive alternative to treat distal tarsal OA in horses with good athletic outcomes.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733466","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}