Veterinary Surgery最新文献

{"title":"Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes.","authors":"James W Gant, Josh E Collins, Zachary A Miller, Richard L Einsporn","doi":"10.1111/vsu.14198","DOIUrl":"10.1111/vsu.14198","url":null,"abstract":"<p><strong>Objective: </strong>To determine the influence on surgical site infection (SSI) rates when using 0.7% iodophor and 74% isopropyl alcohol versus 2% chlorhexidine and 70% isopropyl alcohol. To evaluate the adherence of an iodophor-impregnated surgical incise drape when used in conjunction with 0.7% iodophor and 74% isopropyl alcohol.</p><p><strong>Study design: </strong>Combines retrospective control and prospective data.</p><p><strong>Sample population: </strong>This study included dogs and cats, 653 retrospective cases and 435 prospective cases, with 447 incisions.</p><p><strong>Methods: </strong>The SSI rate of a 2% chlorhexidine and 70% isopropyl alcohol preparation was retrospectively reviewed. The prospective population received 0.7% iodophor and 74% isopropyl alcohol; risk factors for SSI were evaluated and incise drape lift was documented.</p><p><strong>Results: </strong>A 1.8% difference in SSI between the chlorhexidine group and 0.7% iodophor and 74% isopropyl alcohol group was found (p = .25). The drape lift was 13.2%. Drape lift (p = .026), increased body weight (p = .008), and the use of glutaraldehyde for instrument sterilization (p = .055) were associated with an increased risk of SSI development.</p><p><strong>Conclusion: </strong>The 0.7% iodophor and 74% isopropyl alcohol treatments demonstrated similar effectiveness to 2% chlorhexidine and 70% isopropyl alcohol in skin preparation. Using an iodophor-impregnated drape with 0.7% iodophor and 74% isopropyl alcohol reduced both drape lift and the risk of SSI.</p><p><strong>Clinical significance: </strong>These findings support the combined use of an incise drape with 0.7% iodophor and 74% isopropyl alcohol preparation, provide evidence against the use of glutaraldehyde, and indicate that heavier patients have an increased risk of SSI.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"478-485"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872880","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":"The influence of age at total hip replacement on perioperative complications associated with a press-fit cementless stem with lateral bolt in dogs.","authors":"Panagiotis Kokkinos, Kevin Parsons, Alex Belch, Nicolas Barthelemy","doi":"10.1111/vsu.14203","DOIUrl":"10.1111/vsu.14203","url":null,"abstract":"<p><strong>Objective: </strong>To assess the influence of age on perioperative stem-associated complications when total hip replacement (THR) was performed with a BFX lateral bolt stem.</p><p><strong>Study design: </strong>Retrospective (2017-2022).</p><p><strong>Sample population: </strong>A total of 197 client-owned dogs.</p><p><strong>Methods: </strong>Medical records of dogs that underwent THR with a lateral bolt stem were reviewed. Perioperative complications were recorded. Stem and femoral features were measured on postoperative and follow-up radiographs. The population was divided into juveniles (6-10 months), adults (>10 months to <7 years), and older dogs (≥7 years old). Association between groups and perioperative complications was assessed.</p><p><strong>Results: </strong>Two-hundred and fifty five THRs were recorded: 139 unilateral and 58 bilateral. Intraoperative and early postoperative stem complication rates were 8.6% and 2%, respectively. Juveniles were at increased risk of developing intraoperative fissures. Age was not associated with early postoperative stem complications. German shepherd dogs were associated with postoperative fractures. Subsidence was weakly, but positively, associated with weight and canal flare index.</p><p><strong>Conclusion: </strong>Juveniles were at increased risk of developing fissures. There was no difference in postoperative stem complications among age groups. German shepherds were at increased risk of postoperative fracture despite the use of a lateral bolt stem. More studies are required to assess the effect of giant breeds on the risk of subsidence, as well as the effect of young age on fissure development.</p><p><strong>Clinical significance: </strong>Age influenced the development of intraoperative, but not postoperative, stem complications with a lateral bolt stem. Prophylactic cerclage application could be considered in juvenile and German shepherd dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"581-593"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012696","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":"Comparison of remote and in-person respiratory function grading of brachycephalic dogs.","authors":"Zong H Peng, Kathleen M Ham, Jane Ladlow, Carrie Stefaniak, Nicholas D Jeffery, Kelley M Thieman Mankin","doi":"10.1111/vsu.14171","DOIUrl":"10.1111/vsu.14171","url":null,"abstract":"<p><strong>Objective: </strong>To compare the reliability of respiratory function grading (RFG) scores assigned in-person and remotely via video and electronic stethoscope recordings, evaluated by novice and expert graders.</p><p><strong>Study design: </strong>Prospective study.</p><p><strong>Sample population: </strong>Fifty-seven brachycephalic dogs.</p><p><strong>Methods: </strong>Dogs were evaluated in person by expert graders and RFG scores were assigned. Audio and video recordings were made during the in-person evaluations. Four expert and four novice graders evaluated the recordings and assigned an RFG score to each dog. Agreement between in-person and remote RFG scores was assessed using Cohen's kappa statistic. Interobserver reliability was assessed using Fleiss' kappa statistic.</p><p><strong>Results: </strong>The median RFG score from the in-person assessment was 1 (range, 0-3). Distribution of RFG scores included 12 grade 0 scores, 19 grade 1 scores, 25 grade 2 scores, and 1 grade 3 score. The raw percentage agreements between remote and in-person scores were 68.4%, 59.6%, 64.9%, and 61.4% for the four experts, and 52.6%, 64.9%, 50.9%, and 42.1% for the four novices. Reliability between remote and in-person RFG scores was poor to moderate both for the experts (Cohen's kappa: .48, .37, .46, .41) and novices (Cohen's kappa: .28, .47, .28, .21). Interobserver reliability was moderate among the experts (Fleiss' kappa: .59) and poor among the novices (Fleiss' kappa: .39).</p><p><strong>Conclusion: </strong>Remote RFG scores had poor to moderate interassessment and interobserver reliability. Novice evaluators performed worse than experts for remote or in-person RFG evaluations.</p><p><strong>Clinical significance: </strong>Remote RFG, as measured in this study, is not reliable for assigning RFG scores. Modifications could be made to remote evaluation to improve reliability. Based upon the performance of novice evaluators, training of evaluators is justified.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"573-580"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362094","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 traumatic disruption of the suspensory apparatus in Thoroughbred racehorses at risk of proximal interphalangeal joint subluxation using a locking compression-distal femur plate for double arthrodesis.","authors":"David Orozco Lopez, Jose M Garcia-Lopez, Ryan Carpenter, Jose J Bras, Dean W Richardson, Kyla F Ortved","doi":"10.1111/vsu.14219","DOIUrl":"10.1111/vsu.14219","url":null,"abstract":"<p><strong>Objective: </strong>To describe the outcome of metacarpophalangeal (MCPJ) and proximal interphalangeal joint (PIPJ) arthrodesis using a locking compression-distal femur plate (LCP-DFP) in Thoroughbred racehorses with traumatic disruption of the suspensory apparatus (TDSA) at risk of PIPJ subluxation.</p><p><strong>Study design: </strong>Multicenter retrospective study.</p><p><strong>Animals: </strong>Twenty-six Thoroughbred racehorses.</p><p><strong>Methods: </strong>Records of Thoroughbred racehorses with TDSA that had undergone MCPJ and PIPJ arthrodesis using an LCP-DFP at three referral hospitals between 2020 and 2024 were reviewed for inclusion. The preoperative data collected included signalment, affected limb, and type of injury. All postoperative complications were recorded. Long-term outcomes were obtained from medical records and telephone interviews.</p><p><strong>Results: </strong>Nine females, 14 geldings, and three intact males with TDSA were treated via double arthrodesis using an LCP-DFP. The most common postoperative complications included support limb laminitis, incisional drainage, implant infection with osteomyelitis, and distal interphalangeal joint subluxation. No horses developed PIPJ subluxation. Twenty (76.9%) horses developed short-term complications. Thirteen (50%) horses survived long term (>6 months, range 6-32 months) and were reported to be pasture sound without receiving any analgesic or antiinflammatory medication.</p><p><strong>Conclusion: </strong>Metacarpophalangeal and PIPJ arthrodesis using an LCP-DFP in racehorses resulted in a stable construct with no horses developing subluxation of the PIPJ joint postoperatively. Arthrodesis using an LCP-DFP was associated with a fair prognosis for pasture soundness.</p><p><strong>Clinical significance: </strong>Application of an LCP-DFP may prevent subluxation of the PIPJ; however, the prognosis is still affected by the high prevalence of other complications and associated mortality among horses that suffer TDSA.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"439-452"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079932","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":"Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs.","authors":"Meghan R Smith, Stephen D Cole, Rachel W Williams, Cassie N Lux, Garrett J Davis, Samuel Levy, William T N Culp, David E Holt","doi":"10.1111/vsu.14233","DOIUrl":"10.1111/vsu.14233","url":null,"abstract":"<p><strong>Objective: </strong>To compare bacteria cultured at the time of total ear canal ablation (TECA) to bacteria cultured from post-TECA incisional dehiscence.</p><p><strong>Study design: </strong>Multicenter retrospective case series.</p><p><strong>Animal population: </strong>Dogs (n = 12) with incisional dehiscence following TECA.</p><p><strong>Methods: </strong>Medical records of dogs that had a TECA between August 1, 2015, and August 1, 2023, with a subsequent incisional dehiscence within 5 weeks of surgery were reviewed. Aerobic cultures were performed at the time of surgery and time of incisional dehiscence.</p><p><strong>Results: </strong>The most common organisms cultured from TECA samples included Staphylococcus spp. (5/12, 41.7%), Enterococcus spp. (3/12, 25%), Streptococcus spp. (3/12, 25%), Escherichia coli (2/12, 16.7%), and Corynebacterium spp. (2/12, 16.7%). The organisms most commonly isolated from incisional dehiscences were Staphylococcus spp. (10/12, 83.3%) and Escherichia coli (5/12, 41.7%). The median time for incisional dehiscence was 11.5 days postoperatively (range, 2-34 days). The same single bacteria species, Staphylococcus schleiferi, was identified from the TECA and incisional dehiscence cultures in only one dog (1/12, 8.3%). In 6/12 (50%) dogs, the same bacteria were cultured before or during TECA and at the time of incisional dehiscence, but additional organisms were also identified. Antibiotic susceptibility patterns were different in four of seven dogs where the same bacteria were cultured prior to and during incisional dehiscence.</p><p><strong>Conclusion: </strong>Cultures performed during TECA were not predictive of culture results at the time of dehiscence. Antibiotic susceptibility patterns often changed when the same organism was cultured prior to and at incisional dehiscence.</p><p><strong>Clinical significance: </strong>Repeating cultures is essential to treat infectious incisional dehiscence following TECA appropriately.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"507-515"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493755","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":"Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study.","authors":"Peter J Lotsikas, Harrison D Ramsey, Nina R Kieves","doi":"10.1111/vsu.14133","DOIUrl":"10.1111/vsu.14133","url":null,"abstract":"<p><strong>Objective: </strong>To (1) Describe the proximal lateral insertion portal for the placement of an intra-articular distraction lever. (2) Assess for associated damage with the insertion of the lever and (3) evaluate the impact of duration of lever use on articular cartilage damage.</p><p><strong>Study design: </strong>Ex vivo canine cadaveric experimental study.</p><p><strong>Animals: </strong>Paired canine stifles from seven cadavers (14 stifles from dogs weighing >20 kg).</p><p><strong>Methods: </strong>A separate 0.5 cm proximal lateral portal was established adjacent to the lateral scope portal. A standard Ventura stifle thrust lever (VSTL) was inserted without removing the arthroscope. In Group A, the VSTL was placed in distraction for 5 min while in Group B the VSTL was placed for 10 min. The stifle joints were disarticulated and evaluated for associated damage to the long digital extensor tendon and iatrogenic articular cartilage injury (IACI) via India ink assay.</p><p><strong>Results: </strong>No damage to the long digital extensor tendon was noted in any of the specimens during dissection. Superficial IACI was present in all specimens. There were no differences between groups when assessing for overall IACI.</p><p><strong>Conclusion: </strong>A proximal lateral portal and insertion of a standard VSTL can be performed without removing the arthroscope.</p><p><strong>Clinical significance: </strong>The use of a proximal lateral lever portal without repositioning the arthroscope was repeatable without damaging the long digital extensor tendon. A duration of up to 10 min in which the thrust lever was engaged did not result in increased visual cartilage damage.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"516-523"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731476","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":"Impact of suture materials polydioxanone and poliglecaprone 25 on non-infected clean orthopedic stifle procedure incisional dehiscence rates.","authors":"Megan N Caiazzo, Brittany L Cortina, Alex Terreros, R Mark Daye","doi":"10.1111/vsu.14224","DOIUrl":"10.1111/vsu.14224","url":null,"abstract":"<p><strong>Objective: </strong>To compare dehiscence rates, and evaluate incisional outcome, between the use of polydioxanone (PDS) versus poliglecaprone 25 (Monocryl) suture for skin closure in dogs undergoing a variety of clean orthopedic procedures associated with the stifle.</p><p><strong>Study design: </strong>Randomized, prospective, cross-sectional design.</p><p><strong>Animals: </strong>Client owned dogs with cranial cruciate disease deemed appropriate surgical candidates for tibial plateau leveling osteotomy (TPLO) or other clean orthopedic stifle procedure (N = 232).</p><p><strong>Methods: </strong>Dogs undergoing a TPLO, or other clean orthopedic procedure were randomly assigned to one of three groups using different closure materials. Incisional dehiscence rate in the absence of infection was analyzed against multiple variables. Infection and dehiscence were characterized based on previously published descriptions.</p><p><strong>Results: </strong>A total of 232 dogs were analyzed with 72 in Group 1, 85 in Group 2, and 75 in Group 3. A total of 137/232 (59.05%) of dogs received postoperative antibiotics. Overall, 22/232 (9.48%) of dogs showed dehiscence without evidence of infection during the follow up period. Postoperative antibiotic use (p = .023) and signs of infection (p < .001) were statistically different between the healed and dehisced groups. The mean weight, body condition score, and incision length were not different between groups.</p><p><strong>Conclusion: </strong>There is no difference in dehiscence rate in the absence of infection following a clean orthopedic procedure when comparing skin closure with PDS versus Monocryl.</p><p><strong>Clinical significance: </strong>Either PDS or Monocryl may be used for skin closure following a clean orthopedic procedure.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"552-560"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075798","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":"Tenoscopic-guided resection of the manica flexoria utilizing radiofrequency energy. A proof of concept study.","authors":"Charlotte K Barton, Brad B Nelson, Taylor M Winther, Tristan C Maker, Laurie R Goodrich","doi":"10.1111/vsu.14209","DOIUrl":"10.1111/vsu.14209","url":null,"abstract":"<p><strong>Objective: </strong>To develop and optimize a tenoscopic technique for resection of the manica flexoria utilizing a radiofrequency probe.</p><p><strong>Study design: </strong>Experimental study.</p><p><strong>Animals: </strong>Eighteen cadaver limbs and two experimental horses.</p><p><strong>Methods: </strong>Tenoscopic-guided resection of the manica flexoria using radiofrequency energy proceeded sequentially by transection of the medial, lateral and proximal borders. The technique was performed in ex vivo limbs and then in vivo to replicate clinical scenarios. Time to complete resection of the manica flexoria (mean ± SD) and complications was recorded. Limbs were dissected and scored for features of transection and collateral injury on a 15-point scale (15 was optimal). Tenocyte viability and histology were performed on tissues from the in vivo procedures.</p><p><strong>Results: </strong>Transection of the manica flexoria was achieved in all limbs (18/18 ex vivo and 8/8 in vivo). Surgery time was 30.6 ± 12.7 minutes (ex vivo) and 26.1 ± 7.5 minutes (in vivo). Limb scores representing iatrogenic damage and resection borders revealed an average ex vivo score of 14.3 ± 0.67 and live horse score of 14.8 ± 0.43. Histology and live/dead staining did not identify changes in tissue architecture and revealed minimal cell death following radiofrequency exposure.</p><p><strong>Conclusion: </strong>The described technique, utilizing radiofrequency energy, is a successful approach for safe transection of the manica flexoria. The procedure allowed for complete symmetric resection of the manica flexoria with minimal iatrogenic damage to surrounding tissues.</p><p><strong>Clinical significance: </strong>Resection of a torn manica flexoria may be technically challenging and utilization of sharp instrumentation risks accidental iatrogenic damage. Resection using radiofrequency represents a feasible alternative technique.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"496-506"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411107","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":"Detection of intra-articular implant penetration of the canine stifle with radiography: A cadaveric study.","authors":"Ryan G Philips, Richard M Jerram, Damian Chase","doi":"10.1111/vsu.14238","DOIUrl":"10.1111/vsu.14238","url":null,"abstract":"<p><strong>Objective: </strong>To determine if intra-articular implant penetration (IAIP) could be detected with radiography when implants were placed at predetermined positions within the canine stifle.</p><p><strong>Study design: </strong>Experimental cadaveric study.</p><p><strong>Sample population: </strong>Five skeletally mature canine cadavers.</p><p><strong>Methods: </strong>Periarticular implants (3.5 mm stainless steel cortical screws) were placed in the proximomedial tibia and directed toward either the medial or lateral tibial condyle to a predetermined distance from the joint surface: -2 mm (below the joint surface), 0 mm (at the level of the subchondral bone), and 2 mm (above the joint surface). Joint examination was performed to confirm IAIP. Standard orthogonal radiographic views of the stifle were obtained. Radiographs were reviewed by registered small animal surgery and radiology specialists, residents, and board-eligible residents via an online survey.</p><p><strong>Results: </strong>Overall, 32.4% of radiographs were incorrectly classified as penetrating the joint surface. Implants directed toward the lateral tibial condyle were misclassified more frequently than those directed toward the medial tibial condyle (23.8% vs. 8.3%, respectively). The overall accuracy of detecting IAIP of the stifle with radiography was 77.9% with a sensitivity and specificity of 97.2% and 67.6%, respectively.</p><p><strong>Conclusion: </strong>Approximately 32% of non-penetrating implants were incorrectly identified as penetrating the joint, particularly those directed laterally. The overall accuracy of radiography for the detection of IAIP of the stifle was 78%.</p><p><strong>Clinical significance: </strong>While radiography can be effective in detecting IAIP, there is a significant rate of misclassification, especially for non-penetrating implants, which may lead to unnecessary interventions.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"461-469"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516593","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":"Revision of osteointegrated acetabular cup prostheses in nine dogs.","authors":"Peter Scott, Kevin Parsons, Alex Belch, Nicolas Barthelemy","doi":"10.1111/vsu.14216","DOIUrl":"10.1111/vsu.14216","url":null,"abstract":"<p><strong>Objective: </strong>To describe the surgical technique and clinical outcome following revision of osteointegrated acetabular cups.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animals: </strong>Nine client-owned dogs undergoing revision surgery for total hip replacement (THR) with an osteointegrated cup.</p><p><strong>Methods: </strong>Cases were recruited retrospectively from a single referral hospital for dogs undergoing revision surgery following THR. Cups were explanted using a combination of an osteotome and air burr and new cups were implanted. Owners were contacted to determine the medium- to long-term outcome.</p><p><strong>Results: </strong>Surgery was performed at a median of 587 days (range 97-994 days) after initial surgery. Indication for revision was luxation (7), stem fracture (1), and stem loosening (1). All cups (8 BFX, BioMedtrix, 1 Helica) were successfully explanted and replaced with a BFX, BioMedtrix cup. Seven revisions required replacement with a larger cup than the primary cup size. Eight cases had minimal lameness 6 weeks postoperatively; one dog experienced repeat luxation, which resolved after open reduction and hobble placement. One dog presented with septic cup loosening 540 days postoperatively. Radiographically, all cups were stable at short-term follow up (median 45 days, range 35-618 days). Medium- to long-term functional outcome (median 621 days, range 251-1903 days) for the 6 dogs available was graded as good to excellent.</p><p><strong>Conclusion: </strong>Cup revision of stable, osteointegrated cups can be successfully performed with the BFX BioMedtrix cup but often requires use of a larger sized implant compared to that used for the primary procedure.</p><p><strong>Clinical significance: </strong>Revision of osteointegrated acetabular cups is a viable technique, with minimal complications encountered.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"602-609"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123710","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}