Maria Potamopoulou, Gordon Brown, Richard Whitelock
{"title":"Correlation between the Insertion Side of a Transcondylar Screw for the Surgical Management of Humeral Intracondylar Fissures in Dogs and the Incidence of Postoperative Surgical Site Infection.","authors":"Maria Potamopoulou, Gordon Brown, Richard Whitelock","doi":"10.1055/s-0043-57223","DOIUrl":"10.1055/s-0043-57223","url":null,"abstract":"<p><strong>Objective: </strong> An increased rate of surgical site infection (SSI) following treatment of canine humeral intracondylar fissure (HIF) with a lateromedially (LM) placed transcondylar screw (TCS) compared with a mediolateral (ML) TCS has been previously postulated. We hypothesized that the direction of insertion of the TCS would not affect the incidence of postoperative SSI.</p><p><strong>Study design: </strong> It was single-centre retrospective study. Dogs with HIF confirmed by computerized tomography, treated by TCS placement (between 2008 and 2019) and with a minimum follow-up of 12 weeks, were included. The following data were recorded: signalment, presenting clinical signs, direction of placement and size of the utilized TCS, surgical and anaesthetic times, concurrent surgical procedures, presence of concomitant elbow pathology, perioperative and postoperative antibiotic usage and postoperative complications. Recorded data were analysed with a multinomial logistic regression model with a <i>p</i>-value less than or equal to 0.05.</p><p><strong>Results: </strong> Thirty-five dogs (46 elbows) met the inclusion criteria. Median clinical follow-up interval was 52 weeks. Seven of thirty-one elbows with a ML TCS, and 4/15 elbows with a LM TCS developed SSI. Four of nine dogs that underwent bilateral single-surgery TCS placement developed SSI unilaterally.</p><p><strong>Conclusion: </strong> No significant difference was shown in short-term SSI occurrence between the ML and the LM direction of placement of the TCS.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"311-316"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9431839","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":"Post-sterilization Dimensional Accuracy of Methacrylate Monomer Biocompatible Three-Dimensionally Printed Mock Surgical Guides.","authors":"Danielle M Marturello, Loïc M Déjardin","doi":"10.1055/s-0043-1768991","DOIUrl":"10.1055/s-0043-1768991","url":null,"abstract":"<p><strong>Objectives: </strong> The aim of this study was to evaluate the post-sterilization dimensional accuracy of a standardized drilling guide, three-dimensionally printed using biocompatible methacrylate monomers.</p><p><strong>Study design: </strong> A mock surgical guide was designed and printed in five resins (<i>n</i> = 5/material) using a commercially available desktop stereolithography printer. Pre- and post-sterilization dimensions were measured for each sterilization method (steam, ethylene oxide, hydrogen peroxide gas), then statistically compared; <i>p</i>-value less than or equal 0.05 was considered significant.</p><p><strong>Results: </strong> While all resins produced highly accurate replicas of the designed guide, the amber and black resins were unaffected by any sterilization method (<i>p</i> ≥ 0.9). For other materials, ethylene oxide produced the largest dimensional changes. However, mean post-sterilization dimensional changes for all materials and sterilization methods remained less than or equal to 0.05mm CONCLUSION: This study demonstrated that post-sterilization dimensional change of evaluated biomaterials was minimal, and less than previously reported. Additionally, amber and black resins may be preferred to reduce post-sterilization dimensional change, as they were unaffected by any sterilization method. Given the results of this study, surgeons should feel confident using the Form 3B printer to create patient surgical guides. Furthermore, bioresins may provide safer alternatives for patients compared with other three-dimensional printed materials.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"279-286"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9643972","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":"Prophylactic Screw Stabilization of Humeral Intracondylar Fissures.","authors":"Kenneth A Johnson","doi":"10.1055/s-0043-1776126","DOIUrl":"10.1055/s-0043-1776126","url":null,"abstract":"","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":"36 6","pages":"v"},"PeriodicalIF":1.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488655","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}
Joachim Lahiani, Mila Freire, Xavier Montasell, Tristan Juette, Dominique Gagnon
{"title":"Effects of Transfixation Pin Positioning on the Biomechanical Properties of Acrylic External Skeletal Fixators in a Fracture Gap Model.","authors":"Joachim Lahiani, Mila Freire, Xavier Montasell, Tristan Juette, Dominique Gagnon","doi":"10.1055/s-0043-1768990","DOIUrl":"10.1055/s-0043-1768990","url":null,"abstract":"Abstract Objective The aim of this study was to evaluate the biomechanical effects of transfixation pin positioning in acrylic columns of external skeletal fixators (ESF). Study Design Twenty-four type I acrylic ESF were built simulating a fracture gap-model. Transfixation pins were placed centric ( n = 12) or eccentric at ¼ of the column diameter ( n = 12) in the acrylic columns. Six constructs from each group were subjected to axial compression and four-point bending tests. Stiffness, yield load and mode of failure were recorded. Results Stiffness was not influenced by centring ( p = 0.373), but it was higher in four-point bending than in axial compression ( p < 0.001). Pin positioning had no influence on the yield ( p = 0.535) and failure loads ( p = 0.715) in axial compression, nor on the yield load in bending ( p = 0.135). Eccentric pin positioning decreased failure loads by 28% in bending ( p < 0.001). Conclusion Eccentric position of transfixation pins within the acrylic columns alters the biomechanical properties of type I ESF constructs. While acrylic offers several advantages, when forming the columns, frame strength will be optimized if pins are centrally located.","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"273-278"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9717353","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}
Nadav Yair, Christos Yiapanis, Ron Ben-Amotz, Yaron Meiner, Amir Shapiro, Joshua Milgram
{"title":"Determination of Isometric Points in the Stifle of a Dog Using a 3D Model.","authors":"Nadav Yair, Christos Yiapanis, Ron Ben-Amotz, Yaron Meiner, Amir Shapiro, Joshua Milgram","doi":"10.1055/s-0043-1771191","DOIUrl":"10.1055/s-0043-1771191","url":null,"abstract":"<p><strong>Objective: </strong> The aim of this study was to develop a three-dimensional (3D) model to identify the isometric component of the cranial cruciate ligament (CCL) in dogs.</p><p><strong>Methods: </strong> A static 3D model of the specimen was generated from a computed tomography scan of the stifle of a dog and a kinematic model was generated from data collected, every 5 degrees from full extension (131 degrees) through 80 degrees of stifle flexion, from four sensors attached to the tibia. Kinematic data were superimposed on the static model by aligning the points of interest, which were defined for both models. This allowed the tibia to rotate and translate relative to the femur based on the kinematic data. The contours of the distal femur and proximal tibia were converted into point clouds and the distance between each point in the femoral point cloud and all the points in the tibial point cloud were measured at each of the 15 positions. The difference between the maximum and minimum distances for each pair of points was calculated, and when it was less than 0.2 mm, points were illustrated as two red dots connected by a line at their locations on the femur and tibia.</p><p><strong>Results: </strong> A total of 3,681 pairs of isometric points were identified and were located at the origin and insertion of the CCL and on the lateral aspect of the stifle.</p><p><strong>Conclusion: </strong> Isometric areas are present at the origin and insertion of the CCL and lateral aspect of the stifle. Better understanding of these locations may lead to refinements in techniques to replace the ruptured CCL.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"324-330"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9868176","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":"Measurement of Femoral Trochlear Morphology in Dogs Using Ultrasonography.","authors":"Akari Sasaki, Yuki Hidaka, Manabu Mochizuki, Muneki Honnami","doi":"10.1055/s-0043-1770902","DOIUrl":"10.1055/s-0043-1770902","url":null,"abstract":"<p><strong>Objective: </strong> The aim of this study was to examine a method for measuring femoral trochlear morphology in dogs using ultrasonography, and survey femoral trochlear morphology in skeletally normal dogs.</p><p><strong>Study design: </strong> To examine the validity of ultrasonography, three raters measured the sulcus angle (SA; the angle between the medial and lateral facets) five times in five skeletally normal dogs. Intra- and interrater reliabilities were then calculated. We also calculated the correlation coefficient between SAs measured using ultrasonography and computed tomography (CT) or magnetic resonance imaging (MRI). Then, we surveyed the femoral trochlear morphology in skeletally normal dogs using ultrasonography.</p><p><strong>Results: </strong> The intra- and interrater reliability for SAs measured using ultrasonography was good, and the correlation coefficient between SAs measured using ultrasonography and CT, or MRI, was strong. In skeletally normal dogs, the SAs for osseous contours decreased until 6 months of age. However, the SAs for cartilaginous contours did not change during the growth period.</p><p><strong>Conclusion: </strong> The ultrasonographic measurement method is reliable for the evaluation of femoral trochlear morphology in dogs. The contour of the articular cartilage surface of the femoral trochlea is already determined early in life, and ossification of the articular cartilage of the femoral trochlea proceeds until 6 months of age. The results of this study will provide crucial information for the evaluation of femoral trochlear morphology in dogs.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"294-301"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9868178","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}
Krizia Compagnone, David A Upchurch, Elisa Pompermaier, Luca Motta
{"title":"Thoracolumbar Intervertebral Disk Extrusion in Dogs: Do Onset of Clinical Signs, Time of Surgery, and Neurological Grade Matter?","authors":"Krizia Compagnone, David A Upchurch, Elisa Pompermaier, Luca Motta","doi":"10.1055/s-0043-1770355","DOIUrl":"10.1055/s-0043-1770355","url":null,"abstract":"<p><strong>Objective: </strong> The aim of this study was to determine the influence of time between the beginning of clinical signs, presentation and decompression, and combinations of several factors on the outcome and recovery of dogs undergoing surgery for thoracolumbar intervertebral disk extrusion (IVDE).</p><p><strong>Study design: </strong> In all, 433 client-owned dogs treated for IVDE between 2016 and 2020 were reviewed for signalment, neurological grade, rate of onset, duration of clinical signs, and surgical variables. Time from presentation to surgery was divided into three categories: S1 (0-12 hours), S2 (12-24 hours), and S3 (>24 hours). These variables were investigated to determine their influence on the return of pain sensation, urinary continence, ambulation and overall outcome.</p><p><strong>Results: </strong> A significant association was found between an acute onset of clinical signs, worse neurological grade at presentation and poorer outcomes. There was a significant difference between S1, S2, and S3 in neurological grade at presentation (<i>p</i> < 0.001) and at discharge (<i>p</i> < 0.001); however, the latter was no longer significant when adjusted for the grade at presentation (<i>p</i> = 1,000). Disk fenestration was associated with a faster return to ambulation (<i>p</i> = 0.033). Duration of clinical signs and time of surgery did not correlate with the time to recovery and return of pain sensation, urinary continence, or ambulation.</p><p><strong>Conclusion: </strong> Dogs presented with severe neurological status and/or rapid onset of clinical signs were operated on more promptly, but their outcomes were also poorer. There was no significant evidence for a better outcome when surgery was not delayed.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"287-293"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114381","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}
Eirini Pappa, Thomas W Maddox, Edward Crystal, Eithne J Comerford, Andrew W Tomlinson
{"title":"Recall Bias in Client-Reported Outcomes in Canine Orthopaedic Patients Using Clinical Metrology Instruments.","authors":"Eirini Pappa, Thomas W Maddox, Edward Crystal, Eithne J Comerford, Andrew W Tomlinson","doi":"10.1055/s-0043-1771032","DOIUrl":"10.1055/s-0043-1771032","url":null,"abstract":"<p><strong>Objective: </strong> The aim of this study was to determine the accuracy of client recollection of their dogs' preconsultation status using clinical metrology instruments such as the Liverpool Osteoarthritis in Dogs (LOAD) and Canine Brief Pain Inventory (CBPI) questionnaires in dogs presenting to a referral orthopaedic clinic.</p><p><strong>Study design: </strong> This is a longitudinal prospective cohort study of client-owned dogs presenting for investigations of lameness (<i>n</i> = 217). LOAD and CBPI questionnaires were completed by the owners at the first consultation (T0). Owners were contacted at 2 (T1), 6 (T2), and 12 (T3) months and asked to recall their dogs' T0 status by completing another LOAD and CBPI questionnaire. The agreement between the T0 and recalled LOAD and CBPI scores was determined using the two-way mixed effects intraclass correlation coefficient (ICC). The Wilcoxon signed-rank test was used to determine the difference between scores.</p><p><strong>Results: </strong> For the LOAD scores, there was moderate agreement between T0 and T1 (ICC: 0.64) and T0 and T2 (ICC: 0.53) scores and poor agreement between T0 and T3 (ICC: 0.496). For the CBPI Pain Severity Scores, there was poor agreement between T0 and all three subsequent time points (ICC < 0.5). For the CBPI Pain Interference Scores, there was moderate agreement between T0 and T1 (ICC: 0.57) and T2 (ICC: 0.56) scores and poor agreement between T0 and T3 (ICC: 0.43).</p><p><strong>Conclusion: </strong> The LOAD and CBPI questionnaires are subject to recall bias. Studies reporting retrospectively acquired CMI data should be interpreted with caution.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"302-310"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9965488","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":"Breakage of Cementless Press-Fit Femoral Stems for Total Hip Arthroplasty: Seven Dogs","authors":"J.L. Carvajal, W.M. Karlin, D.J. Marcellin-Little, M.P. Kowaleski, V.D. Verpaalen, L.P. Guiot, S.E. Kim","doi":"10.1055/s-0043-1775651","DOIUrl":"https://doi.org/10.1055/s-0043-1775651","url":null,"abstract":"Case Report: Femoral stem breakage of press-fit cementless implants following total hip arthroplasty (THA) is a rare complication. The objective of this study is to report breakage of eight press-fit stems with and without adjunctive bolt fixation. Records of client owned dogs that underwent THA from 2012 to 2022 were searched, and descriptive data and radiographs were reviewed. Median age and body weight were 18 months (range: 13–48) and 24 kg (range: 20–34). Median varus deviation was 3.9° (range: 0–7).","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135735827","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}
B. Schulze Gronover, M. Santos, L. Mollenhauer, J. Martinez, T.H. Gudehus
{"title":"Computed Tomographic Diagnosis of the Pelvic and Lumbar Area in a Series of Equine Patients (11 Cases)","authors":"B. Schulze Gronover, M. Santos, L. Mollenhauer, J. Martinez, T.H. Gudehus","doi":"10.1055/s-0043-1775641","DOIUrl":"https://doi.org/10.1055/s-0043-1775641","url":null,"abstract":"Introduction: CT has gained influence in the diagnosis of Equine upper limb and axial skeleton pathologies. This study presents different cases of pelvic and lumbar pathologies and demonstrates the technique for image acquisition. The value of CT-based diagnosis is presented in comparison to basic imaging modalities.","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135735831","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}