Evaluating the outcome after center of rotation of angulation (CORA)-based leveling osteotomy (CBLO) technique to repair unilateral cranial cruciate ligament deficiency using a pressure-sensitive walkway system.

The objective of this study was to evaluate the mid-term outcome of center of rotation of angulation (CORA)-based leveling osteotomy (CBLO) in dogs with cranial cruciate ligament (CrCL) deficiency using a pressure-sensitive walkway system. Fifteen dogs with unilateral CrCL deficiency were treated with CBLO for an average of 50 wk (median 46 wk, range: 38 to 91) prior to the evaluation. The contralateral hind limb was confirmed free of any signs of pathology by clinical examination and lateral stifle radiography. A control group of 20 healthy dogs was included to establish reference values for comparison purposes. Spatiotemporal parameters and peak vertical force (PVF) were measured and symmetry index (SI) was calculated between the left and right pelvic limb and between thoracic and pelvic limbs, in both groups. The mean hind limb SI for the 15 CBLO-treated dogs and the 20 dogs in the control group was 1.02 ± 0.1 and 1.03 ± 0.07, respectively, the difference being not significant (P = 0.75). There was no significant difference in the thoracic limb/pelvic limb ratio between the 2 groups (P = 0.42). The dogs' recovery was objectively measured on a pressure-sensitive walkway and the CrCL-deficient dogs had returned to full functioning within 6 to 12 mo. Center of rotation of angulation-based leveling osteotomy provided normal function of the operated hind limb and should be considered as an option for treating canine CrCL deficiency.

L'objectif de cette étude était d'évaluer les résultats à moyen terme de l'ostéotomie de nivellement basée sur le centre de rotation de l'angulation (CORA) (CBLO) chez les chiens présentant une déficience du ligament croisé crânien (CrCL) mesurée par une plaque sensible à la pression. Quinze chiens présentant un déficit unilatéral du CrCL ont été traités par CBLO pendant une moyenne de 50 semaines (médiane 46 semaines, plage de 38 à 91) avant l'évaluation. Le membre postérieur controlatéral a été confirmé exempt de tout signe de pathologie par un examen clinique et une radiographie du grasset latéral. Un groupe témoin de 20 chiens sains a été inclus pour établir des valeurs de référence à des fins de comparaison. Les paramètres spatio-temporels et la force verticale maximale (PVF) ont été mesurés, et l'indice de symétrie (SI) a été calculé entre les membres pelviens gauche et droit et entre les membres thoracique et pelvien, dans les deux groupes. L'IS moyen des membres postérieurs pour les 15 chiens traités au CBLO et les 20 chiens du groupe témoin était de 1,02 ± 0,1 et 1,03 ± 0,07, respectivement, la différence n'étant pas significative (P = 0,75). Il n'y avait pas de différence significative dans le rapport membre thoracique/membre pelvien entre les deux groupes (P = 0,42). La récupération des chiens a été objectivement mesurée sur une plaque sensible à la pression et les chiens avec une déficience du CrCL étaient revenus à un fonctionnement complet en 6 à 12 mois. Le centre de rotation de l'ostéotomie de nivellement basée sur l'angulation a fourni une fonction normale du membre postérieur opéré et doit être considérée comme une option pour le traitement du déficit du CrCL canin.(Traduit par Docteur Serge Messier).

Chlorhexidine shampooing of dogs the night before elective surgery: Are human recommendations applicable to veterinary medicine?

The objective of this study was to investigate the effect of the night before surgery chlorhexidine shampooing on skin bacterial colony-forming units (CFU) in dogs. Twenty-five dogs had the right hindleg washed with chlorhexidine gluconate solution the night before sampling, the untreated left hindleg was used as a control. Colony-forming units were counted from 150 agar plates, 75 from each side. Median CFU on the treated side and the control side after clipping was 11 and 50, respectively (P = 0.01). Samples obtained after scrubbing the skin with CHXG, and after the final disinfection with alcohol showed no difference in CFU between sides. The "night before" chlorhexidine wash effectively decimated the skin surface bacterial CFU, but this effect was only evident after clipping. After the routine preoperative chlorhexidine scrubbing and alcohol disinfection no beneficial effects were proven.

L'objectif de cette étude était d'étudier l'effet du shampooing à la chlorhexidine la nuit précédant la chirurgie sur les unités formatrices de colonies (UFC) de la peau chez le chien. Vingt-cinq chiens ont eu la patte arrière droite lavée avec une solution de gluconate de chlorhexidine (CHXG) la nuit avant l'échantillonnage, la patte arrière gauche non traitée a été utilisée comme témoin. Les unités formatrices de colonies ont été comptées à partir de 150 gélose, 75 de chaque côté. La médiane des UFC du côté traité et du côté témoin après la tonte était de 11 et 50 respectivement (P = 0,01). Les échantillons obtenus après avoir frotté la peau avec du CHXG et après la désinfection finale avec de l'alcool n'ont montré aucune différence d'UFC entre les côtés. Le lavage à la chlorhexidine « la veille ¼ a effectivement décimé les UFC de la surface de la peau, mais cet effet n'était évident qu'après la tonte. Après le lavage préopératoire de routine à la chlorhexidine et la désinfection à l'alcool, aucun effet bénéfique n'a été prouvé.(Traduit par Docteur Serge Messier).

Effect of the duration of food withholding prior to anesthesia on gastroesophageal reflux and regurgitation in healthy dogs undergoing elective orthopedic surgery.

OBJECTIVE To compare the incidence of and risk factors for gastroesophageal reflux (GER) and regurgitation associated with preanesthetic food withholding for periods of 18 hours (overnight) and 3 hours in healthy dogs undergoing elective orthopedic surgery. ANIMALS 82 healthy (American Society of Anesthesiologists physical status classification I or II) client-owned dogs. PROCEDURES Food was withheld for 18 hours (18-hour group [n = 41]) or each dog was allowed to consume half its daily ration of canned food approximately 3 hours (3-hour group [n = 41]) prior to induction of anesthesia. In each anesthetized dog, a pH catheter was introduced through the oropharynx into the distal portion of the esophagus; the pH was continuously recorded throughout the period of anesthesia. Gastroesophageal reflux was defined as pH < 4.0. RESULTS Gastroesophageal reflux was significantly associated with age, dorsal recumbency, and duration of preanesthetic food withholding. Regurgitation was significantly associated with duration of GER and duration of preanesthetic food withholding. During anesthesia, 25 (61%) dogs in the 3-hour group had GER and 12 (48%) of those dogs regurgitated gastric content; 18 (43.9%) dogs in the 18-hour group had GER and 2 (11.1%) of those dogs regurgitated gastric content. The mean lowest pH measured in the refluxate in the 3-hour group (2.3) was significantly greater than that in the 18-hour group (1.3). CONCLUSIONS AND CLINICAL RELEVANCE Among the study dogs undergoing orthopedic surgery, consumption of a light meal 3 hours prior to anesthesia was associated with significantly greater odds of reflux and regurgitation, compared with overnight food withholding.

Scapular osteomyelitis in an immature domestic shorthair cat.

CASE SUMMARY: A 12-week-old, male, domestic shorthair cat was presented with severe left thoracic limb lameness. Investigation included physical examination, diagnostic imaging with radiography and CT, histopathology and microbiological culture. Physical examination revealed a large, firm mass on the left scapula. Radiography and CT showed a monostotic spherical expansile bone lesion in the infraspinatus fossa of the left scapula. The histopathological description was a central acute suppurative osteomyelitis with reactive fibrosis and new bone formation at the periphery. Aerobic and anaerobic cultures were negative and the underlying cause of the osteomyelitis could not be identified. The use of broad-spectrum antibiotics for 8 weeks proved effective with full clinical recovery and no signs of relapse during the follow-up time of 8 months. RELEVANCE AND NOVEL INFORMATION: This report describes the management and outcome of a rare case of osteomyelitis with severe deformation of scapular bone morphology in an immature cat that was treated successfully with full recovery of limb function and restored integrity of the scapula.