Surgical extraction of canine oesophageal foreign bodies through a gastrotomy approach: 12 cases.

OBJECTIVE: To describe a gastrotomy approach to remove foreign bodies located in the caudal oesophagus. MATERIALS AND METHODS: Retrospective examination of case records of dogs with surgical management of foreign body located in the caudal oesophagus. RESULTS: Twelve dogs with caudal oesophageal foreign body were managed surgically after unsuccessful endoscopic approaches. The foreign body was successfully extracted via gastrotomy in all 12 cases. Ten dogs recovered well without any postoperative complications but one dog died during the immediate postoperative period and one during hospitalisation. CLINICAL RELEVANCE: Caudal oesophageal foreign body extraction by gastrotomy is a possible alternative to transthoracic oesophagotomy. Based on the small population presented here this approach performed through a laparotomy appears easy, with a low rate of perioperative and postoperative complications.

Locking compression plate stabilization of 20 distal radial and ulnar fractures in toy and miniature breed dogs.

OBJECTIVE: To evaluate retrospectively the effectiveness of the Locking Compression Plate® (LCP), in the form of either a straight or notched head T-plate, for the treatment of fractures of the distal radius and ulna in a series of 20 toy and miniature breed dogs. METHODS: The medical records of toy and miniature breed dogs (<6 kg), greater than six months of age, with fractures of the distal radius and ulna from two veterinary hospitals were reviewed. The inclusion criteria included: fractures of the distal 1/3 of the radius and ulna and repair with open reduction and internal fixation utilizing an LCP (straight or notched head T-plate). RESULTS: Twenty fractures (20 dogs) satisfied the inclusion criteria; eight straight and 12 notched head T-plates were used, either 2.0 mm (n = 13) or 2.4 mm (n = 7). Hybrid fixation was performed in all dogs in one or both fragments. Mean time to radiographic union was 6.9 ± 2.5 weeks (range: 4-12 weeks) in 18/20 dogs with radiographic follow-up. One complication was observed: infection that resolved with antibiotic medication and implant removal. No other major complications occurred by the time of last follow-up. In all cases (mean follow-up: 15 ± 7 months), the reported limb function as evaluated by the referring veterinarian or owner was excellent. CLINICAL SIGNIFICANCE: The LCP, used as a hybrid construct for the treatment of distal radial and ulnar fractures was shown to yield excellent clinical results with both uncomplicated healing and excellent functional outcomes in this series of toy and miniature breed dogs.

Comparison of the tibia plateau angle between small and large dogs with cranial cruciate ligament disease.

OBJECTIVES: To compare the conformation of the proximal tibia evaluated on a medio-lateral radiograph between small and large dogs with cranial cruciate ligament disease (CCLD). METHODS: Retrospective clinical study with dogs having radiographic evaluation and CCLD confirmed at surgery. The first group (n = 52) was comprised of dogs weighing less than 15 kg and the second group (n = 52) of dogs weighing more than 15 kg. The tibial plateau angle (TPA), the relative tibial tuberosity width (rTTW), and the Z angle were measured on preoperative radiographs with imaging measurement software. Linear mixed models were used to assess the effect of weight, age, sex, and neutered status on radiographic measurements and to estimate interobserver variabilities. RESULTS: The small dog group had a greater TPA (30.1° ± 5.3; p <0.001 with a mean difference of 4.9° [95% CI: 3.8-6.0]) and Z angle (69.9° ± 5.6; p<0.001 with a mean difference of 6.1° ([95% CI: 4.9-7.4]) than the large dog group. Sex and neutered status further influenced the TPA and Z angle values. No significant effect was observed on the rTTW values. A strong correlation was found between the TPA and the Z angle (r = 0.61, p <0.001). Variances were not significantly different between observers. Overall the interobserver variability was low suggesting that agreement was good. CLINICAL SIGNIFICANCE: Small dogs with CCLD have a steeper tibial plateau than large dogs with CCLD. Sex and neutered status also had an effect on some measured variables. This anatomical difference could influence the surgical technique, which may affect the outcome. The good interobserver agreement suggests the observer is unlikely to influence surgical planning.

Comparative anatomy of the proximal tibia in healthy Labrador Retrievers and Yorkshire Terriers.

OBJECTIVES: 1) To provide specific quantitative data of tibial conformation in Labrador Retrievers and Yorkshire Terriers; 2) To compare the tibial conformation of these two breeds; and 3) To compare these data with previously reported data. METHODS: Mediolateral radiographs of the stifle were obtained from 30 consecutive Labrador Retrievers and 30 consecutive Yorkshire Terriers with an angle of extension of 135°. The tibial plateau angle (TPA), the angle between the tibial plateau and the patellar tendon (PTA), the Z angle, the distal tibial axis/proximal tibial axis angle (DPA), and the relative tibial tuberosity width (rTTW) were measured and compared among the two breeds. RESULTS: The breed had a significant effect on all of the measured variables (p <0.01): Labrador Retrievers had a lower TPA (25 ± 3° compared to 30 ± 4°), a lower Z angle (58.8 ± 3.2° compared to 69.2 ± 4.5°), a lower DPA (4.5 ± 2.3° compared to 10.8 ± 4.3°), and a lower rTTW (0.74 ± 0.1 compared to 0.86 ± 0.1) than Yorkshire Terriers. The PTA was greater in Labrador Retrievers compared to Yorkshire Terriers (106.9 ± 3.9° compared to 103.7 ± 6.5°). Four correlations were found to be significant: the DPA angle was correlated with the TPA, the Z angle, and the rTTW. The TPA was also correlated with the Z angle. CLINICAL SIGNIFICANCE: The variation in tibial conformation between breeds should be taken into account when studying the role of each measured parameter in the pathology of cruciate disease. When the relevance of each of the aforementioned measured parameters is better understood, it may help determine the most appropriate surgical treatment.

[Septic peritonitis: treatment and prognosis]. / Therapie und Prognose der septischen Peritonitis.

Septic peritonitis is an inflammatory condition of the peritoneum that has a wide variety of clinical courses. The etiology and pathophysiology of this condition and its diagnosis in small animals are reviewed in a companion article. This article addresses the treatment of septic peritonitis and prognosis in small animals.

[Septic peritonitis: etiology, pathophysiology, and diagnosis]. / Ätiologie, Pathophysiologie und Diagnose der septischen Peritonitis.

Septic peritonitis is an inflammatory condition of the peritoneum that occurs secondary to microbial contamination. This clinically important condition has a wide variety of clinical courses as well as high morbidity and mortality due to secondary multiorgan dysfunction. This article reviews the etiology and pathophysiology of this condition and its diagnosis in small animals; a companion article addresses treatment and prognosis.

The rationale behind novel bone grafting techniques in small animals.

Autograft is considered ideal for grafting procedures, providing osteoinductive growth factors, osteogenic cells, and an osteoconductive scaffold. Limitations, however, exist regarding donor site morbidity and graft availability. Although allograft provides an osteoconductive matrix with some osteoinductivity, its availability is limited. To achieve optimal bone graft properties, researchers are developing new materials with the goal of designing synthetics as close to autograft as possible while still facilitating their clinical use. However, the constant evolution of internal fixation stimulates the search for growth factors and cells which could stimulate bone healing.

Mechanical testing of a modified stabilisation method for tibial tuberosity advancement.

OBJECTIVES: This in vitro study evaluated three modified techniques of tibial tuberosity advancement (TTA). Loads to failure were calculated for each technique. METHODS: A 9 mm TTA procedure was performed in the tibiae of dogs weighing between 32 and 38 kg. In group 1 (n = 12), the distal part of the tibial crest was left attached to the tibia by the cranial cortex, and a figure-of-eight wire was added for stabilisation. In group 2 (n = 12), the tibial crest was left attached but no additional device was used for stabilisation. In group 3 (n = 12), the tibial crest was completely separated from the tibia and fixed by a figure-of-eight wire so that, in this group, only the wire opposed avulsion of the tibial crest. Unidirectional axial force was applied via the patella to determine the maximal load to failure of the model. RESULTS: There was no significant difference between group 1 and group 2. These two groups both had a significantly stronger construct than that of group 3. CLINICAL SIGNIFICANCE: We described modifications to the TTA procedure without plate fixation that warrant clinical investigation. When the crest is broken during its advancement, the tension sustained by the repair is significantly weaker from a biomechanical point of view and the use of such a repair clinically is not recommended by the authors.