Veterinary Surgery October 2025 – Ortho Part 3: TPLO Fluoro Guidance & Internal Brace Placement

In this Simini Small Animal Surgery Podcast episode, we wrap up the October 2025 orthopedic series with two high-impact studies—each focused on improving TPLO outcomes through better intraoperative imaging and implant technique. Whether you're chasing cut precision or trying to tame rotational instability, these papers offer real-world guidance with strong clinical implications.We cover:✅ Wang et al. — A prospective study of fluoroscopy-guided TPLO blade placement in 25 dogs. Using intraop C-arm to guide and verify blade trajectory, the team achieved a median post-op TPA of 3°, with all outcomes falling between 0–4.5°, a dramatic improvement over conventional variability (up to 13°). They also revealed that relying on D2-based pre-op planning can systematically underestimate osteotomy radius, reinforcing the role of real-time feedback during surgery.✅ Wylie et al. — A retrospective study on internal brace augmentation in 46 stifles post-TPLO. Despite only 63% of femoral implants being accurately placed (especially poor with FASTak anchors), over 90% of dogs showed pivot shift resolution by 6 weeks. Interestingly, final rotational stability wasn’t linked to implant position—suggesting that early bracing may simply provide time for extra-articular fibrosis to stabilize the joint naturally.🎓 Journal Articles Discussed:Wang et al. — Accuracy of fluoroscopy-guided osteotomy placement inTPLO: Postoperative tibial plateau angle and preoperativeplanning evaluationWylie et al. — Evaluation of femoral isometric placement accuracy ofinternal brace implants and its impact on stiflestability in the management of pivot shiftphenomenon following TPLO 📚 From the October 2025 issue of Veterinary Surgery🎁 Want to learn more about Simini Protect Lavage or request a sample?Learn More: www.simini.comRequest a Sample:https://www.simini.com/evaluation-kit