Simini Surgery Review: Small Animal Edition

In this Simini Small Animal Surgery Podcast episode, we continue our soft tissue coverage from the February 2026 issue of Veterinary Surgery with two studies that highlight how outcomes depend not just on technique, but on tissue biology and surgeon-tool interaction.From large-scale reconstructive flap surgery in cats to laparoscopic instrument design, these papers reveal how both biology and ergonomics can shape surgical success.In this episode, we talk about:✅ Cinti et al. — A retrospective study evaluating the lateral caudal axial pattern flap for reconstruction of large caudodorsal defects in cats. Despite a 50% complication rate, all complications were minor (seroma, edema, partial dehiscence), and 0% required revision surgery. Surgeons were able to safely use flaps averaging 61.3% of tail length, demonstrating that feline tail vasculature provides robust and reliable perfusion even under high tension, making this a viable option for massive defects. ✅ Cormillot et al. — A prospective, randomized crossover study of 120 surgeons evaluating laparoscopic instrument handle size. The study found that hand size strongly predicts optimal handle preference, with surgeons wearing glove sizes ≤6.5 significantly preferring smaller handles, while larger-handed surgeons preferred standard sizes. Poor ergonomic fit led to two-handed instrument use, increased wrist strain, and reduced efficiency, highlighting a major but often overlooked contributor to surgeon fatigue and long-term injury risk. Together, these studies emphasize a critical concept: successful surgery depends on both the biology of the patient and the biomechanics of the surgeon.🎓 Journal Articles DiscussedCinti et al. — Outcome and complications of lateral caudal axial pattern flap in 14 cats.Cormillot et al. — Surgeon hand size influences laparoscopic finger loop handle preference.📚 From the February 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the May 2026 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by exploring three studies that reveal how hidden pathology often lies beneath seemingly normal clinical findings. From subtle elbow incongruity in medial coronoid disease to standardizing stress radiography for hip dysplasia and identifying silent gastrocnemius tendon injuries in canine athletes, these papers emphasize the importance of looking beyond what is immediately visible.In this episode:✅ Scharpf et al. — Used CT imaging to evaluate radioulnar congruity in dogs with medial coronoid disease (MCD). Although the medial compartment often appeared anatomically congruent, the authors identified significant lateral and central radioulnar incongruity, suggesting that many cases of MCD may actually represent a joint-wide biomechanical disorder rather than an isolated medial lesion. These findings help explain why some dogs continue to experience lameness despite technically successful arthroscopic treatment focused solely on the medial compartment. ✅ Vandekerckhove et al. — Quantified the force required during passive stress radiography to accurately assess canine hip laxity. Under standardized sedation, 90% of hips reached maximal diagnostic laxity at approximately 80.5 Newtons (about 8.2 kg of force). The study provides an objective benchmark that may improve consistency between clinicians while reducing false-negative screening examinations caused by inadequate applied force. ✅ Vannini et al. — Investigated gastrocnemius tendon origin (TGMO) injuries in actively competing Border Collies. Despite owners reporting no lameness, more than half of the dogs demonstrated pain during palpation, while ultrasonography revealed tendon abnormalities in approximately 85% of cases. The study showed that direct palpation of the lateral fabella was the most clinically useful screening tool, emphasizing that many athletic dogs may develop significant tendinopathy long before overt lameness appears. Together, these studies reinforce an essential orthopedic principle: successful diagnosis depends on recognizing pathology before it becomes clinically obvious.🎓 Journal Articles DiscussedScharpf et al. — Assessment of the Conformation of the Radioulnar Joint Comparing Dogs with and without Medial Coronoid DiseaseVandekerckhove et al. — Quantifying the Stress in Stress Radiography to Determine Sufficient Laxity of the Coxofemoral Joint in Sedated DogsVannini et al. — Prevalence of Tendinopathy of the Gastrocnemius Muscle Origin in a Cohort of Sound Border Collie📚 From the May 2026 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we begin our orthopedic coverage from the May 2026 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by exploring three studies focused on making better clinical decisions through objective measurement. From synovial biomarkers for joint disease, to surgical stabilization of degenerative lumbosacral stenosis, and evidence-based rehabilitation exercises, these papers demonstrate how data—not assumptions—can improve diagnosis, surgery, and postoperative recovery.In this episode:✅ Beer et al. — Evaluated synovial fluid C-reactive protein (CRP) as a diagnostic biomarker for canine joint disease. Dogs with osteoarthritis demonstrated very low synovial CRP concentrations (median 1.2 mg/L), while dogs with immune-mediated polyarthritis (IMPA) and bacterial infective arthritis showed markedly elevated values of approximately 60–65 mg/L. Although CRP reliably distinguished non-inflammatory osteoarthritis from inflammatory joint disease, it could not differentiate septic arthritis from immune-mediated disease, reinforcing the continued importance of synovial cytology, culture, and clinical judgment when evaluating painful joints. ✅ Van der Brink et al. — Compared standalone intervertebral cages with cages combined with pedicle screw and rod fixation (PSRF) for canine degenerative lumbosacral stenosis. Both techniques achieved similar long-term clinical outcomes, with approximately 64–65% of dogs returning to full function. However, adding PSRF reduced cage subsidence from 75% to 33%, improved radiographic fusion, and decreased temporary neurologic complications by providing greater construct stability during bone healing. ✅ Ramos et al. — Used inertial motion sensors (IMUs) and surface electromyography (sEMG) to objectively measure muscle activation during rehabilitation exercises on progressively unstable platforms. While unstable "peanut" exercises increased thoracolumbar instability by 42–60%, they unexpectedly reduced activation of the epaxial muscles and biceps femoris, while dramatically increasing rectus abdominis recruitment. The findings suggest rehabilitation equipment should be selected based on which muscles require strengthening, rather than assuming greater instability universally improves core activation. Together, these studies reinforce an important clinical principle: better orthopedic outcomes come from measuring the right variables—and understanding what those measurements truly mean.🎓 Journal Articles DiscussedBeer et al. — Synovial Fluid C-Reactive Protein as a Biomarker in Osteoarthritis, Immune-Mediated Polyarthritis and Bacterial Infective Arthritis Van der Brink et al. — Comparison of Stand-Alone Cage versus Intervertebral Cage with Pedicle Screw and Rod Fixation in Dogs with Degenerative Lumbosacral StenosisRamos et al. — The Effect of Progressively Unstable Equipment Used in Canine Fitness and Rehabilitation on Standing Postural Control and Muscle Activity📚 From the May 2026 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we conclude our orthopedic coverage from the March 2026 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by exploring two studies that emphasize an essential surgical principle: successful orthopedic reconstruction depends on understanding anatomy—not simply repairing bones. From complex craniomaxillofacial trauma in cats to an alternative surgical approach for canine total ankle replacement, these papers demonstrate how thoughtful preoperative planning and detailed anatomical knowledge can dramatically improve patient outcomes.In this episode:✅ Weichert et al. — A retrospective CT study of 48 cats with craniomaxillofacial trauma following high-rise syndrome or motor vehicle accidents. Although mandibular fractures occurred in 40 cats, the authors found that 75% of patients (36/48) had injuries involving multiple functional systems. Notably, all cases of nasal airway obstruction were associated with oral cavity injuries, while 25 cats sustained fractures of the pterygoid hamular process, creating occult airway compromise despite minimal external soft tissue damage. The findings highlight the importance of CT-based evaluation and comprehensive surgical planning that addresses airway, mastication, vision, and temporomandibular joint function simultaneously. ✅ Zingel et al. — A cadaveric study evaluating a lateral surgical approach for canine total ankle replacement (CTAR) when the standard medial approach is not feasible. Both approaches achieved excellent implant positioning, with 96% of bone-implant interfaces measuring less than 1 mm. Although the lateral approach increased angular laxity (15.5° vs. 9.5°) and required fibular osteotomy with meticulous protection of the lateral collateral ligament, overall joint stability remained acceptable. The authors conclude that the lateral approach represents a valuable alternative for revision cases or patients with severe medial scarring, while emphasizing the importance of precise center-of-rotation post placement and soft tissue preservation. Together, these studies reinforce a central lesson in orthopedic surgery: the best reconstruction begins with understanding anatomy in three dimensions before making the first incision.🎓 Journal Articles DiscussedWeichert et al. — Assessment of Fracture Distribution and Involvement of Functional Systems Following Craniomaxillofacial Trauma in 48 CatsZingel et al. — Implantation of a Canine Total Ankle Replacement Prosthesis Using a Lateral Surgical Approach is Accurate and Leads to a Stable Joint 📚 From the March 2026 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we conclude our orthopedic coverage from the March 2026 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by examining how better surgical instrumentation can improve precision, consistency, and patient safety. One study evaluates an ergonomically redesigned cup impactor for canine total hip replacement, while the second demonstrates how patient-specific 3D-printed drill guides may transform feline spinal stabilization.In this episode:✅ Mancusi et al. — A cadaveric study comparing a prototype ergonomic acetabular cup impactor with a conventional impactor during Zurich cementless total hip replacement. Among novice surgeons, the prototype significantly improved the angle of lateral opening (ALO), reducing the mean placement from 48.9° with the standard impactor to 43.2°, much closer to the ideal 45° target. However, the improved instrument did not improve cup retroversion, reinforcing that while better tools can reduce mechanical errors, accurate interpretation of anatomic landmarks remains essential for successful THA. ✅ Rigo et al. — Evaluated patient-specific 3D-printed drill guides for thoracolumbar pedicle screw placement in cats. Across 126 pilot holes, the guides achieved an overall 91.2% safe placement rate, including 100% accuracy within the thoracic spine. Importantly, all breaches occurred laterally, with zero medial breaches or spinal canal violations, demonstrating that patient-specific guides can substantially improve safety while allowing a less invasive dorsal surgical approach. The study also reports the first successful clinical application of this technique in a feline patient, highlighting its potential for future spinal stabilization procedures. Together, these studies demonstrate that the future of orthopedic surgery isn't simply better implants—it's smarter instrumentation that helps surgeons consistently perform at a higher level.🎓 Journal Articles DiscussedMancusi et al. — Comparison between Two Zurich Cementless Total Hip Replacement Cup Impactor Types in the Accuracy of Cup Positioning: An In Vitro StudyRigo et al. — Feasibility and Accuracy of Pedicle Screws in the Feline Thoracolumbar Spine📚 From the March 2026 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we begin our orthopedic coverage from the March 2026 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by examining how small technical decisions can profoundly influence orthopedic outcomes—from postoperative care to implant manufacturing and intraoperative accuracy. This episode explores whether routine postoperative bandaging is truly beneficial in cats, how 3D-printed locking plates may reshape the future of patient-specific implants, and a novel device designed to improve acetabular cup positioning during canine total hip replacement.In this episode:✅ Clayton et al. — A multicenter retrospective study of 152 cats undergoing clean orthopedic procedures evaluated complications associated with postoperative external coaptation. Overall, 68.4% of cats developed bandage-associated complications, and those receiving rigid splints were 3.4 times more likely to experience severe complications than cats managed with soft padded bandages alone. Cases included pressure necrosis, implant exposure, osteomyelitis, and even digit amputation. The findings suggest that when rigid internal fixation provides adequate stability, routine postoperative splinting may introduce unnecessary risk rather than additional protection. ✅ Kang et al. — Investigated whether locking screw threads can be manufactured directly into 3D-printed titanium plates, eliminating the need for expensive post-machining. When printed in a 0° horizontal orientation, directly printed locking threads achieved push-out strength equivalent to commercially machined plates. However, vertically printed implants demonstrated significant thread defects, and insertion torque proved critical—100% of printed threads failed when tightened to 2.0 Nm, while 1.1 Nm provided reliable fixation. The study highlights how implant manufacturing parameters and surgical technique must evolve together as patient-specific implants become more common. ✅ Karlin et al. — Evaluated the Cup Position Assessment Device (CPAD), a 3D-printed intraoperative guide designed to objectively measure acetabular cup orientation during canine total hip arthroplasty. Using embedded radiopaque crossbars and intraoperative radiographs, the device measured the angle of lateral opening (ALO) with remarkable accuracy—within approximately 1.1° of the true angle. Although version measurements remain limited by implant overlap on radiographs, the CPAD represents an important step toward objective intraoperative implant positioning and reducing postoperative luxation risk. Together, these studies reinforce an important orthopedic principle: better outcomes often come from improving the small details that surround surgery—not just the operation itself.🎓 Journal Articles DiscussedClayton et al. — Incidence of Bandage-Associated Complications in Cats following Clean Orthopaedic Procedures: A Retrospective Study of 152 CasesKang et al. — Feasibility of Integrating Locking Plate System into Additively Manufactured Implants: A Mechanical Comparison of Three-Dimensional-Printed and Machined Locking Hole ThreadsKarlin et al. — In Vitro Evaluation of a Device to Assess Acetabular Cup Position by Sagittal Plane Radiography📚 From the March 2026 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the January 2026 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by challenging two common assumptions surrounding timing and surgical planning. One study investigates whether orthobiologic injections administered immediately after elbow arthroscopy actually remain inside the joint, while the second demonstrates that double pelvic osteotomy (DPO) plates consistently produce less acetabular rotation than their labeled angle, changing how surgeons should approach implant selection.In this episode:✅ Rustemeyer et al. — A cadaveric CT study evaluating contrast retention following elbow arthroscopy. Compared with simple arthrocentesis, elbows undergoing arthroscopy demonstrated immediate postoperative extravasation, resulting in an estimated 64.3% dilution of injected fluid. The findings suggest that orthobiologics such as PRP or stem cell therapies administered immediately after arthroscopy may largely escape into the surrounding soft tissues rather than remaining intra-articular. Delaying injections until portal sealing occurs may substantially improve therapeutic delivery. ✅ Trommelmans et al. — A CT-based retrospective study measuring the true acetabular rotation achieved during double pelvic osteotomy. Across 49 hips, every plate angle consistently underperformed its nominal correction. Thirty-degree plates produced a median correction of only 23.4°, 25° plates achieved 16.7°, and 20° plates achieved approximately 15°. The study demonstrates that surgeons should anticipate 5–8° of lost rotation due to pelvic elasticity and soft tissue tension, recommending that 7–10° be added to preoperative planning measurements when selecting implant angles. Together, these studies emphasize that successful orthopedic surgery depends not only on technical execution, but also on understanding what happens immediately after surgery—and how living tissues respond to implanted hardware.🎓 Journal Articles DiscussedRustemeyer et al. — Extravasation of Intraarticular Fluid Injection Following Canine Elbow Arthroscopy: A Cadaveric StudyTrommelmans et al. — Effect of Double Pelvic Osteotomy on Dorsal Acetabular Rim Angle Using Computed Tomography in 27 Dogs📚 From the January 2026 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we kick off our orthopedic coverage from the January 2026 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by exploring how implant design can influence surgical success long before the patient leaves the operating room. One study demonstrates that subtle differences in TPLO plate geometry can dramatically affect interfragmentary compression and construct stability, while the second introduces a patient-specific 3D-printed implant that could transform the treatment of atlantoaxial instability in toy-breed dogs.In this episode:✅ Miraldo et al. — Compared three commonly used 3.5 mm TPLO locking plate systems to determine how plate design affects interfragmentary compression across the osteotomy. Using pressure-sensitive film, the authors found that the Biocurve plate generated the highest and most uniform compression, particularly across the cranial aspect of the osteotomy, owing to its opposing dynamic compression slot orientation. In contrast, the Synthes plate produced the lowest compression, highlighting that implant geometry—not just surgical technique—plays a major role in achieving stable primary bone healing.✅ Peres Cabrera et al. — Presented a patient-specific 3D-printed titanium implant for dorsal stabilization of atlantoaxial instability (AAI) in dogs. Designed from CT imaging and optimized using finite element analysis, the implant incorporates an integrated drill guide that directs screw placement while allowing up to 12 degrees of variable-angle adjustment. Mechanical testing demonstrated excellent rigidity, with maximum implant stress remaining well below the titanium alloy's yield strength and only 0.13 mm of displacement under supraphysiologic loading. The design eliminates the need for polymethylmethacrylate (PMMA), reducing the risks of thermal injury, infection, and implant-related complications. Together, these studies reinforce a simple but powerful lesson: the smartest implant isn't always the strongest—it's the one designed to help surgeons consistently achieve the best biomechanics with the greatest precision.🎓 Journal Articles DiscussedMiraldo et al. — Tibial Plateau Leveling Osteotomy Plate Design Influences Interfragmentary Compression: An In Vitro StudyPeres Cabrera et al. — Development and Finite Element Analysis of a Patient-Specific Implant for Atlantoaxial Joint Stabilization via Dorsal Approach in Dogs📚 From the January 2026 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we conclude our orthopedic coverage from the November 2025 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by exploring three studies that examine how precision, technology, and long-term adaptation influence orthopedic success.From a novel approach to cementless total hip replacement, to patient-specific drill guides for feline sacroiliac luxation repair, and the surprising long-term outcomes of tibial tuberosity avulsion fractures, these studies challenge conventional assumptions about fixation, healing, and postoperative function.In this episode:✅ Arias et al. — Evaluated an undersized cementless femoral stem coated with biphasic calcium phosphate (BCP) as an alternative to traditional cemented total hip replacement. While dogs with undersized stems experienced slower early recovery and mild transient lameness, functional gait analysis demonstrated equivalent outcomes by four months postoperatively. The BCP coating promoted biological fixation through osteoconduction and osteoinduction, potentially reducing the risk of intraoperative femoral fissures associated with aggressive press-fit stem placement. ✅ Scortea et al. — Compared 3D-printed drill guide technology with fluoroscopy-guided minimally invasive osteosynthesis (MIO) for feline sacroiliac luxation repair. Patient-specific guides achieved 92.9% adequate sacral bone purchase, compared with 64.3% for traditional MIO, while dramatically reducing cortical breaches and screw malposition. Although the guides required additional planning time and an open surgical approach, the study demonstrated substantial improvements in implant accuracy and safety. ✅ Zweig et al. — Investigated long-term outcomes following tibial tuberosity avulsion fractures (TTAF) after skeletal maturity. Surgical fixation resulted in dramatic radiographic changes, including a 15–19° reduction in tibial plateau angle and distal patellar displacement. Despite these alterations, every surgically treated dog achieved excellent functional outcomes with no lameness or instability. In contrast, one-third of conservatively managed dogs developed severe medial patellar luxation, reinforcing the importance of maintaining extensor mechanism alignment during healing. Together, these studies remind us that orthopedic success is not always defined by perfect anatomy—but by achieving durable function through thoughtful planning and biologic adaptation.🎓 Journal Articles DiscussedArias et al. — Kinetic and Kinematic Gait Analyses of Dogs with Undersized Cementless Stems (Biphasic Calcium Phosphate Coated) versus Cemented in Total Hip ReplacementScortea et al. — Comparative Analysis of 3D-Printed Drill Guides and Minimally Invasive Osteosynthesis in Feline Sacroiliac Luxation: A Cadaveric StudyZweig et al. — Treatment Outcome and Radiographic Appearance of Healed Tibial Tuberosity Avulsion Fractures in Skeletally Mature Dogs: 21 Cases (2016–2023) 📚 From the November 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the September 2025 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by examining how biology and biomechanics shape long-term orthopedic outcomes in small dogs.One study challenges assumptions about meniscal injury prevalence in toy-breed dogs with cranial cruciate ligament disease, while the second explores how growth itself may become a powerful ally in the treatment of proximal tibial physeal fractures.In this episode:✅ Kikuchi et al. — Used arthroscopy to evaluate the incidence of medial meniscal injury in toy-breed dogs weighing 5 kg or less with cranial cruciate ligament rupture. The authors identified meniscal injury in 36.3% of affected stifles, demonstrating that significant meniscal pathology remains common even in very small patients. Yorkshire Terriers showed particularly high rates of complete cruciate rupture and meniscal injury, with over 55% of Yorkies affected. The study highlights the importance of thorough meniscal assessment, especially in dogs with complete ruptures, higher relative body weight, and severe lameness. ✅ Turner et al. — Evaluated postoperative changes in tibial plateau angle (TPA) following repair of Salter-Harris Type I and II proximal tibial physeal fractures. Across 32 dogs, the authors observed a mean 5.89° reduction in TPA during early healing, demonstrating that significant dynamic correction occurs after surgery. Interestingly, adding a tibial tuberosity tension band did not significantly affect correction, suggesting that cranially placed K-wires alone create sufficient temporary physeal tethering to guide growth and level the tibial plateau over time.Together, these studies remind us that successful orthopedic surgery requires understanding not only the injury itself, but also how biology continues to influence outcomes long after the procedure is complete.🎓 Journal Articles DiscussedKikuchi et al. — Incidence of Medial Meniscus Injury Detected by Arthroscopy in Toy Breed Dogs (≤5 kg) with Cranial Cruciate Ligament RuptureTurner et al. —Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs📚 From the September 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the September 2025 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by exploring a common surgical objective: maximizing stability while minimizing surgical trauma.One study evaluates an innovative fracture fixation strategy that combines the biological advantages of external skeletal fixation with the mechanical benefits of locking plate technology. The second investigates whether 3D-printed patient-specific guides can improve the accuracy and safety of transcondylar screw placement in dogs with humeral intracondylar fissures.In this episode:✅ İnal et al. — Evaluated supercutaneous locking plates (SLPs) for the management of non-articular radial, ulnar, and tibial fractures in dogs and cats. Applied externally above the skin using locking screws, SLPs achieved a median healing time of approximately 50 days, with most patients bearing weight within 1–2 days postoperatively. Although 24% of cases developed minor screw-track discharge, no implants required removal and all complications were managed conservatively. The findings suggest SLPs may provide a low-profile alternative to traditional external fixators while preserving fracture biology and minimizing soft tissue disruption. ✅ Kershaw et al. — Investigated the use of 3D-printed patient-specific guides (PSGs) for transcondylar screw placement in canine humeral intracondylar fissures. Using a novice surgeon model in paired cadaver limbs, PSGs produced significantly more accurate entry and exit points than traditional aiming devices. Most notably, three of seven screws placed with standard aiming devices would have violated the joint, whereas zero articular penetrations occurred with PSG-guided placement. The study highlights the potential for patient-specific technology to improve surgical precision and reduce catastrophic technical errors. Together, these studies demonstrate that advances in orthopedic surgery increasingly focus on working smarter rather than working bigger—using technology and biomechanics to achieve safer, more predictable outcomes.🎓 Journal Articles DiscussedInal et al. — Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and CatsKershaw et al. — Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus📚 From the September 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the July 2025 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by examining how a deeper understanding of anatomy and biomechanics can fundamentally change surgical planning. One study introduces a novel method for evaluating tibial torsional deformity in dogs with medial patellar luxation, while the second explores a promising bone-preserving alternative to traditional total hip replacement.In this episode:✅ Isono et al. — Investigated tibial torsional malalignment in small-breed dogs with medial patellar luxation (MPL) using advanced CT analysis. The authors introduced the Proximal Tibia Metatarsal Angle (PTMTA), a new measurement designed to quantify rotational deformity throughout the entire hind limb. Normal dogs demonstrated a PTMTA of approximately 7 degrees, while Grade IV MPL patients averaged 32.8 degrees, with some exceeding 40 degrees. The findings suggest that severe MPL may be driven by substantial tibial rotational deformity, emphasizing the importance of evaluating the entire limb when planning corrective osteotomies. ✅ Perez Neto et al. — Evaluated a novel short-stem hip resurfacing arthroplasty (HRA) implant as a potential alternative to conventional total hip replacement. Using cadaveric femurs from large-breed dogs, the authors demonstrated that although the implant reduced maximum load capacity by approximately 22%, implanted femurs still withstood forces exceeding six times body weight before failure. Importantly, fractures occurred in the same location as intact femurs, suggesting that the implant preserved natural load transmission patterns while maintaining substantial mechanical strength. Together, these studies demonstrate that better orthopedic outcomes begin with understanding the underlying mechanics of the limb—and sometimes preserving anatomy may be just as important as replacing it.🎓 Journal Articles DiscussedIsono et al. — Tibial Torsion Malalignment in Small Dogs with Medial Patellar LuxationPerez Neto et al. — Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study📚 From the July 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the July 2025 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by exploring how seemingly small surgical decisions can have major biomechanical consequences. From preserving partial cruciate ligament remnants during TPLO to modern fixation strategies for tibial tuberosity transposition and the persistent challenge of stress concentration in locking plates, these studies provide practical insights for improving surgical outcomes and reducing complications.In this episode:✅ Almeida et al. — Investigated whether transecting the remaining fibers of a partially ruptured cranial cruciate ligament during TPLO influences postoperative patellar ligament thickening or shortening. Evaluating 56 stifles, the authors found no difference in postoperative patellar ligament changes between dogs whose remnants were transected and those whose remnants were preserved. Importantly, preserving the residual ligament may provide ongoing biomechanical support by limiting cranial tibial translation during gait and potentially reducing future meniscal injury and osteoarthritis progression. ✅ Eskelinen et al. — Evaluated a locking plate and pin fixation technique for tibial tuberosity transposition (TTT) in 65 medial patellar luxation surgeries. The technique achieved resolution of lameness in all patients and successful correction in 64 of 65 stifles. In cases where the surgical protocol was followed precisely, there were zero tibial tuberosity fractures, avulsions, or luxation recurrences, highlighting the importance of rigid fixation and meticulous implant placement. ✅ Hawker et al. — Examined whether locking head inserts (LHIs) improve the mechanical performance of locking compression plate constructs. Despite testing constructs with up to nine inserts torqued to 4 Nm, the authors found no measurable improvement in plate strain, construct stiffness, or compressive displacement. The findings challenge the assumption that filling empty combi holes strengthens plate constructs and reinforce the importance of thoughtful plate selection and working-length management instead. Together, these studies emphasize a central orthopedic lesson: sometimes the best surgical decision is not adding more hardware—but understanding which details actually matter.🎓 Journal Articles DiscussedAlmeida et al. — Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament RuptureEskelinen et al. — Outcome and Complications Following Medial Patellar Luxation Corrective Surgery with Tibial Tuberosity Transposition Using a Locking Plate and a Pin Fixation: 45 Unilateral and 20 Single-Session Bilateral ProceduresHawker et al. — The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model📚 From the July 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the May 2025 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) with two studies that challenge long-held assumptions about orthopedic fixation. One paper examines whether a novel spacer pin technique can provide the same stability as traditional tibial tuberosity transposition fixation while reducing implant-related complications. The second tackles one of the most debated concepts in fracture fixation: plate working length and whether leaving holes empty near a fracture gap truly provides biomechanical advantages.In this episode:✅ Sullivan et al. — An ex vivo biomechanical study comparing three fixation methods for tibial tuberosity transposition (TTT) in the treatment of medial patellar luxation. The authors evaluated traditional tension band wiring, dual-pin fixation, and a novel spacer pin technique. All constructs demonstrated comparable stiffness and failure strength, with each tolerating more than 1,000 Newtons of force before failure. Importantly, the spacer pin avoided implant placement directly through the patellar ligament insertion, potentially reducing soft tissue irritation and implant-associated complications while maintaining equivalent biomechanical stability. ✅ Trefny et al. — A biomechanical investigation of working length in locking compression plate constructs using a distal radius fracture model. Contrary to conventional wisdom, constructs with short working lengths (screws placed adjacent to the fracture gap) were approximately 30% stiffer and generated lower plate strain than constructs with longer working lengths. While long working length constructs initially benefited from load sharing through transcortical contact, the authors highlight the biologic risks associated with repeated bone-end contact, including high interfragmentary strain, bone resorption, and eventual implant fatigue failure. Together, these studies demonstrate that orthopedic success often comes down to understanding where forces are actually being transmitted—and avoiding assumptions that may no longer hold true.🎓 Journal Articles DiscussedSullivan et al. — Biomechanical Comparison of Spacer Pin Fixation to Two Established Methods of Tibial Tuberosity Transposition Stabilization in DogsTrefny et al. — Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate📚 From the May 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the May 2025 issue of Veterinary and Comparative Orthopaedics and Traumatology (VCOT) by focusing on a question that underpins every successful orthopedic procedure: how can better planning improve surgical outcomes?From universal deformity correction guides and giant-breed cranial cruciate surgery to rethinking surgical exposure of the canine radius, these studies challenge traditional assumptions and demonstrate how thoughtful planning can improve precision, reduce complications, and simplify orthopedic procedures.In this episode:✅ Cheon et al. — Evaluated a novel universal distal femoral osteotomy (DFO) guide designed to replace patient-specific 3D-printed cutting guides. Using an adjustable titanium rail-and-pin system, the universal guide achieved correction accuracy within 2 degrees, matching custom 3D-printed guides without requiring CT-based manufacturing or production delays. The findings suggest that a reusable, shelf-ready system can provide the same surgical precision while dramatically simplifying preoperative logistics. ✅ Guénégo et al. — Reviewed outcomes of AMA-based cranial closing wedge osteotomy (CCWO) in 204 giant-breed dogs (>50 kg) with cranial cruciate ligament disease. By aligning the anatomical and mechanical axes and eliminating excessive shear forces, the procedure achieved grade 4 bone healing in 100% of dogs by eight weeks and an exceptionally low surgical site infection rate of just 0.5%. Double locking plate fixation, postoperative antibiotics, and a 15-day Robert Jones bandage were key components of the protocol. ✅ Lin et al. — Compared the traditional craniomedial approach (CMA) and the craniolateral approach (CLA) to the canine radius in cadavers. The CLA provided significantly greater exposure (19.4 cm² vs. 13.8 cm²) while avoiding the median neurovascular bundle and allowing simultaneous access to the ulna through the same incision. These findings suggest the CLA may offer substantial advantages for fracture reduction, plating, and minimally invasive fixation techniques. Together, these studies highlight a simple but powerful principle: better orthopedic outcomes begin long before the first screw is placed.🎓 Journal Articles DiscussedCheon et al. — Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in DogsGuénégo et al. — Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg: Magnitude of the Craniocaudal Angulation of the Proximal Tibia and Rate of Surgical Site InfectionLin et al. — Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?📚 From the May 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the May 2026 issue of Veterinary Surgery by examining two studies that reinforce an important surgical lesson: small technical details often determine long-term success.One study challenges the traditional reliance on postoperative immobilization following superficial digital flexor tendon (SDFT) luxation repair, while the other evaluates how radiographic positioning influences preoperative templating for canine total hip arthroplasty.In this episode:✅ Viskjer et al. — A prospective study evaluating a modified block recession calcaneoplasty for treatment of canine SDFT luxation without routine postoperative tarsal immobilization. All dogs achieved full return to function, with objective gait analysis showing near-normal limb symmetry at long-term follow-up. The study demonstrated that carefully executed sulcus deepening can provide sufficient biomechanical stability without casts or splints, provided adequate calcaneal wall thickness is preserved. The key technical takeaway: maintain approximately 25% of calcaneal width on both the medial and lateral walls to avoid catastrophic fracture and recurrent luxation. ✅ Zab et al. — A retrospective radiographic study comparing traditional extended hip radiographs with caudocranial flexed hip projections for canine THR templating. The authors found that extended views frequently created a false appearance of a stovepipe femoral canal, underestimating implant size in 88% of cases. Flexed views provided a more realistic representation of femoral canal morphology but tended to slightly overestimate final implant size due to magnification effects. The findings suggest that flexed hip projections may serve as a valuable alternative in dogs with severe osteoarthritis where standard positioning is difficult or impossible. Together, these studies demonstrate that successful orthopedic outcomes often depend less on adding complexity and more on understanding the underlying biomechanics and anatomy.🎓 Journal Articles DiscussedViskjer et al. — Surgical management of luxation of the superficial digital flexor muscle tendon (SDFT) using a modified block recession calcaneoplasty without subsequent tarsal joint immobilizationZab et al. — Comparison of canine femoral implant templating for total hip arthroplasty on 25 sets of craniocaudal extended and caudocranial flexed hip radiographs 📚 From the May 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the May 2026 issue of Veterinary Surgery by exploring a common challenge across orthopedic reconstruction: how to restore stability while minimizing the complications associated with immobilization and implant-related concerns.From Achilles tendon reconstruction and multi-ligament stifle injuries in cats to postoperative stem migration after total hip replacement, these studies challenge long-held assumptions about how much external support—and how much radiographic concern—is truly necessary.In this episode:✅ Bohin et al. — A multi-center retrospective study evaluating Achilles tendon repair in cats using a UHMWPE (ultra-high molecular weight polyethylene) synthetic implant. By using a load-sharing internal construct rather than rigid postoperative immobilization, surgeons achieved normal functional recovery in 11 of 12 limbs with long-term follow-up. The overall short-term complication rate was 15.4%, substantially lower than historical complication rates approaching 40% with traditional casts and transarticular fixation. The study highlights the importance of interference screw placement and infection prevention when using permanent braided implants. ✅ Knell et al. — A retrospective case series describing coaptationless reconstruction of feline multi-ligament stifle injuries using knotless anchors, TightRope stabilization, and UHMWPE suture constructs. The technique achieved a remarkable 22 of 23 successful outcomes, with postoperative pain scores approaching normal by six months. The key lesson was that every deficient ligament must be reconstructed, particularly the caudal cruciate ligament, which proved essential for maintaining long-term stability without external coaptation. ✅ Low et al. — A retrospective review of 177 canine total hip replacements using the BFX standard femoral stem. While 26 stems subsided more than 3 mm and seven subsided more than 5 mm, only a small fraction developed clinical complications. Instead, the strongest predictor of failure was the presence of an intraoperative femoral fissure, suggesting surgeons may be overemphasizing arbitrary radiographic subsidence thresholds while underappreciating the significance of intraoperative bone injury. Together, these studies reinforce a central orthopedic principle: successful reconstruction often depends more on achieving stable internal mechanics than on relying on external protection or rigid radiographic rules.🎓 Journal Articles DiscussedBohin et al. — Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)Knell et al. — A multiligament, internal brace, coaptationless stifle reconstruction technique for feline stifle luxationLow et al. — Subsidence of the BFX standard stem after canine total hip replacement: A case series of 177 consecutive procedures📚 From the May 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our soft tissue coverage from the May 2026 issue of Veterinary Surgery by examining two studies that challenge surgeons to balance technical precision, patient recovery, and long-term outcomes. One study evaluates whether a minimally invasive approach to feline urolith removal truly improves surgical success, while the other explores how microscopic surgical decisions can dramatically alter recurrence risk in dogs with anal sac adenocarcinoma.In this episode:✅ Boone et al. — A retrospective study comparing modified percutaneous cystolithotomy (PCCL-M) with traditional open cystotomy in cats undergoing urolith removal. Despite superior visualization, PCCL-M did not improve complete stone clearance, with residual urolith rates similar to open surgery (33.3% vs. 30%). However, PCCL-M resulted in smaller incisions, shorter hospitalization times, and fewer immediate postoperative lower urinary tract signs, suggesting the primary benefit is improved recovery rather than improved stone retrieval. The study reinforces the importance of postoperative imaging regardless of surgical approach. ✅ Gordon et al. — A retrospective study evaluating the prognostic value of the R margin classification system in dogs with apocrine gland anal sac adenocarcinoma (AGASACA). Dogs with R1 margins experienced a 23-fold increase in local recurrence risk, with recurrence rates rising from 4% (R0) to 50% (R1). Importantly, achieving wider margins that occasionally included portions of the external anal sphincter did not result in a dramatic increase in major complications, supporting a more aggressive surgical approach when appropriate. The study also identified hypercalcemia and lymphovascular invasion as major predictors of poor outcome and metastasis. Together, these studies emphasize that surgical success extends far beyond the procedure itself—requiring careful planning, objective postoperative assessment, and thoughtful long-term decision-making.🎓 Journal Articles DiscussedBoone et al. — Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 catsGordon et al. — Investigation of the “R” tumor margin classification and prognostic factors in apocrine gland anal sac adenocarcinoma of dogs📚 From the May 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our soft tissue coverage from the April 2026 issue of Veterinary Surgery by focusing on how minimally invasive surgery continues to evolve through better technique, better preparation, and smarter intraoperative decision-making. From hepatic vascular malformations to laparoscopic performance warmups and thoracoabdominal hernia repair, these studies show how modern surgery increasingly depends on understanding both the patient’s physiology and the surgeon’s performance under pressure.In this episode:✅ Weiss et al. — A 20-year retrospective study evaluating treatment strategies for hepatic arteriovenous malformations (HAVMs) in dogs. Medical management alone resulted in zero long-term survivors, while surgery dramatically improved outcomes. Among surgical approaches, dominant outflow vein occlusion (DOV) achieved a 95% acute occlusion rate and only 15% recurrence, significantly outperforming transarterial embolization (TAE), which showed a 53% recurrence rate due to collateral vessel recruitment. The study emphasizes the importance of venous outflow control using nonabsorbable suture ligation over mechanical occlusion devices. ✅ Foreman et al. — A prospective study investigating whether a simple 30-minute preoperative laparoscopic warmup improves surgical performance in veterinary students performing live dog ovariectomies. Students who completed simulator exercises and laparoscopic video gaming reduced operative time by 20 minutes (63 vs. 84 minutes) and achieved significantly higher performance scores. The findings highlight the role of psychomotor priming and structured warmups in minimally invasive surgery training. ✅ Massari et al. — The largest reported case series evaluating laparoscopic repair of peritoneopericardial diaphragmatic hernias (PPDH) in dogs and cats. Using ultra-low insufflation pressures (3–4 mmHg) and active pericardial venting, the authors achieved successful minimally invasive repair in 92% of cases. One patient required emergency conversion due to tension pneumopericardium and cardiovascular collapse, reinforcing the importance of careful hemodynamic management during thoracoabdominal laparoscopy. Together, these studies demonstrate that successful minimally invasive surgery depends just as much on preparation and physiology as it does on instrumentation.🎓 Journal Articles DiscussedWeiss et al. — Procedural descriptions and survival times for hepatic arteriovenous malformations (HAVM) in animals receiving primarily conservative treatment, arterial embolization, or dominant outflow vein occlusionForeman et al. — Effects of preoperative warm-ups on veterinary medical students' performance with live dog laparoscopic ovariectomyMassari et al. — Laparoscopic repair of peritoneopericardial hernias: Multicentric retrospective case series of 12 dogs and one cat📚 From the April 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the April 2026 issue of Veterinary Surgery by focusing on two themes that shape every surgeon’s career: building stronger repairs and building stronger surgeons. From double plate fixation in complex scapular fractures to structured cadaver-based resident training, these papers explore how biomechanics and deliberate practice influence both surgical outcomes and long-term competency.In this episode:✅ Barrett et al. — An ex vivo biomechanical study evaluating single versus double plating constructs for comminuted canine scapular fractures. Adding a second plate along the caudolateral border nearly halved fracture displacement during cyclic loading (0.81 mm → 0.48 mm) and increased construct stiffness from 392.8 to 563.7 N/mm without increasing strain on the primary implant. The findings suggest that load-sharing double plating may support immediate postoperative weight bearing while potentially reducing reliance on restrictive external coaptation. ✅ Leu et al. — A prospective pilot study evaluating a three-month cadaveric orthopedic skills curriculum for small animal surgery residents and interns. Using OSATS global rating scores, the study demonstrated significant improvement in technical performance, with median expert scores increasing from 17/35 to 23/35 after training. Interestingly, trainee self-assessment showed poor agreement with expert evaluation, highlighting the importance of objective feedback and structured mentorship during surgical development. Together, these studies reinforce an important principle in orthopedic surgery: better outcomes depend not only on stronger implants, but also on stronger surgical preparation and training systems.🎓 Journal Articles DiscussedBarrett et al. — Double plate fixation improves stiffness in a comminuted canine scapula fracture gap model compared to single plate fixationLeu et al. — Structured assessment of a cadaveric orthopedic surgical training program of small animal surgeons in training: A prospective observational pilot study📚 From the April 2026 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

In this Simini Small Animal Surgery Podcast episode, we wrap up our soft tissue coverage from the February 2026 issue of Veterinary Surgery with two studies that refine decision-making at the intersection of diagnostics and technique.From predicting laparoscopic success in GI foreign bodies to rethinking stapling technology in open thoracic surgery, these papers emphasize how better planning—and better tools—can improve outcomes in high-stakes procedures.In this episode:✅ Toth et al. — A prospective study evaluating abdominal ultrasound for surgical planning in canine GI foreign bodies. Ultrasound correctly identified foreign body type and morphology in 96.8% of cases, but consistently underestimated size. Importantly, location—not size—determined surgical success, with a 0% success rate for laparoscopic-assisted removal when objects were lodged at the caudal duodenal flexure. Linear foreign bodies were safely managed laparoscopically only if they did not extend past this anatomic bottleneck. ✅ Weaver et al. — A retrospective study of 46 open lung lobectomies using the EndoGIA stapler, traditionally reserved for minimally invasive procedures. The device achieved zero major intraoperative complications, with over 82% of cases complication-free intraoperatively. While postoperative complications occurred (~10.8%), these were linked to underlying disease severity, not device failure. The EndoGIA’s articulating design and triple-staple row deployment improved maneuverability, hemostasis, and air leak prevention in confined thoracic spaces. Together, these studies highlight a key surgical principle: the best outcomes come from matching the right approach—and the right tools—to the underlying anatomy and pathology.🎓 Journal Articles DiscussedToth et al. — Diagnostic accuracy of ultrasonographic evaluation prior to laparoscopic-assisted gastrointestinal foreign body removal in 30 dogsWeaver et al. — Use of the Endo GIA™ stapler for lung lobectomy in dogs and cats undergoing open thoracic procedures (intercostal, transdiaphragmatic thoracotomy or median sternotomy): A retrospective study of 46 lung lobectomies📚 From the February 2026 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

In this Simini Small Animal Surgery Podcast episode, we wrap up our soft tissue coverage from the February 2026 issue of Veterinary Surgery with two studies that expand your surgical toolbox using practical, adaptable techniques.From cost-effective lung lobectomy closure methods to biologically driven wound reconstruction, these papers challenge reliance on expensive tools and highlight the power of mechanics and tissue biology working together.In this episode, we talk about:✅ Cronin et al. — A large clinical series evaluating hilar circumferential ligature techniques for lung lobectomy in dogs and cats. The study reported a low intraoperative hemorrhage rate of 4.3%, with no difference between pre-tied loops and hand-tied knots. However, sliding knots showed a dramatically higher hemorrhage rate (28.6%), reinforcing that knot selection—not just technique—directly impacts safety in thoracic surgery. ✅ Makar et al. — A retrospective case series describing free autologous omental grafts for large distal limb wounds in dogs. Despite initial graft discoloration and heavy discharge, all wounds healed successfully, shrinking to ~19% of original size by 30 days and achieving full epithelialization in an average of 59 days, with no major complications or long-term lameness. The omentum’s angiogenic and immunologic properties allowed it to revascularize and control infection even in contaminated wounds. Together, these studies reinforce a key principle: effective surgery doesn’t always require more technology; sometimes, it requires a better understanding of mechanics and biology.🎓 Journal Articles DiscussedCronin et al. — Perioperative outcomes of 65 dogs and 15 cats undergoing lung lobectomies with a hilar circumferential ligature.Makar et al. — Autologous, free omentum grafts for large, open, distal limb wounds in dogs: Technique and outcome in 10 dogs.📚 From the February 2026 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

In this Simini Small Animal Surgery Podcast episode, we kick off our soft tissue coverage from the February 2026 issue of Veterinary Surgery with two studies that highlight how small technical decisions can have major physiologic consequences.From cutaneous perfusion in feline closures to time-saving strategies in GDV surgery, these papers challenge everyday assumptions and offer practical ways to improve outcomes in both routine and emergency procedures.In this episode:✅ Bayrakdarian et al. — A controlled, within-animal study evaluating continuous intradermal suture patterns in feline skin using laser Doppler imaging. The traditional horizontal mattress pattern decreased perfusion by 24.1%, while a modified pattern with perpendicular bite orientation increased perfusion by over 115% compared to baseline. The findings suggest that suture orientation—not just tension—plays a critical role in preserving microvascular blood flow in cats. ✅ Chik et al. — A retrospective study of 121 dogs undergoing GDV surgery, comparing barbed suture gastropexy (BSG) to standard incisional gastropexy (SIG). The barbed technique reduced surgical time by ~10 minutes (53.3 vs. 62.6 minutes) without increasing complications, mortality, or recurrence rates. However, 23% of dogs in both groups experienced chronic postoperative GI signs, highlighting that gastropexy prevents rotation—not underlying gastrointestinal disease. Together, these studies reinforce a key concept: how we close—and how efficiently we operate—directly impacts both immediate and long-term patient outcomes.🎓 Journal Articles DiscussedBayrakdarian et al. — Comparison of the effect on blood flow of two intradermal suture patterns in feline skin: A within-animal randomized controlled trialChik et al. — Comparison of short-term outcomes and recurrence rates in dogs undergoing open right-sided barbed suture gastropexy and standard incisional gastropexy for treatment of gastric dilatation-volvulus📚 From the February 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the February 2026 issue of Veterinary Surgery with two studies that challenge how we define stability and success in orthopedic surgery.One paper introduces a simple radiographic marker that may outperform traditional measurements after TPLO. The other tackles a high-stakes clinical dilemma: primary tendon repair versus arthrodesis in Achilles mechanism injuries.In this episode:✅ Picavet et al. — A retrospective study of 163 dogs evaluating cranial tibial subluxation (CTS) and popliteal sesamoid position before and after TPLO. While only 14.4% of dogs showed preoperative sesamoid displacement, every case returned to normal position postoperatively, making it a reliable and immediate indicator of restored mechanical stability. Importantly, osteotomy position (ideal vs. distal up to 5 mm) did not significantly affect postoperative stability, reinforcing that functional neutralization of cranial thrust—not perfect geometry—is the true goal. ✅ Wylie et al. — A multi-center retrospective study of Achilles mechanism injuries comparing primary tendon repair with immobilization versus pantarsal arthrodesis. While overall complication rates appeared similar, catastrophic complications occurred in 26.1% of tendon repairs and 0% of arthrodesis cases. Failures were driven not by the tendon repair itself, but by immobilization-related complications such as pin tract infections and cast sores, fundamentally shifting how surgeons should approach treatment planning. Together, these studies highlight a central surgical principle: true success is measured not just by technique, but by how well we manage the forces—and risks—acting on the repair after we leave the OR.🎓 Journal Articles DiscussedPicavet et al. — Radiographic assessment of popliteal sesamoid position and cranial tibial subluxation in canine stifle joints undergoing TPLO: A retrospective study of 163 dogs Wylie et al. — Complications and outcomes following surgical management of common calcaneal tendon pathology in 80 dogs📚 From the February 2026 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

In this Simini Small Animal Surgery Podcast episode, we kick off our orthopedic coverage from the February 2026 issue of Veterinary Surgery with two studies focused on refining both complex surgical decision-making and everyday orthopedic techniques. From limb-sparing surgery in osteosarcoma to safe approaches for stifle arthrocentesis, these papers highlight how both high-level strategy and small technical choices can significantly impact patient outcomes. In this episode: ✅ Altwal et al. — A comprehensive review of canine limb-sparing techniques for appendicular osteosarcoma, including cortical allografts and 3D-printed prostheses. While these techniques aim to preserve limb function, infection remains the dominant complication, with rates as high as 70% in distal radius cases. Interestingly, dogs that developed infections showed longer median survival (480 days vs. 228 days), likely due to immune activation, though infection remains a major cause of implant failure and secondary amputation. ✅ McLean et al. — An ex vivo study evaluating four landmark-based techniques for stifle arthrocentesis. While all techniques achieved 100% joint access, safety varied significantly. The commonly used lateral intercondylar notch approach showed 0% cartilage injury, whereas the infrapatellar approach caused iatrogenic cartilage damage in 75% of cases, often affecting weight-bearing surfaces. Together, these studies reinforce a key principle in orthopedic surgery: success depends on both mastering complex procedures and refining the small technical details we perform every day.  🎓 Journal Articles Discussed Altwal et al. — Surgical limb-sparing in veterinary medicine: A review of existing techniques in dogsMcLean et al. — Accuracy and safety of stifle arthrocentesis and injection based on two established and two new landmarks: Ex vivo study in dogs📚 From the February 2026 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 

In this Simini Small Animal Surgery Podcast episode, we continue our soft tissue coverage from the January 2026 issue of Veterinary Surgery with two studies examining how surgical technique and airway anatomy influence outcomes in brachycephalic and upper airway disease.From advanced tracheal collapse repair to reassessing common palate surgery assumptions, these papers highlight how surgical decisions can shape long-term respiratory function in dogs.In this episode:✅ Suematsu et al. — Evaluated long-term outcomes in dogs with severe tracheal collapse treated using continuous extraluminal tracheal prostheses (CETP), including cases with W-shaped tracheal collapse, a less commonly discussed but more severe configuration. Dogs with this morphology were over 12 times more likely to require preoperative oxygen, yet the study reported a 90.9% survival rate at 36 months following surgery, demonstrating that carefully performed extraluminal prosthetic stabilization can provide durable outcomes even in severe cases. ✅ Timmermans et al. — A prospective study comparing folded flap palatoplasty (FFP) with standard staphylectomy (STS) in brachycephalic dogs using CT measurements three months after surgery. While both techniques improved clinical signs and exercise tolerance, CT analysis revealed that FFP did not consistently reduce soft palate thickness, with some dogs actually showing increased tissue thickness postoperatively. In contrast, traditional staphylectomy resulted in measurable thinning of the soft palate, challenging assumptions about the anatomic advantages of FFP. Small Animals Vet Surge 2026 Ja…Together, these studies reinforce an important theme: successful airway surgery requires understanding how anatomy, tissue healing, and surgical technique interact over time.🎓 Journal Articles DiscussedSuematsu et al. — Long-term outcomes of dogs with W-shaped or traditional tracheal collapse treated with a continuous extraluminal tracheal prosthesis: A retrospective studyTimmermans et al. — Evaluation of soft palate thickness in brachycephalic dogs 3 months after folded flap palatoplasty versus standard staphylectomy📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we wrap up our soft tissue coverage from the January 2026 issue of Veterinary Surgery with two papers that focus on perioperative decision-making and surgical safety.One study reviews modern strategies for managing septic peritonitis, emphasizing stabilization, infection control, and postoperative care that directly influence survival. The other examines the rare but serious complication of retained surgical sponges, highlighting how simple system failures in routine procedures can lead to major postoperative complications.In this episode:✅ O’Marra et al. — A comprehensive review of septic peritonitis management in small animals, outlining the importance of aggressive stabilization, rapid surgical source control, and intensive postoperative monitoring. The paper highlights key perioperative strategies including balanced crystalloid resuscitation, avoidance of hydroxyethyl starch due to potential renal injury risk, and early enteral nutrition within 24–48 hours to support intestinal barrier function and reduce systemic complications. ✅ Seger et al. — A multi-institutional retrospective study evaluating 21 cases of gossypiboma (retained surgical sponges) in dogs and cats. Over half of the cases originated from routine ovariohysterectomy procedures, with patients typically presenting about two weeks later with nonspecific signs such as fever, lethargy, and abdominal pain. Despite the severity of the complication, 19 of 21 animals survived to discharge following surgical removal, underscoring both the seriousness and treatability of the condition. The key takeaway: good outcomes depend on both excellent surgical management and reliable operating room systems that prevent avoidable complications.🎓 Journal Articles DiscussedO’Marra et al. — Perioperative management of septic peritonitis in small animals: A reviewSeger et al. — Presentation, diagnosis, and management of gossypibomas in veterinary specialty hospitals: A multi-institutional study of 21 cases📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our soft tissue coverage from the January 2026 issue of Veterinary Surgery with two studies focused on improving objective surgical assessment and risk prediction.One paper examines the long-term physiologic outcomes of brachycephalic airway surgery, using objective respiratory testing rather than owner perception. The second analyzes predictors of complications in canine hepatic mass resections, highlighting how preoperative imaging and systemic health influence surgical risk.In this episode:✅ Johnson et al. — Evaluated long-term outcomes after brachycephalic obstructive airway syndrome (BOAS) surgery in 32 dogs using objective respiratory testing, including respiratory functional grading and whole-body plethysmography. The study showed a dramatic drop in the BOAS index from 71.6% pre-surgery to 46.7% post-surgery, with durable improvement maintained at 49.1% after a median follow-up of 4.5 years. More than 80% of dogs maintained improved respiratory function, demonstrating the long-term durability of multi-level airway correction. ✅ Konno et al. — A retrospective study of 96 dogs undergoing hepatic mass resection, identifying predictors of severe complications within two weeks of surgery. The overall severe complication rate was 17.7% with a mortality rate of 6.3%. Importantly, surgical risk was not associated with the hepatic lobe involved, but rather with the distance between the mass and the caudal vena cava on CT imaging, underlying systemic disease, and intraoperative hypotension. Together, these studies highlight how objective measurement—whether of airway function or surgical anatomy—can dramatically improve clinical decision-making and surgical planning.🎓 Journal Articles DiscussedJohnson et al. — Comparison of short- and long-term objective respiratory outcomes after surgery for brachycephalic obstructive airway syndromeKonno et al. — Risk factors for complications associated with canine hepatic mass resection: A study of 96 cases📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we begin our soft tissue coverage from the January 2026 issue of Veterinary Surgery with two studies that tackle some of the most challenging abdominal conditions surgeons face.From septic peritonitis management to right divisional hepatic lobectomy, these papers highlight the balance between aggressive surgical intervention and careful perioperative management in critically ill patients.In this episode:✅ Campbell et al. — A comprehensive review of septic peritonitis in small animals, focusing on early recognition, rapid source control, abdominal lavage, drainage strategies, and perioperative care. The review highlights emerging concerns about the biologic effects of large-volume saline lavage, including tissue irritation, altered electrolyte environments, and potential impairment of mesothelial cell function during prolonged exposure. ✅ Foster et al. — A multi-institutional retrospective study evaluating 70 dogs undergoing right divisional hepatic lobectomy, one of the most technically demanding liver procedures in veterinary surgery. While intraoperative complications occurred in 54.3% of cases, primarily due to hemorrhage, the perioperative mortality rate was only 2.9%, reflecting improved patient selection and perioperative management. The study also found no difference in complication rates between surgical techniques, including staplers, vessel sealing devices, and traditional ligation. Together, these papers reinforce a central theme in soft tissue surgery: success often depends as much on perioperative strategy and patient selection as it does on surgical technique itself.🎓 Journal Articles DiscussedCampbell et al. — Diagnosis and surgical management of septic peritonitis in small animals: A reviewFoster et al. — Outcomes and prognostic variables associated with right divisional hepatic lobectomies in 70 dogs📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the January 2026 issue of Veterinary Surgery with two studies that approach surgical improvement from very different angles: precision tools and evidence-based treatment decisions.One paper introduces a novel table-mounted reduction and drill guide system designed to improve the accuracy of minimally invasive sacroiliac fixation. The other examines the quality of evidence behind surgical treatments for severe canine elbow osteoarthritis, raising important questions about complication risk and decision-making.In this episode:✅ Lopez-Barroso et al. — Evaluated a table-bound reduction and drill guide system for minimally invasive sacroiliac stabilization in cats. The reusable 3D-printed guide, stabilized by articulated arms attached to the OR table, produced 100% safe screw placement and 94% average joint reduction, with 82% sacral width purchase, dramatically exceeding typical thresholds for secure fixation. The setup also allows the surgical team to step away from fluoroscopy, reducing radiation exposure. ✅ Yu et al. — Conducted a systematic review of surgical options for severe canine elbow osteoarthritis, including sliding humeral osteotomy (SHO), proximal abducting ulnar osteotomy (PAUL), and canine unicompartmental elbow replacement (CUE). Despite more than 1,200 initial records, only 15 studies met inclusion criteria, and none provided high-level evidence. The CUE procedure showed reported success rates of 91–98%, but the number needed to harm was just 7.6, meaning roughly 1 in 8 dogs experienced a major complication requiring revision, arthrodesis, amputation, or euthanasia. Together, these papers highlight two paths toward better orthopedic care: improving surgical precision through technology and strengthening clinical decision-making through better evidence.🎓 Journal Articles DiscussedLopez-Barroso et al. — Accuracy of a table-bound reduction and drill guide system for minimally invasive sacroiliac screw placement in catsYu et al. — Systematic review of surgical treatment for severe elbow osteoarthritis in dogs 📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we launch our orthopedic coverage from the January 2026 issue of Veterinary Surgery. From dynamic imaging of the LS spine to stability testing of back-to-back PLCs and the biomechanical root of HIF, this episode arms you with new insights on spine and elbow decision-making.We cover:✅ Baldo Clemot et al. — A dynamic MRI study of the canine lumbosacral spine. Flexion alone resolved central canal and foraminal occlusion in all cases—suggesting that in dogs treated with distraction-stabilization, dorsal laminectomy may offer no additional decompression unless needed for IVD spacers✅ Becker et al. — A biomechanical analysis of consecutive partial lateral corpectomies (PLCs). Performing two adjacent PLCs (e.g., L2–L3 and L3–L4) increased flexion and lateral bending, but not to failure thresholds. Importantly, rotational stability was preserved, and only extreme torque testing revealed reduced safety margins—validating the feasibility of dual PLCs when surgically indicated✅ Frapwell et al. — A CT morphometric study comparing dogs with and without humeral intracondylar fissures (HIF). The “wedge effect” was confirmed: steeper condylar angles create a narrowing that the anconeal process wedges into during loading, leading to intercondylar shearing and eventual screw fatigue failure. The data strongly support HIF as a stress-induced fatigue fracture, not just a developmental void🎓 Journal Articles Discussed:Baldo Clemot et al. — Dynamic magnetic resonance imaging of the lumbosacral spine in neutral and flexed position for presurgical assessment of clinically affected dogs with degenerative lumbosacral stenosisBecker et al. — Influence of two consecutive partial lateral corpectomies on passive motion of the canine lumbar spineFrapwell et al. — Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure 📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we wrap up the orthopedic coverage from the March 2025 issue of VCOT with two studies that dig deep into fracture recurrence risk and the limits of plate length compromises. These insights are must-knows for surgeons weighing implant removal decisions or choosing between shorter vs. longer constructs in MIPO.We cover:✅ Muroi et al. — A retrospective study of 181 radial-ulnar repairs in toy breed dogs, analyzing outcomes of plate retention vs. removal. The refracture rate quadrupled from 3.5% (retained) to 12.5% (removed), with every fracture occurring at the original site, confirming implant-induced osteoporosis (IIO). Use of pixel value ratio (PVR) and screw-to-bone diameter ratio (SBDR) > 0.4 were strong predictors of failure and highlight the importance of radiographic density—not just fracture line healing—when planning implant removal✅ Trefny et al. — A biomechanical study testing plate length vs. construct stiffness using 3.5 mm LCPs across 6-, 8-, 10-, and 12-hole variants in a tibial gap model. The results? Only the 12-hole plate reached a meaningful increase in construct stiffness and reduced strain on bone and implant. Shorter constructs (even 10-hole) failed to reduce fatigue risk, emphasizing that an 80% plate-to-bone ratio is the biomechanical threshold surgeons should aim for🎓 Journal Articles Discussed:Muroi et al. — A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed DogsTrefny et al. — Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate🎁 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

In this Simini Small Animal Surgery Podcast episode, we wrap up orthopedic highlights from the March 2025 issue of VCOT, focusing on implant design, joint coverage, and surgical habits that don’t always hold up under pressure. From hips to plates, this episode delivers biomechanical insights you can apply immediately in the OR.We cover:✅ Huels et al. — A clinical follow-up of 30 canine total hip arthroplasties using a second-generation selective laser melted screw cup (SCSL). The implant showed a cup complication rate of just 3.3%, and no late aseptic loosening at a 17.5-month median follow-up. Most failures occurred on the femoral side, indicating the new porous trabecular cup design may finally solve long-term cup fixation✅ Lomas et al. — A CT-based study showing that double pelvic osteotomy (DPO) improved mean dorsal lateral subluxation (DLS) scores from 36.1% to 71.4%—effectively shifting dysplastic hips from high-risk to low-risk OA territory. The biggest correction came with 30° plates, reinforcing the value of pre-op CT templating to optimize surgical planning✅ Lu et al. — A mechanical study testing whether leaving bending tees in empty SOP nodes improves strength. While medial-lateral bending stiffness increased by a statistically significant 2.08 N/mm, the authors concluded the clinical benefit was negligible. Leaving tees in is a habit, not a proven technique, and doesn’t meaningfully increase construct stiffness🎓 Journal Articles Discussed:Huels et al. —Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw CupLomas et al. — The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 DogsLu et al. — Comparison of Bending Stiffness between String of Pearls Plate-Bone Substitute Constructs with and without Bending Tees in a Fracture Gap Model🎁 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

In this Simini Small Animal Surgery Podcast episode, we bring you two impactful studies from the January 2025 issue of VCOT, spanning both orthopedic decision-making and emergency soft tissue triage. One study helps you decide how many screws are really worth it in a femoral neck fracture. The other gives you a scoring system that could redefine how we manage high-rise syndrome in cats.We cover:✅ Calderon et al. — A biomechanical cadaver study comparing two vs. three titanium cannulated screw constructs for basal femoral neck fractures in dogs. Three screws delivered a 51.7% strength increase, significantly improving fixation yield (586 N vs. 303 N), while stiffness stayed relatively unchanged. But added strength came with increased technical demand and higher cortical perforation risk—especially in dogs with narrow femoral necks✅ Ínal et al. — A retrospective study of 373 cats with high-rise syndrome (HRS) evaluating survival predictors. Fall height, surface type, and visible injuries were not predictive. Only the Animal Trauma Triage Score (ATTS) strongly predicted mortality. Cats with an ATTS ≥7 had a 61.9% mortality rate, and most deaths were due to thoracic or vertebral injury, not fractures. This shifts focus to early ATTS scoring and aggressive spine/chest imaging regardless of the fall story🎓 Journal Articles Discussed:Calderon et al. — In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs Ínal et al. — Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats 📚 From the January 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we break down two orthopedic studies from the January 2025 issue of VCOT that spotlight the power of precision—whether you’re planning feline MPL surgery or evaluating TPLO healing in boxers.We cover:✅ Santos et al. — A CT-based morphometric study comparing 18 limbs with medial patellar luxation (MPL) in cats versus normal controls. Surprisingly, only minor differences in trochlear depth (<1 mm) and tibial torsion angle (<5°) were found, with no significant tibial tuberosity displacement. The study strongly suggests major osteotomies are rarely indicated in feline MPL, and supports a surgical approach focused on soft tissue realignment over bone cutting✅ Huerta et al. — A prospective analysis comparing boxers vs. Labradors at 8 weeks post-TPLO. Boxers had significantly lower radiographic healing scores, likely due to underlying synovitis and increased joint inflammation. Importantly, a 1 mm osteotomy gap was also linked to delayed healing in both breeds, reinforcing the need for meticulous craniocaudal compression during fixation🎓 Journal Articles Discussed:Santos et al. — Computed Tomographic Measurement Method for Morphoanatomical Comparison of Femur, Tibia, and Patella in Cats with and without Medial Patellar LuxationHuerta et al. — Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems 📚 From the January 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we highlight two impactful orthopedic studies from the January 2025 issue of VCOT. Whether you're choosing a locking plate system or navigating traumatic patellar luxation (PL), this episode brings you practical, evidence-based insights for your next case.We cover:✅ Lai et al. — A biomechanical comparison of three 3.5 mm locking compression plate (LCP) systems under cyclic torsion. While initial stiffness across systems was similar, fatigue life varied dramatically, with DPS screws outperforming KB and Vey by up to 50%. Failure occurred via screw breakage, not plate deformation—reframing implant selection around screw endurance, not just plate stiffness✅ Boullenger et al. — A retrospective review of 16 traumatic patellar luxation cases in dogs and cats—strictly excluding developmental deformities. All were treated with soft tissue repair alone, and 10 of 13 dogs achieved full return to function at a 71-month mean follow-up. Use of a fabellotibial suture (FPS) was critical, especially in large-breed dogs. Surgical pearls include anchoring the FPS to the femoral condyle for better isometry and reduced failure🎓 Journal Articles Discussed:Lai et al. — Biomechanical Comparison of Three Locking Compression Plate Constructs from Three Manufacturers under Cyclic Torsional Loading in a Fracture Gap ModelBoullenger et al. —  Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats A Single-Centre Retrospective Study between 2011 and 2022  📚 From the January 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we spotlight two minimally invasive surgical techniques from the November 2025 issue of Veterinary Surgery. Whether you're decompressing spinal cords or resecting thoracic tumors, these papers prove that less invasive doesn't mean less effective—if you plan and execute with precision.We cover:✅ Wolfe et al. — A randomized cadaver study evaluating an integrated endoscopic approach for thoracolumbar lateral corpectomy (TLLC) in dogs. Using a hybrid technique combining mini hemilaminectomy and lateral corpectomy, surgeons achieved median decompression depths of 74% of the vertebral canal. No rib head resection, zero traumatic rhizotomy, and improved access with angled patient positioning make this a serious alternative to open techniques✅ Renier et al. — A multi-institutional retrospective on thoracoscopic resection of cranial mediastinal masses in 17 cats. All survived surgery with a median hospitalization of 2 days, but 35% required conversion, mostly due to tumors over 5 cm or strong adhesions. The study recommends a VATS-assisted fallback strategy using a mini incision for digital retraction—letting you stay minimally invasive while handling surgical surprises🎓 Journal Articles Discussed:Wolf et al. — Integrated endoscopic thoracolumbarmini-hemilaminectomy and lateral corpectomyin cadaver dogsRenier et al. — Thoracoscopic resection of cranial mediastinal masses:Retrospective study in 17 cats 📚 From the November 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

In this Simini Small Animal Surgery Podcast episode, we wrap up November's orthopedic coverage with two studies focused on tibial alignment, implant planning, and real-world healing rates. These papers bring clarity to the impact of implant geometry and construct length on outcomes in fracture fixation.We cover:✅ Ramsey et al. — A retrospective comparison of straight vs. bent interlocking nails (ILNs) for tibial fracture repair in dogs. The results are striking: bent nails restored near-anatomic alignment (TPA deviation ~1°) while straight ILNs caused an average of 5° of excess caudal slope. The takeaway? Pre-contouring isn’t just aesthetic—it significantly reduces malalignment without increasing complication ratesSmall Animal Vet Surge 2025 Nov….✅ Rehnblom et al. — A retrospective multicenter case series on 75 canine and feline fractures repaired with the Ortholine hybrid locking plate. The system achieved a 93.4% union rate with a 1.1% implant failure rate, despite wide variation in plate span. The study suggests that in radial and ulnar fractures, shorter spans (~40–50%) are acceptable with good reduction—reducing morbidity without compromising stabilitySmall Animal Vet Surge 2025 Nov….🎓 Journal Articles Discussed:Ramsey et al. — Comparison of tibial alignment following bent or straightinterlocking nail fixation for dogs withdiaphyseal tibial fracturesRehnblom et al. — Open reduction and internal fixation of 75 small animalfractures treated with the OrthoLineTM fracture system 📚 From the November 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

In this Simini Small Animal Surgery Podcast episode, we kick off November’s orthopedic coverage with two studies that refine surgical access and fracture fixation in feline and canine patients. One clarifies your best exposure strategy for feline radial fractures, and the other brings big-data clarity to interlocking nail performance in long bone trauma.We cover:✅ Bower et al. — An ex vivo cadaveric study comparing cranial medial vs. cranial lateral surgical approaches to the feline radius. The result? No statistically significant difference in surface exposure—with cranial lateral actually offering slightly more viewable area (4.13 cm² vs. 3.84 cm²). This confirms that the easier, safer, and nerve-sparing lateral approach is just as effective and far more efficient for positioning, especially when performing dual bone fixation (DBF)✅ Perry et al. — A retrospective review of over 240 canine fractures stabilized with the ILOC interlocking nail. Complication rates, implant performance, and time to union were analyzed across a diverse orthopedic caseload. The study supports ILOC as a safe, versatile fixation option with excellent union rates and low implant-related complication frequency🎓 Journal Articles Discussed:Bauer et al. — Comparison of exposure of the feline radial diaphysisby the craniomedial and craniolateral surgical approachesfor repair of antebrachial fracturesPeral et al. — Outcomes of 243 dogs with traumatic fractures treatedwith the I-Lok interlocking nail 📚 From the November 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

In this Simini Small Animal Surgery Podcast episode, we highlight two studies from the October 2025 issue of Veterinary Surgery—each focused on refining thoracic soft tissue closure techniques, particularly in space-limited or high-risk scenarios.We cover:✅ Ritson et al. — An ex vivo feline study comparing bronchial stump closure methods in hilar lung lobectomy using linear staplers, pre-tied ligature loops (PLLs), and double shank titanium clips (DS clips). All three performed equivalently—even under 40 cm H₂O airway pressure, but the DS clips and PLLs offered major advantages in working space, maneuverability, and minimally invasive access, especially in cats under 4 kg.✅ You et al. — An ex vivo canine study evaluating a knotless barbed suture system for total lung lobectomy versus traditional sutures and staplers. At normal and supraphysiologic pressures, the barbed suture was equally secure, and 3.4 minutes faster on average than hand suturing. For small patients, tight spaces, or VATS, this may offer both mechanical and procedural benefits.🎓 Journal Articles Discussed:Ritson et al. — Ex vivo comparative evaluation of feline hilar lung lobectomy using linear stapler, pretied ligature loop, and double-shank titanium clipsYou et al. — Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study 📚 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

In this Simini Small Animal Surgery Podcast episode, we explore two critical soft tissue studies from the October 2025 issue of Veterinary Surgery—each one helping you weigh surgical risk versus reward in deep anatomical spaces or delicate cardiac procedures.We cover:✅ Ciammaichella et al. — A multicenter retrospective study of over 130 lymphadenectomies across axillary, medial retropharyngeal, and iliosacral sites. The data showed overall complication rates were moderate (23%), but the iliosacral site carried a 41% risk—nearly double that of other locations. High-grade complications included wound dehiscence and infections requiring revision surgery, emphasizing the need for owner counseling, refined closure strategy, and potentially minimally invasive alternatives.✅ Kurogochi et al. — A prospective randomized trial comparing modified Del Nido (MDN) cardioplegia with conventional St. Thomas solution in dogs undergoing mitral valve repair. Troponin levels (myocardial injury) were equivalent, but electrical recovery was six times faster in the MDN group (60 vs. 362 seconds). The trade-off? MDN required almost double the fluid volume, necessitating vigilant postop management to avoid overhydration.🎓 Journal Articles Discussed:Ciammaichella et al. — Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumorsKurogochi et al. — Saline-based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial 📚 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

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

In this Simini Small Animal Surgery Podcast episode, we continue our October 2025 orthopedic coverage by examining two forward-thinking studies on cranial cruciate ligament disease (CCLD) surgery. One leverages machine learning to predict postoperative risk, and the other offers precise geometric modeling for TPLO alternatives.We cover:✅ Low et al. — Development of the PROSPECT machine learning model, trained on 670 stifle cases to predict surgical and medical complications after TPLO and CCWO. The model achieved 92.3% accuracy for surgical complications and revealed that complex interactions—like surgeon + technique—were more predictive than any single risk factor. This opens the door for individualized risk scoring and targeted intraoperative interventions, including enhanced infection control strategies.✅ Petchell et al. — A finite element modeling study evaluating a CORA-based CCWO technique (CCWO-CORA). Unlike older methods, this approach consistently delivered a post-op tibial plateau angle (TPA) of exactly 5.0°—regardless of breed or starting slope. By controlling the mechanical axis advancement (MAA) and wedge angle, the technique offers zero angular variability and preserved tibial length, with customizable MAA options to facilitate plating in steep-sloped breeds.🎓 Journal Articles Discussed:Low et al. — Machine-learning prediction of postoperative complicationsafter high tibial osteotomy for canine cranialcruciate ligament diseasePetchell et al. — An in silico comparison of a novel CORA-based cranialclosing wedge ostectomy methodology with threeother techniques 📚 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

In this Simini Small Animal Surgery Podcast episode, we explore two orthopedic articles from the October 2025 issue of Veterinary Surgery. Both pieces offer practical insights into diagnostic clarity and intraoperative precision for common stifle procedures—helping you plan better and cut cleaner.We cover:✅ Hoenecke et al. — A retrospective analysis of 57 stifles in dogs undergoing surgery for patellar luxation with intact CCLs. The study found 65% of stifles had increased soft tissue opacity on radiographs despite no CCL rupture, with links to body weight and OA, but not ligament failure. It challenges a core assumption in stifle interpretation.✅ Jeong et al. — An ex vivo comparison of a 3D-printed contoured saw guide versus a conventional jig for TPLO. The saw guide cut angles 1.2° off perpendicular vs. 4.3° for jigs and reduced cortical scraping nearly eightfold—but didn’t improve final TPA, alignment, or surgical time. The real win? Increased control and reduced intraoperative risk.🎓 Journal Articles Discussed:Hoenecke et al. — Increased radiographic stifle soft tissue opacity in dogswith patella luxationJeong et al. — Evaluation of a contoured saw guide for tibial plateauleveling osteotomy in dogs 📚 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

In this Simini Small Animal Surgery Podcast episode, we explore two studies from the August 2025 issue of Veterinary Surgery that push forward lymph node access in small animal oncologic surgery.We cover:✅ Monti et al. — A pilot study demonstrating the feasibility of laparoscopic iliosacral lymphadenectomy using near-infrared fluorescence (NIRF) and indocyanine green (ICG) in dogs. With a median dissection time of 12 minutes and zero post-op complications, this technique offers a safer, faster alternative to traditional open approaches—even for nodes as small as 5–6 mm.✅ Schneider et al. — A standardized open surgical technique using anatomical landmarks for axillary lymph node (ALN) removal. In 44 tumor-bearing dogs, the team achieved 100% node identification with a median dissection time of 16.6 minutes—without using dye or imaging guidance. Even "normal-sized" nodes revealed metastasis in 22% of cases.Together, these papers make a strong case for moving beyond imaging alone—and toward proactive, standardized node removal as part of everyday surgical oncology.🎓 Journal Articles Discussed:Monti et al. — Near-infrared fluorescence-guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)Schneider et al. — Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs 📚 From the August 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

In this Simini Small Animal Surgery Podcast episode, we highlight two impactful studies from the August 2025 issue of Veterinary Surgery. Together, they offer clearer, faster decision-making for managing complex airways and complicated wounds.We cover:✅ Chan et al. — A retrospective study of 180 dogs with advanced BOAS treated with modified multilevel airway surgery. The addition of QNA-ectomy—a procedure that preserves the corniculate process—resulted in a nearly 30% improvement in BOAS scores, with no statistically significant increase in major complications. But watch out: a BCS under 4 was linked to a 33% major complication rate, making nutritional and systemic stabilization essential.✅ McCagherty et al. — A prospective study of a handheld wound imaging device (WID) that uses violet light fluorescence to detect clinically relevant bacterial loads in real time. While it didn't improve culture swab yield, it correctly identified infection in 100% of cases, aiding both empirical treatment decisions and targeted debridement.🎓 Journal Articles Discussed:Chan et al. — Complication rate and outcomes of laryngealcuneiformectomy in dogs with advanced laryngeal collapseMcCagherty et al. — Diagnostic value of a point of care bacterial fluorescenceimaging device for detecting wound infections indogs and cats 📚 From the August 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

In this Simini Small Animal Surgery Podcast episode, we highlight three studies from the August 2025 issue of Veterinary Surgery, each tackling challenges in total hip arthroplasty (THA) across species and surgical phases—from candidacy in tiny dogs to implant selection in cats, to fracture prevention in everyone else.We cover:✅ Kimura et al. — A study of dogs under 4 kg undergoing mini cementless THA using the Zurich system. With a 100% implant survival rate and rapid return to function, the study supports THR over FHNE—even in the tiniest patients, as long as careful planning and imaging guide the approach.✅ Lomas et al. — A case series of 17 hybrid total hip replacements in cats using a cemented femoral stem and cementless acetabular cup. Zero complications, excellent owner-reported outcomes, and a promising revision strategy make this technique a viable option for feline coxofemoral disease.✅ Pfund et al. — A retrospective analysis of 224 dogs identifying the Cortical Thickness Index (CTI) as a strong predictor of perioperative femoral fractures during THR. Lower CTI values were significantly associated with increased fracture risk, making CTI a reliable, reproducible pre-op screening tool.🎓 Journal Articles Discussed:Kimura et al. — Long-term outcomes of 10 dogs weighing less than 4 kg after Zurich mini-cementless total hip arthroplastyLomas et al. — Medium-term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)Pfund et al. — Femoral cortical thickness index in a population of dogs undergoing total hip replacement 📚 From the August 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

In this Simini Small Animal Surgery Podcast episode, we explore three orthopedic and neurosurgical studies from the August 2025 issue of Veterinary Surgery. The common thread? Designing smarter, more intentional surgeries—with better data and better outcomes.We cover:✅ Berthomé et al. — A multi-institutional retrospective study in small dogs showing 0% recurrence of cervical IVDD after ventral slot when prophylactic fenestration was added. Despite 40 extra minutes of surgery, complication rates remained unchanged.✅ Danielski et al. — In 93 limbs, combining intramedullary pinning with rhBMP-2 during proximal ulnar osteotomy reduced major complications to 5.3% and eliminated non-unions—even in high-risk chondrodystrophic breeds.✅ Farrugia et al. — A cadaveric study demonstrating that more proximal osteotomy sites in BODPUO produce significantly greater angular changes (up to 18°), without increasing complication risk. Location matters—and now you’ve got numbers to plan with.🎓 Journal Articles Discussed:Berthomé et al. — Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestrationDanielski et al. — Impact of intramedullary pinning and recombinant human bone morphogenetic protein-2 on postoperative complications after proximal ulnar osteotomy in dogsFarrugia et al. — Bi-oblique dynamic promial ulna osteotomy: Effect of location on change in angle of the proximal ulna segment 📚 From the August 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

In this Simini Small Animal Surgery Podcast episode, we explore three cutting-edge studies from the July 2025 issue of Veterinary Surgery—each one helping refine high-risk soft tissue interventions through better diagnostics, emerging techniques, and practical survival insights.We cover:✅ Miyagi et al. — An ex vivo pilot study demonstrating the feasibility of endoscopic-assisted laser sphincterotomy (EARC) for the intramural bile duct in dogs. They achieved 100% procedural success in 18 cadavers and identified a reliable visual cue to guide incision—offering a safer, minimally invasive future for biliary access.✅ Otero Balda et al. — A multicenter retrospective study of 59 cats with post-attenuation neurologic signs (PANS) following CPSS surgery. While 78% survived to 30 days, generalized seizures dropped survival to 50%. Propofol use flagged more severe cases but wasn’t directly causal.✅ Poggi et al. — A 22-cat case series of laparoscopic cholecystectomy—the first published feline series of its kind. The results? 100% completion, 4.5% mortality, and shorter hospital stays versus open surgery—if you choose cases carefully and watch for post-op EHBDO.Three studies. One message: risk doesn’t rule out innovation—if you plan carefully.🎓 Journal Articles Discussed:Miyagi et al. — Endoscopic-assisted laser sphincterotomy of the intramuralcommon bile duct: A cadaveric pilot studyOtero Balda et al. — Prognostic factors for short-term survival of cats thatexperienced postattenuation neurologic signs after surgicalattenuation of single congenital portosystemic shuntsPoggi et al. — Laparoscopic cholecystectomy in 22 cats (2018–2024) 📚 From the July 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

In this episode of the Simini Small Animal Surgery Podcast, we unpack three high-stakes studies from the July 2025 issue of Veterinary Surgery—each challenging conventional boundaries in gastrointestinal, neurologic, and oncologic soft tissue surgery.We cover:✅ Fink et al. — A retrospective series exploring Roux-en-Y reconstruction in small animals with biliary or upper GI obstruction. While morbidity was high, no cases developed reflux syndromes—making this a promising alternative to traditional techniques in select patients.✅ Gomes et al. — A study evaluating subdural shunt placement for dogs with thoracolumbar arachnoid diverticula (TLAD). Compared to traditional surgery alone, the shunt group saw over twice the rate of long-term neurologic improvement and lower recurrence—especially in pugs.✅ Hertel et al. — A landmark case report of a successful portal vein thrombectomy for pancreatic carcinoma in a dog. Using a 3D-printed model and detailed pre-op imaging, the team performed a portal phlebotomy with complete thrombus removal and no recurrence at one year.Three studies. One message: bold surgery, backed by careful planning, can redefine what’s possible.🎓 Journal Articles Discussed:Fink et al. — Roux-en-Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case seriesGomes et al. — Post-surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogsHertel et al. — Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog 📚 From the July 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