Search

Simple Summary: Despite medical advancements, post-operative infections in osteosynthesis remain common, causing complications like delayed healing and implant failure. Investigating microbial colonization after surgery in small animals, this study aims to understand infection rates and influencing factors. Results from 71 explants show correlations between infection, patient characteristics, and surgical variables. Notably, factors like body weight, implant type, and additional injuries impact infection development. Surprisingly, while microorganisms were present in nearly half of the cases, only 7.3% led to clinical complications. These findings highlight the complexity of post-operative infections and suggest that microbial presence does not always lead to complications, offering insights for improved treatment strategies in veterinary medicine, potentially reducing patient suffering and healthcare costs. Despite recent advancements in antibiotics, hygienic measures, and peri-operative systemic antibiotics, post-operative infections in osteosynthesis remain prevalent and continue to be among the most common surgical complications, leading to delayed fracture healing, osteomyelitis, implant loosening, and loss of function. Osteosynthesis implants are routinely utilized in veterinary medicine and the current study investigates the microbial colonization of implants following osteosynthesis in small animals, along with its incidence and influencing factors. The results are analyzed in regard to correlations between infection, patient, disease progression, and radiographic images, as well as other factors that may promote infection. Seventy-one explants from sixty-five patients were examined and evaluated for microbial colonization. Factors like body weight and age, location and type of plate and additional injuries like lung lesions, the surgeon's experience, or the number of people present during the surgical procedure seem to influence the development of an infection. Of the animals, 60% showed osteolytic changes and 73.3% of those with dysfunctional mobility had an implant infection. Microorganisms were detected in almost 50% of the explants, but a clinically relevant infection was only present in five patients (7.3%), suggesting that the presence of microorganisms on an implant does not necessarily lead to treatment complications. [ABSTRACT FROM AUTHOR]

Objectives The objective of this study was to quantify the changes in the diameter of the vertebral canal in the lumbosacral and sacrococcygeal column (L6–Co2) in cats in dorsal and ventral recumbency, simulating real body positioning during a perineal urethrostomy. Methods Twenty-one male feline cadavers were enrolled in the study. All feline cadavers were evaluated by CT. Examinations were performed with the cadaver in a neutral position and dorsal and ventral recumbency. Sagittal vertebral canal diameters (VCDs) were obtained by measuring the distance between the ventral and dorsal aspects of the vertebral canal in the middle of the intervertebral space. Results A comparison of the VCDs between L6 and L7, L7 and S1, S3 and Co1 and Co1 and Co2 in neutral position vs dorsal recumbency revealed a reduction of 0.27 mm (14.6%; P <0.001) between S3 and Co1 and 0.26 mm (18.1%; P <0.001) between Co1 and Co2. No differences were seen when comparing L6–L7 and L7–S1. The VCDs were decreased in all segments when comparing neutral with ventral recumbency. This study revealed a reduction of 0.13 mm between L6 and L7 (3.3%; P = 0.003), 0.14 mm between L7 and S1 (4.1%; P = 0.003), 0.61 mm between S3 and Co1 (32.5%; P <0.001) and 0.63 mm between Co1 and Co2 (44.1%; P <0.001). Comparison of the VCD between dorsal and ventral recumbency in L6–L7, L7–S1, S3–Co1 and Co1–Co2 revealed a decrease in the VCDs in ventral recumbency of 0.13 mm (3.3%; P <0.001), 0.12 mm (3.6%; P <0.001), 0.34 mm (21.0%; P <0.001) and 0.37 mm (31.7%; P <0.001), respectively. Conclusions and relevance The results provide evidence that, from an anatomical point of view, perineal urethrostomy performed in dorsal recumbency is superior to ventral recumbency, but further clinical studies to verify these findings are necessary. [ABSTRACT FROM AUTHOR]

Indications for implant removal after fracture healing are still under debate in both human and veterinary medicine. Although hardware removal is a common procedure, it should not be undertaken lightly. Intra and post-operative complications are common and a thorough evaluation of the risks and benefits should be performed. This review aimed to collect and summarise published data on the indications for implant removal in small animals, compare the collected data with human and equine medicine, and investigate the existence of guidelines for this purpose. There is no international consensual agreement for implant removal after fracture healing, neither in small animals nor in human orthopaedics. Decision-making processes are still controversial in some scenarios, thus clear evidence-based protocols for implant removal are needed., Competing Interests: The authors declare no conflict of interest., (Copyright: © 2023 Andrade et al.)

Objectives: The aim of this study was to evaluate and quantify the changes in neurological status in cats after perineal urethrostomy performed in dorsal and ventral recumbency., Methods: This was a prospective, randomised study. Twenty male castrated cats with feline lower urinary tract disease presented for perineal urethrostomy were enrolled in this study. Surgery was performed in either dorsal recumbency (group A) or ventral recumbency (group B). Motor response of patellar tendon, gastrocnemius muscle, pelvic limb withdrawal and perineal reflexes, as well as the presence of spinal pain in the lumbosacral region, motor function of the tail and faecal continence, were examined before surgery, and 24 h and 14 days after surgery., Results: The animals had a mean weight of 5.07 ± 1.08 kg, with a mean age of 6.12 ± 1.85 years. Weight and age were not significantly different between groups A and B (both P = 0.897). All tested parameters of the neurological examination performed prior to surgery were considered normal in both groups ( P = 1). The comparison between neurological examinations (perineal reflex and spinal pain) before and 24 h after surgery revealed a significantly decreased briskness of the perineal reflex and an increased occurrence of spinal pain 24 h after surgery ( P = 0.043 and P = 0.031, respectively). However, the changes of aforementioned parameters were statistically insignificant ( P = 0.249 and P = 0.141) between groups A and B. The other parameters (patellar tendon, pelvic limb withdrawal and gastrocnemius muscle reflexes, motor function of the tail and faecal continence) were statistically insignificant ( P = 1) before surgery and 24 h after surgery, as well as between groups A and B 24 h after surgery. Results of all tested parameters were statistically insignificant ( P = 1) before surgery and 14 days after surgery, as well as between groups A and B 14 days after surgery., Conclusions and Relevance: The briskness of the perineal reflex was significantly decreased and the occurrence of spinal pain significantly increased 24 h after surgery. A parallel with a low-grade positioning-dependent nerve injury as described in human medicine may be drawn. However, no positioning method was proven to be superior to the other.

Spontaneous pneumothorax (SP) is a non-traumatic accumulation of air in the pleural cavity. This case report describes a cat with SP as a result of primary pulmonary adenocarcinoma. A second cat was diagnosed with primary pulmonary adenocarcinoma and asthma. A thoracostomy tube was inserted in the first cat while in the second cat a thoracostomy tube was placed and lobectomy of the right cranial and middle lung lobes was performed. Both cats died following treatment. The current literature reviewed here covers the comparative etiologies of SP as well as clinical presentation, diagnostic work-up, therapy and prognosis in cats. A total of 64 cases of cats with secondary spontaneous pneumothorax reported in nine articles are discussed. To our knowledge, there has been no previous description in the literature regarding primary SP in cats. Based on prior case reports, surgery was performed in 16% (10 cats) of SP cases. The current review demonstrates that depending on the underlying lung disease, cats with SP have a careful short-term prognosis because 39 of 64 cats (60%) were discharged.