Business of Orthopedics

Authors: M W McMillan

Objective: To assess deviation from a standardised structure of surgical time-out procedures in a multidisciplinary referral hospital.

Authors: Kaori Murata et al.

In humans, tear volume increases during emotional arousal. To our knowledge, no previous studies have investigated the relationship between emotional arousal and tear volume in animals.

Authors: Heidi Radke, Tracy Y Zhu, Christian Knoll, Matthew J Allen, Alexander Joeris

Objective: To report veterinarians' familiarity with and perceptions of owner/observer-reported outcome measures (OROMs) and their applications in routine clinical practice.

Study design: Cross-sectional online survey.

Animals or sample population: A total of 441 veterinarians with a caseload of companion animal orthopedic patients.

Authors: Gruen ME1, Roe SC, Griffith E, Hamilton A, Sherman BL.
Journal: J Am Vet Med Assoc

Objective-To investigate the safety and efficacy of oral administration of the serotonin antagonist and reuptake inhibitor trazodone hydrochloride to facilitate confinement and calming after orthopedic surgery in dogs. Design-Prospective open-label clinical trial. Animals-36 client-owned dogs that underwent orthopedic surgery. Procedures-Starting the day after surgery, dogs were administered trazodone (approx 3.5 mg/kg [1.6 mg/lb], PO, q 12 h) with tramadol (4 to 6 mg/kg [1.8 to 2.7 mg/lb], PO, q 8 to 12 h) for pain management.

Authors: Hayes GM1, Reynolds D, Moens NM, Singh A, Oblak M, Gibson TW, Brisson BA, Nazarali A, Dewey C.
Journal: Vet Surg

OBJECTIVE:

To identify incidence and risk factors for surgical glove perforation in small animal surgery.

STUDY DESIGN:

Observational cohort study.

SAMPLE POPULATION:

Surgical gloves (n = 2132) worn in 363 surgical procedures.

METHODS:

Authors: Brown DC, Bell M, Rhodes L.
Journal: AJVR

Objective-To determine the optimal method for use of the Canine Brief Pain Inventory (CBPI) to quantitate responses of dogs with osteoarthritis to treatment with carprofen or placebo. Animals-150 dogs with osteoarthritis. Procedures-Data were analyzed from 2 studies with identical protocols in which owner-completed CBPIs were used. Treatment for each dog was classified as a success or failure by comparing the pain severity score (PSS) and pain interference score (PIS) on day 0 (baseline) with those on day 14.

Authors: Cullen KL, Dickey JP, Bent LR, Thomason JJ, Moëns NM.
Journal: JAVMA

Objective-To characterize injuries (on the basis of type and severity of injury and affected region of the body) among dogs participating in agility training and competition events and examine associations between injury characteristics and perceived causes of injury. Design-Internet-based, retrospective, cross-sectional survey. Animals-3,801 privately owned dogs participating in agility training or trials.

Authors: Cullen KL, Dickey JP, Bent LR, Thomason JJ, Moëns NM.
Journal: JAVMA

Objective-To identify potential risk factors for agility-related injuries among dogs. Design-Internet-based, retrospective, cross-sectional survey. Animals-3,801 privately owned dogs participating in agility training or trials. Procedures-A retrospective electronic survey was used to investigate potential risk factors for injury among dogs participating in agility-related activities. Respondents were handlers recruited through member lists of large canine agility associations in Canada and the United Kingdom and through promotion on an agility blog site.

Authors: Bleedorn JA, Dykema JL, Hardie RJ.
Journal: Vet Surg

OBJECTIVE:
To report the current state of minimally invasive surgery (MIS) in veterinary surgical practice in 2010.
STUDY DESIGN:
Electronic questionnaire.
SAMPLE POPULATION:
Diplomates and residents of the American College of Veterinary Surgeons (ACVS).
METHODS:

Authors: Proot JL, Corr SA.
Journal: VCOT

Objectives: To quantitatively assess the learning curve for the tibial tuberosity advancement (TTA) procedure performed by a single surgeon using the cumulative summation (CUSUM) technique and to determine if surgeon performance remained under control (i.e. within specified quality boundaries) after the learning curve had been climbed. Study design: Retrospective study. Animals: Dogs (n = 122) with cranial cruciate ligament deficient stifles (n = 167). Methods: Records of all dogs that had a TTA procedure performed by the same surgeon were reviewed.