An In Vitro Biomechanical Investigation of an Interlocking Nail for Fixation of Diaphyseal Tibial Fractures in Adult Horses

The compressive, bending and torsional mechanical properties of osteotomized adult equine tibiae stabilized with an interlocking intramedullary nail (nail-tibia composite) were compared with those of intact tibiae to determine the clinical applicability of the nail for repair of tibial fractures in adult horses. The mean yield load, failure load, and stiffness for the nail-tibia composites were significantly less ( P < .05) than those for the intact tibiae in all loading configurations. The mean compressive yield load for the nail-tibia composites was greater than the compressive load calculated from previously reported in vivo data for walking and trotting, and was equal to the load calculated for recovery from anesthesia. The mean yield bending moment for the nail-tibia composites was greater than the bending moment previously calculated for standing, walking, and recovery from anesthesia. The mean torsional yield load for the nail-tibia composites was less than the torsional load determined for the walk from another in vivo study. The design of the interlocking nail evaluated in the present study should be modified to increase torsional and compressive yield strengths and torsional stiffness before reasonable success could be expected for the treatment of adult equine tibial fractures.     

Perianal Fistulas in the Dog Retrospective Evaluation of Surgical Treatment by Deroofing and Fulguration

Deroofing and fulguration (DR&F) was used as a surgical treatment for perianal fistulas in 30 dogs over a 5 year period at the University of Florida Veterinary Medical Teaching Hospital. A retrospective evaluation of the efficacy of this procedure was based on a written questionnaire completed by the owners. Dogs were placed initially into one of four categories according to their degree of perianal involvement: 0 to 90°, 91 to 180°, 181 to 270°, and 271 to 360°. The mean elapsed time between the last surgical treatment and follow-up evaluation was 39 months (range 6 to 63 months). Seventy-seven percent of the dogs were German shepherds. Sixty-seven percent of the dogs were intact males. The mean age of the dogs at the time of onset was 59 months (range 22 to 106 months). The most common presenting clinical signs were owner recognition of fistulous tracts (97%), tenesmus (37%), and licking of the perianal region (20%). The most frequently encountered postoperative complications were recurrence (70%) followed by varying degrees of incontinence (23%) and tenesmus (20%). Incontinence was transient in 5 of 7 dogs. Long-term results were the following: 5 dogs (17%) excellent, 13 dogs (43%) good, 3 dogs (10%) fair, and 9 dogs (30%) poor. Anal sacculectomy as an adjunct therapy was generally done only when the anal sacs were secondarily involved. In 2 dogs, prophylactic anal sacculectomy was done at the time of DR&F. The use of this technique is advocated in dogs moderately affected with perianal fistulas (0 to 180°) because of the minimal invasiveness, limited postoperative morbidity, and relative effectiveness of the procedure as demonstrated by the results of this study. In those dogs more severely affected, DR&F was not shown to be superior to other methods previously described.     

The Use of Prophylactic Penicillin in Orthopedic Surgery: A Clinical Trial

Thirty dogs presented for open surgical repair of fractures were treated with prophylactic penicillin. Thirty other dogs with fractures were not given antibiotics. Each animal was monitored by clinical signs and deep aspiration culture, and followed for 6 months or until the fracture had healed and the implants had been removed.
No statistically significant difference was found in the number of clinical infections or positive bacterial cultures for each group. Differences in results between categories, such as type of injury, implants used, and surgeon, also were not statistically significant.     

Use of Ultrasound In Horses for Diagnosis of Left Dorsal Displacement of the Large Colon and Monitoring its Nonsurgical Correction

During a 28 month period, 82 horses with clinical signs of abdominal pain were examined for left dorsal displacement of the large colon (LDDLC) using percutaneous ultrasound. Left dorsal displacement of the large colon was diagnosed when a gas echo dorsal to the spleen obliterated the dorsal splenic border, or when the colon was observed lateral to the spleen. In 42 horses, ultrasound confirmed a diagnosis of LDDLC and 40 horses had no evidence of LDDLC. There were five false negative results and no false positives. In four horses with LDDLC, the colon was displaced between the spleen and body wall; three of these colic episodes resolved with medical therapy and the fourth required a celiotomy to relieve a sand impaction. The remaining 38 horses had a renosplenic entrapment; surgical correction was elected in 4 horses, 21 horses were corrected by a nonsurgical rolling procedure, 12 were corrected at surgery after an unsuccessful rolling attempt, and one was corrected by rolling but required surgery later because of an additional lesion. Percutaneous abdominal ultrasound was a valuable aid in the diagnosis of LDDLC and in confirming correction of the displacement after a nonsurgical rolling procedure.     

Vascular and Morphologic Changes in Canine Femora after Uncemented Hip Arthroplasty

The effects on femoral remodeling of medullary reaming and insertion of a porous endopros-thesis in uncemented hip arthroplasty (UHA) were measured. A unilateral hip hemiarthroplasty (HA) was performed in 12 dogs, with six dogs receiving full-sized and six dogs receiving undersized femoral endoprostheses. A prosthetic head and neck, or acetabular cup, was not implanted. A control group of six dogs underwent femoral head and neck excision (FHNE) only. All dogs were killed 4 weeks after the surgical procedure. Porosity, vascularity, and bone formation were quantified in each femur of the dogs that had been operated on and in each femur of two unoperated dogs. Full-sized did not differ from undersized HA bones in vascularity, porosity, or bone formation. Femurs in which hemiarthroplasties had been performed (full-sized and undersized) had a three-fold increase in porosity, vascularity, and bone formation compared to the contralateral and the FHNE femurs. Changes in porosity and vascularity were greatest (p < .05) at the metaphyseal level and in the medial and caudal quadrants. There was a strong correlation (R² 0.77 to 0.93, and p − .0001) between the increase in porosity and vascularity. These results support the hypothesis that medullary reaming followed by uncemented prosthetic stem implantation contribute to remodeling of the proximal portion of the femur after UHA.     

Effects of Neodymium:Yttnum Aluminum Garnet Laser Irradiation on Endometrium and on Endometrial Cysts in Six Mares

Effects of neodymium:yttrium aluminum garnet (Nd:YAG) laser irradiation on equine endometrium were evaluated In vitro and in six mares with endometrial cysts. The Nd:YAG laser was applied to six endometrial sites, in each of five uterine specimens, with power densities of 5659 to 33,954 J/cm². Depth of tissue ablation was measured and graded on histologic sections of the tissue lesions. Power density had a significant effect on the depth of tissue ablation (p < .001). Grade 3 lesions (full-thickness ablation of the endometrium) were created with energy densities of 16,977 to 33,954 J/cm². Six mares had endometrial cysts treated by photoablation. Two of the four mares that were reproductively sound but barren, despite appropriate breeding, produced foals after treatment. One mare remained reproductively unsound after treatment, and another mare that was treated postpartum was bred successfully.     

Abnormal Hemostatic Profiles and Gastric Necrosis in Canine Gastric Dilatation-Volvulus

Hemostatic profiles (prothrombin time, activated partial thromboplastin time, fibrinogen concentration, fibrin degradation product concentration, platelet count, and antithrombin III activity) were acquired prospectively in 20 dogs with a diagnosis of gastric dilatation-volvulus. Eighteen dogs had abnormal results of one or more hemostatic test, including eight dogs that had hemostatic profiles consistent with a diagnosis of disseminated intravascular coagulation. During surgery, or at necropsy, the dogs' stomachs were evaluated for gross abnormalities, and lesions were graded subjectively as mild, moderate, or severe. Eight dogs had mild gastric lesions, five had moderate lesions, and seven had severe changes indicating gastric necrosis. Seventy percent (7/10) of the dogs with two to six abnormal hemostatic test results had gastric necrosis, whereas none of the 10 dogs with no or one abnormality had gastric necrosis (p < .001). A multiple linear regression equation, based on fibrin degradation product concentration, activated partial thromboplastin time, and antithrombin III activity was derived to predict gastric necrosis. This equation correctly identified gastric necrosis with 86% sensitivity, 100% specificity, 100% positive predictive value, and 93% negative predictive value.     

Evaluation of an Esophageal Stethoscope as an Early Predictor of Serious Cardiovascular Insufficiency in the Dog

Accuracy of an esophageal stethoscope combined with a vital signs monitor (VSM) was evaluated as an early predictor of cardiovascular failure during anesthesia. In 10 anesthetized dogs, hypotension and reduction in cardiac output were induced by gradually increasing the inspired halothane concentration. Cardiovascular performance and intensity of heart sounds recorded by the esophageal stethoscope and amplified by the VSM were assessed as depth of anesthesia was increased. Halothane concentration was increased until cardiovascular performance was reduced to a point where heart sounds were no longer audible from the VSM. The esophageal stethoscope in combination with the VSM was easy to use and the unit had an excellent signal to noise ratio. However, usefulness of the esophageal stethoscope as an early predictor of serious cardiovascular depression could not be substantiated. In three dogs, cardiac arrest occurred simultaneously with the loss of heart sounds and in the remaining seven dogs, sound loss occurred when the degree of cardiovascular depression was life threatening.     

Partial Hepatectomy with Temporary Hepatic Vascular Occlusion in Dogs with Hepatic Arteriovenous Fistulas

A technique for temporary hepatic vascular occlusion during partial hepatectomy for hepatic arteriovenous (AV) fistulas in the dog is presented in seven dogs, and three additional cases of hepatic AV fistulas are reviewed. Hematologic, serum biochemical, radiologic, and nuclear scintigraphic parameters before and after surgery are discussed; abnormalities included anemia, hypoproteinemia, leukocytosis, increased liver function tests, retrograde filling of the portal vein during celiac angiography, and increased arteriovenous ratios during nuclear scintigraphy. Hemodynamic and pathologic findings are presented, and portal hypertension and secondary multiple portosystemic shunts are described. Clinical improvement was observed in four dogs with follow-up periods ranging from 5 months to 3 years.     

Pharmacokinetics of intravenous ceftiofur sodium and concentration in body fluids of foals

The objectives of this study were to determine pharmacokinetics of intravenous (i.v.) ceftiofur in foals, to compare ultra-high performance liquid chromatography tandem mass spectometry (UPLC-MS/MS) and microbiologic assay for the measurement of ceftiofur concentrations, and to determine the minimum inhibitory concentration ( MIC ) of ceftiofur against common equine bacterial pathogens. In a cross-over design, ceftiofur sodium was administered i.v. to six foals (1–2 days-of-age and 4–5 weeks-of-age) at dosages of 5 and 10 mg/kg. Subsequently, five doses of ceftiofur were administered i.v. to six additional foals between 1 and 5 days of age at a dose of 5 mg/kg q 12 h. Concentrations of desfuroylceftiofur acetamide (DCA), the acetamide derivative of ceftiofur and desfuroylceftiofur-related metabolites were measured in plasma, synovial fluid, urine, and CSF by use of UPLC-MS/MS. A microbiologic assay was used to measure ceftiofur activity for a subset of plasma samples. Following i.v. administration of ceftiofur at a dose of 5 mg/kg to 1–2 day-old foals, DCA had a t _½ of 7.8 ± 0.1 h, a body clearance of 74.4 ± 8.4 mL/h/kg, and an apparent volume of distribution of 0.83 ± 0.09 L/kg. After multiple i.v. doses at 5 mg/kg, DCA concentrations in CSF were significantly lower than concurrent plasma concentrations. Ceftiofur activity using a microbiologic assay significantly underestimated plasma concentrations of DCA. The MIC of ceftiofur required to inhibit growth of 90% of isolates of Escherichia coli , Pasteurella spp, Klebsiella spp, and β-hemolytic streptococci was <0.5 μg/mL. Intravenous administration of ceftiofur sodium at the rate of 5 mg/kg every 12 h would provide sufficient coverage for the treatment of susceptible bacterial isolates.