Publications by authors named "Thibaut Cachon"

Objective: To study the morphology of canine and feline femurs and tibias in lateral radiographic projections and assess their compatibility with either a straight or a curved full-length interlocking nail (ILN).

Methods: Lateral projection radiographs of 50 tibias and 50 femurs (10 cats and 40 dogs per bone) were used to measure the minimum and maximum radius of curvature of an ILN compatible with each bone. These radii were defined by cranial and caudal endosteal points at the proximal entry point of the nail, at the isthmus, and at the most distal point of the ILN insertion into the femoral or tibial metaphysis.

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The intra-articular reconstruction of the cranial cruciate ligament (CrCL) by an organic graft or a synthetic implant allows the restoration of physiological stifle stability. This treatment is still marginal in routine practice. A Rottweiler presented an acute complete CrCL rupture treated using an ultra-high-molecular-weight polyethylene (UHMWPE) implant.

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Extrahepatic biliary tract obstruction (EHBO) is uncommonly encountered in cats. Surgical treatment aims to decompress the biliary tract and insure bile duct patency. In veterinary medicine, cholecystotomy is not widely used in practice.

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Objective: To describe the prevalence of elbow dysplasia (ED) in 13 dog breeds in France.

Animals: A total of 18,870 elbow radiographs taken from 2002 to 2022 were evaluated by 2 independent examiners.

Methods: For each breed, the incidence of each of the 4 International Elbow Working Group scoring classes was extracted from the database.

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Objective: To report indications, outcomes, and complications with a precontoured angle-stable interlocking nail (CAS-ILN).

Animals: 90 client-owned animals.

Methods: Dogs and cats treated with the CAS-ILN between 2020 and 2022 were retrospectively reviewed.

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Article Synopsis
  • A 10-year-old French bulldog was diagnosed with a large retroperitoneal mass after an MRI was performed to investigate pain and reluctance to move, which was initially suspected to be from a herniated disc.
  • The mass, identified as a retroperitoneal paraganglioma, caused compression of the dog's caudal vena cava and required surgical removal, along with a nephrectomy due to complications during surgery.
  • Post-surgery, the dog recovered well, and the study highlights that paragangliomas are under-researched in veterinary medicine, suggesting that future cases will enhance understanding and treatment of this tumor type.
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Background: As isolated ruptures of the caudal cruciate ligament (CdCL) are rare in dogs, there is no consensus on the indications and the gold-standard surgical technique for treatment.

Case Description: A 2-year-old Shepherd dog with an isolated rupture of the CdCL was treated with a new surgical technique for synthetic reconstruction. Three bone tunnels were drilled in the femur and the tibia under arthroscopic guidance to make sure the anatomical insertions of the physiological ligament were respected.

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This report describes consensus guidelines and recommendations for the treatment of canine osteoarthritis (OA) according to the "Canine OsteoArthritis Staging Tool excluding radiography" (COASTeR) stage of OA, by the COAST Development Group. The recommendations are based on evidence-based medicine and clinical experience and are proposed with international relevance in mind. The aim is to provide veterinarians with a practical reference to consolidated information and to support the development of patient-specific OA management protocols and informed treatment choices based on the stage of OA.

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Objective: To assess the effect of arthroscopic partial meniscectomy in dogs with bucket handle meniscal tears and tibial plateau leveling osteotomy (TPLO), compared with dogs with cranial cruciate ligament rupture and no meniscal tear treated by TPLO alone.

Animals: 30 client-owned dogs with cranial cruciate rupture treated by either TPLO and arthroscopy alone if the meniscus was normal (normal meniscus [NM] group, n = 14) or by TPLO and an arthroscopic partial meniscectomy if a bucket handle tear was diagnosed (meniscal tear [MT] group, n = 16).

Methods: Medical records, lameness score, and symmetry gait analysis parameters were retrospectively collected from patient records preoperatively (PreO), then at 1, 3, and 6 months postoperatively (M1, M3, and M6, respectively).

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Objective: To compare the in vitro stability of acetabular cups with peripherally reinforced fixation in a model of uncemented total hip replacement in dogs.

Sample: 63 polyurethane foam blocks and 3 acetabular implant designs: hemiellipsoidal (Model A) and 2 models with equatorial peripheral fins (Model B with 1 level and Model C with 2 levels of fins).

Methods: 2 loading patterns-edge loading and push-out tests-were performed until failure and peak forces were recorded.

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Background: Rupture of the common calcaneal tendon is the second most frequent tendon rupture in dogs and may lead to severe lameness and pain. Surgical repair consists of re-apposition of the damaged tendon ends using sutures, but this type of repair is not always possible especially if the tendon has retracted. Tendon augmentation with an ultra-high molecular weight polyethylene (UHMWPE) implant is a recent solution to support the sutures and allow the repair of the canine calcaneal tendon.

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Objective:  The objective of this prospective study was to evaluate the use of ultrasonography in the diagnosis of medial coronoid process disease in unclear cases.

Study Design:  Fifteen elbows (on thirteen dogs) for which radiography and computed tomography did not lead to a clear diagnosis of medial coronoid process disease were included. On each elbow, ultrasonography was performed with a high frequency linear transducer (12-18Hz).

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Medial glenohumeral ligament injury is commonly reported during medial shoulder joint instability in dogs. Arthroscopy is considered the gold standard procedure, but it is invasive and requires distension of the joint. Ultrasonographic examination of the medial glenohumeral ligament has been studied as a possible, less invasive alternative to arthroscopy however it has not been considered a useful method of assessment due to the interference of the probe with the pectoral muscles.

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Objective: To compare ex vivo postimplantation biomechanical characteristics of 3 implants for canine total hip replacement: a cementless press-fit femoral stem with a pin in the femoral neck (p-pfFS), a press-fit cementless femoral stem without this pin (pfFS), and a cemented femoral stem (cFS).

Sample: 18 cadaveric femurs from 9 dogs.

Procedures: Femurs were assigned randomly to 3 groups, and biomechanical testing was performed by measuring vertical displacement during cyclic loading and resistance to failure with compression parallel to the longitudinal axis of the femur.

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Objectives: The aim of our study was to describe a biomechanical testing protocol to reproduce ex vivo craniodorsal hip luxation specific to the feline model, and evaluate the biomechanical properties of an intact hip joint compared with the fixation strength of two different techniques of extra-articular hip stabilisation.

Methods: Eighteen hip joints (femur and hemipelvis) were harvested from nine mature feline cadavers. CT was performed for each hip joint so that a biomechanical base specific to each joint morphotype could be created using computer-aided design.

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Background: Cranial cruciate ligament rupture (CCLr) is the most common cause of hind limb lameness in dogs. Currently, surgical management of CCLr is mostly performed using tibial osteotomy techniques to modify the biomechanical conformation of the affected stifle. These surgical techniques have a significant complication rate, associated with persistent instability of the stifle which may lead to chronic postoperative pain.

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Background: Tibiotarsal instabilities caused by partial or complete rupture of the medial collateral tarsal ligament (MCTL) are commonly treated by arthrodesis techniques with poor functional results and significant complication rates.

Case Description: This study describes a new surgical technique for synthetic reconstruction of the MCTL in an overweight dog (estimated body condition score 8/9) with an avulsion of the long head of the MCTL. Three bone tunnels were drilled in the distal tibia, the talus, and the central tarsal bone, thus respecting the anatomical insertions of the physiological ligament.

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Objective: To describe the mechanical characteristics of a novel angle-stable interlocking nail (NAS-ILN) and compare them to those of a locking compression plate (LCP) by using a gap-fracture model.

Study Design: Experimental study.

Sample Population: Synthetic bone models.

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Aims: Knowledge of the micromechanical characteristics of the menisci is required to better understand their role within the stifle joint, improve early diagnosis of meniscal lesions, and develop new treatment and/or replacement strategies. The aim of the study was to determine the mechanical properties of the healthy medial canine meniscus and to evaluate the effect of regional (caudal, central, and cranial) and circumference (axial and abaxial) locations on these properties.

Methods: To study the micromechanical properties of the medial menisci in healthy (Beagle) dogs, the influence of regional (caudal, central, and cranial) and circumference (axial and abaxial) locations were evaluated.

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Objective:  The aim of this study was to assess the feasibility and efficiency of an arthroscopically guided ligamentoplasty of the medial glenohumeral ligament to treat medial shoulder joint instability.

Study Design:  Six Beagle cadavers were used (12 limbs). Both arms of the medial glenohumeral ligament were severed using arthroscopic guidance.

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The goat spine is widely used as an animal model for preclinical research in human medicine to test new spinal implants and surgical procedures. Therefore, precise morphometric data are needed. This study aims to provide morphometric data of the goat thoracolumbar vertebrae and to define the parameters/characteristics of the optimum implantation corridors for pedicle screws in the thoracolumbar spine in goat.

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Objective: Interarcuate branch (IAB) is a vascular structure, particularly developed in C2-3 intervertebral space, forming a dorsal bridge that connects ventral venous plexi in the vertebral canal. While precisely described in the human, the precise anatomical features of IABs have not been reported in the veterinary literature. The purpose of this study is to describe the features and relations of IABs in the C2-3 vertebral canal.

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Article Synopsis
  • * Out of the cats studied, 35.7% developed positive urine cultures during follow-up, with Escherichia coli being the most common pathogen; complications included chronic bacteriuria and some cats showing clinical signs of urinary tract infections (UTIs).
  • * The research identified that longer hospitalization and lower body condition scores correlated with a higher likelihood of positive urine cultures post-surgery, indicating these could be key risk factors in monitoring cats after SUB placement.
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Objective: To report the relative sensitivity of different diagnostic imaging (DI) techniques to detect migrating foreign bodies (FB) in subcutaneous and underlying soft tissue structures of dogs and evaluate the value of intraoperative ultrasonography (intraop-US).

Study Design: Retrospective study.

Sample Population: Forty-one dogs.

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Surgical management of tendon rupture is challenging. One concern is to provide adequate tensile strength to prevent distraction during weight-bearing and gap formation following repair, associated with an increased risk of repair failure. Additional challenges may arise from the nature or the chronicity of the lesion.

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