Objectives: To identify short-term wound complications and associated predictive factors following amputation in dogs and cats.
Materials And Methods: Retrospective review of case records of dogs and cats undergoing thoracic or pelvic limb amputation. Preoperative data on signalment, body weight, limb amputated, reason for amputation and laboratory parameters were collected. Details regarding surgical procedures and use of anaesthesia such as total surgical and anaesthesia times, incidences of intraoperative hypotension or hypothermia, method of muscle excision and type of skin closure utilized were recorded. Postoperative data on duration of hospital stay, use of postoperative antibiotics, use of a wound soaker catheter, wound complications noted both during hospitalization and at recheck and treatments if applicable were collected.
Results: In total, 67 records were identified including 39 dogs and 28 cats. Wound infection/inflammation complications occurred in 20.9% of cases and wound infection complications in 9%; 12.8% in dogs and 3.6% in cats. One (1.5%) complication was classified as major, which occurred immediately postoperatively. Nine (13.4%) minor complications occurred immediately after surgery and four (6.0%) were identified at recheck. Age was the only significant predictor of postoperative infection/inflammation following pelvic or thoracic limb amputation.
Clinical Significance: Short-term wound complications following pelvic or thoracic limb amputation in cats and dogs were typically minor and resolved after treatment.
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http://dx.doi.org/10.1111/jsap.12330 | DOI Listing |
Neurology
April 2025
Brain Health and Wellness Research Program, St. Michael's Hospital, Unity Health Toronto, Ontario, Canada.
Background And Objectives: Medical clearance for return to play (RTP) after sports-related concussion is based on clinical assessment. It is unknown whether brain physiology has entirely returned to preinjury baseline at the time of clearance. In this longitudinal study, we assessed whether concussed individuals show functional and structural MRI brain changes relative to preinjury levels that persist beyond medical clearance.
View Article and Find Full Text PDFJ Am Acad Orthop Surg Glob Res Rev
March 2025
From the Department of Orthopaedic Surgery, Boston Medical Center Pl, Boston, MA.
Compartment syndrome is an orthopaedic emergency with moderate-to-severe sequela (pain, muscle contracture, nerve damage, infection, rhabdomyolysis, renal failure, etc.) if inadequately treated and can be difficult to diagnose in a timely fashion. Further complicating timely diagnosis are atypical presentations resulting in compartment syndrome.
View Article and Find Full Text PDFJ Am Acad Orthop Surg
March 2025
From the Yale School of Medicine, New Haven, CT (Kammien and Yu), theDivision of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT (Zhao and Colen), and Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT (Grauer).
Background: Single-institution studies demonstrate reduced cost and similar outcomes for wide-awake fasciectomy compared with those with standard anesthesia. This retrospective cohort study examines these findings on a national level, comparing adverse events and cost for partial fasciectomies performed wide-awake and with standard anesthesia.
Methods: Partial fasciectomies were identified in the 2010-2022 PearlDiver database.
J Wound Care
June 2024
2 Catedrático de Farmacología, Departamento de Farmacología y Pediatría, Facultad de Medicina. Universidad de Málaga. Grupo A07 del Instituto de Investigación Biomédica de Málaga-Plataforma BIONAND, España.
Acta Neurochir (Wien)
March 2025
Department of Neurological Surgery, Policlinico "G. Rodolico-S. Marco" University Hospital, Viale Carlo Azeglio Ciampi, 95121, Catania, Italy.
Background: Atypical Hangman's fractures may involve bilateral C2 pedicle fractures. Surgical fixation is often required to prevent instability and neurological impairment. The Judet technique, involving transpedicular screw fixation, offers a targeted approach to stabilize C2 pedicle fractures while preserving cervical motion.
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