We cover:

✅ Ruspi et al. — A 20-year retrospective on medial condylar fractures in 150 racehorses. Despite historical concern, survival to discharge was 98.7%, long-term survival 93.3%, and 71% returned to racing. However, plating came with 7× higher complication risk (28% vs. 4%) than lag screws alone—shaping a critical discussion on fixation choice.

✅ Barnett et al. — A prospective study of laryngeal tie-forward (LTF) outcomes in 56 horses with IDDSP, assessed using post-op overground endoscopy (OGE). While 75% had resolution of displacement, 71% still had palatal instability, and owner/trainer concern post-op predicted 11× higher odds of persistent dysfunction—proving that vigilant follow-up is just as important as the surgery itself.

🎓 Journal Articles Discussed:

• Ruspi et al. — Short- and long-term survival, complications, return to
  racing, and racing performance of 150 racehorses with
  medial condylar fractures of the third metacarpal/
  metatarsal bone treated by internal fixation
• Barnett et al. — Overground endoscopic examination following laryngeal
  tie-forward in horses with dorsal displacement of the
  soft palate
  📚 From the August 2025 issue of Veterinary Surgery

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We cover:

✅ Kerber et al. — A cadaveric study mapping the medial digital flexor tendon sheath (MDFTS) and evaluating the feasibility of needle endoscopy. Using a 2.4 mm needle scope and a two-portal technique, they successfully navigated this complex space and revealed multiple internal synovial folds that trap debris and resist clearance. Standard arthroscopy was not feasible, often causing iatrogenic damage, and conventional saline lavage left up to 42% of bacteria behind, underscoring the need for targeted lavage solutions like Simini Protect.

✅ Paul et al. — A 25-year retrospective on mosaic arthroplasty for treating subchondral bone cysts (SBCs) in the equine stifle and fetlock. With 68% return to work and 90% lameness improvement, the study breaks the age barrier—showing strong outcomes even in horses over 3 years old. Fewer, larger grafts led to better outcomes (90% success with 2 or fewer vs. 50% with 3+), and overdrilling proud grafts was emphasized to prevent damage.

🎓 Journal Articles Discussed:

• Kerber et al. — Gross anatomy, computed tomographic contrast
  tenography, and needle endoscopy of the equine
  medial digital flexor tendon sheath
• Paul et al. — Mosaic arthroplasty in equine stifle and fetlock joints:
  A retrospective study of 31 cases between 1998 and 2023
  📚 From the August 2025 issue of Veterinary Surgery

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We cover:

✅ Beggan et al. — An ex vivo study comparing needle-through-and-through lavage (NTA) to endoscopic lavage (EL) for equine joints. In both the fetlock and DFTS, NTA cleared debris just as well—especially in the first 2 liters, and even outperformed EL in early-stage flushing. But remember: EL remains essential for established sepsis and foreign body removal, and saline alone may leave up to 42% of bacteria behind.

✅ Foucaud et al. — A study introducing a direct dorsal arthroscopic approach to the distal palmar/plantar fetlock pouch, used in 25 horses. It yielded 100% successful fragment removal with zero complications—and was especially useful in horses over 4 years, where 100% had cartilage damage, 73% of which was full-thickness. Flexed radiographs and ultrasound are key to identifying these hidden lesions.

🎓 Journal Articles Discussed:

• Beggan et al. — Efficacy of needle and endoscopic lavage on the
  recuperation of microspheres from the adult equine
  metacarpo/metatarsophalangeal joint and digital
  flexor tendon sheath
• Foucaud et al. — Direct arthroscopic approach to the distal pouch of
  the palmar/plantar recess of the metacarpophalangeal/
  metatarsophalangeal joint in horses
  📚 From the August 2025 issue of Veterinary Surgery

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We cover:

✅ Lindqvist et al. — A prospective crossover study evaluating an adjustable ceiling during anesthesia recovery in horses. Recovery quality scores improved dramatically, but with modest physiologic stress trade-offs.

✅ Sjöberg et al. — A large retrospective review of over 200 hospital-managed suture castrations in stallions. The study found no statistical benefit from surgical antimicrobial prophylaxis (SAP)—supporting reduced antibiotic use in clean, aseptic procedures.

✅ Warren et al. — A retrospective cohort study in 188 Thoroughbred broodmares showing that ventral midline cecopexy significantly reduced both general colic and large colon volvulus (LCV) recurrence—without compromising breeding outcomes.

Whether you’re focused on reducing complications, refining post-op care, or strengthening antimicrobial stewardship, this episode brings data-driven recommendations to equine soft tissue protocols.

🎓 Journal Articles Discussed:

• Lindqvist et al. — Effect of an adjustable ceiling to prevent premature rising attempts after general anesthesia in healthy ponies and horses: A pilot study
• Sjöberg et al. — Influence of antimicrobial prophylaxis in horses undergoing sutured castrations
• Warren et al. — Effect of a ventral midline colopexy on large colon volvulus recurrence and days to next live foal in Thoroughbred broodmares  
• 📚 From the July 2025 issue of Veterinary Surgery

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We cover:

✅ Drahonovska et al. — Standing lag screw fixation for short, non-displaced frontal plane fractures of the dorsal P1. Six Thoroughbreds returned to racing with a 100% healing rate—highlighting a fast, effective alternative to GA for distal limb repair.

✅ Esselman et al. — Return-to-performance outcomes in 34 Western performance horses with stifle chondromalacia. Surprisingly, severity of cartilage lesions and post-op biologics didn’t predict return—but 74% returned to some work.

✅ Käfer-Karrer et al. — A case report detailing the use of computer-assisted surgery (CAS) for lag screw fixation of a C6 cranial articular process fracture. With no exuberant callus and return to full work, this could redefine surgical options for mid-cervical spinal trauma.

Three studies, one message: refined technique and realistic expectations are key to optimizing outcomes in equine ortho.

🎓 Journal Articles Discussed:

• Drahonovska et al. — Standing repair of short frontal plane fractures involving the dorsoproximal articular surface of the proximal phalanx in six Thoroughbred racehorses
• Esselman et al. — Severity, distribution and postoperative therapy are not predictors of return to work in western performance horses with stifle chondromalacia
• Käfer-Karrer et al. — Internal fixation of a fractured cranial articular process of the sixth cervical vertebra by means of computer-assisted surgery in a Warmblood gelding
  📚 From the July 2025 issue of Veterinary Surgery

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We cover:

✅ Mason et al. — A retrospective review of synovial samples from 54 horses with acute intra-articular fractures. The study shows that nucleated cell counts, protein levels, and neutrophil percentages often mimic septic arthritis within hours of trauma—risking misdiagnosis and overtreatment.

✅ Verhaar et al. — A narrative review on real-time intraoperative diagnostics in colic surgery. From laser Doppler flow to ICG fluorescence angiography and tissue oximetry, this paper highlights objective tools that may finally demystify viability calls in the OR.

Whether you're interpreting bloody joint taps or choosing a resection margin mid-surgery, this episode sharpens your clinical decision-making.

🎓 Journal Articles Discussed:

• Mason et al. — Synovial fluid parameters following acute articular fracture
  in the horse
• Verhaar et al. — Real-time ancillary diagnostics for intraoperative
  assessment of intestinal viability in horses–looking for
  answers across species
  📚 From the May 2025 issue of Veterinary Surgery

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We cover three tendon-focused studies:

✅ McCarthy et al. — Compression cooling systems vs. ice boots in flexor tendon care. If you use standing bandages or cold therapy post-op, this one’s for you.

✅ Breen et al. — Needle endoscopy for digital flexor tendon sheath diagnostics and desmotomy. Safer, faster, and feasible—no general anesthesia needed.

✅ Barton et al. — RF energy for manica flexor resection. Complete transection, minimal bleeding, and better visibility in both cadavers and live horses.

Whether you’re wrapping limbs, scoping sheaths, or resecting tears, this episode arms you with practical improvements for safer, more effective tendon surgery.

🎓 Journal Articles Discussed:

• McCarthy et al. — In vivo effects of cold therapy and bandaging on core temperatures of equine
• Breen et al. — Standing Needle Endoscopy for the Digital Flexor Tendon Sheath
• Barton et al. — Tenoscopic‐guided resection of the manica flexoria utilizing radiofrequency energy
  📚 From the April 2025 issue of Veterinary Surgery

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You’ll hear takeaways from two groundbreaking investigations:

✅ Orozco Lopez et al. — Dual joint arthrodesis in racehorses with catastrophic suspensory failure. Discover how a human distal femur plate eliminated PIPJ subluxation—but didn’t eliminate infection risk.

✅ Pezzanite et al. — A biomechanical comparison of pedicle screw rod constructs with and without interbody fusion devices. When it comes to stabilization, this study questions whether more hardware really equals more safety.

Whether you manage racehorse injuries or contemplate spine stabilization in any species, this episode delivers actionable, data-driven surgical insights.

🎓 Journal Articles Discussed:

• Orozco Lopez et al. — Treatment of traumatic disruption of the suspensory apparatus in Thoroughbred
• Piezzanite et al. — Ex vivo biomechanical comparison of pedicle screw and rod constructs with and
  📚 From the April 2025 issue of Veterinary Surgery

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Covered in this episode:

• A direct in vivo comparison of end-to-side vs. side-to-side jejunecostomy
• A radical excision approach for perianal melanomas in standing, sedated horses
• Post-op considerations: colic risk, fecal output, wound healing, and owner communication

This is a clinical distillation of two technically demanding but impactful procedures — designed to help you weigh techniques, prepare for complications, and manage expectations.

🔗 Read the full issue: Veterinary Surgery – February 2025

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We cover:

• Biomechanics of large colon colopexy: suture pattern vs. bite depth
• Comparative outcomes of small intestinal anastomosis with stapled techniques
• One- vs. two-layer descending colon closures: trade-offs in size and strength
• Full-thickness biopsy techniques: punch vs. wedge vs. forceps
• Intrathecal enalapril to reduce tendon sheath adhesions after injury

As always, our focus is translating the research into practical guidance you can take back to surgery or field practice.

🔗 Read the full issue: Veterinary Surgery – January 2025

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In this episode, we cover:

• Accuracy gains with a vertek aiming device (VAD) during computer-assisted surgery of the distal sesamoid bone
• A new compression aiming device for navicular bone fractures using standard radiography
• Outcomes from standing sedation surgery for hoof wall masses like keratomas — including surgical technique and long-term recovery data

If you're working on lower limb cases in horses, this update brings clarity to both novel devices and alternative techniques for safer, smarter interventions.

🔗 Read the featured research: Veterinary Surgery & Equine Ortho Literature – Jan 2025

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