Le comblement des pertes de substance osseuse diaphysaire en chirurgie des carnivores domestiques

Les pertes de substance osseuse chez les Carnivores domestiques sont la conséquence de traumatismes ou de resections thérapeutiques (tumeur, infection, correction orthopédique). L'os est un tissu vivant hautement spécialisé dont l'activité est influencée par des facteurs internes (hormones, signaux biologiques) et externes (contraintes mécaniques). L'auteur présente tout d'abord les différents éléments constitutifs de l'os. Puis il décrit les étapes de la cicatrisation osseuse et précise les limites de cette cicatrisation lorsqu'elle est spontanée. L'auteur étudie ensuite les différents moyens disponibles pour combler une perte de substance osseuse par de l'os (greffe osseuse, allongement). Il y donne les définitions, les sites et les méthodes de prélèvement (pour les greffes) puis les indications et les limites de chaque technique. La dernière partie présente les méthodes alternatives de comblement (substituts minéraux, composés synthétiques non minéraux, substances ostéoinductives) et les nouvelles perspectives en matière de comblement

Un cas de panostéite chez un Cairn Terrier

La panostéite est une affection osseuse idiopathique du chien en croissance touchant habituellement les races de grande taille. Elle atteint préférentiellement les os longs. Elle se manifeste cliniquement par une boiterie, une douleur à la palpation diaphysaire et radiologiquement par des plages d’ossification intramédullaire. L’observation chez un chiot Cairn Terrier est apparue particulièrement intéressante du fait de sa rareté

2 Cas Originaux de Fistule Œsophagienne

Les fistules œsophagiennes sont des affections rares chez les Carnivores Domestiques. Elles se définissent comme une communication entre l'œsophage et la peau ou une cavité. Deux cas illustrent la diversité de ces fistules : fistule œsophago-trachéale et œsophago-cutanée

Ruptures Urétrales d'Origine Traumatique à partir de 3 Cas

Les ruptures des voies urinaires basses sont fréquemment associées à des traumatismes abdominaux ou pelviens. Toutefois, les lésions urétrales sont rares. Parmi l'ensemble des cas traités, l'étude des deux cas suivants permet d'illustrer les modalités de prise en charge, les difficultés thérapeutiques et les complications de ces lésions

Public Health Impact After the Introduction of PsA-TT: The First 4 Years.

BACKGROUND: During the first introduction of a group A meningococcal vaccine (PsA-TT) in 2010-2011 and its rollout from 2011 to 2013, >150 million eligible people, representing 12 hyperendemic meningitis countries, have been vaccinated. METHODS: The new vaccine effectiveness evaluation framework was established by the World Health Organization and partners. Meningitis case-based surveillance was strengthened in PsA-TT first-introducer countries, and several evaluation studies were conducted to estimate the vaccination coverage and to measure the impact of vaccine introduction on meningococcal carriage and disease incidence. RESULTS: PsA-TT implementation achieved high vaccination coverage, and results from studies conducted showed significant decrease of disease incidence as well as significant reduction of oropharyngeal carriage of group A meningococci in vaccinated and unvaccinated individuals, demonstrating the vaccine's ability to generate herd protection and prevent group A epidemics. CONCLUSIONS: Lessons learned from this experience provide useful insights in how to guide and better prepare for future new vaccine introductions in resource-limited settings

Radiographic assessment of the femorotibial joint of the CCLT rabbit experimental model of osteoarthritis

<p>Abstract</p> <p>Background</p> <p>The purposes of the study were to determine the relevance and validity of in vivo non-invasive radiographic assessment of the CCLT (Cranial Cruciate Ligament Transection) rabbit model of osteoarthritis (OA) and to estimate the pertinence, reliability and reproducibility of a radiographic OA (ROA) grading scale and associated radiographic atlas.</p> <p>Methods</p> <p>In vivo non-invasive extended non weight-bearing radiography of the rabbit femorotibial joint was standardized. Two hundred and fifty radiographs from control and CCLT rabbits up to five months after surgery were reviewed by three readers. They subsequently constructed an original semi-quantitative grading scale as well as an illustrative atlas of individual ROA feature for the medial compartment. To measure agreements, five readers independently scored the same radiographic sample using this atlas and three of them performed a second reading. To evaluate the pertinence of the ROA grading scale, ROA results were compared with gross examination in forty operated and ten control rabbits.</p> <p>Results</p> <p>Radiographic osteophytes of medial femoral condyles and medial tibial condyles were scored on a four point scale and dichotomously for osteophytes of medial fabella. Medial joint space width was scored as normal, reduced or absent. Each ROA features was well correlated with gross examination (p < 0.001). ICCs of each ROA features demonstrated excellent agreement between readers and within reading. Global ROA score gave the highest ICCs value for between (ICC 0.93; CI 0.90-0.96) and within (ICC ranged from 0.94 to 0.96) observer agreements. Among all individual ROA features, medial joint space width scoring gave the highest overall reliability and reproducibility and was correlated with both meniscal and cartilage macroscopic lesions (r_s= 0.68 and r_s= 0.58, p < 0.001 respectively). Radiographic osteophytes of the medial femoral condyle gave the lowest agreements while being well correlated with the macroscopic osteophytes (r_s= 0.64, p < 0.001).</p> <p>Conclusion</p> <p>Non-invasive in vivo radiography of the rabbit femorotibial joint is feasible, relevant and allows a reproducible grading of experimentally induced OA lesion. The radiographic grading scale and atlas presented could be used as a template for in vivo non invasive grading of ROA in preclinical studies and could allow future comparisons between studies.</p

In Vivo Imaging Reveals Distinct Inflammatory Activity of CNS Microglia versus PNS Macrophages in a Mouse Model for ALS

Mutations in the enzyme superoxide dismutase-1 (SOD1) cause hereditary variants of the fatal motor neuronal disease Amyotrophic lateral sclerosis (ALS). Pathophysiology of the disease is non-cell-autonomous: neurotoxicity is derived not only from mutant motor neurons but also from mutant neighbouring non-neuronal cells. In vivo imaging by two-photon laser-scanning microscopy was used to compare the role of microglia/macrophage-related neuroinflammation in the CNS and PNS using ALS-linked transgenic SOD1G93A mice. These mice contained labeled projection neurons and labeled microglia/macrophages. In the affected lateral spinal cord (in contrast to non-affected dorsal columns), different phases of microglia-mediated inflammation were observed: highly reactive microglial cells in preclinical stages (in 60-day-old mice the reaction to axonal transection was ∼180% of control) and morphologically transformed microglia that have lost their function of tissue surveillance and injury-directed response in clinical stages (reaction to axonal transection was lower than 50% of control). Furthermore, unlike CNS microglia, macrophages of the PNS lack any substantial morphological reaction while preclinical degeneration of peripheral motor axons and neuromuscular junctions was observed. We present in vivo evidence for a different inflammatory activity of microglia and macrophages: an aberrant neuroinflammatory response of microglia in the CNS and an apparently mainly neurodegenerative process in the PNS