Veterinary Surgery May 2025 – Ortho Part 3: Arthroscopy, Accuracy & Implant Infection Strategy

In the final installment of our May 2025 orthopedic series, we bring precision into focus with two articles that spotlight both surgical technique and clinical decision-making under pressure.

We cover two compelling studies:

✅  Rocheleau et al. — A retrospective case series using arthroscopic treatment for infected total hip replacements. This “implant-salvage-first” strategy led to 87.5% success—especially when paired with advanced lavage and partial synovectomy.

✅ McClean et al. — A cadaver study comparing two blind techniques for shoulder joint injections in dogs. Learn which approach cuts iatrogenic cartilage injury by 80%—and why your next injection might need a rethink.

If you’re navigating joint taps or managing the dreaded PJI, this episode brings clarity to what works, what doesn’t, and how to reduce risk with smarter tools and strategies.

🎓 Journal Articles Discussed:

• McClean et al. — Accuracy and safety of two landmark‐guided techniques for arthrocentesis and
• Rocheleau et al. —  - Arthroscopic sampling  diagnosis and treatment of infected total hip replacements
  📚 From the May 2025 issue of Veterinary Surgery

🎁 Learn more about Simini Protect Lavage or request a sample:
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Chapters

• 0:00 Welcome & Episode Overview
• 2:31 Rocheleau et al. Study: Arthroscopic Management of Infected Total Hip Replacements
• 5:18 Multimodal Approach: Synovectomy, Lavage, and Antimicrobial Therapies
• 6:00 Biofilm Depleting Lavage (Simini Protect Lavage)
• 8:28 McClean et al. Study: Accuracy and Safety of Landmark-Guided Shoulder Arthrocentesis
• 9:58 Findings: Inaccuracy and Cartilage Injury Risk (SA vs. ST techniques)
• 12:46 Practical Implications: Choosing ST Approach and Considering Ultrasound Guidance