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In Pfund 2025 et al., on femoral cortical thickness, what was the observed effect of a 0.001 increase in CTI on fracture risk?
🔍 Key Findings
- Lower CTI values were significantly associated with higher risk of both intraoperative and postoperative femoral fractures or fissures (p <.0001).
- The mean CTI for all dogs was 0.285, whereas dogs with fissures/fractures had a mean CTI of 0.246.
- For each 0.001 increase in CTI, odds of fissure/fracture decreased by 2–3% depending on perioperative timing.
- High interobserver reliability (ICC = 0.984) and consistency between pre- and postoperative CTI measurements (ICC = 0.96).
- CTI was the only significant risk factor identified; age, breed, bodyweight, BCS, CFI, or luxoid hips were not significant.
- Prophylactic lateral plating in dogs with low CTI (mean 0.230) resulted in no postoperative fractures.
- Postoperative fractures occurred in 8% of cases, and 93% of dogs returned to full function within one year.
- CTI may be a useful radiographic screening tool, especially when advanced imaging (e.g., DEXA) is unavailable.
Veterinary Surgery
6
2025
Femoral cortical thickness index in a population of dogs undergoing total hip replacement
2025-6-VS-pfund-3
In Zann 2023 et al., on proximal humeral OC, what conclusion was drawn about the progression of osteoarthritis (OA)?
🔍 Key Findings
- All dogs developed progressive osteoarthritis (OA) after surgical debridement of proximal humeral OC.
- Ipsilateral muscle atrophy and reduced shoulder range of motion were common, particularly in unilaterally affected dogs.
- Arthroscopically, lesions showed incomplete cartilage infilling even years after surgery, averaging only ~37% infilling.
- Synovitis was present in all joints, with moderate-to-severe hypertrophy and vascularity scores.
- CT identified OC lesions as deeper and wider than radiography, and all affected joints had more advanced OA than contralateral limbs (P = .001 radiograph, P = .005 CT).
- Kinetic gait analysis showed no significant differences in peak vertical force or impulse, but a subtle 4.4% asymmetric load reduction on the operated limb.
- Median LOAD score was 6, indicating mild owner-perceived disability despite measurable clinical and imaging abnormalities.
- Cartilage infilling was incomplete in all cases, with no lesion exceeding 60% restoration, raising questions about the healing potential of debridement alone.
Veterinary Surgery
6
2023
Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis
2023-6-VS-zann-5
In Saitoh 2025 et al., on CTS stabilization, what method was commonly used in addition to CTS?
🔍 Key Findings
Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:
- 3 dogs = primary ligamentous repair
- 8 dogs = synthetic ligament reconstruction
- 2 dogs = malleolar fracture repair
Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:
- All 10 dogs had improved or resolved lameness.
- All 5 farm dogs returned to work (most at full or substantial capacity).
- Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).
Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.
Veterinary Surgery
1
2025
Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs
2025-1-VS-saitoh-3
In Walter de Bruyn 2024 et al., what was the impact of orthogonal plate addition on torsional stiffness in medium and long working lengths?
🔍 Key Findings Summary
- Primary 3.5-mm LCP used with short (SWL), medium (MWL), and long (LWL) working lengths
- Addition of orthogonal 2.7-mm LCP resulted in:
- Significantly higher bending stiffness for SWL, MWL, and LWL (p < 0.0001)
- Higher torsional stiffness for MWL and LWL (not for SWL)
- Significantly lower strain across all working lengths in bending (p < 0.01)
- Working length inversely related to construct stiffness and directly to plate strain
- Orthogonal plates eliminated stiffness differences across working lengths in bending
- Suggests orthogonal plates can improve implant fatigue life and allow compensation when short working lengths are unachievable
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model
2024-4-VCOT-walterdebruyn-3
In Sisk 2024 et al., which IMN design improvement addresses rotational slack?
🔍 Key Findings Summary
- IMN provides relative stability, resists bending/torsion due to central axis alignment
- Larger diameter nails = exponentially greater stiffness (∝ D⁴)
- Trade-off: Larger interlocking holes weaken fatigue strength of the nail
- Reaming increases contact/stability but has pros/cons:
- Improves outcomes in closed fractures
- May reduce endosteal blood flow in thin-walled bones (e.g., cats)
- Design advances:
- Angle-stable IMN reduce rotational slack
- Expandable nails simplify insertion but may compromise removal or compressive load resistance
- Precontoured nails match bone curvature but lack consistent clinical superiority
- Material debates continue (e.g., titanium vs. stainless steel vs. magnesium)
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine
2024-6-VCOT-sisk-4
In Beamon 2022 et al., on calcanean tunnel orientation, which failure mode was most commonly observed across all groups?
🔍 Key Findings
- No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
- Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
- Most common failure mode was suture pull-through (67%), with no significant difference between groups.
- Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
- All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
- The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
- TT constructs showed more tendon distortion at the repair interface during loading.
- Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.
Veterinary Surgery
4
2022
Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model
2022-4-VS-beamon-2
In Fink 2025 et al., on Roux-en-Y outcomes, which postoperative intervention was commonly used to manage nausea and vomiting due to ileus?
🔍 Key Findings
- Roux-en-Y procedures were successfully completed in all 11 cases (6 dogs, 5 cats), despite case complexity and disease severity.
- Median survival post-discharge was longer in cats (365 days) vs. dogs (82 days), with better outcomes in non-neoplastic vs. neoplastic disease (192 vs. 5 days).
- Complication rate was high, with septic peritonitis, dehiscence, and cardiac arrest as leading causes of postoperative death; mortality rate = 36%.
- Dehiscence rate was 8.6% (2 of 23 anastomoses), considered lower than typical rates for GI anastomoses in high-risk patients.
- Feeding tubes (gastrostomy/jejunostomy) were used in all cases, enabling early nutritional support and stomach decompression.
- Postoperative nausea and vomiting were common but mostly self-limiting; managed with metoclopramide, cisapride, and antiemetics.
- Choledochojejunostomy was preferred when common bile duct was dilated, offering a favorable size match and potentially reducing bile leakage.
- Roux-en-Y reduced typical Billroth II complications (e.g., bile reflux, afferent loop syndrome, dumping syndrome), with none observed in discharged patients.
Veterinary Surgery
5
2025
Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series
2025-5-VS-fink-4
In Peng 2025 et al., on study design, … how were the final RFG scores determined for each dog?
🔍 Key Findings
- Remote respiratory function grading (RFG) had poor to moderate reliability compared to in-person assessment.
- Expert graders had higher agreement with in-person scores than novices (Cohen’s kappa 0.37–0.48 vs. 0.21–0.47).
- Interobserver agreement was moderate among experts (Fleiss’ kappa = 0.59) and poor among novices (Fleiss’ kappa = 0.39).
- Remote recordings suffered from background noise, short clip durations, and technical limitations of electronic stethoscope recordings.
- Final RFG scores were based on the highest grade across categories (respiratory noise, inspiratory effort, dyspnea/cyanosis/syncope).
- Clinical impact: Only in-person grading reliably supports decisions for surgical intervention or breeding restrictions.
Veterinary Surgery
3
2025
Comparison of remote and in-person respiratory function grading of brachycephalic dogs
2025-3-VS-peng1-5
In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, what was the reported survival to discharge for cats with linear foreign bodies?
🔍 Key Findings
- Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
- Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
- Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
- Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
- All failed RRCTs occurred in cats with perforations or tissue nonviability.
- Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
- Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
- Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.
Veterinary Surgery
7
2024
Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats
2024-7-VS-miller-5
In Ellis 2024 et al., which HU metric showed the best interobserver agreement?
🔍 Key Findings Summary
- 86 elbows assessed: 32 Guide Dogs, 11 Border Collies
- Guide Dogs showed significantly higher HU values in:
- MCP: min (p = 0.022), mean (p < 0.01), max (p < 0.01)
- Humeral trochlea: mean (p < 0.01), max (p < 0.01)
- Results imply breed-associated HU variation, not necessarily pathologic sclerosis
- Relevance: Important to avoid false positives for elbow dysplasia during CT-based breeding screens
- Good interobserver agreement for mean HU values (ICC ~0.82–0.90)
Veterinary and Comparative Orthopedics and Traumatology
3
2024
Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies
2024-3-VCOT-ellis-5
Quiz Results
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