
Your Custom Quiz
In Latifi 2022 et al., on forelimb fascial mapping, which statement is TRUE regarding nerve transection during tumor resection?
🔍 Key Findings
- Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
- Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
- Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
- Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
- Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
- Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
- Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
- Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.
Veterinary Surgery
1
2022
Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb
2022-1-VS-latifi-4
In Pilot 2022 et al., on closure methods in sternotomy, which of the following was significantly associated with an increased risk of complications?
🔍 Key Findings
- Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
- No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
- Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
- Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
- Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
- Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
- Infection rate was low (2.7%), and not significantly different between wire and suture.
- Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.
Veterinary Surgery
6
2022
Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis
2022-6-VS-pilot-2
In Carvajal 2025 et al., on femoral stem breakage, what was the most common radiographic finding among failed implants?
🔍 Key Findings
Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)
Implant factors:
- 13/14 were BFX lateral bolt stems (sizes #5–7)
- +9 necks used in 5/11 of 17 mm heads
- 10/14 stems undersized based on radiographs
- 10/13 dogs exceeded weight limits for implanted stem size
Malalignment:
- 10/14 had varus alignment (median 3.9°)
- 8/14 had insufficient proximodistal seating
Breakage site: Proximolateral shoulder in all cases
Revision outcomes:
- 11 revised (7 CFX, 3 larger BFX, 1 collared)
- 9/10 revised dogs regained full function
- Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure
Histopathology:
- Electron microscopy showed fatigue striations and incomplete bead fusion
Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.
Veterinary Surgery
3
2025
Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)
2025-3-VS-carvajal-1
In Dobberstein 2022 et al., on NSAID ulcer repair, which of the following was a significant predictor or trend for postoperative mortality?
🔍 Key Findings
- Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
- NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
- All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
- No significant association between ulcer size or location and postoperative survival.
- Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
- Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
- Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
- Median follow-up of 444 days showed long-term survival was achievable post-primary repair.
Veterinary Surgery
7
2022
Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs
2022-7-VS-dobberstein-3
In Husi 2023 et al., on TPLO vs TPLO-IB biomechanics, what was the key limitation of the tibial compression test (TCT) after TPLO?
🔍 Key Findings
- TPLO alone failed to neutralize rotational instability under tibial pivot compression (TPT), despite a negative TCT.
- TPLO combined with lateral augmentation (TPLO-IB) restored both craniocaudal and rotational stability to near-intact levels.
- Cranial tibial translation was 6× greater after TPLO vs intact stifles when tested with TPT (p < .001).
- No significant difference in cranial tibial translation or internal rotation between intact stifles and TPLO-IB group during TCT, eTPT, or iTPT.
- TPLO-IB did not overconstrain the stifle, avoiding excessive external rotation.
- External tibial rotation (eTPT) was more sensitive than TCT in detecting persistent instability after TPLO.
- Excellent intraobserver reliability for both eTPT and iTPT (ICC > 0.9).
- Study supports intraoperative use of TPT to identify cases needing additional rotational stabilization.
Veterinary Surgery
5
2023
Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study
2023-5-VS-husi-1
In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what surgical fixation approach was used?
🔍 Key Findings
- All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
- Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
- Median lameness score improved from 2/4 to 1/4 by final follow-up.
- Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
- No major complications; minor issues included 1 screw loosening and 1 superficial infection.
- Subjective function was graded full in 4 dogs, acceptable in 7.
- Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
- Use of both orthopedic wire and plating provided secure fixation and improved outcomes.
Veterinary Surgery
3
2024
Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening
2024-3-VS-pfeil-4
In Bounds 2023 et al., on feline hip arthroscopy, which structure was consistently avoided during portal placement in all hips?
2023-8-VS-bounds-3
In Williams 2024 et al., on cardiovascular safety, what perioperative effect was observed with adrenaline in the nerve block?
🔍 Key Findings Summary
- Design: Prospective, randomized, double-blinded controlled trial
- Population: 32 brachycephalic dogs undergoing cut-and-sew sharp staphylectomy
- Groups: Adrenaline + lidocaine (Group A) vs. Lidocaine only (Group NA)
- Main Findings:
- Total hemorrhage significantly lower in Group A (median 1.82 g) vs Group NA (7.95 g); p = .013
- Normalized hemorrhage significantly lower in Group A; p = .021
- Surgeon-assigned hemorrhage scores significantly lower in Group A; p = .029
- No adverse effects (tachycardia, hypertension, arrhythmia, etc.) noted from adrenaline use
- Breed effect: English Bulldogs bled more overall even after normalization
- Clinical Implication: Adrenaline in nerve blocks reduces hemorrhage without added risk
Veterinary Surgery
1
2024
Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study
2024-1-VS-williams-3
In Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which technique caused the greatest cranial mechanical axis shift?
🔍 Key Findings
- All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
- Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
- Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
- Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
- Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
- Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
- All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
- Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.
Veterinary Surgery
8
2024
Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis
2024-8-VS-story-1
In Kang 2022 et al., on 3D scaffold reconstruction, which material was combined with polycaprolactone (PCL) to enhance osteoconductivity?
🔍 Key Findings
- Patient-specific 3D-printed PCL/β-TCP scaffold enabled successful zygomatic arch reconstruction in a dog.
- Complete surgical resection of a zygomatic parosteal osteosarcoma was achieved, with a 0.3 mm histologically clean margin.
- Post-op imaging showed progressive tissue ingrowth into the scaffold, with Hounsfield Units increasing from 20.4 to 97.8 over 10 months.
- No complications (e.g., infection, displacement) or tumor recurrence were noted at 16-month follow-up.
- Use of a patient-specific osteotomy guide improved anatomical fit and facilitated precise excision and implant placement.
- Facial symmetry and orbital stability were maintained throughout follow-up.
- The scaffold remained structurally stable despite limited bone regeneration, suggesting connective tissue filled the defect.
- Topical mitomycin C was applied intraoperatively for possible anti-neoplastic effect, but efficacy remains unclear.
Veterinary Surgery
8
2022
Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog
2022-8-VS-kang-1
Quiz Results
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