Your Custom Quiz
In Lampart 2023 et al., on manual laxity testing, which test elicited the highest cranial tibial translation (CTT) in CCL-deficient stifles?
🔍 Key Findings
- Cranial drawer (CD), tibial compression (TCT), and tibial pivot compression test (TPCT) showed 100% sensitivity and specificity in differentiating intact from CCL-deficient stifles in this ex vivo model.
- TPCT elicited the highest cranial tibial translation (CTT) and internal tibial rotation, though differences in rotation did not reach statistical significance.
- Inter- and intraobserver agreement for CTT was excellent across all tests (ICC >0.9).
- Rotation and force application had greater variability, particularly with less experienced observers and during CD.
- Forces applied during CD were significantly higher in intact limbs and correlated with observer experience.
- Subjective CTT estimates strongly correlated with objective kinematic measurements (r = 0.895), with a median absolute error of 1.31 mm.
- TPCT may be particularly useful for assessing rotational instability, mimicking the pivot-shift test used in human ACL exams.
- Study supports development of a grading system for manual laxity testing, especially in acute CCLR cases.
Veterinary Surgery
5
2023
Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study
2023-5-VS-lampart-1
In Adair 2023 et al., on urolith removal techniques, what was the approximate percentage of dogs discharged the same day after PCCLm?
🔍 Key Findings
- PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p < .001)
- Incomplete urolith removal was similar between PCCLm (11.4%) and OC (20.0%), not statistically significant
- Anesthesia time was significantly shorter in PCCLm (p < .001), although surgery time was not
- PCCLm had shorter hospitalization time than OC (median 0 vs 18 hours, p < .001)
- PCCLm patients were more likely to be discharged the same day (84.7% vs 0%)
- Surgical site infection/inflammation (SSII) was low in both, with no significant difference (PCCLm: 4.5%, OC: 1.8%)
- Incision extension in PCCLm significantly increased SSII risk (OR = 18.76, p = .027)
- More intraoperative complications occurred with PCCLm, though most were minor (22.1% vs 3.4%, p = .021)
Veterinary Surgery
6
2023
Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)
2023-6-VS-adair-2-b93dd
In Billas 2022 et al., on SSI risk after limb amputation, which variable was **not** associated with increased SSI risk?
🔍 Key Findings
- 12.5% overall incidence of SSI after limb amputation, and 10.9% for clean procedures.
- Bipolar vessel sealing device use for muscle transection significantly increased SSI risk (OR 2.5; P = .023).
- Monopolar electrosurgery and sharp transection were not associated with increased SSI risk.
- Non-clean wound classification increased SSI odds (OR 8.2; P = .003).
- Amputation for infection (OR 5.7) or trauma (OR 4.5) significantly increased SSI risk compared to neoplasia.
- Preoperative infections at distant sites did not significantly increase SSI risk.
- Neither surgery/anesthesia duration, hypothermia, hypotension, nor skin closure method significantly affected SSI risk.
- Study supports avoiding bipolar sealing devices for muscle transection in limb amputations to reduce SSI risk.
Veterinary Surgery
3
2022
Incidence of and risk factors for surgical site infection following canine limb amputation
2022-3-VS-billas-4
In Buote 2023 et al., on laparoscopic gastrectomy in cats, what complication was **not** observed in either live patient after surgery?
🔍 Key Findings
- LVSG was feasible in 9/10 feline cadavers with successful stapled gastrectomy and minimal technical complications.
- Stenosis at the incisura angularis occurred in 2/10 cadavers, associated with staple placement too close to the lesser curvature.
- Leak testing was negative in 8 cadavers and both live cats, indicating effective staple sealing.
- Mean stomach resection was ~28%, though less than human standards (~75–80%) for metabolic effects.
- Surgery was performed safely in two live feline subjects, with no intraoperative or postoperative complications over a 6-month follow-up.
- Technique refinements included orogastric tube placement and custom 3D-printed cannulas to improve staple line accuracy and avoid stenosis.
- Tri-Staple purple cartridges provided graduated compression suited for feline gastric tissue thickness (~2.5 mm).
- No need for staple line oversew in live cats; staple-only closure proved safe in this short-term study.
Veterinary Surgery
6
2023
Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats
2023-6-buote2-3
In De Moya 2025 et al., on antebrachial deformity correction, what percentage of the recorded distraction translated to actual radial lengthening?
🔍 Key Findings
- CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
- Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
- Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
- Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
- Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
- Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
- Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
- Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.
Veterinary Surgery
6
2025
Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs
2025-6-VS-demoya-2
In Nicolas 2024 et al., what postoperative outcome was observed at 1 month?
🔍 Key Findings Summary
- The lateral approach via scapular osteotomy allowed safe access to the T1-2 foramen in a French Bulldog with foraminal disc extrusion.
- A mini-hemilaminectomy was performed, preserving articular facets.
- The dog had no neurologic deficits postoperatively, returned to ambulation within 24 hours, and was discharged in 3 days.
- At 10 months, CT confirmed excellent scapular healing and no recurrence.
- Double 2.4-mm locking plates provided stable fixation across the scapular spine.
- The technique avoided thoracic entry or dorsal spine dissection, suggesting a less invasive alternative for select T1-2 foraminal cases.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog
2024-2-VCOT-nicolas-2
In Kurogochi 2025 et al., on cardioplegia in mitral repair, what was the effect of mDN solution on sinus rhythm recovery?
🔍 Key Findings
- No significant difference in cardiac troponin I levels 12h post-op between mDN and St. Thomas cardioplegia groups (p = 0.478)
- Sinus rhythm returned faster in the mDN group after aortic cross-clamp removal (median 60s vs 362s, p = 0.027)
- Lower serum potassium at cross-clamp removal in the mDN group (median 4.5 mEq/L vs 5.4, p = 0.005)
- Fewer doses needed in the mDN group (median 2.5 vs 4.0, p = 0.040)
- Higher total crystalloid volume used in mDN group (23.6 vs 12.6 mL/kg, p < 0.001)
- No difference in survival (700-day survival 90% in both groups, p = 0.958)
- No difference in hospitalization duration (median 6 days for both, p = 0.789)
- Echocardiographic remodeling similar between groups at 24h post-op
Veterinary Surgery
7
2025
Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial
2025-7-VS-kurogochi-1
In Buote 2023 et al., on 3D-printed cannulas in feline laparoscopy, what was the most common cannula-related complication reduced by 3DPCs in the cadaveric model?
🔍 Key Findings
- 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
- Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
- Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
- Live patients experienced no postoperative complications, including no incision site infections or discomfort.
- Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
- Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
- Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
- Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.
Veterinary Surgery
6
2023
3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series
2023-6-VS-buote-2
In Ciammaichella 2025 et al., on lymphadenectomy complications, which factor was significantly associated with intraoperative complications?
🔍 Key Findings
- Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
- Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
- Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
- Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
- Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
- No significant predictors retained significance in multivariate analysis
- Use of methylene blue was associated with fewer complications, although not statistically significant
- Complication rates did not result in mortality, and all were manageable; MST was 374 days
Veterinary Surgery
7
2025
Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors
2025-7-VS-ciammaichella-2
In Perez Neto 2025 et al., on hip resurfacing arthroplasty, what was the most common site of failure in both groups?
🔍 Key Findings
- In an ex vivo study of 20 canine femur pairs, implantation of a novel hip resurfacing arthroplasty (HRA) prosthesis reduced maximum load (ML) by 22% and load at collapse (LC) by 27% vs. intact controls (p ≤ 0.05).
- Displacement at maximum load (DML), displacement at collapse (DC), and stiffness (k) were not significantly different between prosthesis and control groups.
- Both groups showed similar failure patterns, with 92% failing at the femoral neck.
- All prosthetic femurs still withstood ~6.2× body weight — exceeding estimated in vivo peak loads (~1.64× BW).
- Prosthesis positioning (neutral vs valgus) had no significant effect on biomechanical outcomes.
- Implant design preserved more metaphyseal bone stock than total hip replacement, possibly explaining the smaller load reduction compared to other short-stem prostheses.
- The press-fit cobalt–chromium design with conical stem allowed full contact and stress distribution over the femoral head/neck.
- Authors conclude the device has adequate immediate biomechanical strength for clinical use, though long-term in vivo studies are needed.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study
2025-4-VCOT-perezneto-3
Quiz Results
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Key Findings