
Your Custom Quiz
In Peng 2025 et al., on topical amikacin gel, at what time point were serum levels consistently above the lower limit of quantification (LLOQ)?
🔍 Key Findings
Objective: Determine if topical 45 mg/mL amikacin in CMC gel leads to systemic absorption in dogs with wounds.
Dogs enrolled: 11 client-owned dogs, with 31 applications of the gel.
Serum findings:
- Only 5 of 153 samples were above the 2.5 µg/mL quantification limit
- All values remained <5 µg/mL, the presumed toxicity threshold
- No correlation was found between dose-related parameters (mg, mg/kg, mg/cm²) and serum amikacin levels
Peak concentrations were observed at ~2 hours post-application, declining rapidly thereafter
No nephrotoxicity observed, and most values were below detection
Conclusion: Topical amikacin gel appears safe at doses up to 24.9 mg/kg, with minimal systemic absorption
Veterinary Surgery
3
2025
Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel
2025-3-VS-peng2-2
In Nicolas 2024 et al., how was the scapular osteotomy stabilized?
🔍 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-3
In Enright 2022 et al., on adrenalectomy outcomes, what was the observed effect of preoperative alpha-blocker therapy on long-term survival?
🔍 Key Findings
- 83% of dogs survived to discharge after adrenalectomy for pheochromocytoma.
- Median survival time post-discharge was 1169 days (3.2 years).
- Preoperative alpha-blocker therapy (e.g., phenoxybenzamine) was not associated with improved survival.
- Dogs receiving alpha-blockers had higher intraoperative systolic BP, with median values 170 mmHg vs. 142 mmHg in non-treated dogs (P = .01).
- Intraoperative arrhythmias occurred in 30% of cases, with no difference between dogs receiving alpha-blockers and those not.
- Histologic vascular invasion occurred in ~70% of tumors.
- Tumor recurrence was suspected in 3 dogs, and metastasis in 8 dogs, though not histologically confirmed in most cases.
- Postoperative complications included refractory hypotension, acute kidney injury, and hypertension persisting >48 hours in 10 dogs.
Veterinary Surgery
3
2022
Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy
2022-3-VS-enright-2
In Hanlon 2022 et al., on short screw sacroiliac fixation, what complication was observed in some short screw cases?
🔍 Key Findings
- Two short screws (SLS or SPS) provided >2× peak load, yield load, and stiffness vs a single long screw (LLS) for SI joint stabilization.
- No mechanical advantage was seen between the two short screw types (lag vs positional).
- All short screws terminated lateral to the spinal canal, avoiding spinal impingement.
- Ventral sacral foraminal impingement occurred in 3 short-screw cases (1 SPS, 2 SLS), all involving the caudal screw.
- LLS group showed more abaxial displacement at osteotomy sites, suggesting inferior stabilization for concurrent pelvic fractures.
- Short screw constructs had longer total screw length (48 mm) than LLS (40 mm), contributing to increased stiffness.
- Positioning of caudal screw in a cranial/craniodorsal trajectory may help avoid nerve foraminal injury.
- No significant difference in displacement at peak load among groups; stiffness and load capacity were the primary benefits.
Veterinary Surgery
7
2022
Mechanical evaluation of canine sacroiliac joint stabilization using two short screws
2022-7-VS-hanlon-4
In Paulick 2022 et al., on feline ilial plating, what factor most contributed to the **poor performance** of the ALPS-5 system despite it being a locking plate?
🔍 Key Findings
- Locking plates (except ALPS-5) withstood significantly more cycles before failure than nonlocking DCP constructs.
- ALPS-6.5, LCP, and FIXIN plates endured higher loads and resisted displacement better than DCP and ALPS-5.
- ALPS-5 plates showed lower bending stiffness than all other constructs (P < .05).
- DCP constructs failed due to screw loosening, seen in all specimens.
- Locking constructs failed by bone slicing, affecting 100% of specimens.
- Catastrophic implant failure (fracture or plastic deformation) occurred only in ALPS-5 group.
- Plate size and screw-plate interface both influence resistance to cyclic loading in feline ilial fracture repair.
- Locking plates are preferable for reducing screw pullout, but plate strength (e.g., cross-section) must match loading forces.
Veterinary Surgery
1
2022
Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats
2022-1-VS-paulick-5
In Wilson 2025 et al., on acetabular measurement accuracy, which method demonstrated the highest intra- and interobserver reliability?
🔍 Key Findings
Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:
- ACVD/ACOLL (acetabular circle on VD or OLL view)
- ALVD/ALOLL (acetabular line)
- FHCVD/FHCOLL/FHCCCHB (femoral head circle)
- Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
- FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
- AC and AL methods had low bias (±0.5 mm) and better predictive value.
- OA severity negatively affected the accuracy of all measurements (p < .05).
- Highest predictive accuracy was ~49% using ACVD with rounding down protocol.
Veterinary Surgery
1
2025
Evaluation of three acetabular measurement methods for total hip replacement in dogs
2025-1-VS-wilson-1
In Paulick 2022 et al., on feline ilial plating, which implant groups endured **more cycles** and **greater load** before displacement compared to DCP?
🔍 Key Findings
- Locking plates (except ALPS-5) withstood significantly more cycles before failure than nonlocking DCP constructs.
- ALPS-6.5, LCP, and FIXIN plates endured higher loads and resisted displacement better than DCP and ALPS-5.
- ALPS-5 plates showed lower bending stiffness than all other constructs (P < .05).
- DCP constructs failed due to screw loosening, seen in all specimens.
- Locking constructs failed by bone slicing, affecting 100% of specimens.
- Catastrophic implant failure (fracture or plastic deformation) occurred only in ALPS-5 group.
- Plate size and screw-plate interface both influence resistance to cyclic loading in feline ilial fracture repair.
- Locking plates are preferable for reducing screw pullout, but plate strength (e.g., cross-section) must match loading forces.
Veterinary Surgery
1
2022
Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats
2022-1-VS-paulick-3
In Berger 2023 et al., on elbow COR estimation, why may it be challenging to match COR in diseased elbows with the normal contralateral joint?
🔍 Key Findings
- COR of elbows with FMCP was significantly more caudal compared to normal elbows, based on CT-derived geometry.
- In normal elbows, 74% of medial and 93% of lateral axes exited cranial and distal to the epicondyles.
- In FMCP elbows, 81% of medial and 70% of lateral axes exited caudal and distal to the epicondyles.
- Different landmark combinations produced slightly different COR approximations, especially between humeral vs. radius/ulna-based axes.
- The medial-lateral axis using trochlea and capitulum centers provided the most consistent COR approximation.
- COR estimations based on diseased elbows may not match normal joint geometry, impacting implant alignment accuracy.
- External epicondylar landmarks may be useful intraoperatively to estimate COR location, but variability limits precision.
- Drill diameter size may buffer small COR differences, but impact in advanced disease or bilateral cases remains unclear.
Veterinary Surgery
1
2023
The use of subchondral bone topography to approximate the center of rotation of the elbow joint in dogs
2023-1-VS-berger-4
In Chitty 2025 et al., on tibial fracture fixation in immature dogs, which complication was most common in the external fixation group?
🔍 Key Findings
Internal fixation (IF) group (n=59):
- Complication rate: 20.3%
- Major complications: 15.3%
- Longer time to discharge if complications occurred (median: 12.5 weeks)
External skeletal fixation (ESF) group (n=36):
- Complication rate: 55.6% (p < .001 vs IF)
- Major complications: 52.8%
- Most common issue: pin tract morbidity
Multivariable analysis:
- Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
- Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)
Fixation choice influenced by age:
- Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)
Breed & fracture distribution:
- Common breeds: Labrador, Border Collie, Whippet
- Common fracture sites: middle and proximal third of tibia
Veterinary Surgery
4
2025
Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs
2025-4-VS-chitty-2
In Peterson 2022 et al., on crescent guide in TPLO, what was the primary benefit observed in novice surgeons using the crescent guide over other devices?
🔍 Key Findings
- Crescent guide use resulted in significantly less medial cortical damage (mean 3.8 mm²) than the radial saw guide (35.7 mm²) and standard jig (51.3 mm²) in bone models.
- No significant difference in osteotomy accuracy (distance of eccentricity, coronal or axial angulation) among crescent guide, radial guide, or standard jig in either bone models or cadavers.
- Device application time was shortest with the crescent guide and longest for the radial saw guide.
- Osteotomy time was fastest with the crescent guide compared to the radial saw guide (P = .015).
- Participants rated the crescent guide easier to apply than both the radial saw guide (P < .005) and the standard jig (P = .015).
- 5 of 6 novice participants preferred the crescent guide over the other devices for performing TPLO.
- Subjective ease of osteotomy performance was higher with the crescent guide vs. radial guide (P < .001).
- Crescent guide does not assist in fragment stabilization or plateau rotation unlike a standard TPLO jig.
Veterinary Surgery
3
2022
Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study
2022-3-VS-peterson-1
Quiz Results
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