
Your Custom Quiz
In Adair 2023 et al., on urolith removal techniques, which statement about anesthesia and surgery times is accurate?
🔍 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-5-2697d
In Adams 2024 et al., on canine tibial plateau fractures, what was the long-term functional outcome for the two cases that completed LOAD questionnaires?
🔍 Key Findings
- Tibial plateau fractures (TPF) are rare in dogs, but can be surgically stabilized with good outcomes even in complex trauma cases.
- Lateral TPFs (Unger type 41-B1) were approached via caudolateral arthrotomy, with elevation of the lateral meniscus for visualization and use of lag screws and K-wires for fixation.
- Medial TPF (Unger type 41-B2) was addressed via medial parapatellar approach using K-wires and a figure-of-eight tension band.
- One minor complication occurred: implant yield at 2 weeks in a case with a concurrent fibular fracture, resulting in a 0.8 mm step defect.
- No major complications were recorded, and all dogs achieved clinical union with full function by 8–10 weeks.
- Long-term owner-reported outcomes (LOAD scores) were excellent (5/52), indicating minimal osteoarthritis or chronic pain.
- Concurrent fibular fractures may increase risk of implant failure and should influence implant selection (e.g., considering buttress plating).
- Arthroscopic-assisted techniques may be applicable in select cases, but open reduction was preferred due to fragment displacement or concurrent injuries.
Veterinary Surgery
6
2024
Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases
2024-6-VS-adams-4
In Grimes 2022 et al., on PDA rupture risks, what was the overall mortality rate following surgical PDA ligation?
🔍 Key Findings
- Rupture occurred in 7.0% of dogs undergoing surgical PDA ligation (20/285).
- Overall mortality was low (0.4%), with only one death occurring post-rupture.
- Residual flow occurred in 9.4% of dogs; significantly more common in dogs with rupture.
- Residual flow odds were not increased when ligation was successfully performed despite rupture.
- No significant associations between rupture and age, weight, suture size, or dissection technique.
- Jackson-Henderson and intrapericardial techniques were helpful in managing rupture or fibrosis.
- Major complications (non-rupture) were rare (1.4%), including pulmonary artery ligation and cardiac arrest.
- Surgeon preparedness (e.g., hemostatic tools, alternate techniques) was key to successful outcomes.
Veterinary Surgery
4
2022
Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture
2022-4-VS-grimes-3
In Kang 2022 et al., on 3D scaffold reconstruction, what was the primary diagnosis confirmed after tumor excision?
🔍 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-2
In Marturello 2023 et al., on 3D-printed humeral models, what clinical application is most **justified by this study’s findings**?
🔍 Key Findings
- 3D-printed models using desktop printers (FDM, LFS) showed submillimetric accuracy, comparable to or better than industrial-grade PJP printers.
- Bone size had a greater effect on print accuracy than printer type, especially in proximal humerus regions.
- The humeral condyle region showed the greatest model accuracy, with mean differences under 0.5 mm, regardless of printer.
- Models tended to be slightly smaller than cadaveric bones, potentially due to systematic underestimation during printing.
- FDM printer provided the highest accuracy at the humeral condyle in medium-sized bones (+0.09 mm).
- LFS printer produced prints faster and more reliably than FDM, although both had comparable dimensional accuracy.
- Statistically significant differences existed, but all were submillimetric and unlikely to impact surgical outcomes.
- Desktop printers are suitable for surgical planning, including plate pre-contouring and patient-specific instrumentation.
Veterinary Surgery
1
2023
Accuracy of anatomic 3‐dimensionally printed canine humeral models
2023-1-VS-marturello-5
In Kalmukov 2022 et al., on cell salvage efficacy, what was the average red blood cell mass (rbcM) recovery percentage?
🔍 Key Findings
- Direct suction salvaged more red blood cell mass (rbcM) than swab washing: 88.43% vs 84.74% (p = .015)
- Swab washing still achieved high recovery (84.74%), making it a viable adjunct when suction is not possible
- No significant difference in post-salvage PCV between methods (~34% for Su and ~33.9% for Sw)
- Total salvaged blood volume was significantly higher using direct suction (143 mL vs 139.8 mL; p < .001)
- Leukocytes are removed during salvage, potentially lowering risk of cytokine-mediated transfusion reactions
- Expired pRBCs were used, but device still achieved high RBC recovery, supporting clinical utility
- Swab washing via manual agitation may cause more RBC destruction than direct suction
- Cell salvage may avoid complications of allogeneic transfusions, like storage lesions and immunologic reactions
Veterinary Surgery
8
2022
Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes
2022-8-VS-kalmukov-2
In Fracka 2025 et al., on cementless knee replacement, what postoperative improvement in stifle range of motion (ROM) was documented?
🔍 Key Findings
Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.
Clinical function:
- Improved ROM from 90° pre-op to 120° post-op.
- Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
- No visible lameness by 14 weeks.
Implant performance:
- No complications at any follow-up points.
- No osteolysis, loosening, or metallosis at 6-year necropsy.
Wear evaluation:
- Mild UHMWPE insert wear, localized to caudal edges.
Histologic findings:
- Robust osseointegration at implant-bone interface.
- Fibrous tissue only in areas lacking porous coating.
Conclusion:
- Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
- Support for considering early surgical intervention in severe stifle OA.
Veterinary Surgery
3
2025
Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog
2025-3-VS-fracka-1
In Scheuermann 2023 et al., on femoral MIPO alignment, what was a noted limitation of the prototype FRS?
🔍 Key Findings
- Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
- Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
- Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
- Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
- FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
- Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
- Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
- Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.
Veterinary Surgery
6
2023
Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs
2023-6-VS-scheuermann-5-d2296
In Dickson 2024 et al., on VATS for feline chylothorax, which agents were used to visualize the thoracic duct?
🔍 Key Findings
- Objective: To evaluate outcomes and complications of video-assisted thoracoscopic surgery (VATS) for idiopathic chylothorax in 15 cats.
- All 15 cats underwent thoracoscopic thoracic duct ligation (TDL); 13 also had simultaneous pericardectomy, 2 had VATS TDL + laparoscopic cisterna chyli ablation (CCA), and 1 cat had an open CCA.
- Median surgical time was 152.5 minutes (range 60–255).
- Contrast was used intraoperatively in 13 cats; 11 received methylene blue, and 2 received indocyanine green (ICG).
- One intraoperative complication (6%) occurred — a minor intercostal artery laceration. Conversion to open surgery occurred in 3 cases (20%) due to visualization issues or bleeding.
- Postoperative complications occurred in 8 cats (53%), with persistent pleural effusion in 5 cats (33%) being the most common.
- Mortality was high: 4 cats (27%) died or were euthanized before discharge. Only 7 of 11 cats discharged had resolution of effusion, and recurrence occurred in 1.
- Authors concluded that while VATS is technically feasible in cats, it did not improve clinical outcomes compared to open surgery, and feline idiopathic chylothorax continues to have a high mortality rate.
Veterinary Surgery
5
2024
Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats
2024-5-VS-dickson-4
In Scott 2025 et al., on acetabular cup revision, what was the most common indication for revision surgery?
🔍 Key Findings
Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)
Revision Indications:
- 7 luxations (5 ventral, 2 craniodorsal)
- 1 femoral stem fracture
- 1 aseptic stem loosening
Implants:
- 8 BFX cups, 1 Helica; all revised to BFX
- 7/9 required a larger cup than original
Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted
Complications:
- 1 recurrent luxation
- 1 low-grade infection with possible metallic debris-associated osteolysis
- 2 femoral fissures managed intraoperatively
Outcomes:
- Good to excellent function in 6/6 dogs available at median 621 days
- Minimal complications with success in re-osteointegration of new cup
Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing
Veterinary Surgery
3
2025
Revision of osteointegrated acetabular cup prostheses in nine dogs
2025-3-VS-scott-1
Quiz Results
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