
Your Custom Quiz
In Kokkinos 2025 et al., on THR age effects, what was the most commonly reported perioperative complication?
🔍 Key Findings
- Study population: 116 dogs underwent cementless THR; grouped by age:
- Group A: ≤6 months (n = 27)
- Group B: >6 to ≤12 months (n = 41)
- Group C: >12 months (n = 48)
- Overall perioperative complication rate: 31.9% (37/116)
- Group A: 22.2%
- Group B: 26.8%
- Group C: 41.7%
- No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
- Luxation was significantly more common in dogs >12 months:
- Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
- Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
- Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
- No infections or aseptic loosening observed during the 8-week follow-up.
Veterinary Surgery
3
2025
The influence of age at total hip replacement on perioperative complications in dogs
2025-3-VS-kokkinos-4
In Bae 2025 et al., on SI screw orientation, which parameter did NOT differ significantly among groups?
🔍 Key Findings
- Ex vivo study using 24 canine cadaver pelves to test screw thread direction in SI luxation.
- Four groups: RhRSI, RhLSI, LhRSI, LhLSI.
- Right-handed screws on right side (RhRSI) had 313% higher torque and 274% higher load vs left side (p < .01).
- Left-handed screws on left side (LhLSI) had 198% higher torque and 195% higher load vs right side (p < .03).
- All failures occurred due to rotation, with no screw breakage or fractures.
- Body weight and moment arm were similar across groups.
- Clinical implication: Use of screw matching handedness to luxation side improves stability.
Veterinary Surgery
2
2025
Effect of thread direction on rotational stability in lag-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs
2025-2-VS-bae-4
In Turner 2025 et al., on TPA changes after SH-1/2 fracture repair, which factor was NOT significantly associated with greater TPA reduction?
🔍 Key Findings
- TPA decreased significantly from preoperative to follow-up (mean 5.89°; p < 0.001), and from immediate postoperative to follow-up (mean 2.2°; p = 0.018)
- Use of tension band in addition to K-wires did not significantly improve TPA reduction compared to K-wires alone
- Cranial K-wire positioning may attenuate growth at the cranial tibial physis, allowing relative caudal growth to reduce TPA over time
- Dynamic TPA reduction may reduce risk of cranial cruciate ligament rupture even when initial TPA is high
- Small breeds (e.g., French Bulldogs) were overrepresented; further research is needed in larger breeds with more growth potential
- Surgical reduction is difficult, but perfect alignment may not be essential if TPA reduces postoperatively
- Radiographic TPA measurement was reliably performed with low interobserver variability
- K-wire removal at 3–8 weeks may facilitate continued growth in growing dogs
Veterinary and Comparative Orthopaedics and Traumatology
5
2025
Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs
2025-5-VCOT-turner-2
In Schneider 2025 et al., on axillary LN extirpation, which anatomical landmark was critical for reliably locating the axillary lymph node?
🔍 Key Findings
- Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
- Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
- No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
- Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
- Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
- Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
- False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
- The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.
Veterinary Surgery
6
2025
Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs
2025-6-VS-schneider-1
In Chik 2025 et al., on abdominal wall prestretching, what was the observed effect on working space when PS was applied at 10 mmHg for 3 minutes and then reduced to 6 mmHg IAP?
🔍 Key Findings
- Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
- PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
- All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
- Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
- Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
- No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
- Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
- Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.
Veterinary Surgery
5
2025
Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures
2025-5-VS-chik-1
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 Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, what future direction did the authors recommend regarding helmet CPAP use?
🔍 Key Findings
- CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
- CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
- Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
- CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
- Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
- The study found no cases of hyperthermia; temperatures normalized over time in both groups.
- Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
- Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.
Veterinary Surgery
5
2024
Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs
2024-5-VS-araos-5
In García 2025 et al., on TIAS shunt confirmation, what best describes the overall safety of the technique?
🔍 Key Findings
- 40 dogs with congenital EHPSS were surgically treated using intraoperative transsplenic injection of agitated saline (TIAS) to assess full temporary occlusion.
- TIAS was successful in 38/40 dogs; the remaining 2 had additional shunting vessels not originally seen and required further identification/ligation.
- No intraoperative or postoperative complications occurred.
- TIAS allowed real-time confirmation of attenuation success using ultrasound-visible microbubbles.
- Median postoperative bile acids were 5 μmol/L (preprandial) and 25 μmol/L (postprandial).
- Long-term outcomes: 29/39 dogs had excellent, 10/39 had good outcomes; 3 dogs died unrelated to EHPSS.
- Technique is presented as a safe, quick, low-cost, accessible intraoperative assessment alternative to IOMP or SP.
Veterinary Surgery
2
2025
Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs
2025-2-VS-garcia-5
In Klever 2024 et al., what effect does a dorsoventral projection have on Norberg angle measurements?
🔍 Key Findings
- Dorsoventral radiographs artificially increase Norberg angle values by 3.2–5.8% and should be excluded.
- Lateral pelvic tilt >2° causes asymmetric changes in Norberg angle; >3° results in significant side-specific changes.
- Cranioventral-to-caudodorsal tilt >10° results in obvious radiographic tilt, but changes Norberg angle by only ~2%.
- Tilted but subjectively acceptable images have minor impact and may still be usable for screening.
- Norberg angle readings differed consistently between left/right hips — possibly due to operator handedness.
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements
2024-1-VCOT-klever-1
In Philips 2025 et al., on radiographic IAIP detection, what percentage of non-penetrating implants were incorrectly classified as penetrating the joint?
🔍 Key Findings
Overall accuracy of radiography to detect IAIP: 77.9%
Sensitivity: 97.2%
Specificity: 67.6%
False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating
Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)
Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)
Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)
No palpable abnormalities (e.g., crepitus) observed during ROM for any group
No significant difference in detection by specialty field or reviewer qualification
Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases
Veterinary Surgery
3
2025
Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study
2025-3-VS-philips-2
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
