
Your Custom Quiz
In Schuenemann 2025 et al., on biceps tenodesis, what was a key CT finding during follow-up?
🔍 Key Findings
- Case series of 6 shoulders in 5 working/sporting dogs. Conditions treated: 3 partial biceps ruptures, 3 luxations with fraying.
- All treated with biceps tenodesis using a bioabsorbable anchor (Weldix 2.3 mm).
- All dogs returned to function (some to high-level sports); lameness resolved within 1–5 weeks.
- No implant-related complications with anchor-only cases. One dog had seroma and later infection but recovered.
- Tendon clamp (used in 2 cases) caused irritation in one dog → resolved after removal.
- CT follow-up confirmed integrity; drill holes filled with bone.
- Median LOAD score: 12; higher in older dogs or with concurrent conditions.
- Authors suggest tenodesis offers more stability and faster return to function than tenotomy in working dogs.
- Larger, controlled studies are recommended.
Veterinary Surgery
4
2025
Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technology: Results in six clinical cases (5 dogs)
2025-4-VS-schuenemann-4
In Nagahiro 2023 et al., on quadriceps-femoral mismatch, which variables were significantly associated with a decreased QML/FL in the final regression model?
🔍 Key Findings
- Quadriceps muscle length/femoral length ratio (QML/FL) was significantly lower in dogs with grade IV MPL than grades I–III (p ≤ .002).
- Shortened QML was associated with increased femoral torsion angle (FTA) and increased aLDFA, indicating correlation with femoral deformity.
- QML/FL increased with age, possibly due to muscular development or reduced deformity in older dogs (p = .004).
- Grade IV MPL dogs had QML/FL < 0.87, the lower normal limit based on healthy beagles, suggesting clinically significant muscle shortening.
- PLL/PL ratio (used to diagnose patella alta) was not associated with QML/FL or MPL severity in small breeds.
- QML/FL can help preoperatively identify candidates for femoral shortening ostectomy, improving femoropatellar alignment.
- Multivariate regression model confirmed QML/FL is independently influenced by age, FTA, and aLDFA (R² = 0.45).
- CT-based 3D measurements enabled objective, noninvasive quantification of femoral and muscle alignment parameters.
Veterinary Surgery
4
2023
Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation
2023-4-VS-nagahiro-3
In Townsend 2024 et al., on 3D osteotomy accuracy, which of the following planes showed significant improvement with PSG in both simple and complex cuts?
🔍 Key Findings:
- Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
- Osteotomy types (3 groups):
- 30° uniplanar frontal wedge
- Oblique (30° frontal, 15° sagittal)
- Single oblique (30° frontal, 15° sagittal, 30° external rotation)
- Comparison: 3D PSG vs Freehand (FH)
- Main Outcomes:
- PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
- 84% of PSG osteotomies were within 5° of target vs 50% of FH.
- Significant improvements with PSG in:
- Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
- Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
- Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
- No difference in osteotomy location (mm) between methods.
- Clinical relevance: PSG more consistent and accurate, especially for complex cuts.
Veterinary Surgery
2
2024
Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model
2024-2-VS-townsend-4
In Lotsikas 2025 et al., on stifle distraction portal, what was the mean time required to place the thrust lever using the proximal lateral portal?
🔍 Key Findings
Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:
- No damage to the long digital extensor tendon (LDE) with this portal
- VSTL could be placed without removing the arthroscope
- Portal creation time ~37 seconds (faster than previously reported)
Cartilage impact:
- Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
- No difference in IACI between 5- and 10-minute lever durations
- Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)
Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use
Veterinary Surgery
3
2025
Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study
2025-3-VS-lotsikas-3
In Marshall 2022 et al., what **effect did bone grafting** have on delayed or non-union outcomes?
🔍 Key Findings
- Delayed union occurred in 13.9% of fractures; non-union in 4.6%; mal-union in 0.7%
- Major implant failure increased odds of delayed or non-union by 12.9×
- Surgical site infection increased risk 3.2×; bone grafting (any type) was also associated (OR 3.3)
- Comminuted fractures had 4.2× greater odds of delayed or non-union
- Older age increased risk, with odds increasing by 21% per year
- Radius and ulna fractures in toy breeds were not high risk, contrary to historical belief
- Most non-unions required revision surgery with rhBMP-2 or autograft to achieve union
- Ilium fractures showed 0% delayed/non-union — possibly due to robust muscle envelope
Veterinary Surgery
7
2022
Delayed union, non-union and mal-union in 442 dogs
2022-7-VS-marshall-4
In Aly 2024 et al., on simulator training for feline OHE, what was the average surgical time difference between simulator-trained and non-trained students?
🔍 Key Findings
- This study evaluated whether high-fidelity surgical simulator training improved live animal and student outcomes in a feline OHE teaching lab involving 186 cats and 146 students.
- Simulator training significantly improved surgical performance and outcomes:
- Live surgery was 6 minutes shorter on average in the SIM group vs. NO-SIM (115 ± 21 min vs. 121 ± 16 min, p = .04).
- Pain scores ≥5/20 occurred in 1% of SIM group cats vs. 15% of NO-SIM group cats (p < .01).
- Rescue analgesia was needed less frequently in the SIM group (5% vs. 15%, p = .03).
- Student confidence was significantly higher in the SIM group (median 7/10 vs. 6/10, p < .01).
- The simulator used a realistic abdominal model with friable tissues and required performance of a full OHE procedure.
- The study design was nonrandomized, grouped by class year, with limitations including lack of blinding during pain assessment in year two.
- Authors concluded that pre-lab simulator competency improves both animal welfare and student confidence, recommending it as a prerequisite for live surgical training.
Veterinary Surgery
6
2024
Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory
2024-6-VS-aly-1
In Schroeder 2022 et al., on fascial anatomy mapping, which fascial type is associated with periosteum and bony structures?
🔍 Key Findings
- Fascial planes in dogs were consistently classifiable into four surgical types:
- Type I (discrete sheets), Type II (tightly adhered to thin muscle), Type III (tightly adhered to thick muscle), and Type IV (periosteum-associated).
- Two junction types were identified: Type A (easily elevated) and Type B (higher risk of disruption).
- Disruption-prone areas include the scapular spine (type IV fascia) and lateral thorax near the 13th rib, where rib resection may be needed to preserve margins.
- The latissimus dorsi transition zones and fascial areas near the thoracic inlet and scapulohumeral joint were prone to fascial thinning or disruption.
- Partial muscle resections or periosteal elevations may be required in areas with fragile fascia to maintain oncologic margins.
- Dorsal spinous processes (T6–L6) showed type IV fascia; however, osteotomy may be needed in some dogs for clear margins.
- Blended fascial transitions (e.g., rectus abdominis: type II cranially, type I caudally) necessitate intraoperative judgment on resection depth.
- Cutaneous trunci may suffice as a deep margin for small, low-grade tumors in well-muscled dogs, but not reliably for high-grade or larger masses.
Veterinary Surgery
1
2022
Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk
2022-1-VS-schroeder-5
In Dobberstein 2022 et al., on NSAID ulcer repair, what was a common factor among most dogs that developed gastrointestinal perforations?
🔍 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-2
In Lemmon 2025 et al., on synovitis severity scoring, what variable was most strongly associated with increased cartilage damage?
🔍 Key Findings
Synovitis was present in 100% of canine stifles with CCL disease (n = 163).
The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).
Higher synovitis scores were significantly associated with:
- Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
- Longer duration of clinical signs (p < .001, OR = 1.27 per month)
Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.
Bucket handle meniscal tears were not associated with synovitis severity.
Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.
Veterinary Surgery
3
2025
Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease
2025-3-VS-lemmon-2
In Whyte 2025 et al., on cannulated screw fixation, which breeds made up the majority of dogs in the study population?
🔍 Key Findings
Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%
- Major complication: Most common was screw breakage
Significant risk factor for screw breakage:
- Body weight >20 kg (statistically significant)
Breed distribution:
- Spaniels, especially English Springer Spaniels, were most common
No mention of plate augmentation as standard in this cohort
Veterinary Surgery
2
2025
Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs
2025-2-VS-whyte-5
Quiz Results
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Key Findings
