
Your Custom Quiz
In Banks 2024 et al., on postoperative outcome, what was the median achieved TPA in the full clinical sample?
🔍 Key Findings Summary
- Study Design: Retrospective study of 100 radiographs using in silico and clinical data
- Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
- Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
- Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
- Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
- Increased distalization → greater under-correction of TPA (p = .01)
- Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
- Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA
Veterinary Surgery
1
2024
A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases
2024-1-VS-banks-1
In Giansetto 2022 et al., on preputial urethrostomy, why was the urethra passed through the linea alba during surgery?
🔍 Key Findings
- Modified preputial urethrostomy without penile amputation was successfully performed in 4 male dogs with urethral stenosis or trauma.
- The technique involved anastomosis of the pelvic urethra to the preputial mucosa via caudal celiotomy, avoiding perineal urethrostomy complications.
- No cases of skin scalding or stoma stenosis were reported during short- and long-term follow-up.
- Two dogs developed mild urinary incontinence, particularly when excited; one improved with phenylpropanolamine.
- The approach preserved local anatomy, avoiding penile amputation, osteotomies, and preputial dissection.
- Postoperative urinary catheterization was used to protect the anastomosis, although optimal duration remains debated.
- Surgical access via the linea alba minimized tension at the anastomosis site and avoided complications from paramedian approaches.
- This technique may serve as a viable alternative to prepubic urethrostomy, reducing urine-related skin complications and improving cosmetic outcome.
Veterinary Surgery
8
2022
Preputial urethrostomy with preservation of the local anatomy in 4 dogs
2022-8-VS-giansetto-4
In Rocheleau 2025 et al., on infected total hip replacements, which of the following best describes the culture outcomes for the non-curative intent (NCI) group?
🔍 Key Findings
Study Design: Case series of 8 dogs with confirmed or suspected PJI after total hip replacement (THR)
Dogs were categorized into:
- Curative intent (CI) group (n=5): short-duration infections, implant retention attempted
- Non-curative intent (NCI) group (n=3): chronic infections, implants scheduled for removal or revision
Success Rate: 7 of 8 dogs had infection resolution, including 4 of 5 in the CI group
Sampling sensitivity:
- Arthroscopic culture success was 80% in the CI group but only 33% in the NCI group
- All explanted implants from NCI group yielded positive cultures
Common isolates: Staphylococcus pseudointermedius (including MRSP), S. epidermidis, Stenotrophomonas maltophilia, and E. coli
Ancillary treatments included:
- Partial synovectomy, high-volume lavage (5–10 L), biofilm-depleting lavage, and/or amikacin-impregnated calcium sulfate beads
Mean follow-up: >1 year (mean 812 days); no signs of recurrence in successfully treated cases
Conclusions: Arthroscopic management of THR infections is feasible and effective in appropriately selected dogs. Success aligns with human literature when infection type is favorable (Type 1, 3, 4). Sensitivity of arthroscopic culture is higher in early/acute infections.
Veterinary Surgery
4
2025
Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases
2025-4-VS-rocheleau-3
In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what tool enabled accurate screw guidance during surgery?
🔍 Key Findings
- Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
- Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
- One screw exited caudally; no dorsal, ventral, or cranial exits reported.
- At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
- No screw loosening observed, even in suboptimal reductions or purchases.
- Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
- Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
- Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.
Veterinary Surgery
4
2024
Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome
2024-4-VS-jourdain-4
In Adair 2023 et al., on urolith removal techniques, what was the conversion rate from PCCLm to OC?
🔍 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-4-433bc
In Vodnarek 2024 et al., on intraobserver performance, which observer achieved **excellent reliability** for both methods?
🔍 Key Findings
- Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
- Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
- Functional method
- Anatomically adjusted method
- Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
- Outcomes:
- Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
- Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
- Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
- ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.
Veterinary Surgery
1
2024
Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs
2024-1-VS-vodnarek-3
In Enright 2022 et al., on adrenalectomy outcomes, what percentage of dogs survived to hospital discharge?
🔍 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-1
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 Espinel Rupérez 2023 et al., in Arthroscopic-assisted hip toggle stabilization in cats, what percentage of joints experienced intraoperative complications?
🔍 Key Findings
- 14 joints from 7 cat cadavers underwent AA-HTS successfully.
- Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
- Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
- Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
- Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
- 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
- No neurovascular, intrapelvic, or major periarticular injuries occurred.
- Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.
Veterinary Surgery
7
2023
Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study
2023-7-VS-espinel-2
In Kang 2024 et al., on sacroiliac fixation strength, which construct had significantly higher maximum failure load under rotational force testing?
🔍 Key Findings Summary
- 20 cats with pelvic fractures treated using locking plates with only cortical screws
- 28 fractures stabilized (ilium: 17, acetabulum: 6, ischium: 3, pubis: 2)
- Implants: Primarily 1.5/2.0 mm LCPs or String-of-Pearls plates
- Major complications in 2/20 cases (10%): sciatic entrapment, malunion requiring THA
- Minor complications in 2/20 cases (10%): plate impingement, transient lameness
- Clinical union in all cats by 8 weeks; all cats returned to full function
- Authors conclude cortical screws alone can provide adequate fixation in feline pelvic fractures if screw purchase and bone quality are sufficient
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model
2024-1-VCOT-kang-1
Quiz Results
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Key Findings
