
Your Custom Quiz
In Kwok 2023 et al., on BFX lateral bolt THR in dogs,what was the reported mean subsidence of the femoral stem at 1 month?
🔍 Key Findings
- 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
- Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
- Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
- Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
- Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
- Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
- Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
- Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.
Veterinary Surgery
1
2023
Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)
2023-1-VS-kwok-4
In Scheuermann 2023 et al., on femoral MIPO alignment, which of the following was significantly different in the FRS group compared to the virtual plan?
🔍 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-4-42a40
In Gant 2025 et al., on skin prep and SSI, which finding was reported?
🔍 Key Findings
- No statistically significant difference in overall SSI rates: 9.2% (chlorhexidine) vs. 7.38% (iodophor) (p = .25).
- Significant drape lift occurred in 13.2% of cases; those with lift had 2.72× increased risk of SSI (p = .026).
- Increased body weight was a statistically significant risk factor for SSI (p = .008): each 1 kg increased SSI risk by 3%.
- Use of glutaraldehyde was associated with a 2.38× increased risk of SSI (p = .055, approaching significance).
- No difference in SSI rates based on surgeon training level or surgical classification (clean, clean-contaminated, contaminated).
Veterinary Surgery
3
2025
Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes
2025-3-VS-gant-5
In Kikuchi 2025 et al., on arthroscopic MMI in toy breeds, what arthroscopic finding was associated with **severe** meniscal injury?
🔍 Key Findings
- Medial meniscus injury (MMI) occurred in 36.3% of stifles with CrCLR in toy breed dogs (<5 kg)
- Complete CrCLR was significantly associated with MMI (15.3% of complete vs. 3.4% of partial)
- Severe lameness (grade 3) increased the likelihood of MMI compared to mild lameness (grade 1)
- Higher body weight, even within the toy breed range, was positively associated with MMI
- Yorkshire Terriers had the highest MMI incidence (55.6%), but this was not a significant independent factor due to multicollinearity
- Arthroscopy identified more meniscal damage (including small radial tears and bucket-handle lesions) than gross examination might detect
- MMI was classified as mild (radial tear) or severe (bucket-handle or flap) with implications for partial meniscectomy
- Arthroscopy was used in all cases, underscoring its utility in small-breed stifle assessment
Veterinary and Comparative Orthopaedics and Traumatology
5
2025
Incidence of Medial Meniscus Injury Detected by Arthroscopy in Toy Breed Dogs
2025-5-VCOT-kikuchi-3
In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what complication did *not* occur during the follow-up period?
🔍 Key Findings
- Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
- No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
- Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
- No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
- Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
- The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
- Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
- Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.
Veterinary Surgery
8
2022
Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat
2022-8-VS-cruciani-4
In Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, what clinical finding was reported in 7 of 10 mid-term cases despite all being ambulatory?
🔍 Key Findings
- Spinal stabilization with 3D-printed patient-specific drill guides (3D-PSGs) was safe, with no immediate perioperative complications reported.
- 84% of pedicle screws were optimally placed, and only 0.5% breached the spinal canal, reflecting high placement accuracy.
- 80% of dogs experienced no neurologic deterioration postoperatively, indicating reliable short-term safety.
- 3D-PSGs were accurate and reproducible, even across multiple institutions and surgeons.
- Mid-term outcomes were favorable: all dogs were ambulatory, and 90% had static or improved neurologic signs.
- 7 of 10 mid-term follow-ups showed abnormal gait, though owners rated lifestyle ≥3/5, suggesting acceptable function.
- 3D-printed guides enabled precise pedicle screw placement in deformed vertebrae, expanding options in small breeds.
- One dog suffered a T4 spinous process fracture due to overextension of PMMA cement, emphasizing the need for cement placement caution.
Veterinary Surgery
4
2024
Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides
2024-4-VS-violini-4
In Hawker 2025 et al., on locking head inserts, what did the authors conclude regarding high-strain construct scenarios?
🔍 Key Findings
- Adding Locking Head Inserts (LHI) to a 3.5-mm LCP had no effect on plate strain, stiffness, or deformation in an open fracture gap model.
- Peak strain consistently occurred at the Combi-hole over the fracture gap, with values up to ~1837 µε.
- No significant difference in strain was found across configurations with 0, 3, or 9 LHI (p = 0.847).
- Construct stiffness and compressive displacement also remained unchanged regardless of LHI count (p = 0.311 and 0.069 respectively).
- Study contradicted the hypothesis that LHI would reduce strain and increase stiffness under biologic loading.
- Combi-hole design may limit the efficacy of LHI, as LHI only fill the locking portion, not the compression side where strain peaks.
- Implant fatigue risk remains highest over unfilled screw holes, especially over fracture sites—confirming previous failure patterns.
- Surgeons should consider alternative methods to reduce strain when facing high implant load scenarios.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model
2025-4-VCOT-hawker-5
In Whyte 2025 et al., on cannulated screw fixation, what factor was significantly associated with an increased risk of screw breakage?
🔍 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-4
In Cola 2024 et al., on laparotomy-assisted endoscopy, what was the overall success rate of LAER in avoiding full conversion to enterotomy or gastrotomy?
🔍 Key Findings
- LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
- Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
- LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
- Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
- Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
- No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
- Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
- Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.
Veterinary Surgery
7
2024
Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats
2024-7-VS-cola-4
In Canever 2022 et al., on labial flap vascular anatomy, what postoperative complication occurred in Case 1 that required management?
🔍 Key Findings
- Superior and inferior labial arteries in cats perfuse robust angiosomes, which support musculomucosal axial pattern flaps.
- Cadaver angiography confirmed vascular anatomy, with consistent patterns between sides and among specimens.
- The vascular supply is located primarily in the musculomucosal layer, not the skin, critical for flap viability.
- Flap harvest requires inclusion of the orbicularis oris (± buccinator) muscle to ensure vascular integrity and flap survival.
- Two clinical cases demonstrated successful use of superior and inferior labial musculomucosal flaps for palatal reconstruction with complete flap survival and resolution of clinical signs.
- Intraoperative transillumination aided vessel localization, facilitating surgical planning and flap design.
- No cases of distal flap necrosis or dehiscence occurred, although mild donor site morbidity (lip retraction, mucosal denuding) was noted.
- These flaps offer a valuable option when local tissues are compromised, especially after failed previous repairs or radiation therapy.
Veterinary Surgery
4
2022
Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series
2022-4-VS-canever-4
Quiz Results
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Key Findings
