
Your Custom Quiz
In Jones 2024 et al., on elbow OA cysts, what best describes the presence of SBCs in radiographic OA grade 0 elbows?
🔍 Key Findings Summary
- Sample: 38 Labrador Retrievers (76 elbows)
- SBCs (subchondral bone cysts):
- Not found in elbows without OA
- Increased number and size with OA severity:
- Grade 1: median 3 SBCs
- Grade 2: 9 SBCs
- Grade 3: 20 SBCs (p < .001)
- Larger SBCs in more severe OA (OR = 1.056, p = .012)
- Locations: 62% humerus, 28% ulna, 10% radius
- Sex and Age Effects:
- Older dogs had larger SBCs (p = .013)
- Female dogs had smaller SBCs (p = .002)
- SBC number unrelated to age or sex
Veterinary Surgery
2
2024
Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia
2024-2-VS-jones-3
In Clarke 2022 et al., on nasopharyngeal collapse severity, what was the statistical outcome of comparing pre- and postoperative collapse measurements?
🔍 Key Findings
- Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
- Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
- 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
- All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
- Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
- Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
- Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
- Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.
Veterinary Surgery
6
2022
Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs
2022-6-VS-clarke-3
In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what was the median time to radiographic bone healing?
🔍 Key Findings
- All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
- Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
- Median lameness score improved from 2/4 to 1/4 by final follow-up.
- Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
- No major complications; minor issues included 1 screw loosening and 1 superficial infection.
- Subjective function was graded full in 4 dogs, acceptable in 7.
- Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
- Use of both orthopedic wire and plating provided secure fixation and improved outcomes.
Veterinary Surgery
3
2024
Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening
2024-3-VS-pfeil-1
In Mullen 2024 et al., on NIRF for GDV, which region showed significantly lower fluorescence intensity in nonviable gastric tissue?
🔍 Key Findings
- NIRF altered surgical strategy in 3 of 20 GDV dogs, identifying necrosis not appreciated subjectively.
- Fundic fluorescence <10% indicated histologically confirmed gastric necrosis.
- In 1 dog, NIRF revealed nonviability despite the surgeon’s impression of viability.
- Staple line fluorescence resembled viable tissue in the only stapled gastrectomy, suggesting preservation of perfusion.
- GDV dogs (even “viable”) showed lower fluorescence vs. healthy controls, indicating subclinical vascular compromise.
- Histology confirmed full-thickness necrosis in all 4 dogs with NIRF-defined nonviability.
- Pre-op lactate was significantly higher in nonviable GDV dogs (8.55 vs 4.89 mmol/L, p=0.03).
- No complications were reported from ICG use; imaging was safe and repeatable.
Veterinary Surgery
4
2024
Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study
2024-4-VS-mullen-1
In Wang 2025 et al., on TPLO osteotomy alignment, what was a potential **advantage of using intraoperative fluoroscopy** in challenging cases?
🔍 Key Findings
- Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of 3° (range: 0–4.5°), showing excellent accuracy.
- The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
- Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
- Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
- Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
- Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
- Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
- Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.
Veterinary Surgery
7
2025
Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation
2025-7-VS-wang-4
In Boullenger 2025 et al., on traumatic patellar luxation, what was a proposed strategy to improve FPS outcomes in large or active dogs?
🔍 Key Findings
- Patients: 16 (11 dogs, 5 cats); 6.1% of canine and 23.8% of feline PL cases were traumatic.
- Most common luxation direction: Medial (81.3%).
- Surgery: All had capsular imbrication; 75% had fabello-patellar suture (FPS).
- Short-term results (13/16 cases):
- 77% had no lameness by 2 months.
- 85% had no PL recurrence.
- 3 severe complications: capsulorrhaphy tear, FPS fabellar tear, septic arthritis.
- Long-term results (13/16 cases):
- 85% lameness-free.
- 77% full function; 23% acceptable.
- 0 reluxations reported by owners.
Veterinary and Comparative Orthopedics and Traumatology
1
2025
Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022
2025-1-VC-boullenger-5
In Downey 2023 et al., on thoracoscopic lobectomy, what was the long-term outcome for dogs that survived to discharge?
🔍 Key Findings
- Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
- 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
- OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
- Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
- Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
- Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
- Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
- Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.
Veterinary Surgery
7
2023
Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
2023-7-VS-downey-5
In McCarthy 2022 et al., on 3D drill guide accuracy, how did CT and 3D analysis compare in assessing drill angles?
🔍 Key Findings
- 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
- No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
- 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
- Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
- 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
- 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
- Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
- The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.
Veterinary Surgery
1
2022
Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations
2022-1-VS-mccarthy-4
In Glenn 2024 et al., on overall diagnostic performance, which algorithm had the highest accuracy?
🔍 Key Findings Summary
- Population: 754 soft tissue or orthopedic procedures in dogs and cats
- SSI Rate: 62/754 (8.2%)
- Algorithms Evaluated:
- Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
- Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
- Algorithm 3: Highest overall accuracy (95.5%)
- Active vs. Passive Surveillance:
- Active surveillance detected 12 additional SSIs (19.4%) missed by passive
- Active surveillance increased detection rate by 24%
- Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
- Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes
Veterinary Surgery
1
2024
Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system
2024-1-VS-glenn-4
In Antonakakis 2022 et al., on telovelar tumor resection, what histologic feature supported a diagnosis of choroid plexus carcinoma?
🔍 Key Findings
- Telovelar approach enabled complete resection of a fourth ventricle choroid plexus tumor in a dog without postoperative complications.
- Postoperative MRI confirmed gross total tumor removal, and the dog remained neurologically normal 28 months post-surgery.
- The tela choroidea was used as a surgical landmark and incised to allow atraumatic access to the tumor.
- Cerebellum was spared using this technique, minimizing risk of cerebellar injury (e.g., cerebellar mutism).
- No hemorrhagic complications were noted during surgery due to dissection through avascular planes.
- Histopathology favored choroid plexus carcinoma based on mitotic index (9/10 HPFs), though definitive diagnosis remained pending.
- The case highlights the utility of telovelar over transvermian approach, given its minimally traumatic nature and improved exposure.
- Survival beyond 2 years without adjunctive therapy suggests surgical excision alone may be curative in select cases.
Veterinary Surgery
8
2022
Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog
2022-8-VS-antonakakis-4
Quiz Results
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