
Your Custom Quiz
In Scheuermann 2024 et al., on 3D-printed reduction systems, what was the most significant intraoperative imaging difference between 3D-MIPO and c-MIPO groups?
🔍 Key Findings
- The study was a historic case-control trial comparing custom 3D-printed VSP-guided MIPO (3D-MIPO) to conventional MIPO (c-MIPO) in dogs with diaphyseal tibial fractures.
- Surgical time was significantly shorter in the 3D-MIPO group (117 min vs. 151 min; p = .014), and fluoroscopy use was dramatically reduced (11 vs. 37 images; p < .001).
- All 3D-MIPO reductions were acceptable or near-anatomic; 2 c-MIPO dogs had unacceptable reductions.
- Tibial length, frontal, and sagittal alignment post-op were similar between groups; no significant difference in anatomic restoration (p > .1).
- Radiographic union occurred in all dogs by 3 months. Time to union was similar between groups (3D-MIPO: 67 days vs. c-MIPO: 53 days; p = .207).
- Postoperative complication rate was higher in 3D-MIPO (27% vs. 14%), including 2 major infections requiring implant removal.
- 3D-MIPO required more pre-op time (~23 hours longer from presentation to surgery; p = .002), partly due to guide printing/sterilization.
- Improved surgical efficiency and more consistent reductions were noted in the 3D-MIPO group, supporting its clinical utility despite increased pre-op logistics.
Veterinary Surgery
6
2024
Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study
2024-6-VS-scheuermann2-2
In Bounds 2023 et al., on feline hip arthroscopy, what tool improved visualization of the dorsal acetabular rim during hip arthroscopy?
🔍 Key Findings
- Feline hip arthroscopy using a supratrochanteric lateral portal was feasible in all cadaveric hips studied.
- All relevant intra-articular structures (femoral head, acetabulum, round ligament, joint capsule, transverse acetabular ligament, dorsal acetabular rim) were consistently visualized.
- Optimal limb positioning (neutral abduction, 90° extension) significantly aided joint distraction and visualization.
- Minor iatrogenic cartilage injury (ICI) occurred in all hips, typically partial-thickness abrasions; one hip had a full-thickness lesion.
- Portal placement did not damage the sciatic nerve or caudal gluteal artery, with a mean distance of 4.3 ± 2 mm between the cannula and nerve.
- Probe use improved visualization of the dorsal joint capsule and dorsal acetabular rim, though not essential.
- Joint evaluation was also successful in hips with DJD, suggesting technique feasibility even in diseased joints.
- Muscle trauma was minimal, with only mild impingement in a few specimens and no gross nerve or vessel injury.
Veterinary Surgery
8
2023
Feasibility of feline coxofemoral arthroscopy using a supratrochanteric lateral portal: A cadaveric study
2023-8-VS-bounds-4
In Fink 2025 et al., on Roux-en-Y outcomes, which anastomosis type was preferred when the common bile duct was severely dilated?
🔍 Key Findings
- Roux-en-Y procedures were successfully completed in all 11 cases (6 dogs, 5 cats), despite case complexity and disease severity.
- Median survival post-discharge was longer in cats (365 days) vs. dogs (82 days), with better outcomes in non-neoplastic vs. neoplastic disease (192 vs. 5 days).
- Complication rate was high, with septic peritonitis, dehiscence, and cardiac arrest as leading causes of postoperative death; mortality rate = 36%.
- Dehiscence rate was 8.6% (2 of 23 anastomoses), considered lower than typical rates for GI anastomoses in high-risk patients.
- Feeding tubes (gastrostomy/jejunostomy) were used in all cases, enabling early nutritional support and stomach decompression.
- Postoperative nausea and vomiting were common but mostly self-limiting; managed with metoclopramide, cisapride, and antiemetics.
- Choledochojejunostomy was preferred when common bile duct was dilated, offering a favorable size match and potentially reducing bile leakage.
- Roux-en-Y reduced typical Billroth II complications (e.g., bile reflux, afferent loop syndrome, dumping syndrome), with none observed in discharged patients.
Veterinary Surgery
5
2025
Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series
2025-5-VS-fink-2
In Lampart 2023 et al., on manual laxity testing, how did subjective estimates of cranial tibial translation (CTT) compare with objective values?
🔍 Key Findings
- Cranial drawer (CD), tibial compression (TCT), and tibial pivot compression test (TPCT) showed 100% sensitivity and specificity in differentiating intact from CCL-deficient stifles in this ex vivo model.
- TPCT elicited the highest cranial tibial translation (CTT) and internal tibial rotation, though differences in rotation did not reach statistical significance.
- Inter- and intraobserver agreement for CTT was excellent across all tests (ICC >0.9).
- Rotation and force application had greater variability, particularly with less experienced observers and during CD.
- Forces applied during CD were significantly higher in intact limbs and correlated with observer experience.
- Subjective CTT estimates strongly correlated with objective kinematic measurements (r = 0.895), with a median absolute error of 1.31 mm.
- TPCT may be particularly useful for assessing rotational instability, mimicking the pivot-shift test used in human ACL exams.
- Study supports development of a grading system for manual laxity testing, especially in acute CCLR cases.
Veterinary Surgery
5
2023
Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study
2023-5-VS-lampart-3
In de la Oliva 2024 et al., what effect did prophylactic transcondylar screw placement have in elbows with contralateral HIF?
🔍 Key Findings Summary
- 89 French Bulldogs with HCF; 40.4% (36/89) had contralateral HIF
- Prophylactic transcondylar screws placed in 20/36 HIF; no complications in these
- Complication rate for HCF repair = 13.4% (6.7% minor, 6.7% major)
- Most complications occurred with Kirschner wire fixation
- Short-term outcome: Bone healing observed in all, but 14/45 had persistent intracondylar gap
- Long-term outcomes (n=27):
- Excellent = 66.7%
- Good = 29.6%
- Fair = 3.7%
- Complication-free dogs significantly more likely to have excellent/good outcomes (p = 0.007)
Veterinary and Comparative Orthopedics and Traumatology
3
2024
Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome
2024-3-VCOT-delaoliva-5
In Jeon 2025 et al., on distal femoral shortening, what was the **outcome regarding neurovascular complications** post-DFSO?
🔍 Key Findings
- Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
- Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
- Bone union was achieved in all cases post-DFSO, indicating good healing potential.
- Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
- One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
- DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
- Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
- DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.
Veterinary Surgery
6
2025
Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips
2025-6-VS-jeon-4
In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), which finding prompted surgical intervention in 3 dogs with TPP?
🔍 Key Findings
- Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
- TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
- Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
- Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
- All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
- Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
- One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
- Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.
Veterinary Surgery
4
2023
Traumatic pulmonary pseudocysts in nine dogs and two cats
2023-4-VS-gonzalezmontano-4
In Welker 2024 et al., on thoracic duct anastomosis with MAC device, what complication was noted in two dogs postoperatively?
🔍 Key Findings
- Anastomosis of the thoracic duct (TD) to the intercostal vein (ICV) using a microvascular anastomotic coupler (MAC) was feasible in all 6 healthy dogs
- Immediate postoperative patency was confirmed in all dogs, but only 4/6 had patent anastomoses at 30 days, with 2 failing due to ICV kinking
- Kinking of the ICV near the azygos vein insertion was the primary failure mechanism, likely from MAC malalignment
- No intraoperative or major postoperative complications occurred, though 2 dogs developed mild seromas
- Use of the MAC device simplified microsurgical anastomosis versus hand suturing, especially in the deep thoracic cavity
- Contrast lymphangiography showed faster clearance from the cisterna chyli postoperatively, suggesting effective flow redirection
- Persistent branches of the thoracic duct may impact outcomes, and should be ligated during surgery
- This technique may be a potential novel treatment for idiopathic chylothorax, improving outcomes by reducing collateral flow stimuli
Veterinary Surgery
7
2024
Anastomosis of the caudal thoracic duct and intercostal vein using a microvascular anastomotic coupler device: Experimental study in six dogs
2024-7-VS-welker-4
In De Moya 2025 et al., on antebrachial deformity correction, what was the mean total radial lengthening achieved after distraction osteogenesis?
🔍 Key Findings
- CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
- Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
- Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
- Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
- Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
- Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
- Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
- Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.
Veterinary Surgery
6
2025
Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs
2025-6-VS-demoya-4
In Saitoh 2025 et al., on CTS stabilization, which group of dogs all returned to work after CTS stabilization?
🔍 Key Findings
Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:
- 3 dogs = primary ligamentous repair
- 8 dogs = synthetic ligament reconstruction
- 2 dogs = malleolar fracture repair
Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:
- All 10 dogs had improved or resolved lameness.
- All 5 farm dogs returned to work (most at full or substantial capacity).
- Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).
Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.
Veterinary Surgery
1
2025
Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs
2025-1-VS-saitoh-4
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