
Your Custom Quiz
In Vandekerckhove 2024 et al., what effect did lever arm length (device position) have on hip laxity measurement?
🔍 Key Findings Summary
- Used VMBDmD to quantify hip laxity under increasing force in cadaveric dogs (n=34).
- 90% of hips reached ≥90% of LImax at 95.32 N, defining this force as sufficient for subluxation.
- LImax was not significantly influenced by osteoarthritis, weight, sex, or limb side.
- Position of device (lever length) influenced rate of laxity acquisition, not final LImax.
- LI curves were repeatable across 5 sessions, indicating elastic—not plastic—deformation.
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint
2024-1-VCOT-vandekerckhove-4
In Kang 2023 et al., on 3DEP accuracy, what was a key advantage of the 3DEP design for fluid and debris management during surgery?
🔍 Key Findings
- 3D-printed endoscopy ports (3DEP) enabled accurate ventral slot creation in cadaveric dogs at C3–C4, regardless of surgeon experience.
- Screw trajectory accuracy was high, with mean angular deviation <2.5°, entry/exit point deviation <1.6 mm, and <0.6 mm screw penetration into the spinal canal.
- No statistical differences were found between experienced and inexperienced surgeons for slot dimensions or screw placement accuracy.
- Ventral slot length and width ratios were within recommended limits, averaging ~30% and ~46% of vertebral body dimensions, respectively.
- 27/30 slots were classified as ideal (Type I), with all 3 deviating cases still considered clinically safe.
- 3DEP design allowed precise alignment and fixation, reducing risk of tilting and improving visualization without soft tissue intrusion.
- Custom dilator system facilitated safe, repeatable MISS approach without need for retractors or excessive tissue manipulation.
- Debris containment and suction through the 3DEP improved visualization, compared to conventional MISS techniques.
Veterinary Surgery
8
2023
Accuracy of a 3‐dimensionally printed custom endoscopy port for minimally invasive ventral slot decompression in dogs: A cadaveric study
2023-8-VS-kang-5
In Jeon 2025 et al., on distal femoral shortening, which **advantage of DFSO over subtrochanteric osteotomy** is highlighted in dogs?
🔍 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-5
In Rocheleau 2023 et al., on shoulder stabilization, what was the overall targeting accuracy of the intra-articular aiming device (IAD) during shoulder stabilization?
🔍 Key Findings
- Arthroscopically assisted stabilization with an IAD was feasible in cadaveric canine shoulders using both bone anchor and suture-toggle techniques.
- Suture-toggle repair was successfully performed in all specimens, while bone anchors could not be deployed in 3/10 shoulders, indicating lower feasibility.
- Median surgical time was shorter for the suture-toggle group (25.5 min) compared to the anchor group (37.3 min).
- Postoperative abduction angles returned to baseline in the anchor group, while the suture-toggle group had slightly reduced angles, suggesting possible overtightening.
- Violation of the articular surface occurred in 2 anchor specimens and 1 suture-toggle specimen, but none were considered likely to be clinically significant.
- Overall targeting accuracy using the IAD was 88%, supporting its utility in guiding tunnel/anchor placement.
- CT measurements showed acceptable bone stock and insertion angles, but anchor insertion angles were lower than optimal for mechanical pullout strength.
- Suture-toggle technique was considered simpler and more consistent, with fewer complications and faster execution than anchor placement.
Veterinary Surgery
4
2023
Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device
2023-4-VS-rocheleau-2
In Mayhew 2023 et al., on BOAS surgery effects, what long-term clinical outcome was reported at the median 36.5-month follow-up?
🔍 Key Findings
- Owner-reported regurgitation improved after CMS, especially post-eating and during activity (P = .012 and P = .002)
- No significant improvement in VFSS measures of SHH or GER postoperatively (P > .05 for all comparisons)
- Laryngeal ventriculectomy and soft palate resection were performed in all dogs, alaplasty in 14/16
- Aspiration pneumonia occurred in 1 dog immediately post-op and resolved with treatment
- Post-op esophagoscopy results varied, with persistent esophagitis in some cases
- Clinical response was variable, with ~25–30% of dogs being “non-responders” based on owner scoring
- 13/16 dogs showed partial or full clinical improvement, despite no change in objective SHH/GER indicators
- Final follow-up at median 36.5 months showed some dogs still on medical therapy; one underwent further surgery
Veterinary Surgery
2
2023
Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs
2023-2-VS-mayhew-5
In Antonakakis 2022 et al., on telovelar tumor resection, how long did the dog remain neurologically normal after surgery?
🔍 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-5
In Husi 2023 et al., on TPLO vs TPLO-IB biomechanics, what was concluded about the intraoperative utility of the tibial pivot compression test (TPT)?
🔍 Key Findings
- TPLO alone failed to neutralize rotational instability under tibial pivot compression (TPT), despite a negative TCT.
- TPLO combined with lateral augmentation (TPLO-IB) restored both craniocaudal and rotational stability to near-intact levels.
- Cranial tibial translation was 6× greater after TPLO vs intact stifles when tested with TPT (p < .001).
- No significant difference in cranial tibial translation or internal rotation between intact stifles and TPLO-IB group during TCT, eTPT, or iTPT.
- TPLO-IB did not overconstrain the stifle, avoiding excessive external rotation.
- External tibial rotation (eTPT) was more sensitive than TCT in detecting persistent instability after TPLO.
- Excellent intraobserver reliability for both eTPT and iTPT (ICC > 0.9).
- Study supports intraoperative use of TPT to identify cases needing additional rotational stabilization.
Veterinary Surgery
5
2023
Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study
2023-5-VS-husi-4
In Marchionatti 2022 et al., on antiseptic efficacy comparison, what methodological limitation was common across studies?
🔍 Key Findings
- Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
- No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
- Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
- Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
- Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
- Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
- Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
- Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.
Veterinary Surgery
5
2022
Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis
2022-5-VS-marchionatti-3
In Karydas 2025 et al., on follow-up radiography, what was the clinical outcome in dogs with radiographic abnormalities but no clinical concerns?
🔍 Key Findings
139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:
- Owner concerns (OR: 7.6)
- Analgesic use at follow-up (OR: 7.9)
- Lameness (OR: 5.9)
- Abnormal clinical exam (OR: 44.8)
- Radiographic abnormalities (OR: 51.9)
No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.
Veterinary Surgery
2
2025
Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs
2025-2-VS-karydas-3
In Korchek 2025 et al., on fracture gap risk, which implant variable was NOT significantly associated with implant failure in multivariable analysis?
🔍 Key Findings
80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:
- 27% in cases with fracture gap
- 2% in cases without fracture gap
Fracture gap significantly associated with implant failure:
- OR = 23.0, 95% CI: 2.7–197.9, p = 0.004
Absence of external coaptation also associated with increased implant failure risk:
- OR = 10.1, 95% CI: 1.1–89.6, p = 0.04
Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):
- OR = 5.4, p = 0.04
Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.
Veterinary Surgery
2
2025
Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study
2025-2-VS-korchek-3
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
