
Your Custom Quiz
In Heald 2022 et al., on PED wound therapy, which bacterial species was isolated from the dog prior to treatment?
🔍 Key Findings
- Electroceutical dressing (PED) promoted complete healing of chronic wounds in both a dog and a cat previously unresponsive to standard therapies.
- Infection clearance occurred in both animals by the end of PED therapy, as shown by negative culture results.
- In the dog, wound area reduced by ~4.2× over 10 days; healing completed by day 67 with no further antibiotic therapy.
- In the cat, wound area reduced by ~2.5× over 17 days; healing completed by day 47 without systemic antibiotics.
- PEDs function via direct current (DC) stimulation, believed to generate hypochlorous acid (HOCl) with antibacterial properties.
- No side effects or adverse tissue reactions were observed in either case, supporting biocompatibility.
- Multidrug-resistant organisms (e.g., S. pseudintermedius, S. canis, S. epidermidis) were eradicated by PED treatment.
- PED therapy may reduce reliance on antibiotics and surgery, offering a novel adjunct for chronic, infected wounds.
Veterinary Surgery
3
2022
Electroceutical treatment of infected chronic wounds in a dog and a cat
2022-3-VS-heald-3
In Israel 2023 et al., on povidone-iodine lavage, which of the following was *not* a complication noted in PrePIL cases?
🔍 Key Findings
- No infections (0/102) occurred in cases where preclosure povidone-iodine lavage (PrePIL) was used, compared to 21/2111 (0.99%) with saline lavage.
- Break-even cost for PrePIL was calculated at $49.74, while the actual cost was only $2.07, confirming strong cost-effectiveness.
- No adverse reactions or healing complications were reported in the 102 PrePIL cases.
- The PrePIL protocol used 0.35% povidone-iodine for 3 minutes before closure, followed by sterile saline lavage.
- Majority of THRs (97%) used cementless fixation (BFX) in PrePIL group; only 3 cases used CFX components.
- Surgeries followed consistent perioperative antibiotic protocols, making PrePIL the only major protocol variable.
- Antibiotics were not added to lavage, aligning with WHO and CDC guidelines for antimicrobial stewardship.
- The infection reduction with PrePIL supports routine use in total hip replacement to reduce periprosthetic joint infections.
Veterinary Surgery
1
2023
Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis
2023-1-VS-israel-4
In Scharpf 2024 et al., on arthroscopic MCD treatment, which ground reaction force parameter did **not** normalize by 26 weeks?
🔍 Key Findings Summary
- Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
- No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
- Force plate analysis was more sensitive than visual lameness scoring.
- Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
- Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis
2024-2-VCOT-scharpf-1
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 Lotsikas 2025 et al., on stifle distraction portal, what was the mean time required to place the thrust lever using the proximal lateral portal?
🔍 Key Findings
Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:
- No damage to the long digital extensor tendon (LDE) with this portal
- VSTL could be placed without removing the arthroscope
- Portal creation time ~37 seconds (faster than previously reported)
Cartilage impact:
- Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
- No difference in IACI between 5- and 10-minute lever durations
- Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)
Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use
Veterinary Surgery
3
2025
Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study
2025-3-VS-lotsikas-3
In Townsend 2024 et al., on 3D osteotomy accuracy, what percentage of PSG osteotomies were within 5° of the target?
🔍 Key Findings:
- Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
- Osteotomy types (3 groups):
- 30° uniplanar frontal wedge
- Oblique (30° frontal, 15° sagittal)
- Single oblique (30° frontal, 15° sagittal, 30° external rotation)
- Comparison: 3D PSG vs Freehand (FH)
- Main Outcomes:
- PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
- 84% of PSG osteotomies were within 5° of target vs 50% of FH.
- Significant improvements with PSG in:
- Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
- Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
- Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
- No difference in osteotomy location (mm) between methods.
- Clinical relevance: PSG more consistent and accurate, especially for complex cuts.
Veterinary Surgery
2
2024
Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model
2024-2-VS-townsend-2
In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the reported perioperative mortality rate?
🔍 Key Findings
- Cholelithiasis was the most common indication for cholecystectomy in cats.
- Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
- Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
- 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
- Vomiting was the most common short- and long-term complication, though most cats were medically managed.
- Concurrent EHBDO was not a contraindication provided CBD patency was restored.
- Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
- Owner-reported outcomes were excellent in all cats that survived long-term.
Veterinary Surgery
1
2022
Cholecystectomy in 23 cats (2005‐2021)
2022-1-VS-simpson-2
In Aldrich 2023 et al., on liposomal bupivacaine in TPLO, how was analgesic success defined?
🔍 Key Findings
- Liposomal bupivacaine (LB) infiltration did not reduce the need for rescue analgesia compared with placebo in dogs undergoing TPLO.
- CMPS-SF pain scores were not significantly different between LB and placebo groups at any postoperative time point.
- % body weight distribution (%BWdist) to the operated limb did not differ significantly between treatment groups across all time points.
- No correlation was found between CMPS-SF scores and %BWdist, suggesting these metrics assess different aspects of postoperative pain.
- Postoperative carprofen administration was standardized, and LB did not provide additional detectable analgesic benefit.
- Three-layer infiltration technique (joint capsule, fascia, subcutis) was used consistently across all cases.
- Adverse events were minor and comparable between LB and placebo groups.
- Post hoc analysis suggested a much larger sample size (58–436 dogs) would be needed to detect significant differences in %BWdist.
Veterinary Surgery
5
2023
Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery
2023-5-VS-aldrich-2
In McCarthy 2022 et al., on 3D drill guide accuracy, what was the advantage of 3D-GDT in terms of drill end point deviation?
🔍 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-3
In Fracka 2025 et al., on cementless knee replacement, which implant-related finding was noted at necropsy?
🔍 Key Findings
Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.
Clinical function:
- Improved ROM from 90° pre-op to 120° post-op.
- Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
- No visible lameness by 14 weeks.
Implant performance:
- No complications at any follow-up points.
- No osteolysis, loosening, or metallosis at 6-year necropsy.
Wear evaluation:
- Mild UHMWPE insert wear, localized to caudal edges.
Histologic findings:
- Robust osseointegration at implant-bone interface.
- Fibrous tissue only in areas lacking porous coating.
Conclusion:
- Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
- Support for considering early surgical intervention in severe stifle OA.
Veterinary Surgery
3
2025
Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog
2025-3-VS-fracka-3
Quiz Results
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Key Findings
