Your Custom Quiz
In Huels 2025 et al., on second-generation screw cup THA, what was the primary functional outcome observed in dogs following SCSL THA?
🔍 Key Findings
- Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
- Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
- No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
- Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
- Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
- Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
- Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
- Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup
2025-2-VCOT-huels-5
In Loh 2024 et al., on treatment outcomes for CvHL in dogs, which nonsurgical method had the highest success rate?
🔍 Key Findings
- Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
- Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
- Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
- Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
- Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
- Ehmer sling is not recommended due to high failure and complication rates (60.6%).
- Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
- No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).
Veterinary Surgery
4
2024
Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series
2024-4-VS-loh-1
In Espinel Rupérez 2023 et al., on feline hip stabilization, what was the most common type of iatrogenic injury observed in cadaveric joints?
🔍 Key Findings
- Arthroscopic-assisted hip toggle stabilization (AA-HTS) was successfully completed in all 14 feline cadaver joints.
- Femoral and acetabular tunnel creation was feasible in all cases, though femoral tunnel placement had a higher rate of deviations.
- Intraoperative complications occurred in 5/14 joints, mostly related to femoral tunnel creation and toggle lodging.
- Minor articular cartilage injury (<10% total cartilage area) occurred in 10/14 joints, but no injury to neurovascular or intrapelvic structures.
- Thirteen surgical technique deviations (8 major, 5 minor) were identified in 7 joints, all involving the femoral tunnel.
- Toggle passage through the femoral tunnel was the most challenging step, being mildly difficult in 6 joints.
- Postoperative CT and gross dissection confirmed all toggles and buttons were in correct position, without damage to major surrounding structures.
- No deviations, complications, or cartilage injuries occurred in the last 4 joints, suggesting a learning curve effect.
Veterinary Surgery
6
2023
Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study
2023-6-VS-espinel-1
In Vandekerckhove 2024 et al., what value did the LImax range across all cadavers?
🔍 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-5
In Almeida 2025 et al., on TPLO and partial CCL rupture, what was the authors’ conclusion on CCL transection as a preventive for desmitis?
🔍 Key Findings
- Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
- Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
- Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
- Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
- No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
- Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
- Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
- Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture
2025-4-VCOT-almeida-4
In Sanders 2024 et al., on feline anastomosis techniques, what was the observed mean jejunal mural thickness?
🔍 Key Findings Summary
- ILP and MIP: No significant differences in leak pressure between HSA, FEESA, and SS techniques (p > .05).
- Construct Time:
- FEESA (no oversew) fastest: 79 ± 30 s
- HSA-SI slowest: 397 ± 70 s (p < .001)
- Tissue Thickness:
- Jejunum thickest: 2.28 ± 0.30 mm
- Stomach thinnest: 1.66 ± 0.28 mm
- Staple Malformation: Noted in 2 FEESA-O constructs, vertical staple line.
- Leak Locations:
- HSA: All leaked from suture bites
- FEESA: Leaks from vertical and horizontal staple lines
- SS: Mostly from staple holes
Veterinary Surgery
2
2024
Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats
2024-2-VS-sanders-2
In Jenkins 2022 et al., on medial epicondylar fissure fracture, what proportion of elbows developed MEFF after transcondylar screw placement?
🔍 Key Findings
- MEFF occurred in 11.4% (10/88 elbows) following medial-to-lateral transcondylar screw placement in dogs with HIF.
- Screw size to condylar height ratio >41% significantly increased MEFF risk (P = .004, OR 1.52).
- MEFF was not recognized intraoperatively in 60% of cases and was only seen on follow-up or retrospective imaging review.
- Screw loosening was the most common complication (11.2%), observed both with and without MEFF.
- MEFF tended to increase the risk of screw loosening (P = .06), but was not statistically significant.
- Most MEFFs did not require treatment and healed radiographically by 14–17 weeks in monitored cases.
- Shaft screws were used in all MEFF cases, but shaft vs cortical design was not significantly associated with MEFF.
- The clinical impact of MEFF was minor in most cases, although long-term significance is unknown.
Veterinary Surgery
4
2022
Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure
2022-4-VS-jenkins-2
In Winston 2023 et al., on LES-AS surgery outcomes, what was the most commonly reported long-term feeding modification?
🔍 Key Findings
- Modified Heller myotomy with Dor fundoplication improved vomiting/regurgitation scores by 180%, QoL by 100%, and owner-perceived body weight by 63% (P < .05).
- 6 of 9 dogs with postoperative VFSS showed objective improvement in gastric filling scores; others remained stable.
- Oral sildenafil was discontinued postoperatively in all dogs, indicating surgical success comparable to medical management.
- 12 of 13 dogs survived to discharge; one dog was euthanized due to aspiration pneumonia postoperatively.
- 50% of dogs experienced gastrostomy tube complications, higher than reported in previous literature.
- Most complications were gastrostomy-tube related, with some requiring surgical correction (e.g., tube migration, leakage).
- Feeding strategies (Bailey chair, elevated bowls) and food consistency (gruel/liquid) remained essential postoperatively to control regurgitation.
- 9 of 11 owners would opt for the surgery again; those who wouldn’t cited risk or lack of efficacy.
Veterinary Surgery
2
2023
Management and outcomes of 13 dogs treated with a modified Heller myotomy and Dor fundoplication for lower esophageal sphincter achalasia-like syndrome
2023-2-VS-winston-5
In İnal 2025 et al., on supracutaneous locking plates, what was one key advantage of SLPs over external skeletal fixation in bilateral fractures?
🔍 Key Findings
- Supracutaneous locking plates (SLPs) were successfully used to manage 33 diaphyseal fractures (radial–ulnar and tibial) in 30 cats and dogs.
- Median fracture healing time was 50.5 days (range: 27–88), with most patients regaining limb use within days postoperatively.
- CT-based metrics (callus area, HU, and 3D bone volume) increased significantly during healing (p < 0.05), validating CT as a quantitative tool for assessing healing.
- Complications were minimal: minor in 15/33 (e.g., screw tract discharge, edema), and major in 3/33 (e.g., implant failure, delayed union, nonunion).
- Minimally invasive osteosynthesis required longer surgery times than closed reduction (p < 0.05), but both techniques were viable.
- SLPs enabled successful bilateral fracture management without inter-plate interference due to their compact design.
- Screw orientation challenges were noted in cats, especially with cranial application to the radius due to narrow anatomy.
- Polyaxial locking screws were used safely and did not dislodge, allowing for angular insertion (≤10°) to avoid neurovascular structures.
Veterinary and Comparative Orthopaedics and Traumatology
5
2025
Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats
2025-5-VCOT-inal-5
In Davey 2024 et al., on modified closed anal sacculectomy, how was AGASACA most frequently diagnosed in asymptomatic dogs?
🔍 Key Findings
- Modified closed anal sacculectomy resulted in a local recurrence rate of only 2.2%, substantially lower than prior reports (18–50%).
- Postoperative complications occurred in 31.9% of dogs; most (93%) were minor, with dehiscence being the most common.
- Mean survival time in deceased dogs was 521 days; median was 388 days.
- Surgical technique included complete en bloc excision of the sac and duct with sphincter reconstruction, aiming to reduce seeding risk.
- Only one major complication resulted in euthanasia due to infection and dehiscence.
- Histologic margins were complete in 44.7% of dogs; lymphatic invasion was present in 31.9%, and vascular in 8.5%.
- Adjunctive chemotherapy was administered in 34% of dogs (mostly carboplatin); not standardized due to retrospective design.
- Routine rectal exam was key to diagnosis in 57.4% of dogs with no clinical signs, underscoring the importance of screening.
Veterinary Surgery
6
2024
Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)
2024-6-VS-davey-5
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Key Findings