
Your Custom Quiz
In Adair 2023 et al., on PCCLm vs. open cystotomy, what was the most common reason for converting PCCLm to OC?
🔍 Key Findings
- PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
 - Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
 - PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
 - Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
 - Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
 - PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
 - Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
 - Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.
 
Veterinary Surgery
6
2023
Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)
2023-7-VS-adair-2
In Scheuermann 2023 et al., on canine femoral MIPO, which reduction method resulted in significantly fewer intraoperative fluoroscopy images?
🔍 Key Findings
- Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
 - Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
 - Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
 - Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
 - FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
 - Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
 - Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
 - Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.
 
Veterinary Surgery
6
2023
Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs
2023-6-VS-scheuermann-1
In Cortina 2023 et al., on modified TTT outcomes for MPL in dogs, what was the owner-reported satisfaction rate from long-term follow-up surveys?
🔍 Key Findings
- m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
 - Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
 - Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
 - Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
 - Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
 - All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
 - Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
 - Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.
 
Veterinary Surgery
5
2023
Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs
2023-5-VS-cortina-5
In Anderson 2023 et al., on French Bulldogs with humeral condylar fractures, which fixation method was associated with **no** cases of transcondylar screw (TCS) migration?
🔍 Key Findings
- Lateral humeral condylar fractures (LHCF) were most common, comprising 63.6% of cases.
 - Transcondylar screw (TCS) + K-wire(s) fixation had a 7.62x higher risk of major complications compared to other methods (p = .009).
 - All cases of TCS migration occurred in the TCS + K-wire group; none occurred with plate fixation.
 - Overall complication rate was 40.9%, with 29.5% being major and requiring intervention.
 - Contralateral humeral intracondylar fissures (HIF) were found in 58.1% of French Bulldogs with CT data.
 - No significant association between age and presence of HIF, but fissure length increased with age (R = 0.47, p = .048).
 - Younger, lighter dogs had higher complication and screw migration rates, possibly due to softer bone and smaller condyles.
 - TCS + plate fixation had the lowest complication rate, suggesting biomechanical superiority.
 
Veterinary Surgery
1
2023
Humeral condylar fractures and fissures in the French bulldog
2023-1-VS-anderson-3
In Adams 2022 et al., on C-section survival rates, what was the neonatal survival to discharge rate in puppies from elective procedures?
🔍 Key Findings
- Neonatal survival to discharge was 93.1% overall, with no significant difference between brachycephalic (94.8%) and nonbrachycephalic (91.8%) breeds.
 - Elective C-section significantly improved neonatal survival (99.2%) compared to emergency C-section (87.1%) (p < .001).
 - Larger C-section litter size was positively associated with survival (p = .004; OR 1.57), whereas total litter size had no effect.
 - Maternal heart rate and stage of labor were associated with neonatal mortality in univariable analysis, but not multivariable.
 - Brachycephalism alone was not a risk factor for neonatal mortality (p = .221) in multivariable analysis.
 - Emergency C-section was the strongest predictor of neonatal mortality (OR 4.75), regardless of breed.
 - Multidisciplinary team approach likely contributed to high survival rates, emphasizing importance of coordinated care.
 - Historical factors such as primiparity and maternal age were not associated with mortality in this cohort.
 
Veterinary Surgery
7
2022
Risk factors for neonatal mortality prior to hospital discharge in brachycephalic and nonbrachycephalic dogs undergoing cesarean section
2022-7-VS-adams-3
In Sandberg 2024 et al., which significant ROM change was observed at the shoulder joint?
🔍 Key Findings Summary
- Tactical harness use altered kinematics in all forelimb joints
 - Elbow most affected: increased extension, internal rotation, abduction at walk and trot
 - Carpus: reduced flexion, increased abduction at walk
 - Shoulder: least affected, but showed reduced flexion and increased abduction during walk
 - Only significant ROM increases:
- Shoulder frontal plane (22%)
 - Elbow transverse plane (19%) at walk
 
 - Results suggest potential functional limitations from harness use during duty
 
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Influence of Wearing a Tactical Harness on Three-Dimensional Thoracic Limb Kinematics
2024-2-VCOT-sandberg-2
In Lederer 2025 et al., on MIPO vs ORPS, which surgeon-related variable significantly influenced fixation technique choice?
🔍 Key Findings
Study size: 105 dogs (73 ORPS; 32 MIPO)
MIPO vs ORPS differences:
- Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
 - Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
 - Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
 - Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
 - Comminution more frequent in MIPO (41% vs 16%; p = .012)
 
Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)
No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon
Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS
Veterinary Surgery
4
2025
Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)
2025-4-VS-lederer-5
In Radke 2022 et al., on outcome measure validation, which of the following instruments was noted to have **inconsistent factor analysis results** across validation studies?
🔍 Key Findings
- CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
 - COI scored highest in development rigor and evidence quality among evaluated OROMs.
 - Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
 - LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
 - CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
 - All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
 - Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
 - Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).
 
Veterinary Surgery
2
2022
Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments
2022-2-VS-radke-3
In Korchek 2025 et al., on fracture gap risk, how did absence of external coaptation affect implant failure risk?
🔍 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-4
In Downey 2023 et al., on thoracoscopic lobectomy in dogs, what was the most common histopathologic diagnosis?
🔍 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-1
Quiz Results
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Key Findings
