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In Banks 2024 et al., on CCWO outcomes, what was the **median postoperative TPA** in small dogs?

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Correct. Median postoperative TPA in small dogs was 7°, exceeding the target.
Incorrect. The correct answer is 7.0°.
Median postoperative TPA in small dogs was 7°, exceeding the target.

🔍 Key Findings

  • Oxley's modified CCWO did not achieve the target TPA of 5° in most cases, even with planning.
  • Mean planned TPA was 7.6°, higher than target, and consistent across dog sizes.
  • Postoperative TPAs were significantly higher in small dogs (median 7°) than in large dogs (median 4.5°).
  • Distalization >7.5 mm of the osteotomy from the patellar tendon led to increased under-correction of TPA.
  • Only dogs with preoperative TPA >35° achieved post-planning TPAs close to the 5° target.
  • Postoperative osteotomy positions were generally more distal than recommended (8.6 mm median).
  • Virtual plate fit was appropriate for all dogs at 5 mm or 7.5 mm positions, suggesting no need for excessive distalization.
  • Excessive correction leading to negative TPAs occurred in some cases, risking caudal cruciate ligament strain.

Banks

Veterinary Surgery

8

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-8-VS-banks-4

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

In Turner 2025 et al., on TPA changes after SH-1/2 fracture repair, which breed was most represented in the study cohort?

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Correct. French Bulldogs made up the largest portion of the sample (10/32), reflecting local demographics.
Incorrect. The correct answer is French Bulldog.
French Bulldogs made up the largest portion of the sample (10/32), reflecting local demographics.

🔍 Key Findings

  • TPA decreased significantly from preoperative to follow-up (mean 5.89°; p < 0.001), and from immediate postoperative to follow-up (mean 2.2°; p = 0.018)
  • Use of tension band in addition to K-wires did not significantly improve TPA reduction compared to K-wires alone
  • Cranial K-wire positioning may attenuate growth at the cranial tibial physis, allowing relative caudal growth to reduce TPA over time
  • Dynamic TPA reduction may reduce risk of cranial cruciate ligament rupture even when initial TPA is high
  • Small breeds (e.g., French Bulldogs) were overrepresented; further research is needed in larger breeds with more growth potential
  • Surgical reduction is difficult, but perfect alignment may not be essential if TPA reduces postoperatively
  • Radiographic TPA measurement was reliably performed with low interobserver variability
  • K-wire removal at 3–8 weeks may facilitate continued growth in growing dogs

Turner

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs

2025-5-VCOT-turner-5

Article Title: Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Hawker 2025 et al., on locking head inserts, why might LHI fail to reduce strain in LCP Combi-holes?

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Correct. Because LHI only fill the locking portion of the Combi-hole, strain at the compression side remains unaffected.
Incorrect. The correct answer is They do not engage the compression side.
Because LHI only fill the locking portion of the Combi-hole, strain at the compression side remains unaffected.

🔍 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.

Hawker

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-4

Article Title: 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

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, what future direction did the authors recommend regarding helmet CPAP use?

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Correct. Authors recommended further studies specifically in dogs with brachycephalic obstructive airway syndrome (BOAS).
Incorrect. The correct answer is Focus on dogs with BOAS.
Authors recommended further studies specifically in dogs with brachycephalic obstructive airway syndrome (BOAS).

🔍 Key Findings

  • CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
  • CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
  • Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
  • CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
  • Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
  • The study found no cases of hyperthermia; temperatures normalized over time in both groups.
  • Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
  • Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.

Araos

Veterinary Surgery

5

2024

Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

2024-5-VS-araos-5

Article Title: Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

Journal: Veterinary Surgery

In Chik 2024 et al., on cholangioscopy feasibility, what was the key limitation of using standard biopsy forceps through the disposable flexible endoscope?

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Correct. The 1.2 mm working channel could not accommodate standard radial jaw biopsy forceps.
Incorrect. The correct answer is Working channel diameter was too small.
The 1.2 mm working channel could not accommodate standard radial jaw biopsy forceps.

🔍 Key Findings

  • Open transcholecystic cholangioscopy was feasible using a 3.8 mm disposable flexible endoscope in all 8 canine cadavers.
  • Visualization was consistently achieved up to the junction of the hepatic ducts, common bile duct, and cystic duct.
  • Advancement past the junction was limited by the endoscope diameter (3.8 mm) and anatomical flexure.
  • The 1.9 mm flexible ureteroscope could visualize the entire biliary tree, including the major duodenal papilla, in a large dog (43.8 kg).
  • Endoscopic tools (e.g., 3 Fr grasping forceps) could be passed through the working channel only after removing the irrigation line.
  • Standard biopsy forceps were incompatible with the disposable endoscope's 1.2 mm working channel.
  • Cadaver study showed no rupture, but clinical extrapolation is limited due to lack of diseased tissue.
  • Disposable endoscope setup cost (~$6,100) was significantly lower than traditional endoscopy systems (~$75,000–100,000), improving accessibility.

Chik

Veterinary Surgery

7

2024

Feasibility of open cholangioscopy with disposable flexible endoscopes

2024-7-VS-chik-4

Article Title: Feasibility of open cholangioscopy with disposable flexible endoscopes

Journal: Veterinary Surgery

In İnal 2025 et al., on feline high-rise trauma, what was the area under the ROC curve (AUC) for ATTS in predicting mortality?

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Correct. The AUC was 0.857, indicating good predictive performance for ATTS
Incorrect. The correct answer is 0.86.
The AUC was 0.857, indicating good predictive performance for ATTS

🔍 Key Findings

Sample: 373 cats with high-rise syndrome (HRS) from 2017–2020.
ATTS was the only significant predictor of survival (p < 0.001); each point increase decreased survival odds (OR = 0.46).
AUC for ATTS ROC curve: 0.857 (95% CI: 0.788–0.926).
Floor height, lesion type, and ground surface were not significantly associated with survival.
Odds of injury were 7.98× higher when landing on hard vs. soft surface (p < 0.001).
16.96× increased injury risk from the fourth vs. third floor (p = 0.008).
Cats with ATTS ≥7 had 62% mortality; median ATTS increased with floor height (r = 0.244, p < 0.001).
Thoracic and vertebral trauma were most common causes of death.
Only 32% of cats had the “classic” HRS triad (pneumothorax, epistaxis, hard palate fracture).

Inal

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

2025-1-VC-inal-2

Article Title: Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Low 2024 et al., which factor was significantly associated with reduced postoperative complications?

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Correct. Age was inversely associated with complication risk (p = 0.0051, OR = 0.61):contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Older age at surgery.
Age was inversely associated with complication risk (p = 0.0051, OR = 0.61):contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 47 dogs (57 elbows) underwent TCS placement for HIF
  • Overall complication rate = 17.5%
    • Minor: seromas (7 elbows)
    • Major: septic arthritis (3 elbows) — all resolved with antibiotics
  • No screw failures, medial epicondylar fractures, or catastrophic outcomes noted
  • Long-term follow-up in 41 dogs (50 elbows):
    • 90% full function, 10% acceptable function
    • Mean follow-up = ~2.5 years
  • Increased age was significantly protective (p = 0.0051; OR = 0.61)
  • TCS placement method (freehand, guide, aiming device) significantly impacted screw angulation but not complication rate
  • Outcome not affected by presence of complications

Low

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure

2024-4-VCOT-low-2

Article Title: Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Raleigh 2022 et al., on pericardiectomy complications, which surgical tool was most frequently associated with the onset of ventricular fibrillation?

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Correct. In 15 of 16 dogs, electrosurgical devices were used, and VF coincided with their use in 8.
Incorrect. The correct answer is Bipolar electrosurgical device.
In 15 of 16 dogs, electrosurgical devices were used, and VF coincided with their use in 8.

🔍 Key Findings

  • Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
  • 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
  • Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
  • Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
  • Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
  • Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
  • VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
  • Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.

Raleigh

Veterinary Surgery

4

2022

The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

2022-4-VS-raleigh-3

Article Title: The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

Journal: Veterinary Surgery

In Downey 2023 et al., on lung lobectomy for pulmonary consolidation, what was the most common perioperative complication in dogs undergoing lung lobectomy?

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Correct. Mild, self-limiting hemorrhage occurred in 3 of 12 dogs — the most common complication.
Incorrect. The correct answer is Mild hemorrhage.
Mild, self-limiting hemorrhage occurred in 3 of 12 dogs — the most common complication.

🔍 Key Findings

  • Thoracoscopic (TL) and thoracoscopic-assisted (TAL) lobectomy were performed in 12 dogs with non-neoplastic pulmonary consolidation.
  • 44% (4/9) of TL cases required conversion, most often due to pleural adhesions or poor visualization — a higher rate than for neoplastic lobectomies.
  • Surgical mortality was 8.3% (1/12 dogs), with death attributed to unaddressed BOAS, not surgical complications.
  • All 11 surviving dogs had no recurrence of clinical signs at a median 24-month follow-up.
  • Perioperative complications occurred in 58% (7/12): pneumothorax (2), hemorrhage (3), wound dehiscence (1), progressive pneumonia (1).
  • One-lung ventilation (OLV) was successful in 78% of TL dogs but may be harder to achieve in brachycephalic breeds.
  • Most dogs had infectious pneumonia (10/12), with bacterial causes identified in 8; fungal and viral etiologies were less common.
  • Hospitalization was short, with median stays of 3–4 days depending on approach and conversion status.

Downey

Veterinary Surgery

6

2023

Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

2023-6-VS-downey-5

Article Title: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

Journal: Veterinary Surgery

In Jones 2024 et al., on surgical technique mortality, what was the overall in-hospital mortality rate for dogs undergoing BOAS surgery?

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Correct. The study documented a 4.0% in-hospital mortality rate (24/606 dogs).
Incorrect. The correct answer is 4.0%.
The study documented a 4.0% in-hospital mortality rate (24/606 dogs).

🔍 Key Findings

  • Study compared 606 dogs (English Bulldogs, French Bulldogs, Pugs) undergoing partial staphylectomy via CO₂ laser, bipolar vessel sealing device (BVSD), or conventional incision.
  • Mortality rate: 4.0% (24/606).
  • BVSD was associated with significantly increased perioperative mortality compared to other methods (OR = 6.0, 95% CI: 1.3–28.4, p = .023).
  • High-grade laryngeal collapse (stage II or III) independently increased mortality risk (OR = 4.6, 95% CI: 1.8–11.8, p = .002).
  • No difference in mortality between CO₂ laser and conventional incision techniques.
  • CO₂ laser and conventional techniques had similar complication rates.

Jones

Veterinary Surgery

1

2024

Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

2024-1-VS-jones-2

Article Title: Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

Journal: Veterinary Surgery

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