
Your Custom Quiz
In Fracka 2025 et al., on cementless knee replacement, what postoperative improvement in stifle range of motion (ROM) was documented?
🔍 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-1
In Schneider 2025 et al., on axillary LN extirpation, which statement best reflects the accuracy of cytology for staging ALNs?
🔍 Key Findings
- Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
- Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
- No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
- Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
- Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
- Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
- False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
- The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.
Veterinary Surgery
6
2025
Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs
2025-6-VS-schneider-5
In Bush 2023 et al., on canine salivary gland carcinoma, what was the concordance rate between incisional biopsy and final excisional histopathology?
🔍 Key Findings
Source: Bush et al., 2023, Veterinary Surgery
- Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
- Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
- Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
- Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
- Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
- Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
- Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
- Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.
Veterinary Surgery
3
2023
Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study
2023-3-VS-bush-5
In Mullen 2023 et al., on microvascular perfusion, what conclusion was drawn about handsewn versus stapled enterectomies?
🔍 Key Findings
- Microvascular density at the site of foreign body obstruction was significantly lower in obstructed dogs compared to healthy controls.
- PBR (perfused boundary region) was paradoxically lower in obstructed dogs, indicating that PBR may not reliably correlate with tissue viability in this context.
- No significant difference in microvascular perfusion between subjectively viable vs nonviable intestines, suggesting subjective assessment is unreliable.
- No difference in perfusion parameters between handsewn and stapled enterectomies, indicating both techniques preserve vascular health equally.
- Stapled enterectomy using green TA staples is safe and did not impair intestinal perfusion at the anastomosis site.
- SDF videomicroscopy is feasible intraoperatively and can differentiate healthy from diseased intestine in dogs.
- Surgeons' subjective evaluations led to potentially unnecessary enterectomies, as microvascular parameters did not differ.
- No cases of dehiscence or mortality, suggesting both surgical approaches are effective when applied properly.
Veterinary Surgery
4
2023
A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health
2023-4-VS-mullen-3
In Sunlight 2022 et al., on Protein C monitoring, which variable was **not** significantly associated with ultimate clinical status?
🔍 Key Findings
- Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
- Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
- Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
- Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
- Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
- Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
- PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
- Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.
Veterinary Surgery
1
2022
Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts
2022-1-VS-sunlight-2
In Cruciani 2025 et al., on portal placement, which pain scoring tool showed significant postoperative improvement?
🔍 Key Findings
- Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
- Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
- Outcomes:
- Good to excellent mid-to-long-term outcomes in 11/14 dogs.
- Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
- Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
- No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
- Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
- Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
- Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).
Veterinary Surgery
1
2025
A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)
2025-1-VS-cruciani-4
In de la Oliva 2024 et al., what was the prevalence of contralateral HIF in French Bulldogs with humeral condylar fracture?
🔍 Key Findings Summary
- 89 French Bulldogs with HCF; 40.4% (36/89) had contralateral HIF
- Prophylactic transcondylar screws placed in 20/36 HIF; no complications in these
- Complication rate for HCF repair = 13.4% (6.7% minor, 6.7% major)
- Most complications occurred with Kirschner wire fixation
- Short-term outcome: Bone healing observed in all, but 14/45 had persistent intracondylar gap
- Long-term outcomes (n=27):
- Excellent = 66.7%
- Good = 29.6%
- Fair = 3.7%
- Complication-free dogs significantly more likely to have excellent/good outcomes (p = 0.007)
Veterinary and Comparative Orthopedics and Traumatology
3
2024
Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome
2024-3-VCOT-delaoliva-1
In Cruciani 2025 et al., on portal placement, what was the primary reason for modifying the arthroscopic portal?
🔍 Key Findings
- Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
- Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
- Outcomes:
- Good to excellent mid-to-long-term outcomes in 11/14 dogs.
- Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
- Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
- No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
- Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
- Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
- Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).
Veterinary Surgery
1
2025
A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)
2025-1-VS-cruciani-3
In Dalton 2023 et al., on acetabular fracture repair, what was the median postoperative fracture gap reported in canine cadavers?
🔍 Key Findings
- Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
- All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
- Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
- Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
- Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
- Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
- Use of locking screws improved reduction fidelity, particularly across a broad plate span.
- 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.
Veterinary Surgery
6
2023
Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report
2023-6-VS-dalton-1-91d41
In Murphy 2024 et al., which factor was associated with decreased odds of contralateral CCLR per month?
🔍 Key Findings Summary
- Prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg was 19.1%, notably lower than previous studies (33–50%).
- Median time to contralateral CCLR was 12.9 months.
- Older age reduced risk — 2% decrease per month of age (p=0.003).
- Golden Retrievers and Labradors had significantly lower risk (p=0.028 and p=0.007, respectively).
- No effect found from TPA, meniscal injury, or comorbidities (e.g., hip dysplasia, hypothyroidism).
Veterinary and Comparative Orthopedics and Traumatology
1
2024
The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older
2024-1-VCOT-murphy-3
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
