
Your Custom Quiz
In Lomas 2025 et al., on hybrid THR in cats, what postoperative complication was **not observed** in any of the 17 hips treated?
🔍 Key Findings
- Hybrid THR in cats showed no major complications across 17 hips in 15 cats, including 2 bilateral cases.
- Postoperative radiographs confirmed stable implant positioning with no loosening, migration, or dislocation in follow-up imaging.
- Mean owner satisfaction was high, with a mean short-form feline musculoskeletal pain index (sf-FMPI) score of 2/36 at a mean follow-up of 438 days.
- SCFE (slipped capital femoral epiphysis) was the most common indication, seen in 13/17 hips.
- Partial tenotomy of rectus femoris origin resolved intraoperative medial patella luxation in 3 cases—no cats required surgical correction later.
- A micro BFX cup allowed for increased acetabular offset, possibly reducing luxation risk even when using a +0 femoral head offset.
- Hybrid THR was successfully used as a revision for failed CFX THR due to recurrent luxation—implants remained stable post-revision.
- Use of oversized cups (12 mm) with shallow seating or medial breach still resulted in stable outcomes, suggesting good implant fixation even with reduced bone stock.
Veterinary Surgery
6
2025
Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)
2025-6-VS-lomas-5
In Papacella-Beugger 2024 et al., what was the median deviation of screw entry points?
🔍 Key Findings Summary
- Cadaveric study using 3 miniature breed dogs (6 hemipelves) to assess spinal neuronavigation accuracy for lumbar plate fixation
- 20 screws placed using CBCT-based navigation with real-time tracking
- 85% (17/20) of screws were safely and accurately placed
- Median deviation of screw entry points from plan: 1.8 mm
- All 3 misplaced screws occurred in a single cadaver, attributed to inexperienced drill handling
- Custom 3D-printed lightweight tracking array was necessary due to small spinous processes in miniature dogs
- No iatrogenic canal perforations or vertebral damage in any specimen
- Concludes neuronavigation offers precise, safe placement of spinal implants in small dogs, with minimal anatomic disruption
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs
2024-6-VCOT-papacella-beugger-2
In Kennedy 2024 et al., which neurovascular structure was penetrated in 10% of shoulders during portal placement?
🔍 Key Findings Summary
- 20 shoulders from 11 medium-to-large breed dogs evaluated
- Lateral portals used: middle arthroscopic, caudal instrument, cranial egress
- Musculotendinous lesions unavoidable, but small (18G needle); seen in deltoideus (90%), infraspinatus, teres minor, etc.
- Neurovascular safety:
- Caudal portal was closest to axillary artery/nerve branches (as close as 7 mm)
- Only 2/20 shoulders (10%) had omobrachial vein penetrated
- Cartilage injuries (IACI) occurred in 65%, primarily minor linear defects; use of guarded cannulas and distractors suggested for minimization
- Supports overall safety of lateral shoulder arthroscopy with portal placement awareness
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations
2024-4-VCOT-kennedy-1
In Drudi 2022 et al., on CAL vs TAL outcomes, which technique resulted in a significantly greater increase in rima glottidis area at both postoperative time points?
🔍 Key Findings
- Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
- TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
- No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
- All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
- CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
- Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
- Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
- Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.
Veterinary Surgery
3
2022
Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis
2022-3-VS-drudi-1
In Low 2025 et al., on gonadectomy and CrCLD, what was the quality of evidence rated using the GRADE framework?
🔍 Key Findings
Increased risk with gonadectomy:
- Pooled OR for CrCLD:
- Females: 2.29 (95% CI: 1.77–2.95)
- Males: 2.12 (95% CI: 1.67–2.69)
Early gonadectomy (≤1 year) further increased risk:
- OR vs >1 year:
- Females: 3.39
- Males: 3.13
Late gonadectomy (>1 year) had no significant difference vs intact dogs.
Breed-specific findings:
- Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
- Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)
Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)
Veterinary Surgery
2
2025
The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis
2025-2-VS-low-4
In Wylie 2025 et al., on femoral implant accuracy, what was the overall effect of internal brace augmentation on pivot shift grades at 6 weeks?
🔍 Key Findings
- Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
- Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
- Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
- SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
- Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
- No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
- Minor and major complications were low and not significantly different between implant types.
- A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.
Veterinary Surgery
7
2025
Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO
2025-7-VS-wylie-3
In Clarke 2022 et al., on nasopharyngeal collapse severity, which diagnostic modality was used to quantify pharyngeal collapse in awake dogs?
🔍 Key Findings
- Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
- Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
- 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
- All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
- Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
- Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
- Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
- Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.
Veterinary Surgery
6
2022
Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs
2022-6-VS-clarke-2
In Duffy 2022 et al., on crotch suture techniques, why are two simple interrupted sutures (TCS) or SCCS considered superior to a single suture (SICS)?
🔍 Key Findings
- Augmenting FEESA with two simple interrupted crotch sutures (TCS) or simple continuous crotch suture (SCCS) significantly increased initial leakage pressure (ILP) compared to no suture or a single suture (NCS, SICS).
- SCCS had the highest ILP (47.6 mm Hg), followed by TCS (37.8 mm Hg), SICS (33.0 mm Hg), and NCS (27.1 mm Hg).
- All crotch suture types increased maximal leakage pressure (MLP) compared to no crotch suture.
- Leakage from the crotch occurred most commonly in NCS (67%) and SICS (50%), but only 8% with TCS and 0% with SCCS.
- SCCS was the only technique where leakage never occurred at the crotch site.
- SCCS had the highest MLP (100.6 mm Hg), supporting its use in clinical settings with high-risk patients.
- Intraluminal pressures during leakage in NCS constructs were sometimes below normal physiologic pressures, emphasizing risk of leakage without crotch suture.
- The transverse staple line never leaked in any group, indicating the crotch is the primary weak point.
Veterinary Surgery
4
2022
Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs
2022-4-VS-duffy-5
In Viitanen 2023 et al., on zygomatic sialoadenectomy, what was a cited benefit of intraoral approach in terms of postoperative management?
🔍 Key Findings
- Intraoral approach (IOA) reduced surgical time compared to lateral orbitotomy (median: 42.0 vs 65.7 minutes, p = .005)
- Ease of closure (Stage III) was better with IOA (p < .001), though gland removal (Stage II) was easier with LOA (p = .039)
- Complete gland removal was achieved in 8/10 IOA vs 10/10 LOA cases in cadaveric study
- All 3 clinical cases had uneventful recoveries post-IOA, including one carcinoma, with no intra- or short-term postoperative complications
- LOA had superior surgical exposure, but was more invasive and time-consuming
- IOA posed greater difficulty in complete gland removal in brachycephalic dogs, with remnant tissue noted in 2/10 cadavers
- IOA avoids osteotomy, reducing potential complications like delayed union and postoperative pain
- Cosmetic outcomes and healing were better with IOA, and no E-collar was required postoperatively
Veterinary Surgery
2
2023
Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases
2023-2-VS-viitanen-3
In Carrera 2024 et al., what was the only complication reported in the 5-patient case series?
🔍 Key Findings Summary
- 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
- Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
- Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
- Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
- No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
- One complication due to domestic trauma, not surgical failure.
- Early surgery appeared to preserve alignment and prevent deformity progression.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs
2024-2-VCOT-carrera-5
Quiz Results
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