
Your Custom Quiz
In De Moya 2023 et al., on femoral pinning outcomes, which major complication required revision or salvage surgery?
🔍 Key Findings
- FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
- Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
- Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
- Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
- Median surgical time was 60 minutes, and no conversions to open surgery were needed.
- Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
- One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
- FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.
Veterinary Surgery
6
2023
Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs
2023-6-VS-demoya-2-bc569
In Danielski 2025 et al., on PUO complication reduction, which statement best describes the **healing outcome**?
🔍 Key Findings
- Combined intramedullary (IM) pin and rhBMP-2 use resulted in a low complication rate (7.4%) after proximal ulnar osteotomy (PUO).
- Major complications occurred in 5.3% of cases (4 infections, 1 pin breakage with ulnar tilt requiring revision).
- Minor complications occurred in 2.1% of cases (seroma, delayed union).
- No cases of non-union were observed; 98.9% of limbs achieved radiographic healing by 6 weeks.
- IM pin breakage was noted in 11.8% of limbs but did not affect healing outcomes.
- Chondrodystrophic breeds made up 64.8% of the cohort and tolerated the procedure well.
- Compared to prior studies, complication rates were substantially reduced with this technique (prior major: 13.9%; this study: 5.3%).
- The use of rhBMP-2 likely enhanced early bone healing and provided biologic support, particularly important in breeds at higher risk of complications.
Veterinary Surgery
6
2025
Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs
2025-6-VS-danielski-3
In Welsh 2025 et al., on orthogonal plating, what was the failure load for the OP2.0 construct?
🔍 Key Findings
- Compared unilateral plating (UP) vs orthogonal plating (OP) with 2.0, 2.4, and 3.0 mm plates (OP2.0, OP2.4, OP3.0).
- Model: acetal homopolymer (Delrin) rod with 29 mm fixed fracture gap, loaded axially (4–196 N, 90,000 cycles).
- OP constructs had 2.5–4.1x higher strength and 3.0–4.2x higher stiffness than UP constructs (p < .0002).
- UP had 3.5–4.1x higher gap strain than OP groups (p < .0075).
- All OP groups exceeded 1000 N max load before failure (vs 424 N for UP).
- Greater implant size in OP groups further increased performance.
- All constructs survived fatigue loading; 3.5 mm plates showed deformation, especially UP; OP plates remained intact.
Veterinary Surgery
4
2025
Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model
2025-4-VS-welsh-3
In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had changes in antibiotic susceptibility when the same bacteria were isolated at both TECA and dehiscence?
🔍 Key Findings
- Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
- In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
- Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
- Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
- Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
- TECA cultures were not predictive of bacteria at incisional dehiscence.
- 75% of dogs healed with either medical or surgical management.
Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.
Veterinary Surgery
3
2025
Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs
2025-3-VS-smith-5
In Lee 2022 et al., on TPLO accuracy, what was the main benefit of using the 3D-printed saw guide in bone models?
🔍 Key Findings
- 3D-printed TPLO guides significantly reduced osteotomy inclination angle in both bone models and cadaver limbs compared to jig alone (P < .001).
- Torsional deformities were lower when the 3D-printed guide was used in bone models (P < .001), but not significantly different in cadavers.
- Angular deformities were significantly reduced in cadavers using 3D-printed guides (P < .001).
- Proximal jig pin angulation was more accurate with the guide in cadavers (P < .001); not significant in bone models.
- Medial cortex damage was substantially reduced in bone models when the 3D-printed guide was used (P < .001).
- Postoperative tibial plateau angle (TPA) did not differ significantly between groups, suggesting that clinical alignment can still be achieved without the guide.
- Clinical significance of improved metrics is uncertain, but improved precision may reduce surgical complications.
- 3D guide design allowed direct placement of jig and bone plate, potentially improving workflow and safety.
Veterinary Surgery
6
2022
Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study
2022-6-VS-lee-1
In Kuvaldina 2023 et al., on endoscopic axillary lymphadenectomy, what was the reported complication rate in clinical cases?
🔍 Key Findings
- Endoscopic excisional biopsy of axillary lymph nodes was successfully performed in cadavers and clinical dogs with minimal complications.
- The technique used a SILS port and CO₂ insufflation through a small incision between the latissimus dorsi and superficial pectorals.
- In 4 cadavers (6 limbs), mean time to remove axillary nodes was 33 minutes, and single nodes were found in 5/6 limbs.
- In 3 clinical dogs, the procedure was successful in 2 cases; 1 required conversion to open surgery due to difficulty manipulating the node.
- Accessory axillary nodes were successfully excised when present, located adherent to deep latissimus dorsi.
- No cases developed lymphedema, pneumothorax, or major complications postoperatively.
- Subjective benefits included better visualization, reduced dissection, and less postoperative morbidity than open techniques.
- Study suggests MIS lymphadenectomy may improve staging accuracy and reduce complications, though larger studies are needed.
Veterinary Surgery
6
2023
Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs
2023-6-VS-kuvaldina-2-6a5c5
In Bondonny 2024 et al., which of the following statements is TRUE about antirotational pin placement?
🔍 Key Findings Summary
- Retrospective study of 33 fractures in 31 cats with Salter–Harris I or II distal femoral fractures
- Used 1 intramedullary Steinmann pin + 1 laterally placed antirotational pin
- 96.9% achieved full functional outcome at mid-term follow-up
- No implant migration or removal required
- Minor complications: 2 seromas; Major: 3 (patellar luxation [2], osteomyelitis [1])
- Growth plate remained open in 27.3% of cases at 6–8 weeks post-op
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management
2024-2-VCOT-bondonny-4
In Aertsens 2025 et al., on thoracic lift technique, what was the primary physiologic improvement observed in Cat 1 following lift device application?
🔍 Key Findings
Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.
Veterinary Surgery
4
2025
Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats
2025-4-VS-aertsens-1
In Huels 2025 et al., on second-generation screw cup THA, which implant component was responsible for most major complications?
🔍 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-2
In Chitty 2025 et al., on tibial fracture fixation in immature dogs, what was the major complication rate observed in the external fixation group?
🔍 Key Findings
Internal fixation (IF) group (n=59):
- Complication rate: 20.3%
- Major complications: 15.3%
- Longer time to discharge if complications occurred (median: 12.5 weeks)
External skeletal fixation (ESF) group (n=36):
- Complication rate: 55.6% (p < .001 vs IF)
- Major complications: 52.8%
- Most common issue: pin tract morbidity
Multivariable analysis:
- Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
- Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)
Fixation choice influenced by age:
- Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)
Breed & fracture distribution:
- Common breeds: Labrador, Border Collie, Whippet
- Common fracture sites: middle and proximal third of tibia
Veterinary Surgery
4
2025
Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs
2025-4-VS-chitty-1
Quiz Results
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