
Your Custom Quiz
In Thibault 2023 et al., on DPO for THR luxation, what major limitation of DPO was discussed compared to TPO?
🔍 Key Findings
- Double pelvic osteotomy (DPO) reduced angle of lateral opening (ALO) by a median of 11° (p ≤ .001).
- Despite ALO correction, THR reluxation occurred in 5/11 dogs, often within 7 days post-DPO.
- Post-DPO ALO remained elevated (median 56°), with only 2 dogs achieving the recommended 35–45° range.
- Explantation was required in 7/11 dogs (5 aseptic loosenings, 2 infections), suggesting poor long-term implant survival.
- Dogs with luxoid hips were more likely to fail, even with corrected ALO, emphasizing soft tissue instability as a risk factor.
- Compared to TPO (23° correction), DPO yielded a smaller ALO correction, possibly due to older dog population and less elastic pelvis.
- No ventral luxation occurred post-DPO, unlike in TPO studies, likely due to more conservative ALO reduction.
- Authors do not recommend routine DPO for THR luxation due to high complication and failure rates.
Veterinary Surgery
8
2023
Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs
2023-8-VS-thibault-5
In Fitzpatrick 2024 et al., on ESF for pelvic fractures in cats, what was the typical postoperative hospitalization time?
🔍 Key Findings
- External skeletal fixation (ESF) was successfully applied to a variety of pelvic fracture types in cats, including sacroiliac luxations and ilial body fractures.
- All fractures achieved radiographic union within 9 weeks, even in comminuted or complex configurations.
- No intraoperative or long-term complications were reported during the study period.
- Implant loosening was observed radiographically in 13% of cases, with 8% of pins found to be loose at frame removal.
- ESF enabled indirect fracture reduction using components as handles, with a limited open approach minimizing soft tissue disruption.
- No iatrogenic neurological deficits were observed, supporting safe pin placement near neurovascular structures, although some cats presented with pre-existing neurologic signs.
- No cases required revision surgery, and all cats underwent stabilization solely with ESF as per study inclusion criteria.
- Postoperative hospitalization ranged from 2 to 5 days, though no comparison to other fixation types was evaluated.
Veterinary Surgery
7
2024
External skeletal fixation for the treatment of pelvic fractures in cats
2024-7-VS-fitzpatrick-4
In Schneider 2025 et al., on axillary LN extirpation, which anatomical landmark was critical for reliably locating the axillary lymph node?
🔍 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-1
In Vodnarek 2024 et al., on nasopharyngeal collapse grading, what ΔL value range defined **partial collapse**?
🔍 Key Findings
- Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
- Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
- Functional method
- Anatomically adjusted method
- Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
- Outcomes:
- Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
- Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
- Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
- ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.
Veterinary Surgery
1
2024
Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs
2024-1-VS-vodnarek-1
In Carvajal 2025 et al., on femoral stem breakage, which patient factor was frequently present in failed cases?
🔍 Key Findings
Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)
Implant factors:
- 13/14 were BFX lateral bolt stems (sizes #5–7)
- +9 necks used in 5/11 of 17 mm heads
- 10/14 stems undersized based on radiographs
- 10/13 dogs exceeded weight limits for implanted stem size
Malalignment:
- 10/14 had varus alignment (median 3.9°)
- 8/14 had insufficient proximodistal seating
Breakage site: Proximolateral shoulder in all cases
Revision outcomes:
- 11 revised (7 CFX, 3 larger BFX, 1 collared)
- 9/10 revised dogs regained full function
- Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure
Histopathology:
- Electron microscopy showed fatigue striations and incomplete bead fusion
Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.
Veterinary Surgery
3
2025
Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)
2025-3-VS-carvajal-3
In McCarthy 2022 et al., on 3D drill guide accuracy, what was the primary finding regarding drill angle deviation in the 3D-GDT group versus FHDT?
🔍 Key Findings
- 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
- No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
- 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
- Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
- 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
- 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
- Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
- The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.
Veterinary Surgery
1
2022
Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations
2022-1-VS-mccarthy-1
In Cruciani 2025 et al., on portal placement, what was the most common complication following surgery?
🔍 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-1
In Ellis 2024 et al., what conclusion was drawn regarding sclerosis seen on elbow CT in Guide Dogs?
🔍 Key Findings Summary
- 86 elbows assessed: 32 Guide Dogs, 11 Border Collies
- Guide Dogs showed significantly higher HU values in:
- MCP: min (p = 0.022), mean (p < 0.01), max (p < 0.01)
- Humeral trochlea: mean (p < 0.01), max (p < 0.01)
- Results imply breed-associated HU variation, not necessarily pathologic sclerosis
- Relevance: Important to avoid false positives for elbow dysplasia during CT-based breeding screens
- Good interobserver agreement for mean HU values (ICC ~0.82–0.90)
Veterinary and Comparative Orthopedics and Traumatology
3
2024
Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies
2024-3-VCOT-ellis-4
In Jeong 2025 et al., on contoured saw guide vs jig, what was a key outcome in terms of osteotomy *inclination* on cadaver limbs?
🔍 Key Findings
- TPLO with the contoured saw guide achieved more accurate osteotomy angles for both inclination and torsion in bone models and cadaveric limbs (p < .05).
- Medial cortical damage was significantly lower with the contoured guide (247 vs. 1866 pixels in bone models; p < .001).
- No significant difference in eccentricity (distance between actual and intended osteotomy center) was found between groups.
- Postoperative tibial plateau angle (TPA) was similar between groups (6.4° vs. 7.6°; p = .15), though both were slightly higher than the target of 6°.
- Deviation in medial mechanical proximal tibial angle (mMPTA) showed no significant group difference; valgus deformity occurred in both.
- Osteotomy and device application times were similar between the contoured guide and jig-assisted TPLO.
- The contoured guide eliminated the need for proximal jig pin, potentially reducing intra-articular pin risk.
- The guide's multiple pin fixation system improved stability and alignment, supporting safer osteotomy on curved tibial surfaces.
Veterinary Surgery
7
2025
Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs
2025-7-VS-jeong-1
In McKay 2023 et al., on patellar tendon augmentation, what was the most common mode of failure in the suprapatellar TBW group?
🔍 Key Findings
- Combined transpatellar + suprapatellar TBW technique yielded higher yield, peak, and failure loads than either technique alone.
- Construct stiffness was significantly higher in the combined group (61.2 N/mm) vs transpatellar (46.8 N/mm) and suprapatellar (28.5 N/mm).
- Lower incidence of gap formation in the combined group: only 22% had 1 mm gap vs 61% (transpatellar) and 39% (suprapatellar).
- Load to 3 mm gap was significantly higher in the combined group (p = .036), suggesting superior early repair site stability.
- Failure modes varied: suprapatellar most often failed via wire unraveling (67%), transpatellar via suture pull-through (67%); combined group had lower incidence of both.
- Patella fractures were observed only in the combined group (11%), likely due to transosseous tunnel stress.
- Wire unraveling was a predominant failure mode in suprapatellar (67%) and combined (39%) groups, but core suture pull-through was more common in the transpatellar group (67%); failure occurred by unraveling, not cyclic breakage.
- Study supports TBW augmentation to reduce load on primary repair and improve biomechanical durability of patellar tendon repairs.
Veterinary Surgery
8
2023
Biomechanical evaluation of three adjunctive methods of orthopedic tension band-wire fixation to augment simulated patella tendon repairs in dogs
2023-8-VS-mckay-2
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