
Your Custom Quiz
In Kimura 2025 et al., on mini-THA in <4 kg dogs, what complication led to the discontinuation of a THA procedure in one case?
🔍 Key Findings
- Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
- Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
- Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
- Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
- Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
- Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
- No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
- CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.
Veterinary Surgery
6
2025
Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty
2025-6-VS-kimura-4
In Thibault 2023 et al., on DPO for THR luxation, what was the most common long-term outcome observed after performing DPO to manage craniodorsal luxation in dogs?
🔍 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-1
In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, what was the overall success rate of the red rubber catheter technique (RRCT) for removing linear foreign bodies?
🔍 Key Findings
- Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
- Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
- Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
- Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
- All failed RRCTs occurred in cats with perforations or tissue nonviability.
- Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
- Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
- Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.
Veterinary Surgery
7
2024
Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats
2024-7-VS-miller-1
In Guénégo 2025 et al., on AMA-based CCWO, what was the surgical site infection (SSI) rate observed?
🔍 Key Findings
- AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
- Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
- All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
- AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
- Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
- Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
- Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
- Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg
2025-3-VCOT-guenego-2
In Cortina 2023 et al., on modified TTT outcomes for MPL in dogs, what was the function of the tension band construct?
🔍 Key Findings
- m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
- Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
- Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
- Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
- Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
- All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
- Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
- Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.
Veterinary Surgery
5
2023
Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs
2023-5-VS-cortina-3
In Veytsman 2023 et al., on feline insulinoma outcomes, which of the following was NOT a negative prognostic factor?
🔍 Key Findings
- Surgical excision of insulinomas resulted in euglycemia or hyperglycemia in 90% of cats immediately post-op.
- 18/20 cats (90%) survived to hospital discharge, with a median survival time of 863 days.
- Younger age, metastasis at surgery, tumor invasion, and lower glucose levels were negative prognostic factors.
- Two cats had stage III disease with metastasis; one lived 413 days post-op, suggesting some benefit to surgery even in advanced disease.
- Postoperative hypoglycemia and seizure activity were associated with poorer outcomes; one cat euthanized due to seizures despite euglycemia.
- Median disease-free interval (DFI) was 1052 days; for cats with metastasis, DFI dropped to 93 days.
- Partial pancreatectomy was performed in 11 cats, nodulectomy in 10, and enucleation in 1; method of resection not linked to outcome.
- Postoperative complications occurred in 25% of cats; most were manageable with supportive care.
Veterinary Surgery
1
2023
Retrospective study of 20 cats surgically treated for insulinoma
2023-1-VS-veytsman-2
In Cortez 2024 et al., on feline ectopic ureters, what was the postoperative urinary continence outcome in this cohort?
🔍 Key Findings
- Ectopic ureters in cats are rare, but most are extramural and bilateral.
- Surgical techniques used included ureteroneocystostomy (UNC), neoureterostomy (NU), nephroureterectomy, and cystoscopic laser ablation (CLA).
- All cats showed improvement in urinary continence postoperatively, with 11/12 achieving complete resolution.
- Major complications were rare; one cat developed uroabdomen requiring revision surgery.
- Diagnostic imaging was effective, with abdominal ultrasound diagnosing 8/10 and CT 3/3 cases.
- Short- and long-term complications included urethral spasms, UTIs, stranguria, and rectal prolapse; all were manageable.
- CLA was successful in 2 cats and is noted as a first-time described technique in feline ectopic ureter cases.
- Median postoperative follow-up was 340 days, supporting good long-term outcomes.
Veterinary Surgery
6
2024
Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters
2024-6-VS-cortez-5
In Buote 2023 et al., on feline laparoscopic cannulas, which material was ultimately used to create **autoclavable cannulas** for use in live patients?
🔍 Key Findings
- 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
- Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
- Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
- Live patients experienced no postoperative complications, including no incision site infections or discomfort.
- Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
- Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
- Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
- Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.
Veterinary Surgery
6
2023
3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series
2023-6-VS-buote-4-207e4
In Mattioli 2025 et al., on lymphadenectomy complications, what percentage of complications were classified as mild?
🔍 Key Findings
Sample: 201 lymphadenectomies in 163 dogs.
Intraoperative techniques:
- Unassisted: 36%
- Methylene blue (MB): 24%
- Gamma probe + MB (γ-MB): 40%
Complication rate: 7.5% overall (93% uncomplicated)
- 80% were mild, 20% moderate; no severe complications
- Most common = seroma (2.5%), lymphoedema (1.5%)
Risk factors (via decision tree model):
- Surgical time > 21.5 min
- Lymph node site = mandibular or retropharyngeal
No significant difference in complication rate based on:
- Guidance technique (p = .255)
- LN palpability, number removed, or LN size
Clinical implication: Peripheral SLN excision is safe regardless of intraoperative technique; certain sites and durations carry slightly higher risk.
Veterinary Surgery
4
2025
Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques
2025-4-VS-mattioli-5
In Cortina 2023 et al., on modified TTT outcomes for MPL in dogs, which implant-related complication occurred long-term and required management?
🔍 Key Findings
- m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
- Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
- Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
- Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
- Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
- All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
- Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
- Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.
Veterinary Surgery
5
2023
Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs
2023-5-VS-cortina-2
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