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In Huerta 2025 et al., on TPLO healing assessment, what effect did a postoperative osteotomy gap ≥1 mm have on healing scores?
🔍 Key Findings
Population: 29 Boxer dogs and 29 age-matched Labrador Retrievers undergoing TPLO.
Scoring Systems Compared: 5-point vs. 10-point radiographic healing systems.
Healing Scores (Week 8):
- Boxers: 5-point mean = 3.3; 10-point mean = 6.9
- Labradors: 5-point mean = 3.6; 10-point mean = 7.5
- → Statistically significant difference (p = 0.0003 and p < 0.0001)
Osteotomy Gap ≥1 mm (present in 16.4%): Associated with significantly lower healing scores and increased recommendations for additional radiographic follow-up (p < 0.0001).
Observer Reliability:
- Both systems = good interobserver consistency.
- Slightly better intraobserver consistency with the 10-point scale.
Clinical Implication: Boxer dogs may need extended healing time or altered follow-up strategy after TPLO.
Veterinary and Comparative Orthopedics and Traumatology
1
2025
Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems
2025-1-VC-Huerta-1
In Takagi 2022 et al., on hepatic venous anatomy, which liver lobe exhibited the greatest variability in the number of veins draining into the left hepatic vein?
🔍 Key Findings
- Hepatic venous drainage patterns vary widely across all lobes, especially the left lateral lobe.
- Right lateral lobe had a median of 2 vessels draining directly into the caudal vena cava (CVC); range: 1–4.
- Caudate process of caudate lobe had the most variability: 1–5 vessels draining into the CVC; 2 vessels was most common (54.5%).
- Left lateral lobe drained via 2–8 veins into the left hepatic vein (LHV), with 3 veins most common (31.2%).
- Left medial lobe typically had 1 vein draining into the LHV (61% of dogs).
- Papillary process drained into the LHV in 93.5% of cases; 6.5% drained directly to the CVC.
- Quadrate lobe always had 1 vessel draining either directly to the CVC or via the LHV.
- CTA revealed more variations than previously described in plastinated or cadaveric studies, highlighting its superior value in surgical planning.
Veterinary Surgery
4
2022
Computed angiographic variations in hepatic venous vasculature in dogs
2022-4-VS-takagi-3
In Holman 2024 et al., on lateral arthroscopy of the canine shoulder, what percentage of the medial glenohumeral ligament’s cranial border was visible?
🔍 Key Findings
- 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
- 58% of the medial glenohumeral ligament's cranial border was within view.
- 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
- Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
- Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder
2024-1-VCOT-holman-3
In Aly 2024 et al., on simulator training for feline OHE, what recommendation do the authors make regarding simulator training?
🔍 Key Findings
- This study evaluated whether high-fidelity surgical simulator training improved live animal and student outcomes in a feline OHE teaching lab involving 186 cats and 146 students.
- Simulator training significantly improved surgical performance and outcomes:
- Live surgery was 6 minutes shorter on average in the SIM group vs. NO-SIM (115 ± 21 min vs. 121 ± 16 min, p = .04).
- Pain scores ≥5/20 occurred in 1% of SIM group cats vs. 15% of NO-SIM group cats (p < .01).
- Rescue analgesia was needed less frequently in the SIM group (5% vs. 15%, p = .03).
- Student confidence was significantly higher in the SIM group (median 7/10 vs. 6/10, p < .01).
- The simulator used a realistic abdominal model with friable tissues and required performance of a full OHE procedure.
- The study design was nonrandomized, grouped by class year, with limitations including lack of blinding during pain assessment in year two.
- Authors concluded that pre-lab simulator competency improves both animal welfare and student confidence, recommending it as a prerequisite for live surgical training.
Veterinary Surgery
6
2024
Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory
2024-6-VS-aly-5
In Grimes 2022 et al., on PDA rupture risks, what best describes the utility of the Jackson-Henderson technique?
🔍 Key Findings
- Rupture occurred in 7.0% of dogs undergoing surgical PDA ligation (20/285).
- Overall mortality was low (0.4%), with only one death occurring post-rupture.
- Residual flow occurred in 9.4% of dogs; significantly more common in dogs with rupture.
- Residual flow odds were not increased when ligation was successfully performed despite rupture.
- No significant associations between rupture and age, weight, suture size, or dissection technique.
- Jackson-Henderson and intrapericardial techniques were helpful in managing rupture or fibrosis.
- Major complications (non-rupture) were rare (1.4%), including pulmonary artery ligation and cardiac arrest.
- Surgeon preparedness (e.g., hemostatic tools, alternate techniques) was key to successful outcomes.
Veterinary Surgery
4
2022
Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture
2022-4-VS-grimes-4
In Wilson 2025 et al., on acetabular measurement accuracy, what was the main drawback of femoral head circle methods?
🔍 Key Findings
Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:
- ACVD/ACOLL (acetabular circle on VD or OLL view)
- ALVD/ALOLL (acetabular line)
- FHCVD/FHCOLL/FHCCCHB (femoral head circle)
- Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
- FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
- AC and AL methods had low bias (±0.5 mm) and better predictive value.
- OA severity negatively affected the accuracy of all measurements (p < .05).
- Highest predictive accuracy was ~49% using ACVD with rounding down protocol.
Veterinary Surgery
1
2025
Evaluation of three acetabular measurement methods for total hip replacement in dogs
2025-1-VS-wilson-2
In Marturello 2023 et al., on 3D-printed humeral models, which anatomical region had the **highest model accuracy** across all printer types?
🔍 Key Findings
- 3D-printed models using desktop printers (FDM, LFS) showed submillimetric accuracy, comparable to or better than industrial-grade PJP printers.
- Bone size had a greater effect on print accuracy than printer type, especially in proximal humerus regions.
- The humeral condyle region showed the greatest model accuracy, with mean differences under 0.5 mm, regardless of printer.
- Models tended to be slightly smaller than cadaveric bones, potentially due to systematic underestimation during printing.
- FDM printer provided the highest accuracy at the humeral condyle in medium-sized bones (+0.09 mm).
- LFS printer produced prints faster and more reliably than FDM, although both had comparable dimensional accuracy.
- Statistically significant differences existed, but all were submillimetric and unlikely to impact surgical outcomes.
- Desktop printers are suitable for surgical planning, including plate pre-contouring and patient-specific instrumentation.
Veterinary Surgery
1
2023
Accuracy of anatomic 3‐dimensionally printed canine humeral models
2023-1-VS-marturello-2
In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), which of the following best describes the leakage sites observed?
🔍 Key Findings
- Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
- UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
- UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
- Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
- No suture breakage or urethral narrowing occurred in either group.
- Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
- Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
- UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.
Veterinary Surgery
5
2023
Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study
2023-5-VS-monnet-3
In Caldeira 2025 et al., on femoral neck fixation, what role did the 3D-printed guide serve?
🔍 Key Findings
Design: In vitro study on cadaveric femurs (n=21) with basilar femoral neck fractures stabilized using 2 vs 3 titanium cannulated screws.
Stiffness: Control > 3-screw > 2-screw (674 > 120 > 90 N/mm).
Yield Load: 3-screw (586 N) > 2-screw (303 N); both < intact femur (2692 N).
Displacement: No difference across groups.
Complication: 3-screw technique more demanding; higher risk of cortical perforation, especially with narrow femoral necks.
Failure Mode: Dislodgement of femoral head + screw shaft bending.
Conclusion: 3 screws = stronger construct than 2 screws. Clinical implications need further study.
Veterinary and Comparative Orthopedics and Traumatology
1
2025
In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs
2025-1-VC-Caldeira-4
In Duvieusart 2025 et al., on lung lobectomy approaches, which technique provided the greatest surgical exposure?
🔍 Key Findings
- Study Design: Canine cadaveric study comparing intercostal thoracotomy (ICT), median sternotomy (MS), and transdiaphragmatic with caudal median sternotomy (TDCM) for accessory lung lobectomy (ALL).
- Main Outcomes:
- Exposure Area: TDCM (193.5 cm²) > MS (106.5 cm²) > ICT (73.5 cm²) (p = .01).
- TDCM provided significantly greater exposure than MS (p = .02) and ICT (p = .02); MS > ICT (p = .04).
- Surgical Time: No significant difference (p = .06).
- Lobe Excision (% by weight/surface area): No significant difference between groups (p = .4).
- Staple Line Leak: Leak at ≤40 cmH₂O in 2/4 ICT, 0/4 MS, 0/4 TDCM (p = .09).
- Complications:
- 1/4 MS cases had iatrogenic damage to an adjacent lobe.
- Technical Insights:
- TDCM approach allowed immediate visualization of all three parts of the right pulmonary ligament.
- The TDCM approach offers improved access without requiring en bloc removal with the right caudal lobe.
- Conclusion: The TDCM approach provides improved exposure for ALL lobectomy with no increase in surgical time or complications relative to other approaches.
Veterinary Surgery
1
2025
Comparison of three approaches for accessory lung lobectomy in the canine cadaveric model: Intercostal thoracotomy, median sternotomy, and a transdiaphragmatic approach combined with caudal median sternotomy
2025-1-VS-duvieusart-1
Quiz Results
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