
Your Custom Quiz
In Evers 2023 et al., on needle arthroscopy, what was the reported sensitivity for detecting medial meniscal tears?
🔍 Key Findings
- Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for detecting medial meniscal tears using standard arthroscopy (SA) as the reference.
- NA correctly identified meniscal status in 25/26 dogs, missing only one stable nondisplaced tear.
- NA took less time than SA: 8 ± 3 min vs. 15 ± 9 min (P = .0041).
- Visibility scores were significantly lower with NA than SA for all meniscal horns (medial and lateral) .
- Probing difficulty was greater with NA, especially for the lateral meniscus (P = .0017).
- NA caused no measurable morbidity: lameness scores were unchanged before and after the procedure (P = .25).
- NA was possible in sedated dogs, though 10/26 required additional anesthesia due to delays.
- NA missed 1 lateral tear, likely due to reduced access and lack of shaving compared to SA.
Veterinary Surgery
7
2023
Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture
2023-7-VS-evers-1
In Planchamp 2022 et al., on imaging-based AAI diagnosis, which measurement had the highest diagnostic accuracy in both head positions?
🔍 Key Findings
- Ventral Compression Index (VCI) ≥0.16 (extension) or ≥0.2 (flexion) was diagnostic for AAI with 100% sensitivity and >94% specificity
- VCI had the highest diagnostic accuracy among all measured variables (AUC > 0.99)
- C1-C2 overlap ≤2.7 mm (extension) or ≤1.8 mm (flexion) also diagnostic for AAI (sensitivity 84–96%, specificity 81–90%)
- C1-C2 angle ≥176.9° (extension) or ≥187.4° (flexion) had high sensitivity and specificity (~95%)
- Basion-dens interval ≥5.9 mm (extension) or ≥3.0 mm (flexion) provided moderate diagnostic accuracy
- Cranial translation ratio (CTR) ≥0.18 classified dogs as potentially unstable (sensitivity 90%, specificity 78%)
- VCI ≥0.23 reliably differentiated AAI from potentially unstable cases (sensitivity 94%, specificity 94%)
- DALR ≤0.24 had high specificity (100%) but low sensitivity for AAI diagnosis
Veterinary Surgery
4
2022
Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs
2022-4-VS-planchamp-1
In Story 2024 et al., on eTPA osteotomy comparison, what was the **minimum acceptable TPA** post-correction reported to yield good outcomes in dogs?
🔍 Key Findings
- Population: 16 dogs (27 tibias), TPA >34°
- Techniques analyzed:
- Group A: CBLO + CCWO
- Group B: TPLO + CCWO
- Group C: mCCWO
- Group D: PTNWO
- Outcomes:
- All groups achieved post-correction TPA < 14°.
- Group A: Slight over-correction (mean TPA 10.47°); greatest mechanical axis shift.
- Group B: Tibial shortening (~0.58%); least mechanical axis shift.
- Group C: Lowest post-correction TPA (mean 4.76°); under-correction.
- Group D: High accuracy, minimal shortening (mean 7.09° post).
- Statistical Significance:
- Significant differences in tibial length change and mCrDTA (mechanical axis shift) between groups (p <.05).
- TPA correction accuracy: Group A (1.02), B (0.95), C (0.89), D (0.98).
Veterinary Surgery
1
2024
Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis
2024-1-VS-story-5
In Kang 2024 et al., on sacroiliac fixation strength, what was the statistically significant difference in screw diameter to sacral diameter ratio between groups?
🔍 Key Findings Summary
- 20 cats with pelvic fractures treated using locking plates with only cortical screws
- 28 fractures stabilized (ilium: 17, acetabulum: 6, ischium: 3, pubis: 2)
- Implants: Primarily 1.5/2.0 mm LCPs or String-of-Pearls plates
- Major complications in 2/20 cases (10%): sciatic entrapment, malunion requiring THA
- Minor complications in 2/20 cases (10%): plate impingement, transient lameness
- Clinical union in all cats by 8 weeks; all cats returned to full function
- Authors conclude cortical screws alone can provide adequate fixation in feline pelvic fractures if screw purchase and bone quality are sufficient
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model
2024-1-VCOT-kang-3
In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, which statement best describes complication rates between PF and non-PF groups?
🔍 Key Findings
- Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
- Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
- 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
- Medical management was effective in 92.9% of recurrence cases.
- Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
- Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
- Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
- No major complications or deaths linked directly to PF in initial surgeries.
Veterinary Surgery
6
2025
Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration
2025-6-VS-berthome-4
In Fink 2025 et al., on Roux-en-Y outcomes, which anastomosis type was preferred when the common bile duct was severely dilated?
🔍 Key Findings
- Roux-en-Y procedures were successfully completed in all 11 cases (6 dogs, 5 cats), despite case complexity and disease severity.
- Median survival post-discharge was longer in cats (365 days) vs. dogs (82 days), with better outcomes in non-neoplastic vs. neoplastic disease (192 vs. 5 days).
- Complication rate was high, with septic peritonitis, dehiscence, and cardiac arrest as leading causes of postoperative death; mortality rate = 36%.
- Dehiscence rate was 8.6% (2 of 23 anastomoses), considered lower than typical rates for GI anastomoses in high-risk patients.
- Feeding tubes (gastrostomy/jejunostomy) were used in all cases, enabling early nutritional support and stomach decompression.
- Postoperative nausea and vomiting were common but mostly self-limiting; managed with metoclopramide, cisapride, and antiemetics.
- Choledochojejunostomy was preferred when common bile duct was dilated, offering a favorable size match and potentially reducing bile leakage.
- Roux-en-Y reduced typical Billroth II complications (e.g., bile reflux, afferent loop syndrome, dumping syndrome), with none observed in discharged patients.
Veterinary Surgery
5
2025
Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series
2025-5-VS-fink-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
In Viljoen 2022 et al., on surgical hand prep protocols, what factor significantly influenced post-surgical contamination risk?
🔍 Key Findings
- Pre-ABHR hand preparation lowered CFUs at 120 minutes post-gloving compared to ABHR alone (P = .001)
- pH-neutral soap followed by ABHR outperformed ABHR alone despite being nonmedicated (P = .001)
- CHX and BAC prewashes showed better immediate CFU reduction post-preparation than pHN (P = .012)
- No significant difference in total log10 CFU reduction across all four groups over the full surgical period (P = .362)
- Glove perforation in the thumb was a significant contamination factor (P = .036)
- All dogs recovered without surgical site infections, though SSI incidence was not a primary outcome
- Neutralizer validation lacking, so CHX results interpreted cautiously
- Study supports a 1-minute hand wash with pH-neutral soap prior to ABHR as effective and safe
Veterinary Surgery
3
2022
Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students
2022-3-VS-viljoen-3
In Kang 2022 et al., on 3D scaffold reconstruction, which material was combined with polycaprolactone (PCL) to enhance osteoconductivity?
🔍 Key Findings
- Patient-specific 3D-printed PCL/β-TCP scaffold enabled successful zygomatic arch reconstruction in a dog.
- Complete surgical resection of a zygomatic parosteal osteosarcoma was achieved, with a 0.3 mm histologically clean margin.
- Post-op imaging showed progressive tissue ingrowth into the scaffold, with Hounsfield Units increasing from 20.4 to 97.8 over 10 months.
- No complications (e.g., infection, displacement) or tumor recurrence were noted at 16-month follow-up.
- Use of a patient-specific osteotomy guide improved anatomical fit and facilitated precise excision and implant placement.
- Facial symmetry and orbital stability were maintained throughout follow-up.
- The scaffold remained structurally stable despite limited bone regeneration, suggesting connective tissue filled the defect.
- Topical mitomycin C was applied intraoperatively for possible anti-neoplastic effect, but efficacy remains unclear.
Veterinary Surgery
8
2022
Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog
2022-8-VS-kang-1
In Horwood 2024 et al., on complications in luxoid hip dysplasia, which intraoperative complication was significantly more common in LH dogs compared to non-LH dogs?
🔍 Key Findings
- Luxoid hip dysplasia (LH) was present in 8% of THA cases and significantly increased risk of major complications (p < .001).
- Intraoperative fissures/fractures were 3x more likely in LH dogs vs non-LH (39% vs 16%, p = .001).
- Dorsal luxation was more frequent in LH dogs (28% vs 4%, p = .019).
- Acetabular cup placement with ALO >35° was associated with luxation in LH dogs.
- Morphologic abnormalities (e.g., femoral valgus, lateralization/medialization of cortices) were common in LH and may complicate implantation.
- Despite higher risk, 94% of LH dogs achieved satisfactory outcomes after appropriate revisions.
- Younger age and lighter weight characterized LH dogs (mean age 14.7 months vs 40.9 months, p < .001).
- All LH dogs were treated with cementless stems; prophylactic cerclage was rarely used.
Veterinary Surgery
4
2024
Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)
2024-4-VS-horwood-1
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