Your Custom Quiz
In Deprey 2022 et al., on gap fracture implants, what was the failure mode of the LCP constructs under axial compression?
🔍 Key Findings
- NAS-ILN had significantly greater stiffness in both axial compression and 4-point bending compared to LCP constructs.
- Ultimate load to failure was significantly higher for NAS-ILN in compression (804 N vs 328 N) and bending (25.7 Nm vs 16.3 Nm).
- Torsional stiffness and angular deformation were similar, but NAS-ILN resisted higher torque to failure than LCP (22.5 Nm vs 19.1 Nm).
- No slack was observed with the NAS-ILN construct, unlike older nail designs.
- Failure modes differed: LCPs failed via plate bending; NAS-ILNs failed at the implant or bone near screw holes.
- Titanium alloy and curved design of NAS-ILN provides better anatomic fit and more uniform stress distribution.
- A third, perpendicular locking hole in NAS-ILN may enhance torsional stability but was not utilized in this study.
- The curved, angle-stable design of NAS-ILN is a novel advancement in veterinary orthopedics.
Veterinary Surgery
8
2022
Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model
2022-8-VS-deprey-2
In Carvajal 2023 et al., on serum biomarkers post-THA, what was the significance of including only dogs with uncomplicated THA?
🔍 Key Findings
- C-reactive protein (CRP) and serum amyloid A (SAA) levels remained low at 3 and 6 months after uncomplicated THA in dogs.
- No significant differences were observed in CRP or SAA between preoperative, 3-month, and 6-month time points.
- Mean CRP values were 3.8 mg/L pre-op, 0.8 mg/L at 3 months, and 1.4 mg/L at 6 months.
- Mean SAA values were 13.9 mg/L pre-op, 14.1 mg/L at 3 months, and 18.4 mg/L at 6 months.
- All dogs recovered normally with no complications or persistent signs of inflammation at follow-up.
- Study establishes baseline CRP and SAA levels for dogs post-THA, useful for comparison in suspected PJI.
- These markers may help differentiate periprosthetic joint infection (PJI) if values deviate from baseline post-THA.
- NSAID therapy was discontinued by 6 months in all dogs, possibly reflecting decreased inflammation.
Veterinary Surgery
1
2023
Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs
2023-1-VS-carvajal-3
In Sanders 2024 et al., on feline anastomosis techniques, which method had the shortest mean time to construct completion?
🔍 Key Findings Summary
- ILP and MIP: No significant differences in leak pressure between HSA, FEESA, and SS techniques (p > .05).
- Construct Time:
- FEESA (no oversew) fastest: 79 ± 30 s
- HSA-SI slowest: 397 ± 70 s (p < .001)
- Tissue Thickness:
- Jejunum thickest: 2.28 ± 0.30 mm
- Stomach thinnest: 1.66 ± 0.28 mm
- Staple Malformation: Noted in 2 FEESA-O constructs, vertical staple line.
- Leak Locations:
- HSA: All leaked from suture bites
- FEESA: Leaks from vertical and horizontal staple lines
- SS: Mostly from staple holes
Veterinary Surgery
2
2024
Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats
2024-2-VS-sanders-1
In Wang 2025 et al., on TPLO osteotomy alignment, what was the **intended postoperative TPA** targeted in this study?
🔍 Key Findings
- Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of 3° (range: 0–4.5°), showing excellent accuracy.
- The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
- Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
- Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
- Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
- Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
- Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
- Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.
Veterinary Surgery
7
2025
Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation
2025-7-VS-wang-3
In Rocheleau 2024 et al., on arthroscopic meniscal suturing, how were failed meniscal repairs managed?
🔍 Key Findings
- Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
- All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
- The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
- No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
- Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
- Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
- The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
- The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.
Veterinary Surgery
5
2024
Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears
2024-5-VS-rocheleau-4
In Fracka 2024 et al., on perioperative risk factors, which surgical technique was associated with a significantly higher odds of complicated recovery?
🔍 Key Findings
- Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
- Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
- Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
- Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
- History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
- Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
- FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
- Bulldogs comprised 80% of population, with French Bulldogs most common (63%).
Veterinary Surgery
4
2024
Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)
2024-4-VS-fracka-1
In De Moya 2025 et al., on antebrachial deformity correction, which surgical maneuver was used to correct antebrachiocarpal incongruency?
🔍 Key Findings
- CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
- Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
- Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
- Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
- Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
- Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
- Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
- Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.
Veterinary Surgery
6
2025
Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs
2025-6-VS-demoya-5
In Vodnarek 2024 et al., on method comparison, which statement is true regarding the **anatomically adjusted method**?
🔍 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-5
In Farrugia 2025 et al., on BODPUO location effects, what impact did initial proximal ulna angle (IPUA) have on surgical outcome?
🔍 Key Findings
- Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
- Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
- Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
- Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
- Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
- Osteotomy length had no significant effect on change in angle.
- Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
- No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.
Veterinary Surgery
6
2025
Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment
2025-6-VS-farrugia-3
In Scheuermann 2024 et al., on 3D-printed reduction systems, which limitation was acknowledged as impacting surgical scheduling in the 3D-MIPO group?
🔍 Key Findings
- The study was a historic case-control trial comparing custom 3D-printed VSP-guided MIPO (3D-MIPO) to conventional MIPO (c-MIPO) in dogs with diaphyseal tibial fractures.
- Surgical time was significantly shorter in the 3D-MIPO group (117 min vs. 151 min; p = .014), and fluoroscopy use was dramatically reduced (11 vs. 37 images; p < .001).
- All 3D-MIPO reductions were acceptable or near-anatomic; 2 c-MIPO dogs had unacceptable reductions.
- Tibial length, frontal, and sagittal alignment post-op were similar between groups; no significant difference in anatomic restoration (p > .1).
- Radiographic union occurred in all dogs by 3 months. Time to union was similar between groups (3D-MIPO: 67 days vs. c-MIPO: 53 days; p = .207).
- Postoperative complication rate was higher in 3D-MIPO (27% vs. 14%), including 2 major infections requiring implant removal.
- 3D-MIPO required more pre-op time (~23 hours longer from presentation to surgery; p = .002), partly due to guide printing/sterilization.
- Improved surgical efficiency and more consistent reductions were noted in the 3D-MIPO group, supporting its clinical utility despite increased pre-op logistics.
Veterinary Surgery
6
2024
Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study
2024-6-VS-scheuermann2-4
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