Your Custom Quiz
In Yu 2026 et al., on elbow OA surgery outcomes, what was a key limitation affecting the interpretation of success rates in surgical treatments for elbow OA?
🔍 Key Findings
- Canine unicompartmental elbow (CUE) had the highest reported success (91–98%) and the second-best safety profile (NNH = 7.6).
- Sliding humeral osteotomy (SHO) showed moderate success (43–82%) but had the best safety profile (NNH = 9.5).
- Overall evidence quality was low, with no Level I studies and only five Level II (prospective) studies.
- Success measures were inconsistent, often based on subjective outcomes (e.g., owner satisfaction), limiting comparability.
- Adverse events were common, with high complication rates in arthrodesis and total elbow arthroplasty (TEA).
- One study using objective outcome (PVF) showed only 43% long-term success for SHO, suggesting possible overestimation of success in subjective studies.
- The review highlights the need for validated, standardized outcome tools in elbow OA surgery trials.
- Number needed to harm (NNH) emerged as a more consistent and informative safety metric than success percentages.
Veterinary Surgery
1
2026
Systematic review of surgical treatment for severe elbow osteoarthritis in dogs
2026-1-vs-yu-3
In Weichert 2026 et al., on feline CMF fractures, which temporomandibular joint structure was most frequently involved in fractures?
🔍 Key Findings
- Mandibular fractures were the most common injury, occurring in 40/48 cats, often affecting multiple mandibular regions simultaneously.
- Temporomandibular joint (TMJ) injuries were frequent, present in 27/48 cats, with 23 fractures and 4 luxations, most commonly involving the condylar process.
- Maxillofacial fractures involving nasal and palatal structures occurred in 36/48 cats, frequently producing airway obstruction due to fragment displacement or swelling.
- Orbital fractures occurred in 30/48 cats, predominantly affecting the dorsomedial orbital wall and often associated with nasal airway obstruction.
- Pterygoid bone fractures (25/48) were clinically important, frequently causing medial displacement and obstruction of the nasopharyngeal airway.
- Combined involvement of multiple functional systems was common, with 36/48 cats showing concurrent injuries affecting oral cavity and nasal airway function.
- Neurocranial fractures were uncommon (6/48) but occurred only in cases with severe, multifocal CMF trauma.
- CT imaging was essential for diagnosis, as many orbital and skull fractures were difficult or impossible to detect clinically.
Veterinary and Comparative Orthopaedics and Traumatology
2
2026
Assessment of Fracture Distribution and Involvement of Functional Systems Following Craniomaxillofacial Trauma in 48 Cats
2026-2-vcot-weichert-2
In Danielski 2024 et al., on PUO effect on HIF, what percentage of elbows demonstrated subjective partial or complete healing on follow-up CT?
🔍 Key Findings Summary
- Sample: 51 elbows from 35 spaniel dogs
- Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
- Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
- Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
- Complications:
- Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
- Minor: 3 cases (5.8%) due to IM pin migration
- Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
- PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
- Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)
Veterinary Surgery
2
2024
Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs
2024-2-VS-danielski-1
In Wylie 2026 et al., on CCT surgical outcomes, which surgical approach was associated with the highest rate of catastrophic complications?
🔍 Key Findings
- CCT surgery was performed in 80 dogs (89 limbs) across five referral centers in a retrospective cohort study evaluating surgical treatment outcomes.
- Tendon repair with tarsocrural immobilization was the most common treatment (51.7%), followed by pantarsal arthrodesis (36%) and immobilization without repair (12.3%).
- The three-loop pulley was the most frequently used tendon repair suture pattern (41.3%) among repaired tendons.
- Overall complication rates did not differ significantly between tendon repair (56.5%) and pantarsal arthrodesis (42.8%) (p = .543).
- Catastrophic complications were significantly higher after tendon repair with immobilization (26.1%) compared with pantarsal arthrodesis (0%) (p = .005).
- Temporary tarsocrural immobilization (with or without tendon repair) was associated with higher revision surgery risk than pantarsal arthrodesis.
- Median referral follow-up time was 10 weeks (range 6–256 weeks).
- Long-term owner outcomes (LOAD questionnaire) showed no difference in mildly affected dogs among surgical groups (p = .493).
Veterinary Surgery
2
2026
Complications and outcomes following surgical management of common calcaneal tendon pathology in 80 dogs
2026-2-vs-wylie-4
In Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, which primary outcome showed a significant treatment effect?
🔍 Key Findings
- CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
- CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
- Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
- CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
- Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
- The study found no cases of hyperthermia; temperatures normalized over time in both groups.
- Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
- Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.
Veterinary Surgery
5
2024
Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs
2024-5-VS-araos-1
In Yu 2026 et al., on elbow OA surgery outcomes, what percentage of dogs treated with sliding humeral osteotomy had major complications in one prospective long-term study?
🔍 Key Findings
- Canine unicompartmental elbow (CUE) had the highest reported success (91–98%) and the second-best safety profile (NNH = 7.6).
- Sliding humeral osteotomy (SHO) showed moderate success (43–82%) but had the best safety profile (NNH = 9.5).
- Overall evidence quality was low, with no Level I studies and only five Level II (prospective) studies.
- Success measures were inconsistent, often based on subjective outcomes (e.g., owner satisfaction), limiting comparability.
- Adverse events were common, with high complication rates in arthrodesis and total elbow arthroplasty (TEA).
- One study using objective outcome (PVF) showed only 43% long-term success for SHO, suggesting possible overestimation of success in subjective studies.
- The review highlights the need for validated, standardized outcome tools in elbow OA surgery trials.
- Number needed to harm (NNH) emerged as a more consistent and informative safety metric than success percentages.
Veterinary Surgery
1
2026
Systematic review of surgical treatment for severe elbow osteoarthritis in dogs
2026-1-vs-yu-4
In Suematsu 2026 et al., on W-shaped tracheal collapse, what was the overall recurrence rate of tracheal collapse after CETP in all dogs?
🔍 Key Findings
- Dogs with W-shaped tracheal collapse (WTC) had significantly more stridor and labored breathing preoperatively than those with traditional collapse (TTC) (p < .0001 and p = .0419).
- WTC dogs were 12.1× more likely to require preoperative oxygen support than TTC dogs.
- All dogs (TTC and WTC) survived to discharge after CETP placement; no intraoperative deaths occurred.
- Postoperative laryngeal paralysis occurred in 5 dogs (7.2%), with similar rates between TTC and WTC groups.
- Recurrent tracheal collapse occurred in 3 dogs (1 TTC, 2 WTC), all requiring additional stenting.
- 36-month survival was 75.7% (TTC) and 90.9% (WTC), not statistically different.
- Multivariate analysis showed Yorkshire Terriers (HR = 19.3) and older age (HR = 1.35 per year) were significantly associated with reduced survival.
- CETP was safe and effective for WTC, despite more severe preoperative signs, offering a viable alternative to stenting.
Veterinary Surgery
1
2026
Long‐term outcomes of dogs with W‐shaped or traditional tracheal collapse treated with a continuous extraluminal tracheal prosthesis: A retrospective study
2026-1-vs-suematsu-5
In Spies 2024 et al., on EHPSS in large dogs, which was the most common shunt type identified?
🔍 Key Findings
- 63 dogs ≥15 kg with single EHPSS were reviewed.
- Most common breeds: Golden Retriever (28.6%), mixed breed (20.6%).
- Most common shunt types: splenocaval (25.4%) and portocaval (25.4%).
- 45 dogs received surgical attenuation; 18 were medically managed.
- 6.7% (3/45) of surgically treated dogs died due to shunt-related complications; 22.2% (4/18) of medically managed dogs died.
- Hypoplastic portal vein was noted in 52.9% of dogs where portal anatomy was described.
- 37.5% of surviving attenuated dogs were weaned off all medical management.
- Attenuated dogs had higher 1-, 2-, and 5-year survival rates (89%, 77%, 77%) than nonattenuated dogs (82%, 49%, 24%).
Veterinary Surgery
2
2024
Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts
2024-2-VS-spies-1
In Welsh 2025 et al., on orthogonal plating, how did unilateral plating compare to orthogonal plating?
🔍 Key Findings
- Compared unilateral plating (UP) vs orthogonal plating (OP) with 2.0, 2.4, and 3.0 mm plates (OP2.0, OP2.4, OP3.0).
- Model: acetal homopolymer (Delrin) rod with 29 mm fixed fracture gap, loaded axially (4–196 N, 90,000 cycles).
- OP constructs had 2.5–4.1x higher strength and 3.0–4.2x higher stiffness than UP constructs (p < .0002).
- UP had 3.5–4.1x higher gap strain than OP groups (p < .0075).
- All OP groups exceeded 1000 N max load before failure (vs 424 N for UP).
- Greater implant size in OP groups further increased performance.
- All constructs survived fatigue loading; 3.5 mm plates showed deformation, especially UP; OP plates remained intact.
Veterinary Surgery
4
2025
Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model
2025-4-VS-welsh-2
In Viskjer 2026 et al., on SDFT luxation surgery, how did the long-term symmetry index compare with preoperative values?
🔍 Key Findings
- Modified block recession calcaneoplasty restored full clinical function in all dogs (11 limbs in 9 dogs) at long-term follow-up.
- Objective gait function improved significantly, with symmetry index improving from 0.20 ± 0.13 preoperatively to 0.05 ± 0.03 at long-term follow-up (p = .03).
- No routine postoperative tarsal immobilization was used, yet stable tendon positioning and excellent outcomes were achieved in most cases.
- Overall complication rate was 45%, including 18% major complications requiring revision surgery and 27% minor complications.
- Only one reluxation occurred, secondary to fracture of an overly narrow medial calcaneal wall; successful revision prevented further recurrence.
- CT confirmed persistent deepening of the calcaneal groove and uneventful healing with variable osseous remodeling at long-term follow-up.
- Ultrasonography demonstrated normalization of tendon fiber architecture at long-term evaluation despite heterogeneous appearance in many tendons at 6 weeks.
- Most dogs were Shetland Sheepdogs (8/9), supporting breed predisposition, and all luxations were lateral.
Veterinary Surgery
4
2026
Surgical management of luxation of the superficial digital flexor muscle tendon (SDFT) using a modified block recession calcaneoplasty without subsequent tarsal joint immobilization
2026-4-vs-viskjer-4
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings