
Your Custom Quiz
In Berger 2023 et al., on elbow COR estimation, how did the COR in FMCP elbows compare to normal elbows?
🔍 Key Findings
- COR of elbows with FMCP was significantly more caudal compared to normal elbows, based on CT-derived geometry.
- In normal elbows, 74% of medial and 93% of lateral axes exited cranial and distal to the epicondyles.
- In FMCP elbows, 81% of medial and 70% of lateral axes exited caudal and distal to the epicondyles.
- Different landmark combinations produced slightly different COR approximations, especially between humeral vs. radius/ulna-based axes.
- The medial-lateral axis using trochlea and capitulum centers provided the most consistent COR approximation.
- COR estimations based on diseased elbows may not match normal joint geometry, impacting implant alignment accuracy.
- External epicondylar landmarks may be useful intraoperatively to estimate COR location, but variability limits precision.
- Drill diameter size may buffer small COR differences, but impact in advanced disease or bilateral cases remains unclear.
Veterinary Surgery
1
2023
The use of subchondral bone topography to approximate the center of rotation of the elbow joint in dogs
2023-1-VS-berger-2
In Thomsen 2024 et al., on CT accuracy for liver tumors, which anatomical level had the highest accuracy?
🔍 Key Findings
- CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
- Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
- Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
- CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
- Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
- No significant associations found between histopathologic diagnosis and localization accuracy
- Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
- Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best
Veterinary Surgery
7
2024
Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists
2024-7-VS-thomsen-1
In Scheuermann 2024 et al., on 3D-printed reduction systems, what was the most significant intraoperative imaging difference between 3D-MIPO and c-MIPO groups?
🔍 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-scheuermann2-2
In Almeida 2025 et al., on TPLO and partial CCL rupture, what was the authors’ conclusion on CCL transection as a preventive for desmitis?
🔍 Key Findings
- Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
- Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
- Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
- Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
- No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
- Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
- Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
- Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture
2025-4-VCOT-almeida-4
In Muroi 2024 et al., on radius plate stress effects, what FEA result was consistent in both LP 1 mm and 3 mm groups?
🔍 Key Findings Summary
- Finite element analysis compared intact radii vs. locking plates placed 1 mm or 3 mm above the bone
- LP placement significantly reduced tensile (maximum principal) stress on cranial cortex, potentially causing implant-induced osteoporosis
- Shell element findings:
- Max principal stress significantly lower in both LP groups vs. intact (p < 0.05)
- Solid element findings:
- Equivalent stress higher and max principal stress lower in LP groups
- Implication: Tension reduction may impair bone remodeling; implant design and placement height affect stress environment
Veterinary and Comparative Orthopedics and Traumatology
3
2024
Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis
2024-3-VCOT-muroi-4
In Thibault 2023 et al., on DPO for THR luxation, what major limitation of DPO was discussed compared to TPO?
2023-8-VS-thibault-5
In Smith 2025 et al., on ergonomic injury risk, what was the most commonly reported type of musculoskeletal disorder?
🔍 Key Findings
140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:
- Rotating cup biopsy forceps (p < .001)
- Vessel sealing device and endo stapler (especially in those with shoulder injuries)
No significant association with surgeon age, dominant hand, height, weight, or case volume.
Veterinary Surgery
2
2025
Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons
2025-2-VS-smith-2
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
In Mullen 2024 et al., on NIRF for GDV, how did near-infrared imaging alter the surgical plan in affected dogs?
🔍 Key Findings
- NIRF altered surgical strategy in 3 of 20 GDV dogs, identifying necrosis not appreciated subjectively.
- Fundic fluorescence <10% indicated histologically confirmed gastric necrosis.
- In 1 dog, NIRF revealed nonviability despite the surgeon’s impression of viability.
- Staple line fluorescence resembled viable tissue in the only stapled gastrectomy, suggesting preservation of perfusion.
- GDV dogs (even “viable”) showed lower fluorescence vs. healthy controls, indicating subclinical vascular compromise.
- Histology confirmed full-thickness necrosis in all 4 dogs with NIRF-defined nonviability.
- Pre-op lactate was significantly higher in nonviable GDV dogs (8.55 vs 4.89 mmol/L, p=0.03).
- No complications were reported from ICG use; imaging was safe and repeatable.
Veterinary Surgery
4
2024
Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study
2024-4-VS-mullen-2
In Bilmont 2025 et al., on cup version comparison, what was the typical degree of underestimation when using truncated face version to infer open face version?
🔍 Key Findings
- Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
- Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
- Truncated face version is an unreliable surrogate for open face version.
- Accurate interpretation of cup version should include both truncated face version and inclination.
- Canine 3D pelvic model and CT-based simulation used for all measurements.
Veterinary Surgery
1
2025
Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view
2025-1-VS-bilmont-1
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