
Your Custom Quiz
In Banks 2023 et al., on TECA-LBO in brachycephalic dogs, what was the overall perioperative complication rate and how did it compare between groups?
🔍 Key Findings
- Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
- Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
- EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
- Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
- Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
- Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
- MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
- Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.
Veterinary Surgery
5
2023
Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)
2023-5-VS-banks-5
In Radke 2022 et al., on outcome measure validation, which of the following instruments was noted to have **inconsistent factor analysis results** across validation studies?
🔍 Key Findings
- CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
- COI scored highest in development rigor and evidence quality among evaluated OROMs.
- Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
- LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
- CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
- All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
- Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
- Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).
Veterinary Surgery
2
2022
Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments
2022-2-VS-radke-3
In Nash 2024 et al., on esophageal pH monitoring, which technique was used to place the pH probe?
🔍 Key Findings
- Esophageal pH-monitoring was well tolerated in all 35 nonbrachycephalic dogs, with no major adverse events reported.
- Distal GER occurred in 80% of dogs, but events were typically brief and non-productive; proximal GER occurred in only 39%.
- Upper reference limits for GER were 2.4 events/hour (distal) and 0.4 events/hour (proximal).
- Cumulative acid exposure was minimal: upper limits were 2.3% (distal) and 0% (proximal).
- Comparison with brachycephalic dogs shows significantly higher GER frequency and duration, validating the diagnostic utility of pH monitoring.
- Transnasal probe placement under light anesthesia was safe and less morbid compared to percutaneous or conscious techniques.
- No expelled or productive regurgitation occurred, despite some GER events, indicating efficient esophageal clearance in healthy dogs.
- Diet and fasting duration may affect GER, but these were not controlled variables in this study.
Veterinary Surgery
8
2024
Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference
2024-8-VS-nash-3
In Huerta 2025 et al., on TPLO healing assessment, how did the 10-point scoring system compare to the 5-point system?
🔍 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-3
In Swieton 2025 et al., on portocaval shunts, which postoperative complication occurred most frequently?
🔍 Key Findings
Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:
- Good to excellent outcome: 81% (17/21)
- Median follow-up: 6 months (range 3–43)
Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported
Veterinary Surgery
2
2025
Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt
2025-2-VS-swieton-3
In Dobberstein 2022 et al., on NSAID ulcer repair, which of the following was a significant predictor or trend for postoperative mortality?
🔍 Key Findings
- Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
- NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
- All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
- No significant association between ulcer size or location and postoperative survival.
- Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
- Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
- Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
- Median follow-up of 444 days showed long-term survival was achievable post-primary repair.
Veterinary Surgery
7
2022
Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs
2022-7-VS-dobberstein-3
In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, what was a statistically significant outcome regarding surgery duration?
🔍 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-3
In Heikkilä 2024 et al., on COPLA scaffold evaluation, which parameter improved significantly only in unilaterally operated COPLA limbs?
🔍 Key Findings Summary
- 22 dogs (36 shoulders) with shoulder OCD randomly assigned to COPLA scaffold (n=19) or Control (n=17) group
- At 6 months: Significantly fewer dogs in COPLA group had OA (14% vs. 67%; p = 0.019)
- At 1.5 years: OA prevalence increased in both groups with no significant difference (COPLA: 64%, Control: 60%)
- HCPI (pain index) increased significantly at 1 week post-op in COPLA dogs only (p = 0.001), but later normalized
- Static weight-bearing improved only in unilaterally operated COPLA limbs (p = 0.015)
- One dog in COPLA group had a fragment dislodge requiring arthroscopic removal
- Overall, COPLA scaffold may provide short-term benefit in OA reduction, but long-term outcomes were similar
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs
2024-6-VCOT-heikkila-3
In Low 2024 et al., how did complication presence affect long-term functional outcome?
🔍 Key Findings Summary
- 47 dogs (57 elbows) underwent TCS placement for HIF
- Overall complication rate = 17.5%
- Minor: seromas (7 elbows)
- Major: septic arthritis (3 elbows) — all resolved with antibiotics
- No screw failures, medial epicondylar fractures, or catastrophic outcomes noted
- Long-term follow-up in 41 dogs (50 elbows):
- 90% full function, 10% acceptable function
- Mean follow-up = ~2.5 years
- Increased age was significantly protective (p = 0.0051; OR = 0.61)
- TCS placement method (freehand, guide, aiming device) significantly impacted screw angulation but not complication rate
- Outcome not affected by presence of complications
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure
2024-4-VCOT-low-3
In Caiazzo 2025 et al., on suture material comparison, what was the overall rate of incisional dehiscence without infection?
🔍 Key Findings
- No significant difference in non-infected incisional dehiscence rates among groups using PDS vs. Monocryl for subcutaneous and skin closure.
- Overall dehiscence rate: 9.48% (22/232 dogs).
- Postoperative antibiotic use and signs of inflammation were significantly associated with dehiscence (p = .023 and p < .001, respectively).
- Dogs not receiving postoperative antibiotics had a higher dehiscence rate (14.74%) than those that did (5.84%).
- Most dehiscence cases were superficial (85.7%), and the average length of dehiscence was 1.71 cm.
- No statistically significant impact of weight, BCS, incision length, procedure type, surgeon experience, closure direction, or barrier use on dehiscence rate.
Veterinary Surgery
3
2025
Impact of suture materials polydioxanone and poliglecaprone 25 on non-infected clean orthopedic stifle procedure incisional dehiscence rates
2025-3-VS-caiazzo-1
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
