Your Custom Quiz
In Ciammaichella 2025 et al., on lymphadenectomy complications, which lymphadenectomy site had the lowest rate of intraoperative complications?
🔍 Key Findings
- Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
- Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
- Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
- Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
- Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
- No significant predictors retained significance in multivariate analysis
- Use of methylene blue was associated with fewer complications, although not statistically significant
- Complication rates did not result in mortality, and all were manageable; MST was 374 days
Veterinary Surgery
7
2025
Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors
2025-7-VS-ciammaichella-3
In Evers 2023 et al., on needle arthroscopy for meniscal tears, what best describes the procedural morbidity of needle arthroscopy?
🔍 Key Findings
- Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for diagnosing medial meniscal tears in dogs with CCLR.
- NA missed 1 medial and 1 lateral meniscal tear, both nondisplaced and stable.
- Visibility of all meniscal horns was significantly lower with NA compared to standard arthroscopy (SA) (P < .005 for all horns).
- Probing the caudal horn of the lateral meniscus was significantly more difficult with NA (P = .0017), though medial horn probing was similar.
- Mean NA procedure time was 8 ± 3 minutes, significantly shorter than SA (15 ± 9 min, P = .0041).
- No increase in lameness observed after NA, indicating minimal procedural morbidity.
- NA was performed under sedation in most dogs, though 10/26 required additional chemical restraint or short anesthesia.
- NA was most accurate for displaced vertical longitudinal tears, with all 14 correctly identified; one stable tear and a lateral tear were missed.
Veterinary Surgery
6
2023
Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture
2023-6-VS-evers-5
In Drudi 2022 et al., on CAL vs TAL outcomes, which technique resulted in a significantly greater increase in rima glottidis area at both postoperative time points?
🔍 Key Findings
- Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
- TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
- No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
- All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
- CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
- Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
- Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
- Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.
Veterinary Surgery
3
2022
Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis
2022-3-VS-drudi-1
In Hawker 2025 et al., on locking head inserts, what did the authors conclude regarding high-strain construct scenarios?
🔍 Key Findings
- Adding Locking Head Inserts (LHI) to a 3.5-mm LCP had no effect on plate strain, stiffness, or deformation in an open fracture gap model.
- Peak strain consistently occurred at the Combi-hole over the fracture gap, with values up to ~1837 µε.
- No significant difference in strain was found across configurations with 0, 3, or 9 LHI (p = 0.847).
- Construct stiffness and compressive displacement also remained unchanged regardless of LHI count (p = 0.311 and 0.069 respectively).
- Study contradicted the hypothesis that LHI would reduce strain and increase stiffness under biologic loading.
- Combi-hole design may limit the efficacy of LHI, as LHI only fill the locking portion, not the compression side where strain peaks.
- Implant fatigue risk remains highest over unfilled screw holes, especially over fracture sites—confirming previous failure patterns.
- Surgeons should consider alternative methods to reduce strain when facing high implant load scenarios.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model
2025-4-VCOT-hawker-5
In Lomas 2025 et al., on hybrid THR in cats, what technique was used intraoperatively to correct medial patellar luxation seen after implant reduction?
🔍 Key Findings
- Hybrid THR in cats showed no major complications across 17 hips in 15 cats, including 2 bilateral cases.
- Postoperative radiographs confirmed stable implant positioning with no loosening, migration, or dislocation in follow-up imaging.
- Mean owner satisfaction was high, with a mean short-form feline musculoskeletal pain index (sf-FMPI) score of 2/36 at a mean follow-up of 438 days.
- SCFE (slipped capital femoral epiphysis) was the most common indication, seen in 13/17 hips.
- Partial tenotomy of rectus femoris origin resolved intraoperative medial patella luxation in 3 cases—no cats required surgical correction later.
- A micro BFX cup allowed for increased acetabular offset, possibly reducing luxation risk even when using a +0 femoral head offset.
- Hybrid THR was successfully used as a revision for failed CFX THR due to recurrent luxation—implants remained stable post-revision.
- Use of oversized cups (12 mm) with shallow seating or medial breach still resulted in stable outcomes, suggesting good implant fixation even with reduced bone stock.
Veterinary Surgery
6
2025
Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)
2025-6-VS-lomas-2
In Almeida 2025 et al., on TPLO and partial CCL rupture, what impact did partial CCL rupture have on postoperative patellar ligament shortening?
🔍 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-5
In Moore 2023 et al., on Divisional outcomes in canine liver mass resection, what impact did TA stapler use have on surgical outcomes in liver mass resection?
🔍 Key Findings
- Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
- Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
- Mortality rate was 6.5% overall, with no significant association with liver lobe location.
- Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
- Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
- Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
- Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
- Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.
Veterinary Surgery
4
2023
Association between divisional location and short-term outcome of liver mass resection in 124 dogs
2023-4-VS-moore-3
In Cruciani 2025 et al., on portal placement, how often was complete fragment removal achieved?
🔍 Key Findings
- Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
- Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
- Outcomes:
- Good to excellent mid-to-long-term outcomes in 11/14 dogs.
- Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
- Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
- No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
- Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
- Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
- Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).
Veterinary Surgery
1
2025
A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)
2025-1-VS-cruciani-5
In Evers 2023 et al., on needle arthroscopy, what was a common limitation of needle arthroscopy compared to standard arthroscopy?
🔍 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-2
In Beamon 2022 et al., on calcanean tunnel orientation, what was concluded regarding all tested drilling techniques?
🔍 Key Findings
- No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
- Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
- Most common failure mode was suture pull-through (67%), with no significant difference between groups.
- Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
- All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
- The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
- TT constructs showed more tendon distortion at the repair interface during loading.
- Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.
Veterinary Surgery
4
2022
Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model
2022-4-VS-beamon-5
Quiz Results
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Key Findings