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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 Scharpf 2024 et al., which statement best reflects the authors' conclusion on subtotal coronoidectomy?
🔍 Key Findings Summary
- Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
- No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
- Force plate analysis was more sensitive than visual lameness scoring.
- Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
- Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis
2024-2-VCOT-scharpf-5
In Barnes 2024 et al., on knot performance, what advantage does the DF knot provide in confined surgical spaces?
🔍 Key Findings
- Double forwarder (DF) knots had significantly higher knot holding capacity (KHC) than square (SQ) and surgeon’s (SU) knots when tied with <6 throws.
- In 3 USP polyglactin 910, DF knots with 4–5 throws were not significantly stronger than SU knots with 6–8 throws (p > .43).
- DF knots never unraveled, while SQ and SU knots with 4–5 throws showed substantial unraveling.
- KHC did not increase in DF knots when throws increased from 3 to 5.
- Knot volume and weight were significantly higher in DF knots than SQ/SU knots at the same throw count (p < .003).
- DF knots allow sliding placement, potentially useful in minimally invasive or deep cavity procedures.
Veterinary Surgery
2
2024
Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture
2024-2-VS-barnes-5
In Carrera 2024 et al., what was the observed long-term effect on aLDFA and tibial torsion at 1-year postoperatively?
🔍 Key Findings Summary
- 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
- Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
- Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
- Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
- No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
- One complication due to domestic trauma, not surgical failure.
- Early surgery appeared to preserve alignment and prevent deformity progression.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs
2024-2-VCOT-carrera-4
In Shetler 2022 et al., on radial head OCD, what surgical technique was used after fragment removal?
🔍 Key Findings
- Bilateral radial head OCD lesions were identified in a 6-month-old English Bulldog with elbow lameness.
- Medial arthroscopic portals allowed only partial visualization of radial head lesions, insufficient for treatment.
- Lateral arthroscopy portals provided excellent access for fragment removal and abrasion arthroplasty.
- Histopathology confirmed OCD, showing cartilage degeneration and retained cartilaginous cores.
- Dog showed complete resolution of lameness and no elbow pain at 5 months post-op.
- Lesions were caudolateral on the radial head, with discoid elevation of cartilage and clefts.
- Lateral approach avoids major neurovascular structures, reducing iatrogenic risk.
- The authors suggest lateral elbow arthroscopy may have broader indications, including for medial compartment disease or synovial biopsies.
Veterinary Surgery
8
2022
The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog
2022-8-VS-shetler-4
In Price 2024 et al., on left-sided TD ligation in dogs, what percentage of cadavers showed successful thoracic duct ligation at the fourth intercostal space?
🔍 Key Findings
- Left fourth intercostal thoracotomy allowed successful thoracic duct (TD) ligation in 9/10 canine cadavers.
- 10/13 clinical cases had a single TD branch at the left fourth intercostal space, indicating lower anatomical complexity.
- All TD branches at this site were lateral to the esophagus, simplifying surgical access.
- Unilateral subphrenic pericardiectomy was successfully performed via the same incision in 10/10 cadavers.
- Fewer TD branches at the fourth intercostal space than traditional caudal sites may reduce the risk of missed collaterals.
- In contrast, traditional caudal TD ligation sites had up to 5 branches, requiring broader dissection.
- No cadaver had right-sided TD branches, reducing surgical complexity at the studied location.
- Contrast-confirmed ligation was effective in 90% (9/10) cadavers on CT imaging.
Veterinary Surgery
3
2024
Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers
2024-3-VS-price-1
In Lotsikas 2025 et al., on stifle distraction portal, what was the most frequently affected cartilage zone in terms of iatrogenic damage?
🔍 Key Findings
Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:
- No damage to the long digital extensor tendon (LDE) with this portal
- VSTL could be placed without removing the arthroscope
- Portal creation time ~37 seconds (faster than previously reported)
Cartilage impact:
- Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
- No difference in IACI between 5- and 10-minute lever durations
- Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)
Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use
Veterinary Surgery
3
2025
Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study
2025-3-VS-lotsikas-2
In Sullivan 2025 et al., on TTT stabilization methods, why should findings be interpreted cautiously for clinical translation?
🔍 Key Findings
- Spacer pin fixation showed no difference in failure force or stiffness compared to tension band wire (TBW) or 2-pin techniques.
- All constructs failed under loads >1000 N, exceeding estimated peak quadriceps force in dogs during walking (~240 N).
- Patellar ligament failure was the most common mode of failure across all groups (5–8 samples per group).
- Distal tibial crest fractures were seen only in 2-pin and spacer pin groups, not in TBW group, suggesting TBW may protect against crest failure.
- No failures occurred at pin tracts, possibly due to pin placement within patellar ligament footprint.
- Spacer pin technique avoids placing pins through the tuberosity, potentially reducing risks of soft tissue complications like tendinopathy or irritation.
- Use of partial osteotomy with robust distal crest may substitute for TBW without compromising initial mechanical strength.
- Further in vivo or cyclic loading studies are required, as this cadaveric study tested only acute tensile failure.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Biomechanical Comparison of Spacer Pin Fixation to Two Established Methods of Tibial Tuberosity Transposition Stabilization in Dogs
2025-3-VCOT-sullivan-5
In Raleigh 2022 et al., on pericardiectomy complications, which strategy is recommended to minimize VF risk when using electrosurgery?
🔍 Key Findings
- Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
- 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
- Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
- Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
- Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
- Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
- VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
- Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.
Veterinary Surgery
4
2022
The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs
2022-4-VS-raleigh-5
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
Quiz Results
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