
Your Custom Quiz
In Eiger 2024 et al., on NIRFA-ICG in axial flaps, what was the typical direction of margin adjustment surgeons made after viewing NIRFA-ICG images?
🔍 Key Findings
- Caudal superficial epigastric (CSE) flaps were most visible with NIRFA, scoring 4/4 VFP in 97% of evaluations.
- CSE flap margins were altered in 65% of observations after NIRFA, showing the strongest influence on surgical planning.
- Thoracodorsal (THO) and omocervical (OMO) flaps had lower visualization scores, with 60–81% of images scoring below 2.
- Surgeons were 17–25 times more likely to adjust margins for CSE flaps versus OMO or THO based on fluorescence imaging.
- Poor inter-rater agreement was found for OMO (ICC 0.49) and THO (ICC 0.35); CSE had near-perfect agreement, but ICC was low due to uniform high scoring.
- Visualization was affected by flap depth and panniculus, making deeper vessels (OMO, THO) harder to see.
- Surgeons often shortened flap length and reduced flap area when modifying based on NIRFA results.
- Real-time angiosome visualization via NIRFA-ICG may reduce necrosis risk and improve patient-specific APF design.
Veterinary Surgery
6
2024
Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps
2024-6-VS-eiger-5
In Banks 2024 et al., on CCWO technique, what was the observed effect of **osteotomy distalization >7.5 mm**?
🔍 Key Findings
- Oxley's modified CCWO did not achieve the target TPA of 5° in most cases, even with planning.
- Mean planned TPA was 7.6°, higher than target, and consistent across dog sizes.
- Postoperative TPAs were significantly higher in small dogs (median 7°) than in large dogs (median 4.5°).
- Distalization >7.5 mm of the osteotomy from the patellar tendon led to increased under-correction of TPA.
- Only dogs with preoperative TPA >35° achieved post-planning TPAs close to the 5° target.
- Postoperative osteotomy positions were generally more distal than recommended (8.6 mm median).
- Virtual plate fit was appropriate for all dogs at 5 mm or 7.5 mm positions, suggesting no need for excessive distalization.
- Excessive correction leading to negative TPAs occurred in some cases, risking caudal cruciate ligament strain.
Veterinary Surgery
8
2024
A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases
2024-8-VS-banks-3
In Niida 2024 et al., on surgical residents and TPLO time, what was reported about osteotomy healing or union outcomes?
🔍 Key Findings
- Resident involvement significantly increased TPLO surgery duration compared to cases performed by faculty surgeons (FS)-only. Residents required 54% more surgery time (GLSM, 153 min) than FS-only cases (GLSM, 99 min), representing a 1.54-fold increase.
- The study did not report on short-term complication rates. No conclusions can be drawn from this source regarding complications between resident and faculty groups.
- Bone plate contouring was not evaluated. The source does not provide data regarding contouring frequency or its comparison between groups.
- Surgery duration significantly decreased after the first year of residency, but remained stable between second- and third-year residents. This was largely due to shorter tibial osteotomy durations, while arthroscopy times remained unchanged across residency years.
- Meniscal treatment was performed in 80% of cases, and it was associated with increased surgical duration, but the study did not compare the frequency of medial meniscal release between resident and faculty cases.
- The study did not evaluate osteotomy healing or revision surgery. Cases requiring immediate reoperation were excluded.
- Bone union outcomes were not assessed at 8 weeks or any other time point.
- The study concludes that resident participation significantly prolongs surgical time, but no data are provided regarding the effect on short-term clinical outcomes.
Veterinary Surgery
5
2024
The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs
2024-5-VS-niida-5
In Rodiño Tilve 2022 et al., on feline THR outcomes, what femoral implant size was most commonly used?
🔍 Key Findings
From “Long-term follow up of 44 cats undergoing total hip replacement” by Rodiño Tilve et al.
- Slipped capital femoral epiphysis (SCFE) was the most common surgical indication (61%, 34/56 hips), primarily affecting young neutered male cats.
- All THRs used cemented micro/nano BioMedtrix implants; most common femoral stem was size #3, and most common acetabular cup was 12 mm.
- Postoperative complication rate was 19.6% (11/56) with 9 major complications (luxation most common), and no intraoperative complications reported.
- All luxations occurred in hips implanted with femoral neck +0 mm length implants.
- Second luxations were more common when revision used same implant size; use of larger implants reduced reluxation rates.
- FMPI-sf score improved significantly from median 2.111 pre-op to 0.111 post-op (P < .001), indicating reduced pain and improved function.
- Very high owner satisfaction: 91% (30/33) reported outcome as "very good."
- No significant associations found between complications and variables like weight, sex, implant size, or surgical indication.
Veterinary Surgery
5
2022
Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)
2022-5-VS-rodino-2
In Johnson 2022 et al., on PET implant outcomes, what was a key limitation cited that precluded further investigation of this implant?
🔍 Key Findings
- Only 2 of 10 PET implants were fully intact and functional at 6 months post-op.
- Owner-reported function (LOAD scores) improved by 51.7% (p = .008) over 6 months.
- Gait asymmetry improved by 86% (p = .002) postoperatively.
- Implant failure occurred in the midbody of the PET device, suggesting fatigue as a failure mechanism.
- One dog (10%) developed implant infection, necessitating implant removal.
- Implant fixation method (screws + washers + interference screw) was mechanically adequate and technically simple.
- Partially intact implants (4/10) still showed improved clinical outcomes, despite structural compromise.
- Midbody tearing and lack of long-term integrity prohibit continued use of this PET implant in CCL repair.
Veterinary Surgery
8
2022
Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial
2022-8-VS-johnson-4
In Ferreira 2025 et al., on heated pneumoperitoneum in dogs, what best describes the clinical outcome of all patients in the study?
🔍 Key Findings
- Heated CO₂ insufflation reduced perioperative hypothermia during laparoscopic ovariectomy compared to nonheated CO₂.
- Final body temperature was significantly higher in the heated group (36.03°C) than in the nonheated group (34.93°C).
- Temperature reduction correlated with surgical duration only in the nonheated group (p < .05).
- Heated CO₂ delayed temperature drop, occurring after 20 minutes vs. 5 minutes in nonheated cases.
- No significant differences between groups in anesthetic, surgical, or insufflation times.
- All dogs recovered uneventfully and were discharged the same day.
- Heated CO₂ may offer greater benefit in longer procedures or in small-sized dogs prone to hypothermia.
- No adverse effects were attributed to heated gas use in this clinical trial.
Veterinary Surgery
5
2025
Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial
2025-5-VS-ferreira-5
In Klever 2024 et al., what factor helps visually identify a dorsoventral rather than ventrodorsal pelvic projection?
🔍 Key Findings
- Dorsoventral radiographs artificially increase Norberg angle values by 3.2–5.8% and should be excluded.
- Lateral pelvic tilt >2° causes asymmetric changes in Norberg angle; >3° results in significant side-specific changes.
- Cranioventral-to-caudodorsal tilt >10° results in obvious radiographic tilt, but changes Norberg angle by only ~2%.
- Tilted but subjectively acceptable images have minor impact and may still be usable for screening.
- Norberg angle readings differed consistently between left/right hips — possibly due to operator handedness.
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements
2024-1-VCOT-klever-4
In Glenn 2024 et al., on questionnaire specificity, which algorithm had the highest specificity for SSI detection?
🔍 Key Findings Summary
- Population: 754 soft tissue or orthopedic procedures in dogs and cats
- SSI Rate: 62/754 (8.2%)
- Algorithms Evaluated:
- Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
- Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
- Algorithm 3: Highest overall accuracy (95.5%)
- Active vs. Passive Surveillance:
- Active surveillance detected 12 additional SSIs (19.4%) missed by passive
- Active surveillance increased detection rate by 24%
- Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
- Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes
Veterinary Surgery
1
2024
Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system
2024-1-VS-glenn-3
In Cola 2024 et al., on laparotomy-assisted endoscopy, what was the primary factor associated with the need to convert to enterotomy?
🔍 Key Findings
- LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
- Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
- LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
- Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
- Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
- No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
- Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
- Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.
Veterinary Surgery
7
2024
Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats
2024-7-VS-cola-1
In Allaith 2023 et al., on THR outcomes, which implant types were associated with increased complications following femoral head and neck excision?
🔍 Key Findings
From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry
- 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
- Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
- Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
- Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
- Most common complications: Luxation, femoral fracture, and aseptic loosening.
- BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
- Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
- Owner satisfaction was high, with 88% rating outcome as very good or good.
Veterinary Surgery
2
2023
Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period
2023-2-VS-allaith-2
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
