
Your Custom Quiz
In Jones 2024 et al., on LEAP plate design, what feature was specifically updated post-study to address a mode of implant failure?
🔍 Key Findings Summary
- 62 fractures in 61 dogs (44 lateral condylar, 18 intracondylar); mostly Spaniels
- LEAP plate used in all cases; minimal intraoperative contouring needed (1 French Bulldog)
- Overall complication rate: ~33%, mostly minor; 1 amputation due to catastrophic infection
- Radiographic healing:
- Lateral epicondylar part healed in 100%
- Condylar part healed in ~61.5% LCF and ~57.1% ICF
- Functional outcomes:
- 87% returned to full limb use
- Median LOAD score: 2 for LCF, 6.5 for ICF
- Design adjustments made post-study to strengthen weak zones around 3rd–4th screw holes
Veterinary Surgery
4
2024
Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs
2024-4-VS-jones-4
In Alvarez-Sanchez 2023 et al., on SLN mapping in canine MCT, what was the histologic metastasis rate (HN2 or HN3) in excised lymph nodes?
🔍 Key Findings
- Combined ICTL and NIRF detected the same SLN in 80% of cases; each method alone missed sentinel lymph nodes in some dogs.
- ICLT failed in 5% of dogs, while NIRF failed in 20%; combined use resulted in only 5% failure in SLN detection.
- Metastatic lymph nodes were detected in 95% of dogs, despite most tumors being low or intermediate grade (95%).
- 27 of 41 nodes (65.8%) were histologically metastatic (HN2 or HN3), many of which would have been missed using ALN alone.
- ALN matched the SLN in only 45% of cases with ICTL and 30% with NIRF, supporting the need for SLN mapping.
- ICLT and NIRF were complementary, often identifying different SLN, with some only fluorescent or enhanced in one modality.
- Subcutaneous MCT had higher metastatic rates (7/8 dogs) than previously reported, challenging older assumptions about benign behavior.
- Removing both ALN and SLN (from both methods) improved detection of metastasis to 85–95%, reducing risk of understaging.
Veterinary Surgery
3
2023
Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors
2023-3-VS-alvarez-sanchez-4
In Lotsikas 2025 et al., on stifle distraction portal, what was the effect of VSTL duration (5 vs. 10 minutes) on overall cartilage 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-4
In Buote 2023 et al., on 3D-printed cannulas in feline laparoscopy, what technical issue occurred with the 3DPC during live surgery case 1?
🔍 Key Findings
- 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
- Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
- Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
- Live patients experienced no postoperative complications, including no incision site infections or discomfort.
- Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
- Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
- Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
- Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.
Veterinary Surgery
6
2023
3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series
2023-6-vs-buote-4
In Evers 2023 et al., on medial meniscal tear detection, what was the reported sensitivity of needle arthroscopy (NA)?
🔍 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-1
In Gutbrod 2024 et al., on feline tibial stabilization, which construct demonstrated the highest axial stiffness?
🔍 Key Findings
- 2.4 mm LCP with a 1.6 mm IM pin had the highest axial stiffness and yield strength among the tested constructs.
- Axial stiffness was significantly higher in the 2.4 mm LCP + 1.6 mm IM pin group compared to 2.7 mm LCP alone (p = .013).
- No significant difference in torsional stiffness was found among groups.
- 2.4 mm LCP + 1.0 mm pin had the lowest stiffness and failure load, underperforming both other constructs.
- All constructs failed via valgus bending, consistent with clinical observations in feline tibial fractures.
- A 1.6 mm pin (~50% canal fill) resulted in superior construct performance vs. 1.0 mm (~30% fill).
- Group 2 (2.4 LCP + 1.6 mm pin) outperformed the 2.7 mm LCP alone in stiffness, despite using a smaller plate.
- Plate–rod constructs may better preserve periosteal blood supply and support minimally invasive stabilization strategies.
Veterinary Surgery
4
2024
Ex vivo biomechanical evaluation of 2.4 mm LCP plate rod constructs versus 2.7 mm LCP applied to the feline tibia
2024-4-VS-gutbrod-1
In Dalton 2023 et al., on acetabular fracture repair, how did the clinical case dog recover following minimally invasive acetabular fracture repair?
🔍 Key Findings
- Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
- All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
- Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
- Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
- Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
- Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
- Use of locking screws improved reduction fidelity, particularly across a broad plate span.
- 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.
Veterinary Surgery
6
2023
Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report
2023-6-VS-dalton-4
In Galliano 2022 et al., on vascular access ports, which factor did **not** correlate with the development of complications?
🔍 Key Findings
- SVAPs placed in axillary (aSVAP) or femoral/external iliac veins (fSVAP) during limb amputation remained functional in 92.3% and 100% of cases, respectively.
- Complication rates were lower in aSVAP (23.1%) and fSVAP (0%) compared to jSVAP (47.4%), although not statistically significant (P = .12).
- No catastrophic complications occurred with aSVAP or fSVAP; 2 deaths occurred with jSVAP due to port-related issues.
- Infection-related port removal was needed in 1 aSVAP (7.7%) and 2 jSVAPs (10.5%) — no removals were required in fSVAPs.
- Tip placement of the catheter (e.g., right atrium vs. vena cava) did not correlate with complications (P = .66).
- Shorter surgical time likely with aSVAP/fSVAP as they use the same surgical field as the limb amputation.
- Survival time median was similar across groups (jSVAP: 177 days, aSVAP: 125 days, fSVAP: 122 days).
- SVAP implantation during limb amputation offers a practical and safe alternative to separate jugular placement.
Veterinary Surgery
7
2022
Subcutaneous vascular access port implantation in the axillary or femoral/external iliac vein at the time of full limb amputation in dogs
2022-7-VS-galliano-4
In Low 2025 et al., on machine-learning outcomes in IVDE, what was the most important predictor of outcome according to SHAP value analysis?
🔍 Key Findings
The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).
Ambulatory recovery occurred in 53.1% of dogs (86/162).
The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.
Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.
Top predictive features (by SHAP analysis) included:
- T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
- Use of fenestration (presence associated with better recovery)
- Hospitalization duration
- Imaging modality used
- Duration of nonambulatory status
Machine learning provided better insight into prognostic factors than traditional statistical methods.
Veterinary Surgery
4
2025
Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion
2025-4-VS-low-3
In Lin 2025 et al., on surgical approaches to the radius, which approach provided significantly more surface exposure?
🔍 Key Findings
- Craniolateral approach (CLA) exposed significantly more radial surface area than craniomedial approach (CMA) (19.4 cm² vs. 13.8 cm²; p = 0.01).
- Proximal width of exposure was greater in CLA, especially at 12.5% length (P2 level, p = 0.016), aiding plate placement.
- No significant difference in exposed bone length between approaches.
- CLA avoided major neurovascular structures, making dissection cleaner and safer proximally.
- CMA consistently encountered median nerve/artery/vein, complicating proximal exposure.
- CLA allowed better access to proximal radius for locking plate application, which may benefit MIPO techniques.
- CLA also enables ulna fixation via the same incision, whereas CMA requires a separate skin incision.
- Anatomical tilt of the proximal cranial surface favored CLA, requiring less plate contouring than CMA for proper fit.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?
2025-3-VCOT-lin-1
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