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In Downey 2023 et al., on lung lobectomy for pulmonary consolidation, what was the most common perioperative complication in dogs undergoing lung lobectomy?
🔍 Key Findings
- Thoracoscopic (TL) and thoracoscopic-assisted (TAL) lobectomy were performed in 12 dogs with non-neoplastic pulmonary consolidation.
- 44% (4/9) of TL cases required conversion, most often due to pleural adhesions or poor visualization — a higher rate than for neoplastic lobectomies.
- Surgical mortality was 8.3% (1/12 dogs), with death attributed to unaddressed BOAS, not surgical complications.
- All 11 surviving dogs had no recurrence of clinical signs at a median 24-month follow-up.
- Perioperative complications occurred in 58% (7/12): pneumothorax (2), hemorrhage (3), wound dehiscence (1), progressive pneumonia (1).
- One-lung ventilation (OLV) was successful in 78% of TL dogs but may be harder to achieve in brachycephalic breeds.
- Most dogs had infectious pneumonia (10/12), with bacterial causes identified in 8; fungal and viral etiologies were less common.
- Hospitalization was short, with median stays of 3–4 days depending on approach and conversion status.
Veterinary Surgery
6
2023
Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
2023-6-VS-downey-5
In Bilmont 2025 et al., on cup version comparison, what best describes the relationship between pelvic extension and open face version?
🔍 Key Findings
- Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
- Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
- Truncated face version is an unreliable surrogate for open face version.
- Accurate interpretation of cup version should include both truncated face version and inclination.
- Canine 3D pelvic model and CT-based simulation used for all measurements.
Veterinary Surgery
1
2025
Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view
2025-1-VS-bilmont-4
In Alvarez 2022 et al., on rehabilitation modalities, what was the outcome of the single study on low-intensity pulsed ultrasound (LIPUS)?
🔍 Key Findings
- Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
- Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
- Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
- Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
- Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
- Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
- No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
- The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.
Veterinary Surgery
2
2022
Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs
2022-2-VS-alvarez-5
In Knudsen 2024 et al., on CTA diagnosis, what was the maximum reported sensitivity of multidetector CTA for detecting meniscal lesions?
🔍 Key Findings
- Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
- Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
- Training effect was evident, as less experienced observers improved between first and second readings.
- Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
- CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
- Approximately 90% of menisci were correctly classified in second readings.
- No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
- CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.
Veterinary Surgery
8
2024
Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography
2024-8-VS-knudsen-1
In Crystal 2024 et al., on elbow osteotomies, which osteotomy angle resulted in the greatest reduction of medial compartment load?
🔍 Key Findings Summary
- Ex vivo cadaver study using 5 paired canine thoracic limbs
- Compared medial opening wedge osteotomy (MOWO) and external rotational osteotomy (ERO) of the humerus
- Measured pressure changes in the medial compartment using thin-film sensors
- ERO significantly reduced peak pressure and pressure distribution in the medial elbow compartment (p < 0.05)
- MOWO showed no significant pressure reduction relative to native state
- Combined MOWO + ERO did not significantly improve over ERO alone
- Findings support the biomechanical rationale for ERO as a surgical strategy to offload the medial compartment in cases like medial compartment disease (MCD)
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study
2024-4-VCOT-crystal-1
In Paulick 2022 et al., on feline ilial plating, what factor most contributed to the **poor performance** of the ALPS-5 system despite it being a locking plate?
🔍 Key Findings
- Locking plates (except ALPS-5) withstood significantly more cycles before failure than nonlocking DCP constructs.
- ALPS-6.5, LCP, and FIXIN plates endured higher loads and resisted displacement better than DCP and ALPS-5.
- ALPS-5 plates showed lower bending stiffness than all other constructs (P < .05).
- DCP constructs failed due to screw loosening, seen in all specimens.
- Locking constructs failed by bone slicing, affecting 100% of specimens.
- Catastrophic implant failure (fracture or plastic deformation) occurred only in ALPS-5 group.
- Plate size and screw-plate interface both influence resistance to cyclic loading in feline ilial fracture repair.
- Locking plates are preferable for reducing screw pullout, but plate strength (e.g., cross-section) must match loading forces.
Veterinary Surgery
1
2022
Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats
2022-1-VS-paulick-5
In Janas 2024 et al., on ARC outcomes in cats, what was the most serious postoperative complication observed?
🔍 Key Findings:
- Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
- Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
- Short-term outcomes (18 cats):
- Excellent: 14
- Good: 2
- Poor: 2
- Long-term outcomes (18 cats):
- Excellent: 15
- Good: 1
- Poor: 2
- Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
- Preoperative blindness resolved in most cats.
- Mean follow-up duration: Median 8 years.
Veterinary Surgery
2
2024
Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)
2024-2-VS-janas-3
In Knudsen 2024 et al., on lesion types found, which meniscal injury was most commonly identified during surgery?
🔍 Key Findings Summary
- Study Design: Prospective case series of 52 scans from 44 dogs with CCL injury.
- Main Technique: 16-slice CTA; evaluated by 3 observers with varying experience; validated against surgical mini-medial arthrotomy findings.
- Diagnostic Metrics (Reading 2):
- Sensitivity: 1.00 (Observers 1 & 2), 0.93 (Observer 3)
- Specificity: 0.78–0.91
- Positive Likelihood Ratio: Up to 10.71
- Negative Likelihood Ratio: As low as 0.08
- Accuracy: 90%+ for all in Reading 2
- Observer Effect: Significant improvement between first and second reading for less experienced observers (p < 0.05); learning curve evident.
- Meniscal lesions found:
- 9/12 in suspected late meniscal injury cases
- 19/40 in newly diagnosed CCL cases
- Most common = bucket handle tears
- Conclusion: Multidetector CTA is a clinically useful, non-invasive tool for identifying medial meniscal lesions in dogs with CCL disease.
Veterinary Surgery
1
2024
Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography
2024-1-VS-knudsen-3
In Brockman 2025 et al., on canine mitral valve repair outcomes, what was the overall survival to discharge rate across the full cohort?
🔍 Key Findings
- Overall survival to discharge: 107 of 132 dogs (81%)
- Quartile improvement: Survival increased steadily from 67% in Q1 to 91% in Q4
- Q1: 22/33 survived
- Q2: 27/33
- Q3: 28/33
- Q4: 30/33
- Statistical significance: Higher operative rank significantly associated with improved survival (p < .05)
- Median cross clamp time (XCT): 73 min (range 40–165), but increased again in Q4
- Fatalities (n=25) were often due to:
- Failure to wean from CPB
- Intracranial vascular events (stroke)
- Intrathoracic hemorrhage
- Breed representation: CKCS (23.5%), Chihuahua (22%), Crossbreeds (21%)
- Stages of MMVD: Stage C (67%), Stage D (27%), Stage B2 (6%)
- Emphasis on deliberate multidisciplinary teamwork for outcome improvement
- Highlights importance of technical and non-technical team skills, procedural standardization, and consistent personnel
Veterinary Surgery
4
2025
Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach
2025-4-VS-brockman-1
In Husi 2023 et al., on TPLO vs TPLO-IB biomechanics, how did the TPLO-IB construct affect rotational stability compared to TPLO alone?
🔍 Key Findings
- TPLO alone failed to neutralize rotational instability under tibial pivot compression (TPT), despite a negative TCT.
- TPLO combined with lateral augmentation (TPLO-IB) restored both craniocaudal and rotational stability to near-intact levels.
- Cranial tibial translation was 6× greater after TPLO vs intact stifles when tested with TPT (p < .001).
- No significant difference in cranial tibial translation or internal rotation between intact stifles and TPLO-IB group during TCT, eTPT, or iTPT.
- TPLO-IB did not overconstrain the stifle, avoiding excessive external rotation.
- External tibial rotation (eTPT) was more sensitive than TCT in detecting persistent instability after TPLO.
- Excellent intraobserver reliability for both eTPT and iTPT (ICC > 0.9).
- Study supports intraoperative use of TPT to identify cases needing additional rotational stabilization.
Veterinary Surgery
5
2023
Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study
2023-5-VS-husi-3
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings