
Your Custom Quiz
In Papacella-Beugger 2024 et al., on neuronavigation, what percentage of screws were deemed appropriately placed?
🔍 Key Findings Summary
- Cadaveric study using 3 miniature breed dogs (6 hemipelves) to assess spinal neuronavigation accuracy for lumbar plate fixation
- 20 screws placed using CBCT-based navigation with real-time tracking
- 85% (17/20) of screws were safely and accurately placed
- Median deviation of screw entry points from plan: 1.8 mm
- All 3 misplaced screws occurred in a single cadaver, attributed to inexperienced drill handling
- Custom 3D-printed lightweight tracking array was necessary due to small spinous processes in miniature dogs
- No iatrogenic canal perforations or vertebral damage in any specimen
- Concludes neuronavigation offers precise, safe placement of spinal implants in small dogs, with minimal anatomic disruption
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs
2024-6-VCOT-papacella-beugger-1
In Silveira 2022 et al., on GTO in canine THR, what was the main surgical reason for performing a greater trochanter osteotomy (GTO) during total hip replacement?
🔍 Key Findings
- GTO enabled successful cementless THR in dogs with severe medialization of the greater trochanter or chronic craniodorsal hip luxation.
- All 5 hips had acceptable long-term outcomes (median follow-up: 48 months) with full function and no persistent complications.
- Only one major complication occurred—a luxation unrelated to the GTO and successfully corrected with cup revision.
- GTO facilitated femoral canal access and gluteal preservation, reducing risk of iatrogenic injury during broaching.
- All GTOs healed radiographically (4 by 6 weeks, 1 by 12 weeks), with no cases of nonunion or implant migration.
- No complications related to GTO or PTBW fixation (pins + tension band) were observed in any dog.
- Surgical planning included templating both THR and GTO to ensure ideal alignment and reduce fracture risk.
- GTO may be especially valuable in luxoid hip dysplasia phenotypes or chronically fixed luxations.
Veterinary Surgery
2
2022
Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs
2022-2-VS-silveira-1
In Adams 2022 et al., on C-section survival rates, what was the neonatal survival to discharge rate in puppies from elective procedures?
🔍 Key Findings
- Neonatal survival to discharge was 93.1% overall, with no significant difference between brachycephalic (94.8%) and nonbrachycephalic (91.8%) breeds.
- Elective C-section significantly improved neonatal survival (99.2%) compared to emergency C-section (87.1%) (p < .001).
- Larger C-section litter size was positively associated with survival (p = .004; OR 1.57), whereas total litter size had no effect.
- Maternal heart rate and stage of labor were associated with neonatal mortality in univariable analysis, but not multivariable.
- Brachycephalism alone was not a risk factor for neonatal mortality (p = .221) in multivariable analysis.
- Emergency C-section was the strongest predictor of neonatal mortality (OR 4.75), regardless of breed.
- Multidisciplinary team approach likely contributed to high survival rates, emphasizing importance of coordinated care.
- Historical factors such as primiparity and maternal age were not associated with mortality in this cohort.
Veterinary Surgery
7
2022
Risk factors for neonatal mortality prior to hospital discharge in brachycephalic and nonbrachycephalic dogs undergoing cesarean section
2022-7-VS-adams-3
In Guénégo 2025 et al., on AMA-based CCWO, what proportion of dogs had contralateral CCLR after initial AMA-based CCWO?
🔍 Key Findings
- AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
- Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
- All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
- AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
- Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
- Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
- Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
- Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg
2025-3-VCOT-guenego-4
In Cherzan 2023 et al., on subcutaneous mast cell tumors, what impact did incomplete surgical margins (<1 mm) have on recurrence rates of subcutaneous mast cell tumors?
🔍 Key Findings
- Local recurrence occurred in 17.8% of dogs, and was associated with significantly decreased survival (551 vs 1722 days, p = .0038).
- Lymph node metastasis occurred in 26.7% of dogs and was significantly associated with shorter disease-free interval (194 vs not reached, p = .0012) and lower survival (551 vs 1722 days, p = .043).
- Mitotic index >7 was significantly associated with higher recurrence (80% vs 22.5%, p = .02), shorter DFI (139 vs not reached days, p < .001), and shorter survival (247 vs 1722 days, p = .05).
- Infiltrative growth pattern was associated with shorter DFI (268 vs 1864 days, p = .011), but not with survival or recurrence.
- Incomplete margins (≤1 mm) were not significantly associated with recurrence (p = .085), but did correlate with shorter DFI (p = .043).
- Chemotherapy or radiation therapy was associated with shorter DFI and survival, likely due to selection bias for more aggressive disease.
- Tumor size >3 cm was associated with decreased survival (p = .031), but not with recurrence or DFI.
- Multinucleation and necrosis were not associated with prognosis outcomes.
Veterinary Surgery
4
2023
Factors affecting prognosis in canine subcutaneous mast cell tumors: 45 cases
2023-4-VS-cherzan-4
In Nicetto 2024 et al., what was the success rate of patellar luxation correction using TRP?
🔍 Key Findings Summary
- 48 dogs (60 stifles) underwent custom 3D-printed TRP implantation for patellar luxation
- 24 treated with TRP alone; 36 with additional procedures (e.g., DFO, TTT)
- Success rate: 59/60 corrected patellar tracking
- Functional outcome: 57/60 full function, 2 acceptable, 1 unacceptable
- Complication rate: 3 total (2 minor, 1 major recurrence)
- TRP spares cartilage unlike trochleoplasty, offering implant-based ridge augmentation
- No implant loosening or infection observed
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation
2024-2-VCOT-nicetto-1
In Kuvaldina 2023 et al., in Minimally invasive axillary lymphadenectomy in dogs, what anatomical variation was noted during cadaver dissection?
🔍 Key Findings
- A minimally invasive endoscopic technique was successfully developed for excisional biopsy of axillary lymph nodes in dogs.
- The procedure was performed on 4 cadavers (6 limbs) and 3 clinical patients, with no major complications reported.
- Mean cadaveric time: accessory axillary node 5.1 min; axillary node 33 min. One limb had a double axillary node.
- In clinical cases, 2/3 were completed endoscopically; one required conversion to open due to node elevation difficulty.
- Surgical times in clinical cases ranged from 35 to 58 minutes, depending on node accessibility and number.
- Postoperative morbidity was minimal: no lymphedema, minor seroma or lameness resolved quickly.
- The SILS port approach enabled effective access, though precise placement was critical to visualization.
- This is the first reported veterinary endoscopic technique for axillary lymphadenectomy; potential for improved staging and reduced morbidity.
Veterinary Surgery
7
2023
Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs
2023-7-VS-kuvaldina-5
In Williams 2024 et al., on adrenaline use in maxillary nerve blocks, what was the observed reduction in median intraoperative hemorrhage in the adrenaline group compared to the no-adrenaline group?
🔍 Key Findings
- The addition of adrenaline (0.00198%) to bilateral maxillary nerve blocks significantly reduced intraoperative hemorrhage in dogs undergoing sharp staphylectomy (median reduction: 77.1%).
- Normalized hemorrhage (g/kg) and total hemorrhage (g) were significantly lower in the adrenaline group (p = .021 and p = .013, respectively).
- Surgeon-assessed hemorrhage scores were also significantly lower in the adrenaline group (median 2 vs. 3; p = .029), indicating improved surgical visibility.
- No adverse effects (e.g. tachycardia, arrhythmia, or hypertension) were observed with adrenaline administration.
- A standardized intraoral approach to the maxillary nerve block was used with 0.5 mL per side regardless of dog size.
- Breed effect observed: English Bulldogs had higher normalized hemorrhage, possibly due to anatomical variation or underdosing relative to size.
- Adrenaline may also prolong local anesthetic action and reduce blood aspiration risks, though this was not directly measured.
- The study supports the routine inclusion of adrenaline in maxillary nerve blocks for staphylectomy in BOAS patients to improve surgical field and reduce bleeding.
Veterinary Surgery
8
2024
Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study
2024-8-VS-williams-1
In Karydas 2025 et al., on follow-up radiography, what was the clinical outcome in dogs with radiographic abnormalities but no clinical concerns?
🔍 Key Findings
139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:
- Owner concerns (OR: 7.6)
- Analgesic use at follow-up (OR: 7.9)
- Lameness (OR: 5.9)
- Abnormal clinical exam (OR: 44.8)
- Radiographic abnormalities (OR: 51.9)
No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.
Veterinary Surgery
2
2025
Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs
2025-2-VS-karydas-3
In Rehnblom 2025 et al., on OrthoLine fracture fixation, which owner-assessed outcome was reported?
🔍 Key Findings
- High clinical union rate (93.4%) was achieved across 75 fractures treated with the OrthoLine™ system.
- Owner-assessed outcomes were universally acceptable or full, with no unacceptable outcomes reported.
- Overall major complication rate was 12.2%, including implant failure (1.1%) and implant infection (2 cases).
- Shorter plate spans in radial (46.6%) and ulnar (33.0%) fractures were well tolerated without increased nonunion.
- Femoral constructs used longer plate spans (73.3%) compared with radius/ulna, reflecting differing biomechanical demands.
- Use of postoperative external coaptation was common (46.7%) and associated with higher minor bandage-related complications.
- Titanium alloy and stainless-steel plates both produced acceptable healing, with no delayed unions attributable to material choice.
- The OrthoLine™ system was deemed a promising alternative locking plate system for small animal fracture repair.
Veterinary Surgery
8
2025
Open reduction and internal fixation of 75 small animal fractures treated with the OrthoLine™ fracture system
2025-8-VS-rehnblom-2
Quiz Results
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Key Findings
