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In Murphy 2024 et al., which breeds had significantly lower odds of contralateral CCLR?
🔍 Key Findings Summary
- Prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg was 19.1%, notably lower than previous studies (33–50%).
- Median time to contralateral CCLR was 12.9 months.
- Older age reduced risk — 2% decrease per month of age (p=0.003).
- Golden Retrievers and Labradors had significantly lower risk (p=0.028 and p=0.007, respectively).
- No effect found from TPA, meniscal injury, or comorbidities (e.g., hip dysplasia, hypothyroidism).
Veterinary and Comparative Orthopedics and Traumatology
1
2024
The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older
2024-1-VCOT-murphy-4
In Wylie 2025 et al., on femoral implant accuracy, which implant type had the highest placement accuracy?
🔍 Key Findings
- Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
- Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
- Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
- SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
- Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
- No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
- Minor and major complications were low and not significantly different between implant types.
- A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.
Veterinary Surgery
7
2025
Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO
2025-7-VS-wylie-2
In Chitty 2025 et al., on tibial fracture fixation in immature dogs, what was the most likely influence of increasing age on treatment selection?
🔍 Key Findings
Internal fixation (IF) group (n=59):
- Complication rate: 20.3%
- Major complications: 15.3%
- Longer time to discharge if complications occurred (median: 12.5 weeks)
External skeletal fixation (ESF) group (n=36):
- Complication rate: 55.6% (p < .001 vs IF)
- Major complications: 52.8%
- Most common issue: pin tract morbidity
Multivariable analysis:
- Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
- Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)
Fixation choice influenced by age:
- Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)
Breed & fracture distribution:
- Common breeds: Labrador, Border Collie, Whippet
- Common fracture sites: middle and proximal third of tibia
Veterinary Surgery
4
2025
Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs
2025-4-VS-chitty-5
In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), what was the key finding regarding leakage pressure?
🔍 Key Findings
- Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
- UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
- UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
- Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
- No suture breakage or urethral narrowing occurred in either group.
- Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
- Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
- UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.
Veterinary Surgery
5
2023
Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study
2023-5-VS-monnet-1
In Enright 2022 et al., on adrenalectomy outcomes, what was the observed effect of preoperative alpha-blocker therapy on long-term survival?
🔍 Key Findings
- 83% of dogs survived to discharge after adrenalectomy for pheochromocytoma.
- Median survival time post-discharge was 1169 days (3.2 years).
- Preoperative alpha-blocker therapy (e.g., phenoxybenzamine) was not associated with improved survival.
- Dogs receiving alpha-blockers had higher intraoperative systolic BP, with median values 170 mmHg vs. 142 mmHg in non-treated dogs (P = .01).
- Intraoperative arrhythmias occurred in 30% of cases, with no difference between dogs receiving alpha-blockers and those not.
- Histologic vascular invasion occurred in ~70% of tumors.
- Tumor recurrence was suspected in 3 dogs, and metastasis in 8 dogs, though not histologically confirmed in most cases.
- Postoperative complications included refractory hypotension, acute kidney injury, and hypertension persisting >48 hours in 10 dogs.
Veterinary Surgery
3
2022
Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy
2022-3-VS-enright-2
In Dobberstein 2024 et al., on liver biopsy forceps, what was concluded about diagnostic suitability of 3 mm samples?
🔍 Key Findings Summary
- Subjects: 12 healthy colony cats, 68 total liver samples collected via laparoscopy
- Biopsy instruments: 3 mm vs 5 mm Storz Blakesley cup forceps
- Techniques: Twist (T), Pull (P), Twist + Pull (TP)
- Results:
- 5 mm forceps yielded significantly more hepatic lobules (mean 12.4 vs 4.9), portal triads (29.6 vs 19.0), weight, and histologic area (p < .01)
- T and P techniques yielded more portal triads and lobules than TP (p = .003 and p = .015)
- TP technique resulted in greater tissue crush vs T (p = .01)
- Good diagnostic agreement between 3 mm and 5 mm samples only with TP (κ = 0.75)
- All samples were of sufficient diagnostic quality, despite size or technique
- Clinical implication: Both 3 mm and 5 mm forceps are viable; further studies are needed to confirm diagnostic accuracy of 3 mm samples
Veterinary Surgery
2
2024
Comparison of the diagnostic yield of 3 and 5 mm laparoscopic liver biopsy forceps in cats
2024-2-VS-dobberstein-5
In Logothetou 2024 et al., on SPF complications, how did staple use for skin closure compare to sutures in terms of complication rate?
🔍 Key Findings
- Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
- Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
- Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
- Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
- Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
- Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
- Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
- Closure technique did not significantly influence complication severity, though staple use was numerically worse.
Veterinary Surgery
3
2024
Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)
2024-3-VS-logothetou-5
In Fracka 2023 et al., on patient-specific guides, what best describes the effect of PSGs on sagittal plane alignment of femoral cuts?
🔍 Key Findings
- 3D-printed patient-specific guides (PSGs) improved tibial cut alignment in the frontal plane compared to generic guides (mean error 1.03° vs 2.41°, p = .036).
- All tibial cuts using PSGs were within 3° of target alignment, while 2/8 of the generic group were outliers.
- PSGs significantly improved sagittal alignment of both distal (p = .018) and cranial (p = .043) femoral cuts.
- No significant difference was found in varus-valgus femoral alignment or closing angle between PSG and generic guide groups.
- Tibial sagittal slope alignment was not significantly different between groups.
- PSGs provided better intraoperative usability, including improved visibility, no loosening, and ease of use.
- Femoral sizing and component fit were equivalent between PSGs and generic guides, ensuring proper prosthesis alignment.
- PSGs may offer training advantages for novice surgeons, especially in anatomically complex or deformed joints.
Veterinary Surgery
5
2023
3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement
2023-5-VS-fracka-2
In Cruciani 2025 et al., on portal placement, what was the most common complication following surgery?
🔍 Key Findings
- Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
- Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
- Outcomes:
- Good to excellent mid-to-long-term outcomes in 11/14 dogs.
- Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
- Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
- No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
- Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
- Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
- Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).
Veterinary Surgery
1
2025
A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)
2025-1-VS-cruciani-1
In Song 2024 et al., on CT vs cystoscopy for ectopic ureters in dogs, what did the authors conclude regarding CT's role in surgical planning?
🔍 Key Findings
- CT correctly identified ectopic ureters in 91% of dogs, but missed 50% of normal ureters, limiting its negative predictive value.
- Sensitivity for intramural ectopic ureters was 65%, while specificity was 71%, indicating moderate diagnostic performance.
- Sensitivity for extramural ectopic ureters was only 29%, despite a high specificity of 97%.
- CT was inaccurate in predicting ureteral orifice location, with sensitivity ranging from 0% to 76% depending on the site.
- 26% of dogs were misclassified for cystoscopic laser ablation (CLA) eligibility based on CT findings alone.
- Overall CT accuracy for CLA candidacy was 74%, but a significant minority would have been inappropriately treated.
- Multivariate analysis found no predictive factors (e.g., colon distension, body weight) for when CT would be incorrect.
- Authors recommend confirmatory cystoscopy to verify CT findings prior to treatment planning.
Veterinary Surgery
3
2024
Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases
2024-3-VS-song-5
Quiz Results
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Key Findings
