
Your Custom Quiz
In McCagherty 2025 et al., on WID detection accuracy, which feature of the WID aided in guiding wound debridement?
🔍 Key Findings
- Bacterial fluorescence was detected in all wounds (17 dogs, 4 cats) using the point-of-care wound imaging device (WID).
- The WID confirmed the presence of clinically relevant wound infection in all evaluated cases at the time of imaging.
- No significant difference was found in bacterial yield or burden between image-guided and non-guided swabs (QBC and PCR; p > 0.05).
- The WID helped guide wound debridement in some cases by localizing areas of fluorescence, especially in necrotic tissue.
- Most infections were polymicrobial and dominated by anaerobes, highlighting the need for anaerobic culture inclusion.
- PCR analysis showed low bacterial DNA yields, often complicated by host DNA contamination, limiting its utility.
- The study did not evaluate sensitivity/specificity of WID, as only fluorescence-positive wounds were included.
- Clinical utility of WID lies in immediate visual confirmation of infection, supporting timely antimicrobial treatment decisions.
Veterinary Surgery
6
2025
Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats
2025-6-VS-mccagherty-3
In Lhuillery 2022 et al., on GDV stabilization timing, which variable was significantly associated with increased in-hospital and 1-month mortality?
🔍 Key Findings
- Survival rates did not differ between immediate (90 min) and delayed (≥5 h) surgical stabilization groups at discharge or 1-month post-op (approx. 80% survival in both).
- Hyperlactatemia at 24 hours post-fluid therapy was significantly associated with in-hospital and 1-month mortality (P = .01 and P = .02).
- Persistent tachycardia during hospitalization was linked to increased 1-month mortality (P = .015).
- Partial gastrectomy was required in ~6–10% of cases, with high associated mortality.
- Preoperative stabilization protocols (trocarization, nasogastric tube) allowed safe surgical delays up to 13.7 hours without impacting survival.
- Degree of gastric torsion differed between groups; more 0° torsions in delayed cases, potentially due to decompression-induced derotation.
- No difference in post-op complications such as arrhythmias, hypotension, or AKI between groups.
- More intra-anesthetic deaths occurred in immediate surgery group, highlighting importance of adequate pre-op stabilization.
Veterinary Surgery
5
2022
Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization
2022-5-VS-lhuillery-2
In Cortina 2023 et al., on modified TTT outcomes for MPL in dogs, how did the complication rate of the m-TTT compare to historical methods?
🔍 Key Findings
- m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
- Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
- Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
- Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
- Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
- All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
- Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
- Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.
Veterinary Surgery
5
2023
Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs
2023-5-VS-cortina-4
In Farrell 2022 et al., on checklist reliability in OVH simulation, what was the main benefit of using digital recordings for student performance assessment?
🔍 Key Findings
- 39 of 40 checklist items for simulated OVH surgical assessment had good content validity (CVI = 0.81)
- Only 1 of 6 items from the OSATS GRS (respect for tissue) met inclusion criteria (CVI = 0.80)
- Checklist showed strong reliability (G-coefficient = 0.85) for moderate-stakes exams
- Modified OSATS GRS showed acceptable reliability (G-coefficient = 0.79)
- Two raters needed for acceptable reliability in high-stakes exams when using the checklist
- Minimal interrater bias found; variance largely due to interaction among student, rater, and item
- Digital recordings were a reliable method of evaluating surgical performance
- Study supports using checklist over OSATS GRS for assessing preclinical students on simulated models
Veterinary Surgery
5
2022
Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment
2022-5-VS-farrell-5
In Korchek 2025 et al., on fracture gap risk, what was the incidence of implant failure among cases with a fracture gap?
🔍 Key Findings
80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:
- 27% in cases with fracture gap
- 2% in cases without fracture gap
Fracture gap significantly associated with implant failure:
- OR = 23.0, 95% CI: 2.7–197.9, p = 0.004
Absence of external coaptation also associated with increased implant failure risk:
- OR = 10.1, 95% CI: 1.1–89.6, p = 0.04
Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):
- OR = 5.4, p = 0.04
Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.
Veterinary Surgery
2
2025
Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study
2025-2-VS-korchek-5
In Farrugia 2025 et al., on BODPUO location effects, which of the following had **no significant association** with change in ulna angle?
🔍 Key Findings
- Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
- Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
- Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
- Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
- Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
- Osteotomy length had no significant effect on change in angle.
- Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
- No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.
Veterinary Surgery
6
2025
Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment
2025-6-VS-farrugia-4
In Low 2025 et al., on machine-learning outcomes in IVDE, what was the performance of the XGBoost model when using only preoperative variables?
🔍 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-5
In Frapwell 2026 et al., on humeral condyle morphology, what was the observed effect of HIF on the A–B angle between axial surfaces?
🔍 Key Findings
- HIF-affected dogs had significantly greater angle A and B, indicating increased axial articular angulation of the medial and lateral humeral condyle (p < .001).
- Vertical condylar height (lengths a and b) was significantly greater in HIF-affected dogs compared to controls (p = .007 and p < .001 respectively).
- Angle G (dorsal plane medial condyle angle) was also significantly greater in HIF-affected dogs, suggesting altered medial humeral morphology (p < .001).
- The angle between axial surfaces (A–B angle) was significantly more acute in HIF dogs (107.4° vs. 114.2°, p < .001), suggesting potential for increased shear force.
- Springer Spaniels with HIF showed significantly greater angulation and vertical height than unaffected Springer controls (p < .001 to .007 across variables).
- Morphological differences persisted across non-spaniel breeds, reinforcing that altered condylar geometry is not breed-restricted.
- Authors propose that greater condylar angulation contributes to shear stress, orthogonal to the fissure, possibly contributing to HIF pathogenesis.
- These morphologic alterations could inform future screening or preventive strategies, and may explain variable surgical outcomes and implant failure.
Veterinary Surgery
1
2026
Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure
2026-1-vs-frapwell-2
In Bohin 2026 et al., on feline Achilles repair, where were all Achilles tendon lesions located?
🔍 Key Findings
- UHMWPE implant reconstruction resulted in successful long-term functional recovery in 11/12 limbs (91.7%) with complete follow-up, with restoration of normal tarsal motion in most cats.
- All injuries occurred at the tendino-osseous junction, with 53.8% being complete Achilles tendon ruptures and 46.2% partial gastrocnemius avulsions (Type IIc).
- No intraoperative complications occurred in any of the 13 repaired limbs.
- Complication rate was low (15.4%), with only one calcaneal fracture from screw malposition and one surgical site infection causing implant failure.
- External coaptation was not required in all cases, and outcomes did not differ between limbs with or without rigid coaptation.
- Median long-term follow-up was 18.5 months, with a median FMPI score of 1.5 indicating excellent owner-reported limb function.
- Calcaneal fracture risk was associated with distal interference screw malposition, emphasizing the importance of correct screw placement proximal and caudal to the talocalcaneal central joint.
- The technique may reduce complications associated with transarticular fixation or external skeletal fixation, potentially improving short-term recovery while preserving tendon loading during healing.
Veterinary Surgery
4
2026
Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)
2026-4-vs-bohin-2
In Silveira 2022 et al., on GTO in canine THR, what was the cause of the one reported post-operative complication?
🔍 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-5
Quiz Results
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