
Your Custom Quiz
In Karydas 2025 et al., on follow-up radiography, which factor had the highest odds ratio for triggering a postoperative plan change?
🔍 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-2
In Ibrahim 2022 et al., on scrotal arterial supply, what was concluded regarding the use of scrotal flaps in neutered dogs?
🔍 Key Findings
- Dorsal scrotal arteries, branching from the ventral perineal arteries, are the dominant arterial supply to the scrotum in dogs.
- The ventral scrotal arteries, arising from the external pudendal arteries, perfused only the cranial scrotal border and were inconsistently present or absent in some dogs.
- A scrotal flap based on the dorsal scrotal arteries showed strong perfusion and may be a viable axial pattern flap.
- Perfusion was consistent across fresh and frozen cadavers, showing no difference due to preservation method.
- Poor flap survival (27%) occurred when based on cranial supply alone (i.e., ventral scrotal arteries), confirming importance of preserving caudal supply.
- There are anastomoses between dorsal and ventral scrotal arteries, offering collateral flow but insufficient alone for complete perfusion.
- Scrotal flaps based on the caudal pedicle may be applicable for reconstruction of proximal medial/lateral thigh wounds.
- Proposed flap requires careful preservation of ventral perineal arteries, ideally designed 2.5–3 cm lateral to midline in large dogs.
Veterinary Surgery
4
2022
Arterial supply to the scrotum: A cadaveric angiographic study
2022-4-VS-ibrahim-4
In Hertel 2025 et al., on portal venotomy for insulinoma, what material and technique were used to close the venotomy site?
🔍 Key Findings
- Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
- Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
- No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
- Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
- Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
- Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
- Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
- Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.
Veterinary Surgery
5
2025
Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog
2025-5-VS-hertel-4
In Monti 2025 et al., on lymph node fluorescence imaging, which lymph node group was most frequently identified and removed using NIRF-guided laparoscopic surgery?
🔍 Key Findings
- Laparoscopic ISLN removal using NIRF-ICG was feasible in 89% of dogs (16/18), demonstrating high procedural success with minimal invasiveness.
- Median laparoscopic dissection time was only 12 minutes, suggesting efficiency of the NIRF-guided approach.
- No postoperative complications were observed, and intraoperative complications occurred in only 2 dogs (11.1%), both requiring conversion to open surgery.
- Metastatic disease was confirmed in 48% of patients (12/25 nodes), including cases where LNs appeared normal in size, highlighting the value of histologic evaluation.
- NIRF-ICG enabled precise identification of small and mildly enlarged nodes, which are often missed during traditional imaging or palpation.
- Fluorescent dye leakage following LN capsule rupture limited visibility and required surgical conversion, indicating a key limitation of the technique.
- ICG signal was occasionally absent in metastatic LNs, likely due to lymphatic rerouting or obstruction, underscoring limitations in SLN identification.
- The lateral approach allowed consistent access to ipsilateral MILN, IILN, and sacral LNs, though contralateral nodes were inaccessible with this method.
Veterinary Surgery
6
2025
Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)
2025-6-VS-monti-2
In Lemmon 2025 et al., on synovitis severity scoring, what variable was most strongly associated with increased cartilage damage?
🔍 Key Findings
Synovitis was present in 100% of canine stifles with CCL disease (n = 163).
The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).
Higher synovitis scores were significantly associated with:
- Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
- Longer duration of clinical signs (p < .001, OR = 1.27 per month)
Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.
Bucket handle meniscal tears were not associated with synovitis severity.
Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.
Veterinary Surgery
3
2025
Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease
2025-3-VS-lemmon-2
In Muroi 2025 et al., on refracture risk, all refractures in the **plate removal group** occurred at which location?
🔍 Key Findings
- Refracture occurred in 5.5% of limbs, with higher incidence in the plate removal group (12.5%) vs. non-removal (3.5%).
- In the non-plate removal group, refractures occurred at the most distal screw site, linked to greater screw position change during growth (OR 1.79, p=0.04).
- Screw-to-bone diameter ratio (SBDR) >0.4 was a significant risk factor for refracture in the plate retention group.
- In the plate removal group, refractures occurred at the original fracture site, associated with lower pixel value ratio (bone mineral density) and reduced radial thickness.
- Implant-induced osteoporosis (IIO) beneath the plate likely contributed to refracture risk after plate removal.
- Younger age at fracture (<6 months) was associated with higher refracture risk due to ongoing radial growth and shifting screw position.
- No significant association was found between refracture and plate type (locking vs conventional), fixation method, or ulnar union.
- Recommendations include careful SBDR sizing, motion restriction, and cautious plate removal decisions in growing dogs.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs
2025-2-VCOT-muroi-3
In McLean 2024 et al., why might ECA not have correlated with rock-back in this study?
🔍 Key Findings Summary
- 95 TPLO procedures reviewed retrospectively with follow-up radiographs
- Rock-back defined as increase in tibial plateau angle (TPA) ≥2° from immediate post-op to recheck
- 21% of stifles (20/95) experienced rock-back
- Mean ΔTPA among rock-back cases = 3.2° ± 2.6°
- No implant failures or tibial tuberosity fractures were reported in these cases
- Plate inclination and exit cut angle (ECA) were not associated with increased risk of rock-back (p = 0.4 and 0.2)
- Authors hypothesize that compression across osteotomy in vivo may mitigate torsional effects from ECA, unlike in gap-model studies
- Emphasizes that rock-back is relatively common, even with well-placed implants
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs
2024-6-VCOT-mclean-5
In Heikkilä 2024 et al., on COPLA scaffold evaluation, what was the significant imaging-based outcome at 6 months in the COPLA group?
🔍 Key Findings Summary
- 22 dogs (36 shoulders) with shoulder OCD randomly assigned to COPLA scaffold (n=19) or Control (n=17) group
- At 6 months: Significantly fewer dogs in COPLA group had OA (14% vs. 67%; p = 0.019)
- At 1.5 years: OA prevalence increased in both groups with no significant difference (COPLA: 64%, Control: 60%)
- HCPI (pain index) increased significantly at 1 week post-op in COPLA dogs only (p = 0.001), but later normalized
- Static weight-bearing improved only in unilaterally operated COPLA limbs (p = 0.015)
- One dog in COPLA group had a fragment dislodge requiring arthroscopic removal
- Overall, COPLA scaffold may provide short-term benefit in OA reduction, but long-term outcomes were similar
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs
2024-6-VCOT-heikkila-1
In Anderson 2025 et al., on liver hemostatic agents, which sponge showed significantly less bleeding at 5 minutes post-application?
🔍 Key Findings
- Study Design: Prospective, randomized clinical trial of 45 dogs undergoing liver biopsy or lobectomy.
- Groups:
- Adhesive gelatin sponge (AG) group (n=22)
- Plain collagen sponge (PC) group (n=23)
- Main Results:
- At 5 minutes post-application, 10/20 PC dogs were still bleeding vs. 2/20 AG dogs (p = 0.0138).
- AG had significantly better adhesion scores (median 2 vs. 1, p < 0.001).
- Sponge dislodgement: 5/23 in PC group, 0/22 in AG group (p = 0.042).
- Time to 50% hemostasis: AG = 2 min, PC = 4 min 49 sec.
- Complications: No adverse events related to either sponge.
- Conclusion: Adhesive gelatin sponges offered superior intraoperative adhesion and hemostatic control during canine liver surgery compared to collagen sponges.
Veterinary Surgery
2
2025
A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery
2025-2-VS-anderson1-1
In Hertel 2025 et al., on portal venotomy for insulinoma, what was the primary reason the authors selected portal venotomy instead of en bloc vessel resection?
🔍 Key Findings
- Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
- Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
- No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
- Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
- Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
- Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
- Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
- Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.
Veterinary Surgery
5
2025
Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog
2025-5-VS-hertel-1
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
