
Your Custom Quiz
In Almeida 2025 et al., on TPLO and partial CCL rupture, which factor was positively correlated with increased ligament thickness?
🔍 Key Findings
- Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
- Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
- Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
- Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
- No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
- Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
- Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
- Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture
2025-4-VCOT-almeida-3
In Rodiño Tilve 2022 et al., on feline THR outcomes, what percentage of owners reported a “very good” outcome?
🔍 Key Findings
From “Long-term follow up of 44 cats undergoing total hip replacement” by Rodiño Tilve et al.
- Slipped capital femoral epiphysis (SCFE) was the most common surgical indication (61%, 34/56 hips), primarily affecting young neutered male cats.
- All THRs used cemented micro/nano BioMedtrix implants; most common femoral stem was size #3, and most common acetabular cup was 12 mm.
- Postoperative complication rate was 19.6% (11/56) with 9 major complications (luxation most common), and no intraoperative complications reported.
- All luxations occurred in hips implanted with femoral neck +0 mm length implants.
- Second luxations were more common when revision used same implant size; use of larger implants reduced reluxation rates.
- FMPI-sf score improved significantly from median 2.111 pre-op to 0.111 post-op (P < .001), indicating reduced pain and improved function.
- Very high owner satisfaction: 91% (30/33) reported outcome as "very good."
- No significant associations found between complications and variables like weight, sex, implant size, or surgical indication.
Veterinary Surgery
5
2022
Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)
2022-5-VS-rodino-5
In Larose 2024 et al., on fluorescence cholangiography, what ICG dose and timing produced the highest cystic duct-to-liver contrast during laparoscopic imaging?
🔍 Key Findings
- Near-infrared fluorescence cholangiography (NIRFC) was feasible and safe in all healthy dogs studied, with no major adverse effects noted.
- Low-dose ICG (0.05 mg/kg) at 3 h pre-op achieved the highest target-to-background (cystic duct-to-liver) contrast ratio, reaching nearly 4:1 at 280 minutes.
- Early imaging (time 0) favored low-dose ICG for optimal cystic duct visualization; high-dose ICG led to excessive liver fluorescence and reduced contrast.
- Visualization of biliary tree occurred within 10–20 min post-injection regardless of dose, but longer delays improved background clearance and contrast.
- No significant cardiovascular or histamine-related side effects were observed with either dose of ICG.
- Repeated ICG injections showed minimal residual fluorescence when using a >72 h washout period; shorter intervals caused mild carryover in high-dose groups.
- Surgeon scoring matched contrast ratios, confirming clinical relevance of imaging outcomes.
- Recommended dose for laparoscopic imaging: 0.05 mg/kg ICG given 3–5 h before surgery, or at premedication for urgent cases.
Veterinary Surgery
4
2024
Near-infrared fluorescence cholangiography in dogs: A pilot study
2024-4-VS-larose2-1
In Miller 2024 et al., on leak testing in cooled feline intestine, what was a key implication of the intraluminal diameter findings?
🔍 Key Findings
- No difference in initial leak pressure (ILP) or maximum intraluminal pressure (MIP) between cooled (17–29 h) and fresh enterotomy constructs.
- Wall thickness of duodenum and jejunum did not differ between fresh and cooled samples.
- Leak locations (suture holes vs clamp sites) were similar between groups; not statistically different.
- Volume of infusion did not influence ILP or MIP outcomes.
- Mean ILP values: Control = 600 mmHg (maxed), Fresh = 200 mmHg, Cooled = 131 mmHg; CE vs FE difference was not significant.
- Intraluminal diameter was largest in the ileum, followed by jejunum and duodenum.
- Cadaveric intestine cooled ≤29h may be reliably used in ex vivo feline leak pressure studies.
- First report of gross small intestinal lengths by region in cats—useful for resection planning.
Veterinary Surgery
5
2024
Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement
2024-5-VS-miller-3
In Morgera 2022 et al., on stifle surgery draping methods, which of the following was true regarding anesthesia duration between groups?
🔍 Key Findings
- No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
- Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
- Tibial tuberosity advancement (TTA) was the most common procedure (61%).
- Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
- Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
- Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
- Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
- Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.
Veterinary Surgery
3
2022
Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery
2022-3-VS-morgera-5
In Takagi 2022 et al., on hepatic venous anatomy, how frequently did the papillary process drain into the caudal vena cava rather than the left hepatic vein?
🔍 Key Findings
- Hepatic venous drainage patterns vary widely across all lobes, especially the left lateral lobe.
- Right lateral lobe had a median of 2 vessels draining directly into the caudal vena cava (CVC); range: 1–4.
- Caudate process of caudate lobe had the most variability: 1–5 vessels draining into the CVC; 2 vessels was most common (54.5%).
- Left lateral lobe drained via 2–8 veins into the left hepatic vein (LHV), with 3 veins most common (31.2%).
- Left medial lobe typically had 1 vein draining into the LHV (61% of dogs).
- Papillary process drained into the LHV in 93.5% of cases; 6.5% drained directly to the CVC.
- Quadrate lobe always had 1 vessel draining either directly to the CVC or via the LHV.
- CTA revealed more variations than previously described in plastinated or cadaveric studies, highlighting its superior value in surgical planning.
Veterinary Surgery
4
2022
Computed angiographic variations in hepatic venous vasculature in dogs
2022-4-VS-takagi-4
In Isono 2025 et al., on tibial malalignment in MPL, which statistical trend was observed in toy poodles with grade 3 MPL?
🔍 Key Findings
- Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
- PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
- Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
- DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
- PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
- Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
- Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
- Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation
2025-4-VCOT-isono-4
In Israel 2022 et al., on cerclage wire in THR, which of the following statements about cerclage wire outcomes is CORRECT?
🔍 Key Findings
- No proximal femoral fractures occurred in any of the 184 hips with cerclage wire placement
- Cerclage wire was well tolerated, with no failures or complications related to the wire
- Application of a single cerclage wire took <10 minutes, was cost-effective, and required minimal instrumentation
- 3 postoperative complications (1 fissure, 2 fractures) occurred distal to the cerclage site, near the stem tip, requiring plate/screw fixation
- All dogs returned to normal activity, and all owners were satisfied with the outcome
- Cerclage placement location is critical—must be proximal to the lesser trochanter and close to the calcar to resist hoop strain
- Biomechanical evidence supports that cerclage wires improve resistance to hoop strain and subsidence of cementless stems
- Press-fit cementless stems may settle, but when supported by cerclage, this does not result in fractures even in undersized implants
Veterinary Surgery
2
2022
Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases
2022-2-VS-israel-3
In Duffy 2022 et al., on barbed suture oversew, which of the following statements is TRUE regarding **initial leakage pressure (ILP)** and **maximum leakage pressure (MLP)** among FEESA groups?
🔍 Key Findings
- Oversewing the transverse staple line using barbed suture showed no difference in initial (ILP) or maximum leakage pressure (MLP) compared to monofilament suture (p = .439 and .644).
- Barbed suture repairs were ~18% faster (25 seconds faster; p < .001) than monofilament suture.
- No difference was found between unidirectional and bidirectional barbed sutures in leakage resistance or repair time (p = .697).
- Mean ILP and MLP were significantly higher in control jejunal segments (6.6x and 5.1x greater respectively; p < .001).
- Leakage consistently occurred at the crotch of the FEESA in all oversew groups (>80%), not the staple line.
- All oversewn techniques leaked at supraphysiologic pressures, indicating clinical safety against in vivo leakage.
- No leakage was observed from barbed suture holes, addressing concerns of tissue trauma due to barb design.
- The study supports barbed suture as a viable alternative to conventional monofilament suture for FEESA oversew in dogs.
Veterinary Surgery
5
2022
Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model
2022-5-VS-duffy-3
In Neal 2023 et al., on transcondylar screw placement, which method had lower screw eccentricity on the humeral condyle?
🔍 Key Findings
- Aiming device provided comparable trajectory accuracy to fluoroscopy, especially in right limbs (1.9° vs. 3.4°, p = .0128).
- Eccentricity (deviation from condylar center) was lower with fluoroscopy (3.1 mm vs 4.2 mm, p = .0017), making fluoroscopy more precise.
- Odds of joint infringement were 8× higher with the aiming device, though not statistically significant (p = .0575).
- Residents had greater screw trajectory deviation than diplomates (p = .0366), highlighting impact of experience.
- Aiming device procedures took less time than fluoroscopy in some scenarios, particularly for right limbs with right-handed surgeons.
- Fluoroscopic procedures had more pin/drill attempts, increasing risk of glove puncture and potential aseptic breaks.
- Mean deviation angles in both groups (<3.5°) were within acceptable range to avoid intracondylar fracture gap.
- Cadaver model used large-breed, healthy adult dogs, not small-breed immature dogs, limiting generalizability.
Veterinary Surgery
4
2023
The effect of an aiming device on the accuracy of humeral transcondylar screw placement
2023-4-VS-neal-2
Quiz Results
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