
Your Custom Quiz
In Vodnarek 2024 et al., on nasopharyngeal fluoroscopy, what was the **main limitation** of grading using ΔL thresholds?
🔍 Key Findings
- Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
- Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
- Functional method
- Anatomically adjusted method
- Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
- Outcomes:
- Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
- Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
- Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
- ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.
Veterinary Surgery
1
2024
Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs
2024-1-VS-vodnarek-4
In Deveci 2025 et al., on 3D drill guides, what was the median screw trajectory deviation in the transverse plane?
🔍 Key Findings
- Objective: Evaluate feasibility and accuracy of 3D-printed patient-specific drill guides for iliosacral screw placement in cadaver dogs.
- N = 10 canine cadavers (20 hemipelves); screw placement done using fluoroscopic-assisted patient-specific guides (PSG).
- Median cortical breach grade: 0 (IQR 0–1) for all screws.
19/20 screws breached sacral canal wall (all ≤ grade 2), but no screws breached canal contents (grade 3). - Median trajectory deviation: 0.88° transverse, 0.72° dorsal.
- Procedure time: Median 7.2 minutes for guide placement and drilling.
- Conclusions: PSG-assisted screw placement was safe, accurate, and fast, offering clinical potential in pelvic trauma.
Veterinary Surgery
2
2025
Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs
2025-2-VS-deveci-3
In Kimura 2025 et al., on mini-THA in <4 kg dogs, what complication led to the discontinuation of a THA procedure in one case?
🔍 Key Findings
- Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
- Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
- Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
- Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
- Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
- Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
- No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
- CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.
Veterinary Surgery
6
2025
Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty
2025-6-VS-kimura-4
In Aly 2024 et al., on simulator training for feline OHE, how did simulator training affect postoperative pain scores?
🔍 Key Findings
- This study evaluated whether high-fidelity surgical simulator training improved live animal and student outcomes in a feline OHE teaching lab involving 186 cats and 146 students.
- Simulator training significantly improved surgical performance and outcomes:
- Live surgery was 6 minutes shorter on average in the SIM group vs. NO-SIM (115 ± 21 min vs. 121 ± 16 min, p = .04).
- Pain scores ≥5/20 occurred in 1% of SIM group cats vs. 15% of NO-SIM group cats (p < .01).
- Rescue analgesia was needed less frequently in the SIM group (5% vs. 15%, p = .03).
- Student confidence was significantly higher in the SIM group (median 7/10 vs. 6/10, p < .01).
- The simulator used a realistic abdominal model with friable tissues and required performance of a full OHE procedure.
- The study design was nonrandomized, grouped by class year, with limitations including lack of blinding during pain assessment in year two.
- Authors concluded that pre-lab simulator competency improves both animal welfare and student confidence, recommending it as a prerequisite for live surgical training.
Veterinary Surgery
6
2024
Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory
2024-6-VS-aly-3
In Allaith 2023 et al., on THR outcomes, what statistically significant change was observed in postoperative LOAD scores?
🔍 Key Findings
From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry
- 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
- Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
- Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
- Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
- Most common complications: Luxation, femoral fracture, and aseptic loosening.
- BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
- Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
- Owner satisfaction was high, with 88% rating outcome as very good or good.
Veterinary Surgery
2
2023
Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period
2023-2-VS-allaith-4
In Espinel Rupérez 2023 et al., in Arthroscopic-assisted hip toggle stabilization in cats, what proportion of deviations from the intended technique were major?
🔍 Key Findings
- 14 joints from 7 cat cadavers underwent AA-HTS successfully.
- Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
- Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
- Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
- Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
- 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
- No neurovascular, intrapelvic, or major periarticular injuries occurred.
- Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.
Veterinary Surgery
7
2023
Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study
2023-7-VS-espinel-4
In Curuci 2024 et al., what was a reported benefit of the wedge resection used in DCTPLO?
🔍 Key Findings Summary
- 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
- Mean TPA correction: from 39.4° to 6.3°
- Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
- Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
- Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
- The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs
2024-6-VCOT-curuci-4
In Adams 2024 et al., on canine tibial plateau fractures, which approach was used for lateral TPFs?
🔍 Key Findings
- Tibial plateau fractures (TPF) are rare in dogs, but can be surgically stabilized with good outcomes even in complex trauma cases.
- Lateral TPFs (Unger type 41-B1) were approached via caudolateral arthrotomy, with elevation of the lateral meniscus for visualization and use of lag screws and K-wires for fixation.
- Medial TPF (Unger type 41-B2) was addressed via medial parapatellar approach using K-wires and a figure-of-eight tension band.
- One minor complication occurred: implant yield at 2 weeks in a case with a concurrent fibular fracture, resulting in a 0.8 mm step defect.
- No major complications were recorded, and all dogs achieved clinical union with full function by 8–10 weeks.
- Long-term owner-reported outcomes (LOAD scores) were excellent (5/52), indicating minimal osteoarthritis or chronic pain.
- Concurrent fibular fractures may increase risk of implant failure and should influence implant selection (e.g., considering buttress plating).
- Arthroscopic-assisted techniques may be applicable in select cases, but open reduction was preferred due to fragment displacement or concurrent injuries.
Veterinary Surgery
6
2024
Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases
2024-6-VS-adams-3
In Sandoval 2024 et al., on lung lobectomy technique outcomes, what percentage of self-ligating loop (SLL) procedures had intra- or postoperative complications?
🔍 Key Findings
- Intra- and postoperative complications occurred only in stapled lobectomies, but the difference was not statistically significant (intra: p = .069, post: p = .112).
- Intraoperative hemorrhage was the most common complication (11.8%), followed by air leakage (2%).
- All self-ligating loop (SLL) lobectomies had zero complications (n=18), though the sample was small.
- Postoperative complications included 4 catastrophic events (cardiopulmonary arrest), all in stapled cases.
- Lung lobectomy technique was not associated with duration of chest tube use, hospitalization, or survival (p > .05).
- 94.3% of patients survived to discharge (82/87).
- SLLs are lower-cost and may be more feasible for thoracoscopic/minimally invasive approaches due to smaller port size (5mm vs. 12mm for staplers).
- A future superiority study would need ≥103 lobectomies per group to assess differences in complication rates.
Veterinary Surgery
7
2024
Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler
2024-7-VS-sandoval-1
In Miyagi 2025 et al., on endoscopic laser sphincterotomy, what was concluded regarding ICBD length and body weight?
🔍 Key Findings
- Endoscopic-assisted retrograde catheterization (EARC) and laser sphincterotomy were successful in 18/18 cadavers, demonstrating technical feasibility.
- Intramural common bile duct (ICBD) length ranged from 10 to 21 mm (mean 15.8 mm), with no correlation to body weight (r = 0.06, p = .79).
- Transition from ICBD to extramural duct was accurately identified endoscopically in 88% (16/18); transition was heralded by separation of the submucosal layer.
- Partial lateral perforations occurred in 2/18 dogs, only during early learning phase; no leakage was found on open dissection.
- Laser sphincterotomy preserved the pancreatic duct orifice, aided by protective catheter positioning.
- Compared to open duodenotomy, this technique allows for a smaller incision and less manipulation of the pancreas, which may reduce morbidity.
- No adverse events such as intra-abdominal saline egress or full-thickness perforation occurred, and the technique allowed safe access up to 10 mm from the MDP.
- Cadaveric limitations included absence of biliary pathology and inability to evaluate live complications, but the technique shows promise for future live animal trials.
Veterinary Surgery
5
2025
Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study
2025-5-VS-miyagi-5
Quiz Results
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