Your Custom Quiz
In Hoenecke 2025 et al., on radiographic opacity in patella luxation, which diagnostic technique was suggested to provide better sensitivity than arthrotomy for subtle CCL damage?
🔍 Key Findings
- 65% of stifles with patella luxation and intact CCLs had increased radiographic soft tissue opacity
- Weight and radiographic OA were significantly associated with increased opacity (p = .0029 and p = .0143)
- Each 1 kg increase in weight increased the odds of opacity by 10%
- Grade of patella luxation, age, and muscle atrophy were not significantly associated with increased opacity
- 19% of dogs with long-term follow-up developed a CCL rupture post-patella surgery, 50% of those had opacity at initial presentation
- Radiographic opacity alone should not be interpreted as CCL disease in dogs with patella luxation
- Radiographic findings likely represent effusion or synovial hyperplasia, not CCL pathology
- Arthrotomy was used to confirm CCL integrity at surgery, but arthroscopy could provide better sensitivity
Veterinary Surgery
7
2025
Increased radiographic stifle soft tissue opacity in dogs with patella luxation
2025-7-VS-hoenecke-5
In Scharpf 2024 et al., what was the effect of autologous conditioned plasma (ACP) compared to placebo on postoperative outcome?
🔍 Key Findings Summary
- Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
- No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
- Force plate analysis was more sensitive than visual lameness scoring.
- Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
- Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis
2024-2-VCOT-scharpf-2
In Chik 2025 et al., on abdominal wall prestretching, which anatomical direction showed the greatest increase during insufflation?
🔍 Key Findings
- Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
- PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
- All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
- Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
- Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
- No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
- Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
- Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.
Veterinary Surgery
5
2025
Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures
2025-5-VS-chik-3
In Redolfi 2024 et al., what was the most common major complication observed after TPLO-TTT?
🔍 Key Findings Summary
- Study of 24 stifles in 22 dogs with concurrent CCLR and grade III–IV MPL treated via TPLO-TTT
- Major complications: 4/24 (3 surgical site infections, 1 MPL reluxation); minor complications: 5/24
- Long-term follow-up (median 27 months): 21/22 dogs sound, 23/24 stifles resolved
- Patellar ligament thickening observed post-op in 4 cases, resolved with rehab
- The only case of MPL reluxation involved untreated tibial torsion, suggesting case selection is critical
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation
2024-1-VCOT-redolfi-2
In Walter de Bruyn 2024 et al., which of the following best explains the increased stiffness in orthogonal constructs?
🔍 Key Findings Summary
- Primary 3.5-mm LCP used with short (SWL), medium (MWL), and long (LWL) working lengths
- Addition of orthogonal 2.7-mm LCP resulted in:
- Significantly higher bending stiffness for SWL, MWL, and LWL (p < 0.0001)
- Higher torsional stiffness for MWL and LWL (not for SWL)
- Significantly lower strain across all working lengths in bending (p < 0.01)
- Working length inversely related to construct stiffness and directly to plate strain
- Orthogonal plates eliminated stiffness differences across working lengths in bending
- Suggests orthogonal plates can improve implant fatigue life and allow compensation when short working lengths are unachievable
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model
2024-4-VCOT-walterdebruyn-5
In Oramas 2025 et al., on laparoscopic liver lobectomy, how many right lateral liver lobectomies were successfully performed?
🔍 Key Findings
- 13 cadaver dogs underwent laparoscopic right lateral liver lobectomy in sternal recumbency using a transdiaphragmatic intrathoracic trocar (ITT).
- All lobectomies were successful, regardless of dog size.
- Median total surgical time: 35.5 min; median lobectomy time: 18.5 min.
- ITT port enhanced visualization and access to hilus.
- No correlation between body weight and hilus access (p = .78).
- Stronger correlation between liver lobe weight and lobectomy time (r = .73, p = .004).
- Complication in 3/13 cases: Loss of insufflation due to balloon-tip port failure and pneumothorax.
- Recommendation: Use a new balloon trocar per case in clinical applications to prevent failure.
Veterinary Surgery
4
2025
Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population
2025-4-VS-oramas-4
In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what was the median time to radiographic bone healing?
🔍 Key Findings
- All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
- Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
- Median lameness score improved from 2/4 to 1/4 by final follow-up.
- Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
- No major complications; minor issues included 1 screw loosening and 1 superficial infection.
- Subjective function was graded full in 4 dogs, acceptable in 7.
- Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
- Use of both orthopedic wire and plating provided secure fixation and improved outcomes.
Veterinary Surgery
3
2024
Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening
2024-3-VS-pfeil-1
In Giansetto 2022 et al., on preputial urethrostomy, which key benefit did the novel surgical technique provide over traditional prepubic urethrostomy?
🔍 Key Findings
- Modified preputial urethrostomy without penile amputation was successfully performed in 4 male dogs with urethral stenosis or trauma.
- The technique involved anastomosis of the pelvic urethra to the preputial mucosa via caudal celiotomy, avoiding perineal urethrostomy complications.
- No cases of skin scalding or stoma stenosis were reported during short- and long-term follow-up.
- Two dogs developed mild urinary incontinence, particularly when excited; one improved with phenylpropanolamine.
- The approach preserved local anatomy, avoiding penile amputation, osteotomies, and preputial dissection.
- Postoperative urinary catheterization was used to protect the anastomosis, although optimal duration remains debated.
- Surgical access via the linea alba minimized tension at the anastomosis site and avoided complications from paramedian approaches.
- This technique may serve as a viable alternative to prepubic urethrostomy, reducing urine-related skin complications and improving cosmetic outcome.
Veterinary Surgery
8
2022
Preputial urethrostomy with preservation of the local anatomy in 4 dogs
2022-8-VS-giansetto-1
In Scharpf 2024 et al., on arthroscopic MCD treatment, which ground reaction force parameter did **not** normalize by 26 weeks?
🔍 Key Findings Summary
- Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
- No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
- Force plate analysis was more sensitive than visual lameness scoring.
- Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
- Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis
2024-2-VCOT-scharpf-1
In Anderson 2025 et al., on liver hemostatic agents, how did the AG sponge perform compared to the PC sponge in terms of adhesion?
🔍 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-anderson1-2
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