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In Jeon 2025 et al., on distal femoral shortening, what was the **main indication** for performing DFSO during THR in dogs with luxoid hips?
🔍 Key Findings
- Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
- Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
- Bone union was achieved in all cases post-DFSO, indicating good healing potential.
- Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
- One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
- DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
- Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
- DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.
Veterinary Surgery
6
2025
Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips
2025-6-VS-jeon-1
In Cruciani 2022 et al., on feline pancreaticoduodenostomy, which postoperative finding was observed and monitored without clinical consequence?
🔍 Key Findings
- Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
- No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
- Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
- No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
- Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
- The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
- Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
- Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.
Veterinary Surgery
8
2022
Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat
2022-8-VS-cruciani-2
In Kang 2022 et al., on 3D scaffold reconstruction, what was the primary diagnosis confirmed after tumor excision?
🔍 Key Findings
- Patient-specific 3D-printed PCL/β-TCP scaffold enabled successful zygomatic arch reconstruction in a dog.
- Complete surgical resection of a zygomatic parosteal osteosarcoma was achieved, with a 0.3 mm histologically clean margin.
- Post-op imaging showed progressive tissue ingrowth into the scaffold, with Hounsfield Units increasing from 20.4 to 97.8 over 10 months.
- No complications (e.g., infection, displacement) or tumor recurrence were noted at 16-month follow-up.
- Use of a patient-specific osteotomy guide improved anatomical fit and facilitated precise excision and implant placement.
- Facial symmetry and orbital stability were maintained throughout follow-up.
- The scaffold remained structurally stable despite limited bone regeneration, suggesting connective tissue filled the defect.
- Topical mitomycin C was applied intraoperatively for possible anti-neoplastic effect, but efficacy remains unclear.
Veterinary Surgery
8
2022
Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog
2022-8-VS-kang-2
In Lemmon 2025 et al., on synovitis severity scoring, what clinical implication was proposed based on the findings?
🔍 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-5
In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), despite reduced suturing time, what is a clinical limitation of using unidirectional barbed suture for VUA?
🔍 Key Findings
- Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
- UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
- UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
- Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
- No suture breakage or urethral narrowing occurred in either group.
- Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
- Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
- UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.
Veterinary Surgery
5
2023
Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study
2023-5-VS-monnet-5
In Hawker 2024 et al., on checklist attitudes, which implementation strategy was most commonly associated with SSC success?
🔍 Key Findings
- 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
- 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
- Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
- Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
- Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
- Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
- Surgeons and OR staff were most commonly identified as noncompliant team members.
- SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.
Veterinary Surgery
5
2024
Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates
2024-5-VS-hawker-3
In Lomas 2025 et al., on DPO and dorsolateral subluxation, what percentage of hips had a post-DPO DLS score <55%, indicating higher OA risk?
🔍 Key Findings
- DPO significantly improved femoral head coverage, increasing mean DLS from 36.1% to 71.4% postoperatively (p < 0.001).
- No significant change in DLS between immediate postoperative and follow-up scans, suggesting stable surgical outcomes over time.
- Greater plate angle (30°) yielded larger DLS improvement (mean increase: 39.8%) compared to 25° and 20° plates.
- Only 3 hips had post-op DLS scores <55%, indicating most patients had lower risk of osteoarthritis progression.
- No correlation found between DLS improvement and age, body weight, or side of surgery, suggesting broad applicability.
- CT was used for DLS measurement in simulated weight-bearing, improving precision over radiographic methods.
- Major limitations included small sample size, multiple surgeons, and variable sedation vs anesthesia during imaging.
- DPO confirmed as effective for reducing dorsolateral subluxation, improving coxofemoral joint congruency in dysplastic dogs.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs
2025-2-VCOT-lomas-4
In Bresciani 2022 et al., on modified urethrostomy outcomes, what surgical modification aimed to improve urinary continence?
🔍 Key Findings
- Modified prepubic urethrostomy (mPPU) was effective for managing proximal urethral obstructions in male cats.
- All 8 cats regained voluntary urination within 24 hours postoperatively.
- Early urinary incontinence and peristomal dermatitis occurred in all cats but were self-limiting.
- Two cats (25%) required surgical revision due to stomal obstruction from weight gain and abdominal fat.
- No intraoperative complications were reported in any of the 8 cats.
- Follow-up (13–84 months) showed sustained urinary continence and owner satisfaction in all cases.
- The rectus abdominis muscle tunnel likely increased outflow resistance, minimizing persistent incontinence.
- Recurrent hematuria and dysuria occurred in 3 cats but were managed conservatively.
Veterinary Surgery
2
2022
Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats
2022-2-VS-bresciani-2
In Kershaw 2025 et al., on PSG vs AD, which directional deviation was more common in screws placed using the aiming device?
🔍 Key Findings
- 3D-printed patient-specific guides (PSGs) significantly improved accuracy of drill hole entry (p < 0.001) and exit (p = 0.044) compared to commercial aiming devices (AD).
- Zero joint penetrations occurred with PSGs, whereas 3 of 7 AD-guided screws were predicted to penetrate the joint (p = 0.19).
- Variance in exit point and drill angle was significantly lower in PSG group, suggesting more consistent results.
- One PSG case failed due to improper guide seating, but this was corrected with improved soft tissue clearance.
- PSGs enabled safer trajectories despite use by novice surgeons, emphasizing their value in less experienced hands.
- Drill holes placed with ADs deviated more cranially and distally, increasing the risk of articular violation.
- Use of PSGs allowed for tighter clustering of drill trajectories, especially in the cranial–caudal axis.
- Subjective feedback favored PSGs for ease of use and ergonomic design, despite requiring slightly larger incisions.
Veterinary and Comparative Orthopaedics and Traumatology
5
2025
Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus
2025-5-VCOT-kershaw-4
In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, which **surgical device** was associated with **shorter median surgery time**?
🔍 Key Findings
- TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
- 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
- Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
- Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
- One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
- Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
- Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
- TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.
Veterinary Surgery
1
2023
Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs
2023-1-VS-scott-3
Quiz Results
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