Your Custom Quiz
In Boone 2026 et al., on feline urolith surgery, which factor was associated with incomplete urolith removal in the open cystotomy group?
🔍 Key Findings
- Modified percutaneous cystolithotomy (PCCLm) resulted in significantly shorter skin incisions and hospitalization duration compared with open cystotomy (OC) (p=.002 and p=.031, respectively).
- PCCLm cats had fewer immediate postoperative lower urinary tract signs and were more often asymptomatic postoperatively than OC cats (p=.046 and p=.006).
- Rates of incomplete urolith removal were similar between PCCLm and OC, indicating no clear advantage in stone clearance for either technique.
- No PCCLm procedures required conversion to open surgery, demonstrating technical feasibility in cats.
- Clinical urolith recurrence rates were low and similar between PCCLm (10.5%) and OC (8.6%).
- In PCCLm, incomplete stone removal was associated with longer anesthesia time, longer hospitalization, larger incision length, and postoperative LUTS.
- In OC, incomplete stone removal was associated with longer surgery time and obstructed/distended bladders at presentation.
- PCCLm is an acceptable minimally invasive alternative to OC, although it did not reduce surgical site infection rates or incomplete stone removal.
Veterinary Surgery
4
2026
Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 cats
2026-4-vs-boone-3
In Bresciani 2022 et al., on modified urethrostomy outcomes, what was the long-term continence status of cats post-mPPU?
🔍 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-5
In Miller 2024 et al., on SOP-LC mechanical testing, what torque value may help reduce clamp slippage during use?
🔍 Key Findings Summary
- No significant difference in mechanical properties between contoured vs non-contoured SOP-LC rods
- Clamp configuration significantly influenced mechanical performance:
- Single-side clamps → ↑ yield load, ↑ displacement, ↑ bending strength (p < 0.05)
- Alternating-side clamps → ↑ initial torsional stiffness (p = 0.029)
- Clamp slippage was evident only in torsional tests; screw loosening may be torque-dependent
- Mild screw bending and construct offset suggest subtle instability
- Recommends clamp configuration choice based on loading scenario
- Suggests 3.0 Nm torque may be more effective than 2.5 Nm to prevent clamp slippage
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion
2024-4-VCOT-miller-5
In Burton 2023 et al., on CHAPS plate design, what was a key biomechanical feature incorporated into CHAPS plate design?
🔍 Key Findings
- The Canine Humeral Anatomic Plating System (CHAPS) was designed using CT-based 3D modeling of 100 canine humeri from 5–50 kg.
- Four plate sizes (TP1–TP4) were developed to accommodate a wide range of canine body sizes.
- Plate contour fit was evaluated across 48 cadaveric limbs and showed a 97.5% median surface match, demonstrating excellent topographic conformity.
- Screw hole placement avoided 95–100% of critical anatomical structures including the supratrochlear foramen and nutrient foramen.
- The plates were designed for use with locking screws, improving biomechanical stability for humeral diaphyseal fractures.
- CHAPS plates showed consistent alignment with humeral curvature in both craniocaudal and mediolateral planes.
- CT data revealed marked breed and size variation, but the multi-size design achieved broad anatomical applicability.
- The system provides an anatomic solution with potentially fewer intraoperative contouring needs and reduced iatrogenic risk.
Veterinary Surgery
3
2023
Design and topographic evaluation of a canine humeral anatomic plating system (CHAPS)
2023-3-vs-burton-4
In Walker 2022 et al., on TPLO mRUST scoring, which metric demonstrated the highest inter-rater reliability?
🔍 Key Findings
- TPLO mRUST scoring showed improved inter-rater reliability (ICC = 0.56) compared to subjective evaluation (Kappa = 0.33).
- Intra-rater reliability was similar for both methods (TPLO mRUST: 0.73, subjective: 0.72).
- TPLO mRUST scores ≥10/12 strongly correlated with radiographic union, as subjectively assessed (99% agreement).
- No significant difference in healing between first and second TPLO sides (P = .09), countering assumptions about load-bearing impact.
- Higher initial lameness scores and younger age were associated with higher TPLO mRUST scores, suggesting more robust healing in those groups.
- Postoperative complications were linked to lower TPLO mRUST scores, indicating impaired healing.
- Medial cortex was excluded from scoring due to plate obstruction, validating use of only 3 cortices for scoring.
- The TPLO mRUST system may standardize healing assessment, reducing subjective bias across specialties.
Veterinary Surgery
8
2022
Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing
2022-8-VS-walker-1
In Murphy 2024 et al., what was the overall prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg?
🔍 Key Findings Summary
- Prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg was 19.1%, notably lower than previous studies (33–50%).
- Median time to contralateral CCLR was 12.9 months.
- Older age reduced risk — 2% decrease per month of age (p=0.003).
- Golden Retrievers and Labradors had significantly lower risk (p=0.028 and p=0.007, respectively).
- No effect found from TPA, meniscal injury, or comorbidities (e.g., hip dysplasia, hypothyroidism).
Veterinary and Comparative Orthopedics and Traumatology
1
2024
The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older
2024-1-VCOT-murphy-1
In Lampart 2023 et al., on manual laxity testing, which test showed the greatest interobserver variability in compressive force applied?
🔍 Key Findings
- Cranial drawer (CD), tibial compression (TCT), and tibial pivot compression test (TPCT) showed 100% sensitivity and specificity in differentiating intact from CCL-deficient stifles in this ex vivo model.
- TPCT elicited the highest cranial tibial translation (CTT) and internal tibial rotation, though differences in rotation did not reach statistical significance.
- Inter- and intraobserver agreement for CTT was excellent across all tests (ICC >0.9).
- Rotation and force application had greater variability, particularly with less experienced observers and during CD.
- Forces applied during CD were significantly higher in intact limbs and correlated with observer experience.
- Subjective CTT estimates strongly correlated with objective kinematic measurements (r = 0.895), with a median absolute error of 1.31 mm.
- TPCT may be particularly useful for assessing rotational instability, mimicking the pivot-shift test used in human ACL exams.
- Study supports development of a grading system for manual laxity testing, especially in acute CCLR cases.
Veterinary Surgery
5
2023
Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study
2023-5-VS-lampart-4
In Cruciani 2025 et al., on portal placement, what was the most common complication following surgery?
🔍 Key Findings
- Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
- Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
- Outcomes:
- Good to excellent mid-to-long-term outcomes in 11/14 dogs.
- Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
- Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
- No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
- Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
- Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
- Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).
Veterinary Surgery
1
2025
A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)
2025-1-VS-cruciani-1
In Rehnblom 2025 et al., on OrthoLine fracture fixation, what was the reported clinical union rate?
🔍 Key Findings
- High clinical union rate (93.4%) was achieved across 75 fractures treated with the OrthoLine™ system.
- Owner-assessed outcomes were universally acceptable or full, with no unacceptable outcomes reported.
- Overall major complication rate was 12.2%, including implant failure (1.1%) and implant infection (2 cases).
- Shorter plate spans in radial (46.6%) and ulnar (33.0%) fractures were well tolerated without increased nonunion.
- Femoral constructs used longer plate spans (73.3%) compared with radius/ulna, reflecting differing biomechanical demands.
- Use of postoperative external coaptation was common (46.7%) and associated with higher minor bandage-related complications.
- Titanium alloy and stainless-steel plates both produced acceptable healing, with no delayed unions attributable to material choice.
- The OrthoLine™ system was deemed a promising alternative locking plate system for small animal fracture repair.
Veterinary Surgery
8
2025
Open reduction and internal fixation of 75 small animal fractures treated with the OrthoLine™ fracture system
2025-8-vs-rehnblom-1
In Johnson 2022 et al., on PET implant outcomes, what fixation method was used for securing the implant to bone?
🔍 Key Findings
- Only 2 of 10 PET implants were fully intact and functional at 6 months post-op.
- Owner-reported function (LOAD scores) improved by 51.7% (p = .008) over 6 months.
- Gait asymmetry improved by 86% (p = .002) postoperatively.
- Implant failure occurred in the midbody of the PET device, suggesting fatigue as a failure mechanism.
- One dog (10%) developed implant infection, necessitating implant removal.
- Implant fixation method (screws + washers + interference screw) was mechanically adequate and technically simple.
- Partially intact implants (4/10) still showed improved clinical outcomes, despite structural compromise.
- Midbody tearing and lack of long-term integrity prohibit continued use of this PET implant in CCL repair.
Veterinary Surgery
8
2022
Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial
2022-8-VS-johnson-5
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings