
Your Custom Quiz
In Beer 2026 et al., on synovial CRP biomarkers, what was the median synovial CRP concentration reported in dogs with osteoarthritis?
🔍 Key Findings
- Synovial CRP was significantly lower in osteoarthritis than both IMPA and bacterial infective arthritis (p=0.001 for both comparisons).
- Synovial CRP could not differentiate IMPA from bacterial infective arthritis (p=0.721), limiting its value as a stand-alone diagnostic test.
- Median synovial CRP concentrations were 0.2 mg/L (OA), 65.79 mg/L (IMPA), and 60.8 mg/L (infective arthritis).
- Synovial CRP is useful for distinguishing inflammatory from non-inflammatory arthropathies, but not infectious from sterile inflammatory disease.
- Synovial neutrophil count positively correlated with synovial CRP in IMPA and infective arthritis, supporting CRP as a marker of joint inflammation.
- Serum and synovial CRP showed a moderate positive correlation in IMPA cases (r=0.52), although not statistically significant.
- Higher synovial CRP was associated with increased lameness severity in osteoarthritis (r=0.91, p=0.004).
- Diagnosis of bacterial infective arthritis remains multifactorial, requiring integration of history, cytology, culture, and treatment response rather than CRP alone.
Veterinary and Comparative Orthopaedics and Traumatology
3
2026
Synovial Fluid C-Reactive Protein as a Biomarker in Osteoarthritis, Immune-Mediated Polyarthritis and Bacterial Infective Arthritis
2026-3-vcot-beer-3
In Bohin 2026 et al., on feline Achilles repair, which Achilles tendon injury type represented the most common partial rupture pattern?
🔍 Key Findings
- UHMWPE implant reconstruction resulted in successful long-term functional recovery in 11/12 limbs (91.7%) with complete follow-up, with restoration of normal tarsal motion in most cats.
- All injuries occurred at the tendino-osseous junction, with 53.8% being complete Achilles tendon ruptures and 46.2% partial gastrocnemius avulsions (Type IIc).
- No intraoperative complications occurred in any of the 13 repaired limbs.
- Complication rate was low (15.4%), with only one calcaneal fracture from screw malposition and one surgical site infection causing implant failure.
- External coaptation was not required in all cases, and outcomes did not differ between limbs with or without rigid coaptation.
- Median long-term follow-up was 18.5 months, with a median FMPI score of 1.5 indicating excellent owner-reported limb function.
- Calcaneal fracture risk was associated with distal interference screw malposition, emphasizing the importance of correct screw placement proximal and caudal to the talocalcaneal central joint.
- The technique may reduce complications associated with transarticular fixation or external skeletal fixation, potentially improving short-term recovery while preserving tendon loading during healing.
Veterinary Surgery
4
2026
Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)
2026-4-vs-bohin-5
In Song 2024 et al., on CT vs cystoscopy for ectopic ureters in dogs, what did the authors conclude regarding CT's role in surgical planning?
🔍 Key Findings
- CT correctly identified ectopic ureters in 91% of dogs, but missed 50% of normal ureters, limiting its negative predictive value.
- Sensitivity for intramural ectopic ureters was 65%, while specificity was 71%, indicating moderate diagnostic performance.
- Sensitivity for extramural ectopic ureters was only 29%, despite a high specificity of 97%.
- CT was inaccurate in predicting ureteral orifice location, with sensitivity ranging from 0% to 76% depending on the site.
- 26% of dogs were misclassified for cystoscopic laser ablation (CLA) eligibility based on CT findings alone.
- Overall CT accuracy for CLA candidacy was 74%, but a significant minority would have been inappropriately treated.
- Multivariate analysis found no predictive factors (e.g., colon distension, body weight) for when CT would be incorrect.
- Authors recommend confirmatory cystoscopy to verify CT findings prior to treatment planning.
Veterinary Surgery
3
2024
Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases
2024-3-VS-song-5
In Huerta 2025 et al., on leakage in canine lung lobectomy, how did PL-60 perform compared to PL-30 in terms of leakage pressure?
🔍 Key Findings
PL-30 group (partial, TA30-V3 wedge):
- 100% leaked
- Median leakage pressure: 10 cm H₂O
- Most failures from periphery of staple line
PL-60 group (partial, TA60-3.5):
- 100% leaked
- Median leakage pressure: 18 cm H₂O
- Better than PL-30 (p = .006)
TL-30 group (total, TA30-V3):
- Only 1 of 11 leaked (at 22 cm H₂O)
- All others resisted pressures >50–65 cm H₂O
- Significantly higher leakage pressure than both PL groups (p < .001)
Odds ratios (leakage vs TL-30):
- PL-30: OR 437 at both 20 and 30 cm H₂O (p = .003)
- PL-60: OR 437 at 20 cm H₂O and 133 at 30 cm H₂O (p = .003)
Recommendation: Prefer TL-30 when possible. If partial needed, PL-60 superior to PL-30, but all partials leaked at physiologic pressures.
Veterinary Surgery
4
2025
Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs
2025-4-VS-huerta-4
In Boone 2026 et al., on feline urolith surgery, what was the authors' overall conclusion regarding modified percutaneous cystolithotomy?
🔍 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-5
In Parlier 2024 et al., on insufflation effects on portal pressure in dogs, what was the observed change in portal pressure at 14 mmHg insufflation?
🔍 Key Findings
- Portal pressure increased proportionally with insufflation pressure: 38% at 6 mmHg, 95% at 10 mmHg, and 175% at 14 mmHg.
- Exponential model: average increase of 7.45% per mmHg of insufflation pressure (CI: 4.7–10.2%).
- No systemic hemodynamic adverse effects were observed; MAP remained >60 mmHg throughout.
- Portal hypertension threshold (15 mmHg) predicted at ~6.4 mmHg insufflation pressure.
- No statistical impact from patient weight, pressure-to-weight ratio, or order of insufflation rounds.
- Measurement technique was feasible and safe, with only minor challenges (e.g., catheter kinking).
- The study supports use of the lowest insufflation pressure needed for visualization to avoid portal hypertension.
- Baseline portal pressures returned after desufflation, supporting comparison pre- and post-attenuation.
Veterinary Surgery
4
2024
Prospective, randomized, clinical trial on the effects of laparoscopic insufflation pressures on portal pressures in dogs
2024-4-VS-parlier-3
In Hawker 2025 et al., on locking head inserts, why might LHI fail to reduce strain in LCP Combi-holes?
🔍 Key Findings
- Adding Locking Head Inserts (LHI) to a 3.5-mm LCP had no effect on plate strain, stiffness, or deformation in an open fracture gap model.
- Peak strain consistently occurred at the Combi-hole over the fracture gap, with values up to ~1837 µε.
- No significant difference in strain was found across configurations with 0, 3, or 9 LHI (p = 0.847).
- Construct stiffness and compressive displacement also remained unchanged regardless of LHI count (p = 0.311 and 0.069 respectively).
- Study contradicted the hypothesis that LHI would reduce strain and increase stiffness under biologic loading.
- Combi-hole design may limit the efficacy of LHI, as LHI only fill the locking portion, not the compression side where strain peaks.
- Implant fatigue risk remains highest over unfilled screw holes, especially over fracture sites—confirming previous failure patterns.
- Surgeons should consider alternative methods to reduce strain when facing high implant load scenarios.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model
2025-4-VCOT-hawker-4
In Guevara 2024 et al., on implant placement accuracy, what was considered an acceptable placement grade using the modified Zdichavsky classification?
🔍 Key Findings:
- Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
- Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
- Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
- Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
- Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
- Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
- Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
- Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.
Veterinary Surgery
2
2024
Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines
2024-2-VS-guevara-4
In Fidelis 2025 et al., on suture eyelet geometry, which two anchors most frequently showed **suture failure at the mid-section**?
🔍 Key Findings
- Raised eyelets caused more suture mid-section failures than embedded eyelets, suggesting wear or cutting against the anchor.
- No significant effect of cyclic loading on failure load (Fmax) was found for any anchor group.
- Anika anchor showed the least reduction in suture strength relative to the reference (eyebolt screw), indicating a favorable design.
- All sutures failed via suture breakage, not anchor pullout, indicating suture fatigue was the primary failure mode.
- Sutures in raised eyelets more often failed at the mid-section, while those in embedded eyelets failed at the knot.
- IMEX and Jorvet anchors showed significantly reduced Fmax compared to eyebolt screws.
- Loading direction and anchor design likely affect wear and ultimate failure, particularly in dynamic in vivo conditions.
- Future designs should aim for embedded, smooth eyelets that can accommodate larger suture sizes without increasing wear.
Veterinary Surgery
6
2025
Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study
2025-6-VS-fidelis-3
In Fidelis 2025 et al., on suture eyelet geometry, what effect did **cyclic loading** have on maximum failure load (Fmax)?
🔍 Key Findings
- Raised eyelets caused more suture mid-section failures than embedded eyelets, suggesting wear or cutting against the anchor.
- No significant effect of cyclic loading on failure load (Fmax) was found for any anchor group.
- Anika anchor showed the least reduction in suture strength relative to the reference (eyebolt screw), indicating a favorable design.
- All sutures failed via suture breakage, not anchor pullout, indicating suture fatigue was the primary failure mode.
- Sutures in raised eyelets more often failed at the mid-section, while those in embedded eyelets failed at the knot.
- IMEX and Jorvet anchors showed significantly reduced Fmax compared to eyebolt screws.
- Loading direction and anchor design likely affect wear and ultimate failure, particularly in dynamic in vivo conditions.
- Future designs should aim for embedded, smooth eyelets that can accommodate larger suture sizes without increasing wear.
Veterinary Surgery
6
2025
Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study
2025-6-VS-fidelis-4
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
