
Your Custom Quiz
In Logothetou 2024 et al., on SPF complications, which flap type had the lowest complication rate on univariable analysis?
🔍 Key Findings
- Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
- Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
- Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
- Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
- Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
- Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
- Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
- Closure technique did not significantly influence complication severity, though staple use was numerically worse.
Veterinary Surgery
3
2024
Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)
2024-3-VS-logothetou-4
In Swieton 2025 et al., on portocaval shunts, how many dogs were confirmed to have persistent shunting on imaging follow-up?
🔍 Key Findings
Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:
- Good to excellent outcome: 81% (17/21)
- Median follow-up: 6 months (range 3–43)
Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported
Veterinary Surgery
2
2025
Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt
2025-2-VS-swieton-4
In Rehnblom 2025 et al., on OrthoLine fracture fixation, which fracture location had the shortest median plate span?
🔍 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-3
In Anderson 2025 et al., on wound drain configurations, which configuration had the highest mean volume of fluid retrieved?
🔍 Key Findings
- Study Design: Cadaveric model using four large-breed dogs with 10x10 cm full-thickness wounds at four locations (shoulder, thorax, flank, thigh).
- Configurations Tested: Diagonal, opposite, parallel, and perpendicular placements of wound infusion catheter and JP drain.
- Fluid Retrieval:
- No significant difference by configuration (p = .92) or location (p = .32).
- Perpendicular configuration had the highest mean retrieval (11.35 mL, 56.8% of instilled volume).
- Flank location had the lowest retrieval (7.2 mL, 35.9%).
- Surface Area Coverage:
- Parallel configuration achieved the highest SA coverage (83.4% ± 11.6%, p < .01).
- Perpendicular was lowest.
- Leakage:
- No difference in leakage between configurations (p = .74) or locations (p = .10).
- Leakage commonly occurred at drain or catheter entry points (93.8% of wounds).
- Conclusion: Parallel drain configuration optimized fluid dispersion. Infusion-retrieval systems may allow for topical therapy delivery in closed wounds.
Veterinary Surgery
2
2025
Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model
2025-2-VS-anderson2-2
In McClean 2025 et al., on shoulder arthrocentesis techniques, what percentage of injections using the subacromial (SA) approach were completely accurate?
🔍 Key Findings
- Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
- Survey Results: 75% of clinicians preferred SA technique; 25% used ST
- Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
- Partial accuracy: 39% (SA), 50% (ST)
- Complete miss: 11% (SA), 5.6% (ST)
- Incidence of IACI:
- SA: 50% (9/18 shoulders)
- ST: 11% (2/18 shoulders) → statistically significant (p = .007)
- Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
- Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
- Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
- ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
- Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.
Veterinary Surgery
4
2025
Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs
2025-4-VS-mcclean-1
In Grimes 2022 et al., on PDA rupture risks, which factor was **not** found to be significantly associated with rupture risk?
🔍 Key Findings
- Rupture occurred in 7.0% of dogs undergoing surgical PDA ligation (20/285).
- Overall mortality was low (0.4%), with only one death occurring post-rupture.
- Residual flow occurred in 9.4% of dogs; significantly more common in dogs with rupture.
- Residual flow odds were not increased when ligation was successfully performed despite rupture.
- No significant associations between rupture and age, weight, suture size, or dissection technique.
- Jackson-Henderson and intrapericardial techniques were helpful in managing rupture or fibrosis.
- Major complications (non-rupture) were rare (1.4%), including pulmonary artery ligation and cardiac arrest.
- Surgeon preparedness (e.g., hemostatic tools, alternate techniques) was key to successful outcomes.
Veterinary Surgery
4
2022
Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture
2022-4-VS-grimes-5
In McClean 2025 et al., on shoulder arthrocentesis techniques, what recommendation did the authors make based on safety and accuracy data?
🔍 Key Findings
- Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
- Survey Results: 75% of clinicians preferred SA technique; 25% used ST
- Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
- Partial accuracy: 39% (SA), 50% (ST)
- Complete miss: 11% (SA), 5.6% (ST)
- Incidence of IACI:
- SA: 50% (9/18 shoulders)
- ST: 11% (2/18 shoulders) → statistically significant (p = .007)
- Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
- Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
- Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
- ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
- Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.
Veterinary Surgery
4
2025
Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs
2025-4-VS-mcclean-5
In Wolfe 2025 et al., on endoscopic corpectomy feasibility, which intraoperative structure did NOT require resection to achieve target dimensions?
🔍 Key Findings
- Integrated endoscopic mini-hemilaminectomy and lateral corpectomy was feasible at all targeted sites from T11–12 through L3–4.
- Target corpectomy dimensions were achieved or exceeded at every included intervertebral disc space.
- Median corpectomy dimensions were ~23% vertebral body length, ~47% body height, and ~74% vertebral canal diameter.
- Thoracic sites required a steeper learning curve, with early failures related to cannula positioning rather than drilling limitations.
- Angled positioning (30°–60° away from the surgeon) subjectively improved drill trajectory and facilitated horizontal corpectomy access.
- No rib head resection or rhizotomy was required to achieve target dimensions using the endoscopic system.
- Excellent visualization of nerve roots and spinal cord was achieved through the 23-mm endoscopic cannula.
- Incorrect intervertebral disc localization was the most common technical error, highlighting the value of intraoperative fluoroscopy.
Veterinary Surgery
8
2025
Integrated endoscopic thoracolumbar mini-hemilaminectomy and lateral corpectomy in cadaver dogs
2025-8-vs-wolfe-4
In Power 2022 et al., on liposomal bupivacaine use, which group had a significantly higher rate of incisional complications?
🔍 Key Findings
- Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
- Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
- No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
- No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
- Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
- Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
- Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
- Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.
Veterinary Surgery
4
2022
Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs
2022-4-VS-power-2
In Vandekerckhove 2026 et al., on hip laxity forces, what minimum measured force allowed 90% of hip joints to achieve at least 90% of their maximal laxity?
🔍 Key Findings
- Applied force and hip laxity showed a predictable force–laxity relationship, validating previous cadaver findings in live sedated dogs.
- 90% of hip joints achieved ≥90% of maximal laxity at 80.45 N, establishing a practical minimum force target during stress radiography.
- LImax was not significantly affected by osteoarthritis, sex, age, or side, supporting robustness of the technique.
- Body weight significantly influenced both LImax and force–laxity curves, although this may reflect study population bias.
- Median LImax was 0.48 (range 0.32–0.78), with maximal laxity reached at forces ranging from 66–123 N.
- The force–laxity curve demonstrated a rapid rise followed by a plateau, indicating a threshold beyond which additional force yields minimal additional subluxation.
- Sedated dogs required approximately 15 N less force than cadavers to reach adequate laxity, likely due to muscle relaxation and absence of postmortem stiffness.
- The VMBDmD stress radiography technique demonstrated clinical practicality and reproducibility, supporting its use for canine hip dysplasia screening.
Veterinary and Comparative Orthopaedics and Traumatology
3
2026
Quantifying the Stress in Stress Radiography to Determine Sufficient Laxity of the Coxofemoral Joint in Sedated Dogs
2026-3-vcot-vandekerckhove-1
Quiz Results
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