
Your Custom Quiz
In Clarke 2022 et al., on nasopharyngeal collapse severity, which of the following surgeries was NOT part of the standard corrective procedures performed?
🔍 Key Findings
- Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
- Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
- 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
- All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
- Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
- Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
- Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
- Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.
Veterinary Surgery
6
2022
Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs
2022-6-VS-clarke-4
In De Moya 2023 et al., on femoral pinning outcomes, what rationale was given for elective pin removal in young dogs?
🔍 Key Findings
- FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
- Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
- Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
- Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
- Median surgical time was 60 minutes, and no conversions to open surgery were needed.
- Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
- One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
- FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.
Veterinary Surgery
6
2023
Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs
2023-6-VS-demoya-5
In Dalton 2023 et al., In Minimally invasive acetabular fracture repair in dogs, what was the primary purpose of using mirrored 3D-printed hemipelves in this study?
🔍 Key Findings
- Feasibility study in 5 canine cadavers plus 1 clinical case (Chihuahua, 5.5 kg).
- Technique used two small approaches (caudal and craniolateral) connected with an epiperiosteal tunnel.
- Plates were precontoured on mirrored 3D-printed hemipelves to improve fit and reduce intraoperative bending.
- Cadaver outcomes: fracture gap <2 mm, step defect <1 mm, pelvic angulation <5°.
- Sciatic nerve injury was minimal: 1/5 cadavers had a mild indentation; others had no gross injury.
- Median total surgical time: ~46 minutes in cadavers; incisions ~5 cm.
- Clinical Chihuahua case: weight-bearing within 24 hrs, radiographic union at 3 months; one screw fractured but no adverse effect.
- Authors conclude: MIAF with 3D printing is feasible and accurate, but requires further evaluation before routine use.
Veterinary Surgery
7
2023
Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report
2023-7-VS-dalton-1
In Karydas 2025 et al., on follow-up radiography, what was the clinical outcome in dogs with radiographic abnormalities but no clinical concerns?
🔍 Key Findings
139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:
- Owner concerns (OR: 7.6)
- Analgesic use at follow-up (OR: 7.9)
- Lameness (OR: 5.9)
- Abnormal clinical exam (OR: 44.8)
- Radiographic abnormalities (OR: 51.9)
No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.
Veterinary Surgery
2
2025
Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs
2025-2-VS-karydas-3
In Pfeil 2024 et al., on fluoroscopic pinning, which of the following was observed in 42% of FGNMP-treated fractures?
🔍 Key Findings
- Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
- All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
- Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
- Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
- No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
- Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
- Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
- The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.
Veterinary Surgery
5
2024
Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning
2024-5-VS-pfeil-3
In Maeta 2022 et al., on total cystectomy in cats, how was urinary incontinence managed postoperatively?
🔍 Key Findings
- First reported case of total cystectomy and bilateral cutaneous ureterostomy in a cat using a modified Toyoda technique.
- Histologically complete tumor resection was achieved, with tumor-free ureter and urethral margins >20 mm.
- The modified Toyoda technique involved shaping the ureter into a fish-mouth aperture and anastomosing it to a rectangular skin defect for stomal formation.
- Incontinence was managed using a diaper changed every 6–8 hours, with no dermatological complications.
- Obstruction of the right ureter occurred 14 months post-op, associated with a subcutaneous nodule at the anastomosis site.
- Despite incontinence, owner satisfaction and perceived quality of life were high, with the cat living ~16 months post-op.
- The stents were removed on days 7 (left) and 28 (right) postoperatively, with initial patency maintained until 14 months.
- This surgical approach may offer palliative or curative benefit for feline trigonal TCC where partial cystectomy is not feasible.
Veterinary Surgery
8
2022
Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat
2022-8-VS-maeta-5
In Longo 2022 et al., on CT-guided osteotomies, what was the primary method used to intraoperatively determine the amount of rotational correction needed for torsional deformities?
🔍 Key Findings
- 3D CT volume rendering and CAL measurement successfully guided correction of femoral and tibial torsion in dogs with patellar luxation (PL).
- Physiological patellar tracking was restored in 100% (22/22) of cases after detorsional osteotomy.
- 94% of dogs (17/18) had either full or acceptable functional outcomes post-surgery.
- CAL-based correction was accurate in 19/22 cases, confirming reliability of the measurement technique.
- Complication rate was 45%, with major complications in 2/22 cases—both involved combined femoral and tibial osteotomies.
- Combined femoral and tibial osteotomies in the same limb were linked to a higher risk of complications and poorer outcomes.
- Diaphyseal osteotomies offered more implant space, but metaphyseal locations were associated with faster bone healing.
- Use of a TPLO jig or goniometer was not essential—CAL-based bone marking was sufficient in most cases.
Veterinary Surgery
7
2022
Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs
2022-7-VS-longo-1
In Scortea 2025 et al., on sacroiliac fixation accuracy, what was a key limitation of the 3D-printed drill guide technique?
🔍 Key Findings
- 3D-printed drill guide technique (3D-DGT) resulted in fewer suboptimal screw placements than minimally invasive osteosynthesis (MIO) (7.14% vs 42.85%), though not statistically significant.
- Entry point translation (EPT) in the dorsoventral direction was significantly lower with 3D-DGT compared with MIO (p = .009).
- Maximum angular screw deviation (MASD) did not differ significantly between 3D-DGT and MIO in dorsal or transverse planes.
- Ventral cortical breach was the most common error with both techniques, more frequent with MIO.
- Achievement of >60% sacral bone purchase was more consistent with 3D-DGT (92.9%) than with MIO (64.3%).
- Modified Gras grade distribution was similar between techniques, with most screws graded as secure (“a” or “b”).
- 3D-DGT required substantially longer preoperative planning time than MIO (median 34 vs 8.5 minutes).
- Both techniques demonstrated overall acceptable accuracy, emphasizing the importance of CT-based planning and assessment.
Veterinary and Comparative Orthopaedics and Traumatology
6
2025
Comparative analysis of 3D-printed drill guides and minimally invasive osteosynthesis in feline sacroiliac luxation: A cadaveric study
2025-6-VCOT-scortea-5
In Banse 2022 et al., on skill retention methods, what is a key consideration when using massed instruction in veterinary surgical curricula?
🔍 Key Findings
- Spaced instruction (SI) improved immediate performance on the first learned skill compared to massed instruction (MI) in both LSU and LMU cohorts.
- Cognitive load was higher in MI students at LMU, particularly in physical demand, effort, and frustration, while LSU showed no significant cognitive load differences.
- Skill performance differences disappeared after 2 weeks of supervised practice, regardless of instructional format.
- Time to complete skills improved over time, but this did not always correlate with improved checklist or global rating scores.
- Intrinsic cognitive load increased when teaching more complex or related surgical tasks in the same session.
- Initial skill complexity and prior exposure may influence effectiveness of spaced vs massed instruction.
- Supervised practice sessions are critical to eliminate initial skill disparities between instructional methods.
- Massed instruction may still be acceptable if followed by scheduled practice opportunities.
Veterinary Surgery
7
2022
Teaching veterinary surgical skills: Comparison of massed versus spaced instruction
2022-7-VS-banse-5
In Peycke 2022 et al., on CBLO in immature dogs, what was the **mean time to radiographic union** of the CBLO osteotomy?
🔍 Key Findings
- CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
- Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
- Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
- Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
- One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
- CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
- In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
- No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.
Veterinary Surgery
3
2022
Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs
2022-3-VS-peycke-3
Quiz Results
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