
Your Custom Quiz
In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what was the median postoperative reduction immediately after surgery?
🔍 Key Findings
- Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
- Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
- One screw exited caudally; no dorsal, ventral, or cranial exits reported.
- At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
- No screw loosening observed, even in suboptimal reductions or purchases.
- Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
- Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
- Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.
Veterinary Surgery
4
2024
Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome
2024-4-VS-jourdain-1
In Vandekerckhove 2026 et al., on hip laxity forces, which sedation protocol was used during radiographic acquisition?
🔍 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-4
In Shetler 2022 et al., on radial head OCD, which of the following was reported at the 5-month postoperative follow-up?
🔍 Key Findings
- Bilateral radial head OCD lesions were identified in a 6-month-old English Bulldog with elbow lameness.
- Medial arthroscopic portals allowed only partial visualization of radial head lesions, insufficient for treatment.
- Lateral arthroscopy portals provided excellent access for fragment removal and abrasion arthroplasty.
- Histopathology confirmed OCD, showing cartilage degeneration and retained cartilaginous cores.
- Dog showed complete resolution of lameness and no elbow pain at 5 months post-op.
- Lesions were caudolateral on the radial head, with discoid elevation of cartilage and clefts.
- Lateral approach avoids major neurovascular structures, reducing iatrogenic risk.
- The authors suggest lateral elbow arthroscopy may have broader indications, including for medial compartment disease or synovial biopsies.
Veterinary Surgery
8
2022
The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog
2022-8-VS-shetler-5
In Karlin 2026 et al., on acetabular cup radiography, which measurement showed significant inaccuracy when calculated using the CPAD?
🔍 Key Findings
- CPAD accurately measured angle of lateral opening (ALO) on sagittal radiographs with near-perfect agreement (Lin’s Rc = 0.994) compared with known angles.
- No significant difference between measured and true ALO values was detected (p = 0.655), supporting accuracy of the device for this parameter.
- Mean ALO measurement error was only 0.14° ± 1.18°, indicating high precision of the CPAD method.
- Open-face version measurements were significantly inaccurate compared with known values (p < 0.0001).
- Mean error in version measurement was 9.5° ± 6.31°, showing only moderate agreement (Rc = 0.424).
- Measurement error in version likely resulted from radiographic superimposition of the V-axis bar with the cup edge, making bar endpoints difficult to identify.
- CPAD accuracy for ALO (~1.18°) is nearly five times better than previous radiographic techniques, which typically achieve ~5° accuracy.
- Intraoperative fluoroscopic use of CPAD may allow real-time adjustment of cup orientation, potentially reducing luxation risk after canine THA.
Veterinary and Comparative Orthopaedics and Traumatology
2
2026
In Vitro Evaluation of a Device to Assess Acetabular Cup Position by Sagittal Plane Radiography
2026-2-vcot-karlin-3
In O'Marra 2026 et al., on perioperative septic peritonitis, what was the most commonly reported cause of recurrent septic peritonitis in dogs?
🔍 Key Findings
- Early enteral nutrition (<24–48 hrs) is associated with improved survival and reduced hospitalization in dogs with septic peritonitis.
- Appropriate empirical antimicrobials improve survival in cats, but data are mixed in dogs.
- Recurrent septic peritonitis (RecSP) has poor survival (0%–43.9%); most common cause is gastrointestinal dehiscence.
- Intraoperative hypotension and preoperative hypoalbuminemia may increase dehiscence risk, though findings are inconsistent.
- Lidocaine CRI during surgery improves survival over opioids alone in dogs.
- Hydroxyethyl starch (HES) is not recommended due to risks of coagulopathy and kidney injury; albumin use is controversial.
- Intra-abdominal hypertension (IAH) is under-recognized but contributes to mortality; IAP monitoring should be considered.
- Diagnostic tests (effusion lactate, glucose, cytology) are unreliable for detecting RecSP; clinical judgment and ultrasound are advised.
Veterinary Surgery
1
2026
Perioperative management of septic peritonitis in small animals: A review
2026-1-VS-omarra-3
In Forzisi 2026 et al., on stifle locking plate immobilization, what was the typical planned time for implant removal after surgery?
🔍 Key Findings
- Temporary transarticular locking plates successfully immobilized the stifle joint for protection of primary repairs (e.g., ligament reconstruction or articular fracture fixation) in dogs and cats.
- 15 stifle joints in 13 patients met inclusion criteria (9 dogs, 4 cats) treated for injuries such as patellar fracture, patellar ligament rupture, stifle luxation, and femoral condylar fractures.
- The plate was contoured along the medial distal femur and proximal tibia, immobilizing the joint at 135–145° extension with at least three screws in each bone segment.
- Implant removal occurred at a median of 58 days (range 27–96), aligning with the planned ~6-week immobilization period intended to protect repair while limiting cartilage damage.
- No intraoperative complications were reported, and all animals were able to ambulate comfortably postoperatively.
- One major complication (plate breakage at 19 days) required early removal and temporary orthotic support.
- Four minor complications involved plate breakage occurring after the recommended removal time, often related to delayed follow-up appointments.
- Respecting the planned 6-week implant removal is important to prevent implant failure, and dedicated anatomically designed plates may further improve technique reliability.
Veterinary and Comparative Orthopaedics and Traumatology
2
2026
Temporary Transarticular Immobilization of the Stifle Joint Using a Locking Plate
2026-2-vcot-forzisi-2
In Tobias 2022 et al., on perineal hernia repair positioning, what postoperative complication occurred most frequently during hospitalization?
🔍 Key Findings
- Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
- Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
- Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
- Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
- Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
- Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
- Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
- Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.
Veterinary Surgery
5
2022
Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome
2022-5-VS-tobias-4
In Walker 2025 et al., on ventral slot guides, which of the following was NOT significantly improved with guide use?
🔍 Key Findings
Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:
- GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
- FHVS produced significantly shorter slots than intended (p < .01)
- No difference in surgical time (p = .071)
- Shape ratio and slot divergence from midline were similar between groups (p > .4)
- Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)
Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds
Veterinary Surgery
3
2025
Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study
2025-3-VS-walker-5
In Mihara 2024 et al., on mitral valve repair in dogs, which technique was used during MVP?
🔍 Key Findings
- Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
- MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
- Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
- Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
- Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
- The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
- Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.
Veterinary Surgery
3
2024
Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease
2024-3-VS-mihara-3
In McCarthy 2022 et al., on 3D drill guide accuracy, what was the primary proposed benefit of using a 3D-printed guide?
🔍 Key Findings
- 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
- No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
- 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
- Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
- 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
- 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
- Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
- The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.
Veterinary Surgery
1
2022
Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations
2022-1-VS-mccarthy-5
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