
Your Custom Quiz
In Forzisi 2025 et al., on femoral growth post-THR, what was the relationship between age at surgery and femoral length difference?
🔍 Key Findings
Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:
- Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
- No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).
Cortical Width:
- Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).
Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:
- Moderate negative for trochanteric growth.
- Moderate positive for proximal femoral width.
Veterinary Surgery
1
2025
Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs
2025-1-VS-forzisi-5
In Rocheleau 2025 et al., on infected total hip replacements, what was the sensitivity of arthroscopic cultures in the curative intent (CI) group?
🔍 Key Findings
Study Design: Case series of 8 dogs with confirmed or suspected PJI after total hip replacement (THR)
Dogs were categorized into:
- Curative intent (CI) group (n=5): short-duration infections, implant retention attempted
- Non-curative intent (NCI) group (n=3): chronic infections, implants scheduled for removal or revision
Success Rate: 7 of 8 dogs had infection resolution, including 4 of 5 in the CI group
Sampling sensitivity:
- Arthroscopic culture success was 80% in the CI group but only 33% in the NCI group
- All explanted implants from NCI group yielded positive cultures
Common isolates: Staphylococcus pseudointermedius (including MRSP), S. epidermidis, Stenotrophomonas maltophilia, and E. coli
Ancillary treatments included:
- Partial synovectomy, high-volume lavage (5–10 L), biofilm-depleting lavage, and/or amikacin-impregnated calcium sulfate beads
Mean follow-up: >1 year (mean 812 days); no signs of recurrence in successfully treated cases
Conclusions: Arthroscopic management of THR infections is feasible and effective in appropriately selected dogs. Success aligns with human literature when infection type is favorable (Type 1, 3, 4). Sensitivity of arthroscopic culture is higher in early/acute infections.
Veterinary Surgery
4
2025
Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases
2025-4-VS-rocheleau-2
In Sandberg 2024 et al., which joint was most affected by the tactical harness in all planes of motion?
🔍 Key Findings Summary
- Tactical harness use altered kinematics in all forelimb joints
- Elbow most affected: increased extension, internal rotation, abduction at walk and trot
- Carpus: reduced flexion, increased abduction at walk
- Shoulder: least affected, but showed reduced flexion and increased abduction during walk
- Only significant ROM increases:
- Shoulder frontal plane (22%)
- Elbow transverse plane (19%) at walk
- Results suggest potential functional limitations from harness use during duty
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Influence of Wearing a Tactical Harness on Three-Dimensional Thoracic Limb Kinematics
2024-2-VCOT-sandberg-1
In Carwardine 2024 et al., on screw placement in HIF, a lower implant AMI/bodyweight ratio was associated with which outcome?
🔍 Key Findings
- 73 elbows (52 dogs) underwent randomized medial or lateral transcondylar screw placement for HIF.
- Lateral-to-medial placement resulted in a significantly higher rate of complications (62.2%) vs medial-to-lateral (19.4%) (p = .001).
- Odds ratio for complications: 6.11 (95% CI: 2.13–17.52).
- Most common complications: seromas (n = 13), surgical site infections (n = 16).
- Implants with lower AMI/bodyweight were significantly associated with major complications (p = .037).
- Only 4 procedures (5%) required revision surgery (major type I complications), with no difference by screw direction.
- NNT = 2.3 for medial placement to prevent one complication.
Veterinary Surgery
2
2024
Medial versus lateral transcondylar screw placement for canine humeral intracondylar fissures: A randomized clinical trial
2024-2-VS-carwardine-4
In Dekerle 2022 et al., on ectopic ureter correction, what was the **median duration of continence** after surgery in dogs that became continent?
🔍 Key Findings
- Cystoscopic-guided laser ablation (CLA) was associated with significantly fewer minor complications (13%) than neoureterostomy (100%) (P < .01)
- CLA resulted in significantly fewer recurrences of incontinence compared to neoureterostomy (0/7 vs 5/12; P < .05)
- 80% of dogs achieved continence within 1 month postoperatively, with a median continence score of 10
- Long-term continence was achieved in 88% of dogs, with or without adjunctive treatment, over a median of 66 months
- Major complications occurred in only 8% of dogs, and all were successfully managed with surgical revision
- Persistent ureteral remnants were seen only in neoureterostomy dogs, potentially contributing to incontinence recurrence
- All dogs with incontinence recurrence responded to medical treatment, while only 1/5 with persistent incontinence after surgery did
- CLA is recommended over open surgery for iEU correction, due to lower complication and recurrence rates
Veterinary Surgery
4
2022
Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation
2022-4-VS-dekerle-3
In Nagahiro 2023 et al., on quadriceps-femoral mismatch, which MPL grade was associated with significantly shorter quadriceps muscle length relative to femoral length?
🔍 Key Findings
- Quadriceps muscle length/femoral length ratio (QML/FL) was significantly lower in dogs with grade IV MPL than grades I–III (p ≤ .002).
- Shortened QML was associated with increased femoral torsion angle (FTA) and increased aLDFA, indicating correlation with femoral deformity.
- QML/FL increased with age, possibly due to muscular development or reduced deformity in older dogs (p = .004).
- Grade IV MPL dogs had QML/FL < 0.87, the lower normal limit based on healthy beagles, suggesting clinically significant muscle shortening.
- PLL/PL ratio (used to diagnose patella alta) was not associated with QML/FL or MPL severity in small breeds.
- QML/FL can help preoperatively identify candidates for femoral shortening ostectomy, improving femoropatellar alignment.
- Multivariate regression model confirmed QML/FL is independently influenced by age, FTA, and aLDFA (R² = 0.45).
- CT-based 3D measurements enabled objective, noninvasive quantification of femoral and muscle alignment parameters.
Veterinary Surgery
4
2023
Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation
2023-4-VS-nagahiro-1
In Miller 2024 et al., on SOP-LC mechanical testing, how did single-side clamp placement affect bending strength compared to alternating sides?
🔍 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-2
In Thibault 2023 et al., on DPO for THR luxation, which of the following statements is TRUE regarding the effectiveness of DPO in preventing reluxation?
2023-8-VS-thibault-4
In Song 2024 et al., on CT vs cystoscopy for ectopic ureters in dogs, what percentage of dogs with normal ureters were missed by CT?
🔍 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-1
In Renaud 2025 et al., on biliary peritonitis surgery, which factor was significantly associated with decreased immediate survival (p = .002)?
🔍 Key Findings
Mortality rate: 36% (12/33)
Cholecystectomy performed: 94% of dogs (31/33)
New significant prognostic factors for survival:
- Hyperbilirubinemia (p = .049) — threshold = 60.5 μmol/L
- Use of vasopressors (p = .002)
- Renal dysfunction postoperatively (p = .008)
- Number of postoperative complications (p = .005)
Multivariate model: Total bilirubin and number of complications best predicted survival
Septic vs nonseptic effusion: No significant difference in survival
Diagnostic imaging: Ultrasound sensitivity for extrahepatic biliary rupture = 38%
Most cultured pathogen: E. coli (80% of septic cases)
Veterinary Surgery
2
2025
Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis
2025-2-VS-renaud-1
Quiz Results
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