
Your Custom Quiz
In Logothetou 2024 et al., on SPF complications, which patient factor was independently associated with increased complication risk on multivariable 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-2
In Murphy 2024 et al., which factor was **not** significantly associated with contralateral CCLR risk?
🔍 Key Findings Summary
- Prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg was 19.1%, notably lower than previous studies (33–50%).
- Median time to contralateral CCLR was 12.9 months.
- Older age reduced risk — 2% decrease per month of age (p=0.003).
- Golden Retrievers and Labradors had significantly lower risk (p=0.028 and p=0.007, respectively).
- No effect found from TPA, meniscal injury, or comorbidities (e.g., hip dysplasia, hypothyroidism).
Veterinary and Comparative Orthopedics and Traumatology
1
2024
The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older
2024-1-VCOT-murphy-5
In Hildebrandt 2023 et al., on Buccal Transposition Flap for Maxillary Lip Reconstruction in Dogs, what was a recommended intraoperative consideration to reduce postoperative flap trauma?
🔍 Key Findings
- Buccal transposition flap provided successful closure of large maxillary lip defects in all 5 dogs
- All flaps survived, with 3 dogs experiencing minor complications (e.g., fistulas, dehiscence) that resolved
- Flap vascularization originated from the angularis oris and superior labial arteries, as confirmed via CT angiography
- Excellent cosmetic and functional outcomes were achieved in all cases
- Ex vivo cadaver study validated flap perfusion, showing consistent contrast filling of key arteries
- Oronasal fistulas occurred in 2 dogs at the palatal incision site, likely due to contact with the mandibular canine tooth
- Mandibular canine coronectomy was performed in 2/5 dogs to prevent flap trauma
- Flap design and commissure positioning were customizable, aiding tension relief and improving outcomes
Veterinary Surgery
2
2023
Buccal transposition flap for closure of maxillary lip defects in 5 dogs
2023-2-VS-hildebrandt-3
In Danielski 2024 et al., on PUO effect on HIF, what was one proposed biomechanical outcome of PUO regarding the anconeal process?
🔍 Key Findings Summary
- Sample: 51 elbows from 35 spaniel dogs
- Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
- Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
- Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
- Complications:
- Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
- Minor: 3 cases (5.8%) due to IM pin migration
- Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
- PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
- Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)
Veterinary Surgery
2
2024
Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs
2024-2-VS-danielski-5
In Heikkilä 2024 et al., on COPLA scaffold evaluation, what was the significant imaging-based outcome at 6 months in the COPLA group?
🔍 Key Findings Summary
- 22 dogs (36 shoulders) with shoulder OCD randomly assigned to COPLA scaffold (n=19) or Control (n=17) group
- At 6 months: Significantly fewer dogs in COPLA group had OA (14% vs. 67%; p = 0.019)
- At 1.5 years: OA prevalence increased in both groups with no significant difference (COPLA: 64%, Control: 60%)
- HCPI (pain index) increased significantly at 1 week post-op in COPLA dogs only (p = 0.001), but later normalized
- Static weight-bearing improved only in unilaterally operated COPLA limbs (p = 0.015)
- One dog in COPLA group had a fragment dislodge requiring arthroscopic removal
- Overall, COPLA scaffold may provide short-term benefit in OA reduction, but long-term outcomes were similar
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs
2024-6-VCOT-heikkila-1
In Cruciani 2025 et al., on portal placement, which pain scoring tool showed significant postoperative improvement?
🔍 Key Findings
- Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
- Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
- Outcomes:
- Good to excellent mid-to-long-term outcomes in 11/14 dogs.
- Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
- Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
- No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
- Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
- Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
- Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).
Veterinary Surgery
1
2025
A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)
2025-1-VS-cruciani-4
In Scheuermann 2024 et al., on 3D-printed reduction guides for tibial fractures, what was the most common plane for angular pin-guide placement error?
🔍 Key Findings
- The study was a prospective clinical trial evaluating the efficacy of a three-dimensional (3D)-printed, patient-specific reduction system for aligning diaphyseal tibial fractures stabilized using minimally invasive plate osteosynthesis (MIPO) in fifteen client-owned dogs.
- Virtual surgical planning (VSP) and fabrication were feasible within a clinically relevant timeframe, with a mean of 50.7 hours. Surgical efficiency improved with experience.
- Pin-guide placement was accurate, with median translational discrepancies of 2.7 mm (proximal) and 2.9 mm (distal), and angular discrepancies highest in the axial plane.
- The proximal guide was easier to apply (median Likert score: 8) than the distal guide (median: 6).
- The 3D-printed system enabled near-anatomic reduction in 87% of cases and acceptable reduction in the remaining 13%; no unacceptable reductions occurred.
- Postoperative alignment and tibial length were well-restored, with all dogs within 5° or 5 mm of contralateral measurements.
- Temporary circular fixation was occasionally used to assist reduction and improve alignment.
- Precontoured plates fit easily, with a median Likert score of 9; total surgical time was shorter than conventional MIPO at the institution.
- The study lacked a control group but builds on prior cadaveric feasibility work.
Veterinary Surgery
6
2024
Efficacy of virtual surgical planning and a three‐dimensional‐printed surgical guide for canine segmental mandibular reconstruction in a cadaver model
2024-6-VS-scheuermann1-1
In Maeta 2022 et al., on total cystectomy in cats, how long did the cat survive postoperatively before death at home?
🔍 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-2
In Low 2025 et al., on machine-learning outcomes in IVDE, what was the most important predictor of outcome according to SHAP value analysis?
🔍 Key Findings
The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).
Ambulatory recovery occurred in 53.1% of dogs (86/162).
The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.
Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.
Top predictive features (by SHAP analysis) included:
- T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
- Use of fenestration (presence associated with better recovery)
- Hospitalization duration
- Imaging modality used
- Duration of nonambulatory status
Machine learning provided better insight into prognostic factors than traditional statistical methods.
Veterinary Surgery
4
2025
Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion
2025-4-VS-low-3
In Crystal 2024 et al., on elbow osteotomies, which variable most significantly predicted reduced medial elbow load?
🔍 Key Findings Summary
- Ex vivo cadaver study using 5 paired canine thoracic limbs
- Compared medial opening wedge osteotomy (MOWO) and external rotational osteotomy (ERO) of the humerus
- Measured pressure changes in the medial compartment using thin-film sensors
- ERO significantly reduced peak pressure and pressure distribution in the medial elbow compartment (p < 0.05)
- MOWO showed no significant pressure reduction relative to native state
- Combined MOWO + ERO did not significantly improve over ERO alone
- Findings support the biomechanical rationale for ERO as a surgical strategy to offload the medial compartment in cases like medial compartment disease (MCD)
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study
2024-4-VCOT-crystal-5
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
