
Your Custom Quiz
In Bresciani 2022 et al., on modified urethrostomy outcomes, what was the most common early postoperative complication in cats undergoing mPPU?
🔍 Key Findings
- Modified prepubic urethrostomy (mPPU) was effective for managing proximal urethral obstructions in male cats.
- All 8 cats regained voluntary urination within 24 hours postoperatively.
- Early urinary incontinence and peristomal dermatitis occurred in all cats but were self-limiting.
- Two cats (25%) required surgical revision due to stomal obstruction from weight gain and abdominal fat.
- No intraoperative complications were reported in any of the 8 cats.
- Follow-up (13–84 months) showed sustained urinary continence and owner satisfaction in all cases.
- The rectus abdominis muscle tunnel likely increased outflow resistance, minimizing persistent incontinence.
- Recurrent hematuria and dysuria occurred in 3 cats but were managed conservatively.
Veterinary Surgery
2
2022
Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats
2022-2-VS-bresciani-1
In Chan 2025 et al., on partial cuneiformectomy in BOAS dogs, which preoperative factor was significantly associated with higher odds of complications?
🔍 Key Findings
- Partial cuneiformectomy (PC) did not increase complication rates compared to multilevel surgery alone (overall complications: PC = 16.3%, non-PC = 19.4%; p = .758).
- Major complication rates were not significantly different (PC = 11.6%, non-PC = 7.4%; p = .482).
- Significant improvement in BOAS grade was observed in dogs undergoing PC (p < .0001).
- BOAS index improved significantly in both groups, with greater median reduction in the PC group (28.5%) than non-PC (20.7%) (p < .0001).
- Low body condition score (BCS <4) was significantly associated with higher complication rates (odds ratio = 0.452; p = .004).
- Hospitalization duration did not differ between groups (median = 1 day; p = .743).
- Mortality was low (3.5%) in the PC group despite more severe airway disease, suggesting the technique is safe even in advanced collapse.
- The technique widened the rima glottidis without damaging surrounding structures, reducing airflow resistance and preserving laryngeal function.
Veterinary Surgery
6
2025
Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse
2025-6-VS-chan-3
In Anderson 2025 et al., on wound drain configurations, which configuration achieved the greatest surface area coverage of the wound bed?
🔍 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-anderson2-1
In Huerta 2025 et al., on TPLO healing assessment, which breed had significantly lower healing scores at 8 weeks?
🔍 Key Findings
Population: 29 Boxer dogs and 29 age-matched Labrador Retrievers undergoing TPLO.
Scoring Systems Compared: 5-point vs. 10-point radiographic healing systems.
Healing Scores (Week 8):
- Boxers: 5-point mean = 3.3; 10-point mean = 6.9
- Labradors: 5-point mean = 3.6; 10-point mean = 7.5
- → Statistically significant difference (p = 0.0003 and p < 0.0001)
Osteotomy Gap ≥1 mm (present in 16.4%): Associated with significantly lower healing scores and increased recommendations for additional radiographic follow-up (p < 0.0001).
Observer Reliability:
- Both systems = good interobserver consistency.
- Slightly better intraobserver consistency with the 10-point scale.
Clinical Implication: Boxer dogs may need extended healing time or altered follow-up strategy after TPLO.
Veterinary and Comparative Orthopedics and Traumatology
1
2025
Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems
2025-1-VC-Huerta-2
In Wylie 2025 et al., on femoral implant accuracy, what was the effect of inaccurate isometric placement on postoperative stifle stability?
🔍 Key Findings
- Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
- Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
- Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
- SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
- Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
- No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
- Minor and major complications were low and not significantly different between implant types.
- A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.
Veterinary Surgery
7
2025
Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO
2025-7-VS-wylie-1
In Bondonny 2024 et al., what was the mid-term functional outcome rate after using the modified IM pin technique?
🔍 Key Findings Summary
- Retrospective study of 33 fractures in 31 cats with Salter–Harris I or II distal femoral fractures
- Used 1 intramedullary Steinmann pin + 1 laterally placed antirotational pin
- 96.9% achieved full functional outcome at mid-term follow-up
- No implant migration or removal required
- Minor complications: 2 seromas; Major: 3 (patellar luxation [2], osteomyelitis [1])
- Growth plate remained open in 27.3% of cases at 6–8 weeks post-op
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management
2024-2-VCOT-bondonny-1
In Mazdarani 2022 et al., on CBLO and stifle biomechanics, which statement best describes the **patellar ligament angle (PTA)** after CBLO?
🔍 Key Findings
- CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
- CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
- Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
- Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
- PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
- Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
- Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
- Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.
Veterinary Surgery
6
2022
Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load
2022-6-VS-mazdarani-5
In Lin 2025 et al., on surgical approaches to the radius, which approach provided significantly more surface exposure?
🔍 Key Findings
- Craniolateral approach (CLA) exposed significantly more radial surface area than craniomedial approach (CMA) (19.4 cm² vs. 13.8 cm²; p = 0.01).
- Proximal width of exposure was greater in CLA, especially at 12.5% length (P2 level, p = 0.016), aiding plate placement.
- No significant difference in exposed bone length between approaches.
- CLA avoided major neurovascular structures, making dissection cleaner and safer proximally.
- CMA consistently encountered median nerve/artery/vein, complicating proximal exposure.
- CLA allowed better access to proximal radius for locking plate application, which may benefit MIPO techniques.
- CLA also enables ulna fixation via the same incision, whereas CMA requires a separate skin incision.
- Anatomical tilt of the proximal cranial surface favored CLA, requiring less plate contouring than CMA for proper fit.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?
2025-3-VCOT-lin-1
In Nash 2024 et al., on proximal GER, what was the upper reference limit for cumulative proximal esophageal acid exposure?
🔍 Key Findings Summary
- Population: 35 nonbrachycephalic dogs undergoing orthopedic procedures (TPLO)
- Study design: Prospective observational using transnasal Digitrapper dual-sensor pH probe after short TIVA
- Upper reference limits:
- Distal GER events per hour: 2.4
- Proximal GER events per hour: 0.4
- Cumulative distal acid exposure: 2.3%
- Cumulative proximal acid exposure: 0%
- Median values (normal):
- Distal GER events per hour: 0.3
- Proximal GER events per hour: 0
- Proximal GER observed in 12/31 dogs
- No regurgitation observed in any dog
- No major adverse events with probe use
- Clinical implication: These parameters provide a reference for assessing excessive GER in future canine surgical cases
Veterinary Surgery
1
2024
Esophageal pH‐monitoring in nonbrachycephalic dogs; a reference
2024-1-VS-nash-5
In Haine 2022 et al., on outcomes in canine limb tumors, what was the overall R1 rate following planned narrow excision for soft tissue sarcomas?
🔍 Key Findings
- Fewer R1 margins (tumor on ink) were achieved in mast cell tumors (MCTs) when using 6–10 mm lateral margins versus 0–5 mm (7% vs. 55%; _P_ = .049).
- For soft tissue sarcomas (STSs), no benefit was seen in margin completeness between 0–5 mm vs. 6–10 mm lateral margins (41% vs. 43% R1).
- Overall R1 rates were 26% for MCTs and 42% for STSs following PNE.
- R scheme (“tumor on ink” = R1) had better interobserver agreement (83%) compared to ≤1 mm margin criteria (68% agreement).
- Complication rate was moderate (26%), but no surgeries required revision.
- Local recurrence/metastasis occurred in 14% of dogs, with 60% of those having R1 margins.
- Adjunctive therapy was considered clinically indicated in 46% of 0–5 mm margin cases vs. 24% of 6–10 mm cases.
- Histologic grade and tumor size were not predictive of margin completeness.
Veterinary Surgery
7
2022
Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme
2022-7-VS-haine-3
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