
Your Custom Quiz
In Bounds 2023 et al., on feline hip arthroscopy, which structure was consistently avoided during portal placement in all hips?
2023-8-VS-bounds-3
In Swieton 2025 et al., on portocaval shunts, what was the perioperative mortality rate?
🔍 Key Findings
Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:
- Good to excellent outcome: 81% (17/21)
- Median follow-up: 6 months (range 3–43)
Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported
Veterinary Surgery
2
2025
Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt
2025-2-VS-swieton-5
In Horwood 2024 et al., on complications in luxoid hip dysplasia, what was the most common surgical revision performed for dorsal luxation?
🔍 Key Findings
- Luxoid hip dysplasia (LH) was present in 8% of THA cases and significantly increased risk of major complications (p < .001).
- Intraoperative fissures/fractures were 3x more likely in LH dogs vs non-LH (39% vs 16%, p = .001).
- Dorsal luxation was more frequent in LH dogs (28% vs 4%, p = .019).
- Acetabular cup placement with ALO >35° was associated with luxation in LH dogs.
- Morphologic abnormalities (e.g., femoral valgus, lateralization/medialization of cortices) were common in LH and may complicate implantation.
- Despite higher risk, 94% of LH dogs achieved satisfactory outcomes after appropriate revisions.
- Younger age and lighter weight characterized LH dogs (mean age 14.7 months vs 40.9 months, p < .001).
- All LH dogs were treated with cementless stems; prophylactic cerclage was rarely used.
Veterinary Surgery
4
2024
Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)
2024-4-VS-horwood-3
In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), which management strategy was used in the majority of TPP cases?
🔍 Key Findings
- Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
- TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
- Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
- Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
- All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
- Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
- One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
- Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.
Veterinary Surgery
4
2023
Traumatic pulmonary pseudocysts in nine dogs and two cats
2023-4-VS-gonzalezmontano-3
In Gibson 2026 et al., on laparoscopic gastropexy instrumentation, which statement regarding instrument ergonomics is most accurate?
🔍 Key Findings
- Standard laparoscopic instrumentation (SLI) was faster: median suture-line time was 6 min (5–10) with SLI versus 8 min (6–11) with the articulating needle driver (ALI); ALI added a modeled mean 1.9 min per suture line (p < .0001).
- ALI increased surgeon mental workload: NASA-TLX scores were significantly higher with ALI for mental demand, perceived performance, effort, and frustration.
- Objective technical performance favored SLI: mean global rating checklist scores were 17.7 for SLI versus 15.24 for ALI (p < .0001), although inter-rater agreement was only moderate-to-low (r = .36).
- No ergonomic advantage was demonstrated: shoulder, neck, back, wrist, forearm, and hand scores did not differ significantly between ALI and SLI.
- Both instruments successfully permitted TLG: all 17 client-owned dogs completed the procedure without conversion, supporting the feasibility of ALI despite inferior measured performance.
- Adverse events were uncommon and unrelated to ALI: two grade 2 intraoperative events occurred because of SLI device failure requiring replacement, and no postoperative complications were reported.
- A learning-curve effect may explain ALI performance: the surgeon was proficient with SLI but had no prior clinical ALI experience before the trial; the authors caution against interpreting the initial performance disadvantage as definitive evidence against ALI.
- Clinical benefit may depend on the procedure: investigators subjectively appreciated ALI's increased dexterity but noted reduced perceived needle-grasping strength; the device may prove more advantageous in difficult suturing orientations than routine TLG.
Veterinary Surgery
6
2026
Comparison between a laparoscopic articulating needle driver with standard laparoscopic instrumentation for total laparoscopic gastropexy in dogs
2026-6-vs-gibson-3
In Renaud 2025 et al., on biliary peritonitis surgery, which diagnostic tool had only 38% sensitivity for detecting biliary tract rupture?
🔍 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-3
In Knell 2026 et al., on feline stifle luxation, which structure was reconstructed using knotless anchors?
🔍 Key Findings
- Coaptationless multiligament reconstruction restored stifle stability in all 23 cats, allowing immediate postoperative weight bearing without external immobilization.
- Successful outcome was achieved in 22/23 cats (95.7%), with only one case requiring arthrodesis after recurrent instability.
- Reconstruction of the caudal cruciate ligament (CdCrL) proved critical, as 3 of 4 caudal subluxation complications occurred when the CdCrL was not reconstructed initially.
- Major complications occurred in 26.6% (6/23) and consisted primarily of caudal tibial subluxation (4 cases) and medial patellar luxation (2 cases).
- Revision surgery successfully restored function in most complications, with stable joints and excellent FMPI scores after revision.
- Excellent functional outcomes were reported, with FMPI scores ranging from 0.95–1.0 at 6 months and lameness absent in nearly all cats.
- Early mobilization without postoperative immobilization preserved range of motion, with minimal osteoarthritis progression observed over 6 months.
- Internal brace principles using TightRope constructs, knotless anchors, and UHMWPE sutures provided strong multiplanar stabilization, supporting immediate limb use and favorable clinical outcomes.
Veterinary Surgery
4
2026
A multiligament, internal brace, coaptationless stifle reconstruction technique for feline stifle luxation
2026-4-vs-knell-5
In Kwok 2023 et al., on BFX lateral bolt THR in dogs, which type of complication most often led to prosthesis explantation?
🔍 Key Findings
- 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
- Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
- Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
- Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
- Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
- Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
- Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
- Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.
Veterinary Surgery
1
2023
Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)
2023-1-VS-kwok-5
In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, what was the overall recurrence rate reported for dogs treated with ventral slot decompression?
🔍 Key Findings
- Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
- Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
- 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
- Medical management was effective in 92.9% of recurrence cases.
- Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
- Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
- Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
- No major complications or deaths linked directly to PF in initial surgeries.
Veterinary Surgery
6
2025
Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration
2025-6-VS-berthome-1
In Nicolas 2024 et al., how was the scapular osteotomy stabilized?
🔍 Key Findings Summary
- The lateral approach via scapular osteotomy allowed safe access to the T1-2 foramen in a French Bulldog with foraminal disc extrusion.
- A mini-hemilaminectomy was performed, preserving articular facets.
- The dog had no neurologic deficits postoperatively, returned to ambulation within 24 hours, and was discharged in 3 days.
- At 10 months, CT confirmed excellent scapular healing and no recurrence.
- Double 2.4-mm locking plates provided stable fixation across the scapular spine.
- The technique avoided thoracic entry or dorsal spine dissection, suggesting a less invasive alternative for select T1-2 foraminal cases.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog
2024-2-VCOT-nicolas-3
Quiz Results
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