
Your Custom Quiz
In Alvarez 2022 et al., on rehabilitation modalities, what was a major limitation noted across many studies included in the systematic review?
🔍 Key Findings
- Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
- Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
- Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
- Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
- Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
- Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
- No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
- The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.
Veterinary Surgery
2
2022
Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs
2022-2-VS-alvarez-3
In Kimura 2025 et al., on mini-THA in <4 kg dogs, what was the observed outcome at the 52-week mark in successfully completed cases?
🔍 Key Findings
- Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
- Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
- Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
- Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
- Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
- Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
- No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
- CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.
Veterinary Surgery
6
2025
Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty
2025-6-VS-kimura-1
In Ferreira 2025 et al., on heated pneumoperitoneum in dogs, which of the following correlated with temperature reduction only in the nonheated group?
🔍 Key Findings
- Heated CO₂ insufflation reduced perioperative hypothermia during laparoscopic ovariectomy compared to nonheated CO₂.
- Final body temperature was significantly higher in the heated group (36.03°C) than in the nonheated group (34.93°C).
- Temperature reduction correlated with surgical duration only in the nonheated group (p < .05).
- Heated CO₂ delayed temperature drop, occurring after 20 minutes vs. 5 minutes in nonheated cases.
- No significant differences between groups in anesthetic, surgical, or insufflation times.
- All dogs recovered uneventfully and were discharged the same day.
- Heated CO₂ may offer greater benefit in longer procedures or in small-sized dogs prone to hypothermia.
- No adverse effects were attributed to heated gas use in this clinical trial.
Veterinary Surgery
5
2025
Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial
2025-5-VS-ferreira-4
In Viitanen 2023 et al., on zygomatic sialoadenectomy, what was a cited benefit of intraoral approach in terms of postoperative management?
🔍 Key Findings
- Intraoral approach (IOA) reduced surgical time compared to lateral orbitotomy (median: 42.0 vs 65.7 minutes, p = .005)
- Ease of closure (Stage III) was better with IOA (p < .001), though gland removal (Stage II) was easier with LOA (p = .039)
- Complete gland removal was achieved in 8/10 IOA vs 10/10 LOA cases in cadaveric study
- All 3 clinical cases had uneventful recoveries post-IOA, including one carcinoma, with no intra- or short-term postoperative complications
- LOA had superior surgical exposure, but was more invasive and time-consuming
- IOA posed greater difficulty in complete gland removal in brachycephalic dogs, with remnant tissue noted in 2/10 cadavers
- IOA avoids osteotomy, reducing potential complications like delayed union and postoperative pain
- Cosmetic outcomes and healing were better with IOA, and no E-collar was required postoperatively
Veterinary Surgery
2
2023
Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases
2023-2-VS-viitanen-3
In Whyte 2025 et al., on cannulated screw fixation, what percentage of patients experienced any form of complication?
🔍 Key Findings
Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%
- Major complication: Most common was screw breakage
Significant risk factor for screw breakage:
- Body weight >20 kg (statistically significant)
Breed distribution:
- Spaniels, especially English Springer Spaniels, were most common
No mention of plate augmentation as standard in this cohort
Veterinary Surgery
2
2025
Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs
2025-2-VS-whyte-3
In Farrell 2022 et al., on checklist reliability in OVH simulation, what was the recommended number of raters needed to achieve acceptable reliability (G ≥ 0.76) for high-stakes use of the checklist?
🔍 Key Findings
- 39 of 40 checklist items for simulated OVH surgical assessment had good content validity (CVI = 0.81)
- Only 1 of 6 items from the OSATS GRS (respect for tissue) met inclusion criteria (CVI = 0.80)
- Checklist showed strong reliability (G-coefficient = 0.85) for moderate-stakes exams
- Modified OSATS GRS showed acceptable reliability (G-coefficient = 0.79)
- Two raters needed for acceptable reliability in high-stakes exams when using the checklist
- Minimal interrater bias found; variance largely due to interaction among student, rater, and item
- Digital recordings were a reliable method of evaluating surgical performance
- Study supports using checklist over OSATS GRS for assessing preclinical students on simulated models
Veterinary Surgery
5
2022
Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment
2022-5-VS-farrell-3
In Trefny 2025 et al., on locking plate biomechanics, when did transcortical contact occur in long working length constructs?
🔍 Key Findings
- Short working length constructs had significantly higher stiffness and lower strain than long constructs in compression bending (p = 0.0172).
- In tension bending, short constructs also had higher precontact stiffness and lower strain, but this reversed after transcortical contact (~150 N).
- Transcortical contact increased stiffness only in long constructs, producing a bilinear load-displacement curve.
- Postcontact stiffness was higher in long constructs, but this may not reflect clinical benefit due to risks of high interfragmentary strain.
- Short working length reduced strain at multiple ROIs under both loading conditions, including over fracture gap (Tables 1–3).
- Increased working length promoted stress concentration and deformation, especially in compression bending.
- In vitro benefits of long constructs (via contact stability) may not translate to healing, as repetitive loading could increase plate strain and bone resorption.
- Plate strain was effectively mapped using 3D digital image correlation, confirming regional strain differences between configurations.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate
2025-3-VCOT-trefny-2
In Dalton 2023 et al., on acetabular fracture repair, what was the purpose of using mirrored 3D-printed hemipelves in the cadaveric and clinical cases?
🔍 Key Findings
- Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
- All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
- Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
- Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
- Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
- Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
- Use of locking screws improved reduction fidelity, particularly across a broad plate span.
- 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.
Veterinary Surgery
6
2023
Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report
2023-6-VS-dalton-2
In Young 2023 et al., on minimally invasive parathyroidectomy, what was the most common histopathologic diagnosis in excised parathyroid glands?
🔍 Key Findings
- Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
- Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
- Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
- Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
- Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
- Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
- Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
- One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.
Veterinary Surgery
1
2023
Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism
2023-1-VS-young-1
In Bondonny 2024 et al., which of the following statements is TRUE about antirotational pin placement?
🔍 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-4
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
