
Your Custom Quiz
In Caldeira 2025 et al., on femoral neck fixation, which group demonstrated the highest construct stiffness?
🔍 Key Findings
Design: In vitro study on cadaveric femurs (n=21) with basilar femoral neck fractures stabilized using 2 vs 3 titanium cannulated screws.
Stiffness: Control > 3-screw > 2-screw (674 > 120 > 90 N/mm).
Yield Load: 3-screw (586 N) > 2-screw (303 N); both < intact femur (2692 N).
Displacement: No difference across groups.
Complication: 3-screw technique more demanding; higher risk of cortical perforation, especially with narrow femoral necks.
Failure Mode: Dislodgement of femoral head + screw shaft bending.
Conclusion: 3 screws = stronger construct than 2 screws. Clinical implications need further study.
Veterinary and Comparative Orthopedics and Traumatology
1
2025
In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs
2025-1-VC-Caldeira-2
In Espinel Rupérez 2023 et al., in Arthroscopic-assisted hip toggle stabilization in cats, what type of cartilage injury was most commonly observed?
🔍 Key Findings
- 14 joints from 7 cat cadavers underwent AA-HTS successfully.
- Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
- Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
- Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
- Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
- 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
- No neurovascular, intrapelvic, or major periarticular injuries occurred.
- Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.
Veterinary Surgery
7
2023
Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study
2023-7-VS-espinel-3
In Lederer 2025 et al., on MIPO vs ORPS, which surgeon-related variable significantly influenced fixation technique choice?
🔍 Key Findings
Study size: 105 dogs (73 ORPS; 32 MIPO)
MIPO vs ORPS differences:
- Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
- Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
- Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
- Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
- Comminution more frequent in MIPO (41% vs 16%; p = .012)
Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)
No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon
Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS
Veterinary Surgery
4
2025
Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)
2025-4-VS-lederer-5
In Filho 2024 et al., which parameter was primarily used to assess kinetic gait adaptation in amputee dogs?
🔍 Key Findings Summary
- 39 dogs (mostly post-trauma) with either forelimb or hindlimb amputations (high vs low)
- No significant difference in %BW distribution between high vs low forelimb amputations
- In hindlimb amputees:
- High amputations → more overload on contralateral hindlimb (p = 0.01)
- Low amputations → more even load split, slight preference for contralateral hindlimb and ipsilateral forelimb
- Values derived from pressure-sensitive walkway confirmed with statistical significance
- Useful implications for prosthesis selection and rehabilitation planning
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Gait Analysis of Amputee Dogs Using a Pressure-Sensitive Walkway
2024-4-VCOT-filho-4
In Eiger 2024 et al., on NIRFA-ICG in axial flaps, how did inter-rater reliability (ICC) compare between evaluated flaps for VFP scoring?
🔍 Key Findings
- Caudal superficial epigastric (CSE) flaps were most visible with NIRFA, scoring 4/4 VFP in 97% of evaluations.
- CSE flap margins were altered in 65% of observations after NIRFA, showing the strongest influence on surgical planning.
- Thoracodorsal (THO) and omocervical (OMO) flaps had lower visualization scores, with 60–81% of images scoring below 2.
- Surgeons were 17–25 times more likely to adjust margins for CSE flaps versus OMO or THO based on fluorescence imaging.
- Poor inter-rater agreement was found for OMO (ICC 0.49) and THO (ICC 0.35); CSE had near-perfect agreement, but ICC was low due to uniform high scoring.
- Visualization was affected by flap depth and panniculus, making deeper vessels (OMO, THO) harder to see.
- Surgeons often shortened flap length and reduced flap area when modifying based on NIRFA results.
- Real-time angiosome visualization via NIRFA-ICG may reduce necrosis risk and improve patient-specific APF design.
Veterinary Surgery
6
2024
Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps
2024-6-VS-eiger-4
In Jenkins 2022 et al., on medial epicondylar fissure fracture, what was the most significant risk factor for developing MEFF?
🔍 Key Findings
- MEFF occurred in 11.4% (10/88 elbows) following medial-to-lateral transcondylar screw placement in dogs with HIF.
- Screw size to condylar height ratio >41% significantly increased MEFF risk (P = .004, OR 1.52).
- MEFF was not recognized intraoperatively in 60% of cases and was only seen on follow-up or retrospective imaging review.
- Screw loosening was the most common complication (11.2%), observed both with and without MEFF.
- MEFF tended to increase the risk of screw loosening (P = .06), but was not statistically significant.
- Most MEFFs did not require treatment and healed radiographically by 14–17 weeks in monitored cases.
- Shaft screws were used in all MEFF cases, but shaft vs cortical design was not significantly associated with MEFF.
- The clinical impact of MEFF was minor in most cases, although long-term significance is unknown.
Veterinary Surgery
4
2022
Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure
2022-4-VS-jenkins-1
In Nash 2024 et al., on adverse effects, what clinical outcome was reported in all 35 dogs during the pH monitoring period?
🔍 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-4
In Redolfi 2024 et al., which complication was **not** observed in the TPLO-TTT cohort?
🔍 Key Findings Summary
- Study of 24 stifles in 22 dogs with concurrent CCLR and grade III–IV MPL treated via TPLO-TTT
- Major complications: 4/24 (3 surgical site infections, 1 MPL reluxation); minor complications: 5/24
- Long-term follow-up (median 27 months): 21/22 dogs sound, 23/24 stifles resolved
- Patellar ligament thickening observed post-op in 4 cases, resolved with rehab
- The only case of MPL reluxation involved untreated tibial torsion, suggesting case selection is critical
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation
2024-1-VCOT-redolfi-3
In Buote 2023 et al., on laparoscopic sleeve gastrectomy in cats, which complication occurred in 2 cadavers due to stapling too close to the lesser curvature?
🔍 Key Findings
- LVSG was feasible in 9/10 feline cadavers and both live cats, with no intra- or postoperative complications in live cases.
- Two cadavers developed suspected stenosis due to staple lines too close to the lesser curvature; avoided with orogastric tube placement in later cases.
- No evidence of gastric leakage in any cadavers (8/10 tested) or live patients after methylene blue leak tests.
- Mean surgical time was ~110 min cadavers / 115 min live, and 27.6% of stomach mass was resected.
- Both live cats recovered uneventfully, lost 21–24% body weight over 3 months, and had no GI complications at 6-month follow-up.
- Orogastric tube and tension on the greater curvature were critical to avoid staple line misplacement or stenosis.
- No oversew of the staple line was needed, and unreinforced staples showed no leakage in live patients.
- Future studies needed to assess metabolic outcomes and ideal staple sizing and closure techniques.
Veterinary Surgery
6
2023
Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats
2023-6-VS-buote2-2
In Downey 2023 et al., on thoracoscopic lung lobectomy, what was the perioperative survival rate for dogs undergoing the procedure?
🔍 Key Findings
- Thoracoscopic (TL) and thoracoscopic-assisted (TAL) lobectomy were performed in 12 dogs with non-neoplastic pulmonary consolidation.
- 44% (4/9) of TL cases required conversion, most often due to pleural adhesions or poor visualization — a higher rate than for neoplastic lobectomies.
- Surgical mortality was 8.3% (1/12 dogs), with death attributed to unaddressed BOAS, not surgical complications.
- All 11 surviving dogs had no recurrence of clinical signs at a median 24-month follow-up.
- Perioperative complications occurred in 58% (7/12): pneumothorax (2), hemorrhage (3), wound dehiscence (1), progressive pneumonia (1).
- One-lung ventilation (OLV) was successful in 78% of TL dogs but may be harder to achieve in brachycephalic breeds.
- Most dogs had infectious pneumonia (10/12), with bacterial causes identified in 8; fungal and viral etiologies were less common.
- Hospitalization was short, with median stays of 3–4 days depending on approach and conversion status.
Veterinary Surgery
6
2023
Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
2023-6-vs-downey-4
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
