
Your Custom Quiz
In Motta 2026 et al., on feline shoulder arthrodesis, what scapulohumeral arthrodesis angle was most commonly planned during preoperative CAD-based surgical planning?
🔍 Key Findings
- 3D-printed patient-specific guides (PSG) enabled accurate surgical planning and osteotomy execution for feline shoulder arthrodesis, improving control of humeroscapular alignment.
- Four cats with severe shoulder pathology (instability, osteoarthritis, recurrent luxation, or glenoid dysplasia) were treated successfully using CAD-planned osteotomies and PSG-assisted fixation.
- Preoperative CT-based planning standardized scapular and humeral axes, allowing planned scapulohumeral arthrodesis angles of 105–110°.
- Postoperative alignment closely matched planned angles, differing by only 2–5°, demonstrating high transfer accuracy from digital planning to surgery.
- All cats were weight-bearing within 48 hours, and long-term follow-up showed good to excellent functional outcomes with only mild mechanical lameness.
- Complications were minor and implant-related, including Kirschner wire migration and screw loosening, neither resulting in catastrophic failure.
- Double plating constructs provided strong stability, and the authors recommend compression or dual-plate fixation to reduce osteotomy strain and improve healing.
- PSG technology may reduce malalignment risk compared with traditional arthrodesis techniques, but requires CAD expertise, 3D-printing resources, and additional surgical planning time.
Veterinary and Comparative Orthopaedics and Traumatology
1
2026
Feline Shoulder Arthrodesis Using 3D-printed Patient-specific Guides
2026-1-vcot-motta-2
In Whyte 2025 et al., on cannulated screw fixation, which breeds made up the majority of dogs in the study population?
🔍 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-5
In Turner 2025 et al., on TPA changes after SH-1/2 fracture repair, what surgical feature may contribute to the dynamic reduction in TPA over time?
🔍 Key Findings
- TPA decreased significantly from preoperative to follow-up (mean 5.89°; p < 0.001), and from immediate postoperative to follow-up (mean 2.2°; p = 0.018)
- Use of tension band in addition to K-wires did not significantly improve TPA reduction compared to K-wires alone
- Cranial K-wire positioning may attenuate growth at the cranial tibial physis, allowing relative caudal growth to reduce TPA over time
- Dynamic TPA reduction may reduce risk of cranial cruciate ligament rupture even when initial TPA is high
- Small breeds (e.g., French Bulldogs) were overrepresented; further research is needed in larger breeds with more growth potential
- Surgical reduction is difficult, but perfect alignment may not be essential if TPA reduces postoperatively
- Radiographic TPA measurement was reliably performed with low interobserver variability
- K-wire removal at 3–8 weeks may facilitate continued growth in growing dogs
Veterinary and Comparative Orthopaedics and Traumatology
5
2025
Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs
2025-5-VCOT-turner-3
In Bergen 2024 et al., on biliary stent use, what material was used for most BEMBS?
🔍 Key Findings Summary
- Subjects: 11 animals (8 dogs, 3 cats)
- Technique: Uncovered balloon-expandable metallic biliary stents (BEMBS)
- Indications: Cholelithiasis, strictures, neoplasia, cholangiohepatitis, etc.
- Success: Patency achieved in all animals surviving to discharge
- Complications:
- Short-term mortality: 2/11 (1 euthanized for SIRS, 1 unknown)
- Long-term issues: cholangiohepatitis, choledocholithiasis, stent occlusion (in cats only)
- Long-term patency:
- Dogs: median 650.5 days
- Cats: median 446 days
- Stent removal possible even after >600 days in some cats
- Clinical outcome: Viable alternative to plastic stents or cholecystoenterostomy
Veterinary Surgery
2
2024
Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)
2024-2-VS-bergen-2
In Cola 2024 et al., on laparotomy-assisted endoscopy, how did LAER affect the need for postoperative analgesia compared to traditional enterotomy?
🔍 Key Findings
- LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
- Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
- LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
- Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
- Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
- No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
- Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
- Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.
Veterinary Surgery
7
2024
Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats
2024-7-VS-cola-3
In Kalmukov 2022 et al., on cell salvage efficacy, what was the average red blood cell mass (rbcM) recovery percentage?
🔍 Key Findings
- Direct suction salvaged more red blood cell mass (rbcM) than swab washing: 88.43% vs 84.74% (p = .015)
- Swab washing still achieved high recovery (84.74%), making it a viable adjunct when suction is not possible
- No significant difference in post-salvage PCV between methods (~34% for Su and ~33.9% for Sw)
- Total salvaged blood volume was significantly higher using direct suction (143 mL vs 139.8 mL; p < .001)
- Leukocytes are removed during salvage, potentially lowering risk of cytokine-mediated transfusion reactions
- Expired pRBCs were used, but device still achieved high RBC recovery, supporting clinical utility
- Swab washing via manual agitation may cause more RBC destruction than direct suction
- Cell salvage may avoid complications of allogeneic transfusions, like storage lesions and immunologic reactions
Veterinary Surgery
8
2022
Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes
2022-8-VS-kalmukov-2
In Price 2024 et al., on left-sided TD ligation in dogs, what percentage of cadavers showed successful thoracic duct ligation at the fourth intercostal space?
🔍 Key Findings
- Left fourth intercostal thoracotomy allowed successful thoracic duct (TD) ligation in 9/10 canine cadavers.
- 10/13 clinical cases had a single TD branch at the left fourth intercostal space, indicating lower anatomical complexity.
- All TD branches at this site were lateral to the esophagus, simplifying surgical access.
- Unilateral subphrenic pericardiectomy was successfully performed via the same incision in 10/10 cadavers.
- Fewer TD branches at the fourth intercostal space than traditional caudal sites may reduce the risk of missed collaterals.
- In contrast, traditional caudal TD ligation sites had up to 5 branches, requiring broader dissection.
- No cadaver had right-sided TD branches, reducing surgical complexity at the studied location.
- Contrast-confirmed ligation was effective in 90% (9/10) cadavers on CT imaging.
Veterinary Surgery
3
2024
Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers
2024-3-VS-price-1
In Vogel 2026 et al., on multiple EHPSS, which shunt was most commonly overlooked during initial CT evaluation?
🔍 Key Findings
- Dogs with two or three congenital extrahepatic portosystemic shunts (M-EHPSS) had outcomes comparable to dogs with single EHPSS when all shunts were appropriately identified and attenuated.
- Miniature Schnauzers comprised 47% (7/15) of cases, suggesting a potential breed predisposition to M-EHPSS.
- The left gastrophrenic–left gastroazygos (LGP–LGA) combination was the most common shunt configuration (67%).
- Left gastrophrenic shunts were consistently the shunts most commonly missed during initial CT interpretation, resulting in incomplete attenuation in five dogs.
- Good or excellent long-term outcomes occurred in 86% (12/14) of treated dogs despite some dogs having incomplete attenuation.
- Only one postoperative mortality occurred (7%), secondary to post-attenuation neurologic syndrome (PANS).
- Dogs with missed shunts showed less improvement in bile acids than dogs with complete attenuation, emphasizing meticulous CT evaluation before surgery.
- Clinical presentation and biochemical abnormalities closely resembled those of dogs with single congenital EHPSS rather than representing a more severe disease.
Veterinary Surgery
5
2026
Clinical presentation, treatment, and outcomes for 15 dogs with two or three congenital extrahepatic portosystemic shunts
2026-5-vs-vogel-3
In Guevara 2024 et al., on implant placement accuracy, which surgeon had significantly higher odds of success?
🔍 Key Findings:
- Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
- Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
- Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
- Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
- Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
- Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
- Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
- Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.
Veterinary Surgery
2
2024
Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines
2024-2-VS-guevara-5
In Muroi 2025 et al., on refracture risk, what factor was significantly associated with refracture in dogs **retaining plates**?
🔍 Key Findings
- Refracture occurred in 5.5% of limbs, with higher incidence in the plate removal group (12.5%) vs. non-removal (3.5%).
- In the non-plate removal group, refractures occurred at the most distal screw site, linked to greater screw position change during growth (OR 1.79, p=0.04).
- Screw-to-bone diameter ratio (SBDR) >0.4 was a significant risk factor for refracture in the plate retention group.
- In the plate removal group, refractures occurred at the original fracture site, associated with lower pixel value ratio (bone mineral density) and reduced radial thickness.
- Implant-induced osteoporosis (IIO) beneath the plate likely contributed to refracture risk after plate removal.
- Younger age at fracture (<6 months) was associated with higher refracture risk due to ongoing radial growth and shifting screw position.
- No significant association was found between refracture and plate type (locking vs conventional), fixation method, or ulnar union.
- Recommendations include careful SBDR sizing, motion restriction, and cautious plate removal decisions in growing dogs.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs
2025-2-VCOT-muroi-1
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
