
Your Custom Quiz
In Bilmont 2025 et al., on cup version comparison, what best explains the clinical significance of open face version?
🔍 Key Findings
- Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
- Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
- Truncated face version is an unreliable surrogate for open face version.
- Accurate interpretation of cup version should include both truncated face version and inclination.
- Canine 3D pelvic model and CT-based simulation used for all measurements.
Veterinary Surgery
1
2025
Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view
2025-1-VS-bilmont-3
In Gibson 2026 et al., on laparoscopic gastropexy instrumentation, which statement best describes intraoperative and postoperative adverse events in the 17 dogs?
🔍 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-4
In Sunlight 2022 et al., on Protein C monitoring, what was the most common reason for requiring a second PTCE procedure?
🔍 Key Findings
- Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
- Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
- Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
- Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
- Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
- Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
- PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
- Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.
Veterinary Surgery
1
2022
Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts
2022-1-VS-sunlight-4
In Philips 2025 et al., on radiographic IAIP detection, what was the reported sensitivity and specificity of radiography?
🔍 Key Findings
Overall accuracy of radiography to detect IAIP: 77.9%
Sensitivity: 97.2%
Specificity: 67.6%
False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating
Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)
Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)
Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)
No palpable abnormalities (e.g., crepitus) observed during ROM for any group
No significant difference in detection by specialty field or reviewer qualification
Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases
Veterinary Surgery
3
2025
Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study
2025-3-VS-philips-3
In McCagherty 2025 et al., on WID detection accuracy, what was the main type of bacterial population detected in most wound infections?
🔍 Key Findings
- Bacterial fluorescence was detected in all wounds (17 dogs, 4 cats) using the point-of-care wound imaging device (WID).
- The WID confirmed the presence of clinically relevant wound infection in all evaluated cases at the time of imaging.
- No significant difference was found in bacterial yield or burden between image-guided and non-guided swabs (QBC and PCR; p > 0.05).
- The WID helped guide wound debridement in some cases by localizing areas of fluorescence, especially in necrotic tissue.
- Most infections were polymicrobial and dominated by anaerobes, highlighting the need for anaerobic culture inclusion.
- PCR analysis showed low bacterial DNA yields, often complicated by host DNA contamination, limiting its utility.
- The study did not evaluate sensitivity/specificity of WID, as only fluorescence-positive wounds were included.
- Clinical utility of WID lies in immediate visual confirmation of infection, supporting timely antimicrobial treatment decisions.
Veterinary Surgery
6
2025
Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats
2025-6-VS-mccagherty-5
In Wilson 2025 et al., on acetabular measurement accuracy, what factor significantly reduced measurement accuracy across all methods?
🔍 Key Findings
Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:
- ACVD/ACOLL (acetabular circle on VD or OLL view)
- ALVD/ALOLL (acetabular line)
- FHCVD/FHCOLL/FHCCCHB (femoral head circle)
- Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
- FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
- AC and AL methods had low bias (±0.5 mm) and better predictive value.
- OA severity negatively affected the accuracy of all measurements (p < .05).
- Highest predictive accuracy was ~49% using ACVD with rounding down protocol.
Veterinary Surgery
1
2025
Evaluation of three acetabular measurement methods for total hip replacement in dogs
2025-1-VS-wilson-3
In Low 2024 et al., which factor was significantly associated with reduced postoperative complications?
🔍 Key Findings Summary
- 47 dogs (57 elbows) underwent TCS placement for HIF
- Overall complication rate = 17.5%
- Minor: seromas (7 elbows)
- Major: septic arthritis (3 elbows) — all resolved with antibiotics
- No screw failures, medial epicondylar fractures, or catastrophic outcomes noted
- Long-term follow-up in 41 dogs (50 elbows):
- 90% full function, 10% acceptable function
- Mean follow-up = ~2.5 years
- Increased age was significantly protective (p = 0.0051; OR = 0.61)
- TCS placement method (freehand, guide, aiming device) significantly impacted screw angulation but not complication rate
- Outcome not affected by presence of complications
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure
2024-4-VCOT-low-2
In Chik 2024 et al., on cholangioscopy feasibility, what was the key limitation of using standard biopsy forceps through the disposable flexible endoscope?
🔍 Key Findings
- Open transcholecystic cholangioscopy was feasible using a 3.8 mm disposable flexible endoscope in all 8 canine cadavers.
- Visualization was consistently achieved up to the junction of the hepatic ducts, common bile duct, and cystic duct.
- Advancement past the junction was limited by the endoscope diameter (3.8 mm) and anatomical flexure.
- The 1.9 mm flexible ureteroscope could visualize the entire biliary tree, including the major duodenal papilla, in a large dog (43.8 kg).
- Endoscopic tools (e.g., 3 Fr grasping forceps) could be passed through the working channel only after removing the irrigation line.
- Standard biopsy forceps were incompatible with the disposable endoscope's 1.2 mm working channel.
- Cadaver study showed no rupture, but clinical extrapolation is limited due to lack of diseased tissue.
- Disposable endoscope setup cost (~$6,100) was significantly lower than traditional endoscopy systems (~$75,000–100,000), improving accessibility.
Veterinary Surgery
7
2024
Feasibility of open cholangioscopy with disposable flexible endoscopes
2024-7-VS-chik-4
In Trefny 2025 et al., on plate length and stiffness, what was the measured effect of plate length on plate strain?
🔍 Key Findings
- 12-hole LCPs (80% plate–bone ratio) showed significantly higher construct stiffness than 6-, 8-, or 10-hole plates in both compression and tension bending.
- Strain on the plate was significantly lower in 12-hole vs 6-hole plates at all regions of interest (ROIs), especially around the fracture gap.
- No incremental increases in stiffness or decreases in strain were observed between 6-, 8-, and 10-hole plates—only when comparing to 12-hole plates.
- Bone model strain adjacent to the plate end was significantly lower for 10- and 12-hole plates vs 6-hole plates under both loading conditions.
- The threshold effect suggests biomechanical benefits only emerge beyond a plate–bone ratio of ~80%.
- Working length increased from 9.4 mm (6-hole) to 13 mm (others), potentially influencing strain/stiffness differences.
- Four-point bending was used, as it replicates the most biomechanically relevant force on plated long bones.
- Clinical implication: Longer plates may reduce plate strain and peri-implant bone strain, potentially lowering risk of fatigue failure or stress risers.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate
2025-2-VCOT-trefny-2
In Kuvaldina 2023 et al., on endoscopic axillary lymphadenectomy, what was a key benefit of the minimally invasive approach compared to open surgery?
🔍 Key Findings
- Endoscopic excisional biopsy of axillary lymph nodes was successfully performed in cadavers and clinical dogs with minimal complications.
- The technique used a SILS port and CO₂ insufflation through a small incision between the latissimus dorsi and superficial pectorals.
- In 4 cadavers (6 limbs), mean time to remove axillary nodes was 33 minutes, and single nodes were found in 5/6 limbs.
- In 3 clinical dogs, the procedure was successful in 2 cases; 1 required conversion to open surgery due to difficulty manipulating the node.
- Accessory axillary nodes were successfully excised when present, located adherent to deep latissimus dorsi.
- No cases developed lymphedema, pneumothorax, or major complications postoperatively.
- Subjective benefits included better visualization, reduced dissection, and less postoperative morbidity than open techniques.
- Study suggests MIS lymphadenectomy may improve staging accuracy and reduce complications, though larger studies are needed.
Veterinary Surgery
6
2023
Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs
2023-6-VS-kuvaldina-1
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
