
Your Custom Quiz
In Frapwell 2026 et al., on humeral condyle morphology, what hypothesis was proposed to explain HIF formation related to condylar shape?
🔍 Key Findings
- HIF-affected dogs had significantly greater angle A and B, indicating increased axial articular angulation of the medial and lateral humeral condyle (p < .001).
- Vertical condylar height (lengths a and b) was significantly greater in HIF-affected dogs compared to controls (p = .007 and p < .001 respectively).
- Angle G (dorsal plane medial condyle angle) was also significantly greater in HIF-affected dogs, suggesting altered medial humeral morphology (p < .001).
- The angle between axial surfaces (A–B angle) was significantly more acute in HIF dogs (107.4° vs. 114.2°, p < .001), suggesting potential for increased shear force.
- Springer Spaniels with HIF showed significantly greater angulation and vertical height than unaffected Springer controls (p < .001 to .007 across variables).
- Morphological differences persisted across non-spaniel breeds, reinforcing that altered condylar geometry is not breed-restricted.
- Authors propose that greater condylar angulation contributes to shear stress, orthogonal to the fissure, possibly contributing to HIF pathogenesis.
- These morphologic alterations could inform future screening or preventive strategies, and may explain variable surgical outcomes and implant failure.
Veterinary Surgery
1
2026
Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure
2026-1-vs-frapwell-4
In Sunlight 2022 et al., on Protein C monitoring, what percentage of dogs required a second intervention following PTCE for IHPSS?
🔍 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-3
In Wylie 2026 et al., on CCT surgical outcomes, which surgical approach was associated with the highest rate of catastrophic complications?
🔍 Key Findings
- CCT surgery was performed in 80 dogs (89 limbs) across five referral centers in a retrospective cohort study evaluating surgical treatment outcomes.
- Tendon repair with tarsocrural immobilization was the most common treatment (51.7%), followed by pantarsal arthrodesis (36%) and immobilization without repair (12.3%).
- The three-loop pulley was the most frequently used tendon repair suture pattern (41.3%) among repaired tendons.
- Overall complication rates did not differ significantly between tendon repair (56.5%) and pantarsal arthrodesis (42.8%) (p = .543).
- Catastrophic complications were significantly higher after tendon repair with immobilization (26.1%) compared with pantarsal arthrodesis (0%) (p = .005).
- Temporary tarsocrural immobilization (with or without tendon repair) was associated with higher revision surgery risk than pantarsal arthrodesis.
- Median referral follow-up time was 10 weeks (range 6–256 weeks).
- Long-term owner outcomes (LOAD questionnaire) showed no difference in mildly affected dogs among surgical groups (p = .493).
Veterinary Surgery
2
2026
Complications and outcomes following surgical management of common calcaneal tendon pathology in 80 dogs
2026-2-vs-wylie-4
In Forzisi 2026 et al., on stifle locking plate immobilization, what was the primary rationale for limiting immobilization to approximately 6–8 weeks?
🔍 Key Findings
- Temporary transarticular locking plates successfully immobilized the stifle joint for protection of primary repairs (e.g., ligament reconstruction or articular fracture fixation) in dogs and cats.
- 15 stifle joints in 13 patients met inclusion criteria (9 dogs, 4 cats) treated for injuries such as patellar fracture, patellar ligament rupture, stifle luxation, and femoral condylar fractures.
- The plate was contoured along the medial distal femur and proximal tibia, immobilizing the joint at 135–145° extension with at least three screws in each bone segment.
- Implant removal occurred at a median of 58 days (range 27–96), aligning with the planned ~6-week immobilization period intended to protect repair while limiting cartilage damage.
- No intraoperative complications were reported, and all animals were able to ambulate comfortably postoperatively.
- One major complication (plate breakage at 19 days) required early removal and temporary orthotic support.
- Four minor complications involved plate breakage occurring after the recommended removal time, often related to delayed follow-up appointments.
- Respecting the planned 6-week implant removal is important to prevent implant failure, and dedicated anatomically designed plates may further improve technique reliability.
Veterinary and Comparative Orthopaedics and Traumatology
2
2026
Temporary Transarticular Immobilization of the Stifle Joint Using a Locking Plate
2026-2-vcot-forzisi-5
In Sullivan 2025 et al., on TTT stabilization methods, what biomechanical benefit did the TBW group demonstrate over the others?
🔍 Key Findings
- Spacer pin fixation showed no difference in failure force or stiffness compared to tension band wire (TBW) or 2-pin techniques.
- All constructs failed under loads >1000 N, exceeding estimated peak quadriceps force in dogs during walking (~240 N).
- Patellar ligament failure was the most common mode of failure across all groups (5–8 samples per group).
- Distal tibial crest fractures were seen only in 2-pin and spacer pin groups, not in TBW group, suggesting TBW may protect against crest failure.
- No failures occurred at pin tracts, possibly due to pin placement within patellar ligament footprint.
- Spacer pin technique avoids placing pins through the tuberosity, potentially reducing risks of soft tissue complications like tendinopathy or irritation.
- Use of partial osteotomy with robust distal crest may substitute for TBW without compromising initial mechanical strength.
- Further in vivo or cyclic loading studies are required, as this cadaveric study tested only acute tensile failure.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Biomechanical Comparison of Spacer Pin Fixation to Two Established Methods of Tibial Tuberosity Transposition Stabilization in Dogs
2025-3-VCOT-sullivan-3
In Viitanen 2023 et al., on zygomatic sialoadenectomy, which dog conformation was associated with higher difficulty in complete gland removal using IOA?
🔍 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-4
In Davis 2025 et al., on modified anal sacculectomy, what was the resolution rate of minor postoperative complications?
🔍 Key Findings
50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):
- Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
- Grade 2 (medical treatment needed): 2/43 (5%)
- Grade 3B (revision surgery): 2/43 (5%)
93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.
Veterinary Surgery
2
2025
Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease
2025-2-VS-davis-2
In Buote 2023 et al., on laparoscopic vertical sleeve gastrectomy (LVSG), what was the most common intraoperative complication in the cadaver model?
🔍 Key Findings
- LVSG was successfully performed in 9/10 cadavers and both live cats, demonstrating procedural feasibility.
- Mean stomach resected was 27.6% of total weight in cadavers, with no leaks in 8/8 tested or either live patient.
- Mean surgical time: 110.4 min (cadavers) and 115 min (live cats); no intra- or postoperative complications observed.
- Stenosis near the incisura occurred in 2 cadavers; attributed to staple placement too close to the lesser curvature.
- 3D printed cannulas (3DPCs) improved ergonomics and were used in 6/10 cadavers and both live procedures.
- Live cats lost 21–24% body weight over 3 months, with full return to pre-surgical BCS and no GI complications.
- Orogastric tube and proper tensioning were critical in preventing gastric stenosis during staple placement.
- No reinforcement or oversew was used on the staple line; TriStaple cartridges provided reliable closure.
Veterinary Surgery
7
2023
Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats
2023-7-VS-buote2-1
In Fracka 2023 et al., on patient-specific guides, what best describes the effect of PSGs on sagittal plane alignment of femoral cuts?
🔍 Key Findings
- 3D-printed patient-specific guides (PSGs) improved tibial cut alignment in the frontal plane compared to generic guides (mean error 1.03° vs 2.41°, p = .036).
- All tibial cuts using PSGs were within 3° of target alignment, while 2/8 of the generic group were outliers.
- PSGs significantly improved sagittal alignment of both distal (p = .018) and cranial (p = .043) femoral cuts.
- No significant difference was found in varus-valgus femoral alignment or closing angle between PSG and generic guide groups.
- Tibial sagittal slope alignment was not significantly different between groups.
- PSGs provided better intraoperative usability, including improved visibility, no loosening, and ease of use.
- Femoral sizing and component fit were equivalent between PSGs and generic guides, ensuring proper prosthesis alignment.
- PSGs may offer training advantages for novice surgeons, especially in anatomically complex or deformed joints.
Veterinary Surgery
5
2023
3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement
2023-5-VS-fracka-2
In Scheuermann 2023 et al., on femoral MIPO alignment, which statement about fluoroscopy use is most accurate?
🔍 Key Findings
- Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
- Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
- Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
- Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
- FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
- Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
- Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
- Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.
Veterinary Surgery
6
2023
Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs
2023-6-VS-scheuermann-1
Quiz Results
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