Your Custom Quiz
In Thibault 2023 et al., on DPO for THR luxation, what was the most common long-term outcome observed after performing DPO to manage craniodorsal luxation in dogs?
2023-8-VS-thibault-1
In Adams 2024 et al., on canine tibial plateau fractures, what was the long-term functional outcome for the two cases that completed LOAD questionnaires?
🔍 Key Findings
- Tibial plateau fractures (TPF) are rare in dogs, but can be surgically stabilized with good outcomes even in complex trauma cases.
- Lateral TPFs (Unger type 41-B1) were approached via caudolateral arthrotomy, with elevation of the lateral meniscus for visualization and use of lag screws and K-wires for fixation.
- Medial TPF (Unger type 41-B2) was addressed via medial parapatellar approach using K-wires and a figure-of-eight tension band.
- One minor complication occurred: implant yield at 2 weeks in a case with a concurrent fibular fracture, resulting in a 0.8 mm step defect.
- No major complications were recorded, and all dogs achieved clinical union with full function by 8–10 weeks.
- Long-term owner-reported outcomes (LOAD scores) were excellent (5/52), indicating minimal osteoarthritis or chronic pain.
- Concurrent fibular fractures may increase risk of implant failure and should influence implant selection (e.g., considering buttress plating).
- Arthroscopic-assisted techniques may be applicable in select cases, but open reduction was preferred due to fragment displacement or concurrent injuries.
Veterinary Surgery
6
2024
Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases
2024-6-VS-adams-4
In McCagherty 2025 et al., on WID detection accuracy, what was the primary utility of the wound imaging device (WID) in small animal wound management?
🔍 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-1
In Moreira 2024 et al., what was a key methodological tool used for simulation of all osteotomy types?
2024-1-VS-moreira-5
In Whitney 2022 et al., on CBLO fixation strength, regarding biomechanical testing of CBLO constructs, what was the main mode of failure in constructs using only a plate and pin?
🔍 Key Findings
- CBLO fixation with both a headless compression screw (HCS) and tension band (TB) showed the highest yield and ultimate loads compared to other configurations
- HCSTB constructs had significantly higher yield load (1212 N) and ultimate load (1388 N) than Plate alone (788 N, 774 N), HCS alone (907 N, 927 N), or TB alone (1016 N, 1076 N)
- No difference in construct stiffness was detected among the four fixation methods tested
- All constructs ultimately failed by bone fracture—location of failure differed by construct type (e.g., through HCS hole or cranial screw hole)
- TB and HCSTB groups showed failure via progressive TB stretching and cranial osteotomy widening, while Plate and HCS failed more abruptly
- All constructs withstood forces exceeding expected quadriceps load in vivo (170–325 N), suggesting all methods can resist physiological loading, but HCSTB provides greater safety margin
- HCS alone was not significantly stronger than Plate or TB alone, questioning its standalone superiority
- Study supports using TB and HCS together for optimal construct strength, but clinical studies are needed to validate implant fatigue, healing, and failure rates
Veterinary Surgery
1
2022
Ex vivo biomechanical comparison of four Center of Rotation Angulation Based Leveling Osteotomy fixation methods
2022-1-VS-whitney-2
In Miller 2024 et al., on surgical comparison of staphylectomy vs. FFP, which airway abnormality was more common in FFP dogs?
🔍 Key Findings
- FFP resulted in longer median surgery (75 min) and anesthesia (111 min) durations than S (51 min and 80 min, respectively).
- No significant difference in anesthetic complications, regurgitation, aspiration pneumonia, or hospitalization time between S and FFP.
- Major complications were rare (4%) and equally distributed between procedures; included tracheostomy and euthanasia due to severe airway disease.
- Postoperative oxygen use was common (52% of dogs) but not significantly different between procedures.
- FFP dogs more often had laryngeal collapse (especially Grade 1: 68% vs. 32% in S dogs).
- Most dogs (85%) had concurrent nares surgery, with caudal wedge resection more frequent in FFP dogs.
- Few dogs needed revision soft palate surgery (7/124 total); similar between groups.
- Postoperative clinical signs improved across both procedures; regurgitation was the most persistent sign post-op.
Veterinary Surgery
8
2024
Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome
2024-8-VS-miller-5
In Logothetou 2024 et al., on SPF complications, which patient factor was independently associated with increased complication risk on multivariable analysis?
🔍 Key Findings
- Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
- Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
- Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
- Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
- Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
- Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
- Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
- Closure technique did not significantly influence complication severity, though staple use was numerically worse.
Veterinary Surgery
3
2024
Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)
2024-3-VS-logothetou-2
In Payne 2024 et al., on HIF propagation pattern, what was the approximate rate of isthmus diameter increase per kilogram of body weight?
🔍 Key Findings Summary
- HIF typically originates 57° caudal to the supratrochlear foramen and propagates cranially in a segmental pattern.
- %HIF correlated significantly with both fissure depth and length:
- %DHIF increased linearly (r = 0.989, p < 0.001)
- %LHIF followed a sigmoidal relationship with %HIF (p < 0.001)
- Higher %HIF was significantly associated with:
- Clinical lameness (p = 0.004)
- Distal shift in the fissure center (CHIF)
- Implant complications in 5/17 elbows treated with transcondylar screws
- Isthmus diameter increased with weight (p = 0.002), relevant for screw sizing
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Computed Tomography Topographical Analysis of Incomplete Humeral Intracondylar Fissures in English Springer Spaniel Dogs
2024-2-VCOT-payne-5
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 Maeta 2022 et al., on total cystectomy in cats, how was urinary incontinence managed postoperatively?
🔍 Key Findings
- First reported case of total cystectomy and bilateral cutaneous ureterostomy in a cat using a modified Toyoda technique.
- Histologically complete tumor resection was achieved, with tumor-free ureter and urethral margins >20 mm.
- The modified Toyoda technique involved shaping the ureter into a fish-mouth aperture and anastomosing it to a rectangular skin defect for stomal formation.
- Incontinence was managed using a diaper changed every 6–8 hours, with no dermatological complications.
- Obstruction of the right ureter occurred 14 months post-op, associated with a subcutaneous nodule at the anastomosis site.
- Despite incontinence, owner satisfaction and perceived quality of life were high, with the cat living ~16 months post-op.
- The stents were removed on days 7 (left) and 28 (right) postoperatively, with initial patency maintained until 14 months.
- This surgical approach may offer palliative or curative benefit for feline trigonal TCC where partial cystectomy is not feasible.
Veterinary Surgery
8
2022
Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat
2022-8-VS-maeta-5
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Key Findings