
Your Custom Quiz
In Moore 2023 et al., on Divisional outcomes in canine liver mass resection, what was the effect of thoracic incision extension on postoperative complications?
🔍 Key Findings
- Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
- Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
- Mortality rate was 6.5% overall, with no significant association with liver lobe location.
- Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
- Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
- Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
- Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
- Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.
Veterinary Surgery
4
2023
Association between divisional location and short-term outcome of liver mass resection in 124 dogs
2023-4-VS-moore-4
In Folk 2025 et al., on vessel sealing device reuse, what was the most common level of biologic debris observed?
🔍 Key Findings
40 dogs underwent splenectomy using 16 bipolar vessel sealing devices (VSDs)
Devices were reused up to 4 times after handwashing and ethylene oxide (EtO) sterilization
Biologic debris was found in 100% of devices, specifically under the transection blade, even after a single use
- Mostly scant (14/16) or mild (2/16) debris
No devices or debris yielded positive aerobic culture after EtO sterilization
EtO sterilization proved microbiologically effective despite visible residue
Perioperative failure rate: 1 device (malfunctioned during first activation)
Veterinary Surgery
3
2025
Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy
2025-3-VS-folk-4
In Becker 2026 et al., on lumbar spine PLC biomechanics, how did the second PLC compare biomechanically to the first in terms of passive range of motion increase?
🔍 Key Findings
- Each PLC significantly increased passive range of motion (ROM) in the sagittal and dorsal planes (p < .05).
- No significant change was observed in rotational ROM after either PLC.
- First PLC increased sagittal ROM by 2.4° (23% increase); second PLC added 1.0° (8% increase).
- Dorsal ROM increased by 2.3° after first PLC and 1.5° after second PLC.
- Second PLC did not cause greater destabilization than the first — both contributed similarly to ROM increase.
- Failure testing showed that spinal segments with two PLCs failed at 13 Nm, while native spines withstood up to 25 Nm, suggesting reduced load-bearing capacity but not clinically significant under normal conditions.
- Rotational stability was preserved, possibly due to intact facet joints and lamina, which play a larger role in rotation.
- Study supports the clinical feasibility of two consecutive PLCs, but cautions against excessive bone removal due to potential for spinal instability.
Veterinary Surgery
1
2026
Influence of two consecutive partial lateral corpectomies on passive motion of the canine lumbar spine
2026-1-VS-becker-2
In Huels 2025 et al., on second-generation screw cup THA, what design feature of the SCSL was intended to reduce acetabular fractures?
🔍 Key Findings
- Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
- Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
- No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
- Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
- Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
- Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
- Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
- Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup
2025-2-VCOT-huels-3
In Kershaw 2025 et al., on PSG vs AD, what was the most significant benefit of using a patient-specific guide (PSG) during transcondylar screw (TCS) placement in dogs?
🔍 Key Findings
- 3D-printed patient-specific guides (PSGs) significantly improved accuracy of drill hole entry (p < 0.001) and exit (p = 0.044) compared to commercial aiming devices (AD).
- Zero joint penetrations occurred with PSGs, whereas 3 of 7 AD-guided screws were predicted to penetrate the joint (p = 0.19).
- Variance in exit point and drill angle was significantly lower in PSG group, suggesting more consistent results.
- One PSG case failed due to improper guide seating, but this was corrected with improved soft tissue clearance.
- PSGs enabled safer trajectories despite use by novice surgeons, emphasizing their value in less experienced hands.
- Drill holes placed with ADs deviated more cranially and distally, increasing the risk of articular violation.
- Use of PSGs allowed for tighter clustering of drill trajectories, especially in the cranial–caudal axis.
- Subjective feedback favored PSGs for ease of use and ergonomic design, despite requiring slightly larger incisions.
Veterinary and Comparative Orthopaedics and Traumatology
5
2025
Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus
2025-5-VCOT-kershaw-1
In Isono 2025 et al., on tibial malalignment in MPL, what clinical advantage does PTMTA provide over TTA in preoperative assessment?
🔍 Key Findings
- Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
- PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
- Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
- DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
- PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
- Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
- Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
- Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation
2025-4-VCOT-isono-3
In Israel 2023 et al., on povidone-iodine lavage, which component best describes the composition and method of PrePIL?
🔍 Key Findings
- No infections (0/102) occurred in cases where preclosure povidone-iodine lavage (PrePIL) was used, compared to 21/2111 (0.99%) with saline lavage.
- Break-even cost for PrePIL was calculated at $49.74, while the actual cost was only $2.07, confirming strong cost-effectiveness.
- No adverse reactions or healing complications were reported in the 102 PrePIL cases.
- The PrePIL protocol used 0.35% povidone-iodine for 3 minutes before closure, followed by sterile saline lavage.
- Majority of THRs (97%) used cementless fixation (BFX) in PrePIL group; only 3 cases used CFX components.
- Surgeries followed consistent perioperative antibiotic protocols, making PrePIL the only major protocol variable.
- Antibiotics were not added to lavage, aligning with WHO and CDC guidelines for antimicrobial stewardship.
- The infection reduction with PrePIL supports routine use in total hip replacement to reduce periprosthetic joint infections.
Veterinary Surgery
1
2023
Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis
2023-1-VS-israel-3
In Timmermans 2026 et al., on soft palate changes post-BOAS surgery, which of the following best describes the rostral thickness (RTH) outcome in both treatment groups?
🔍 Key Findings
- Soft palate length, volume, and cross-sectional area decreased significantly after both folded flap palatoplasty (FFP) and standard staphylectomy (STS).
- Middle thickness (MTH) of the soft palate decreased after STS but increased after FFP, indicating FFP may not thin the soft palate long-term.
- Rostral thickness (RTH) increased in both groups, suggesting regional variation in healing or remodeling.
- Clinical improvement (exercise tolerance) occurred in most dogs: 6/8 in FFP and 10/10 in STS group.
- One major complication in FFP group led to death despite revision surgery; another mortality occurred in STS group (likely due to severe laryngeal collapse).
- No difference in minor complication rates between FFP and STS groups.
- Histological remodeling or edema may explain lack of MTH reduction in FFP at 3 months.
- Immediate postoperative imaging may be needed to evaluate initial reduction effects of FFP.
Veterinary Surgery
1
2026
Evaluation of soft palate thickness in brachycephalic dogs 3 months after folded flap palatoplasty versus standard staphylectomy
2026-1-VS-timmermans-5
In Kang 2022 et al., on 3D scaffold reconstruction, which material was combined with polycaprolactone (PCL) to enhance osteoconductivity?
🔍 Key Findings
- Patient-specific 3D-printed PCL/β-TCP scaffold enabled successful zygomatic arch reconstruction in a dog.
- Complete surgical resection of a zygomatic parosteal osteosarcoma was achieved, with a 0.3 mm histologically clean margin.
- Post-op imaging showed progressive tissue ingrowth into the scaffold, with Hounsfield Units increasing from 20.4 to 97.8 over 10 months.
- No complications (e.g., infection, displacement) or tumor recurrence were noted at 16-month follow-up.
- Use of a patient-specific osteotomy guide improved anatomical fit and facilitated precise excision and implant placement.
- Facial symmetry and orbital stability were maintained throughout follow-up.
- The scaffold remained structurally stable despite limited bone regeneration, suggesting connective tissue filled the defect.
- Topical mitomycin C was applied intraoperatively for possible anti-neoplastic effect, but efficacy remains unclear.
Veterinary Surgery
8
2022
Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog
2022-8-VS-kang-1
In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what percentage of screws had ≥60% purchase within the sacral body?
🔍 Key Findings
- Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
- Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
- One screw exited caudally; no dorsal, ventral, or cranial exits reported.
- At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
- No screw loosening observed, even in suboptimal reductions or purchases.
- Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
- Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
- Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.
Veterinary Surgery
4
2024
Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome
2024-4-VS-jourdain-2
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
