Your Custom Quiz
In Eskelinen 2025 et al., on Plate–Pin fixation for MPL, what was the rate of patellar luxation recurrence?
🔍 Key Findings
- Plate–Pin TTT fixation resolved MPL in 64/65 stifles with low recurrence (1.5%) and good lameness outcomes postoperatively.
- Complication rate was 21.5% (14/65 stifles), mostly minor (57%); major issues included pin migration, fracture, or capsular failure.
- Pin-related issues accounted for 8 of 20 total complications, highlighting implant refinement is needed.
- No avulsions, TT fixation failures, or luxation recurrence occurred in cases where surgical technique was followed precisely.
- Surgical deviations increased complication risk 11.3× (p < 0.05), suggesting adherence to protocol is critical.
- Single-session bilateral MPL surgery had comparable complication rate (3/20) to unilateral surgery (11/45).
- Screw breakage occurred in 3 cases, suggesting at least 3 screws may be needed for secure TT fixation.
- Authors suggest temporary pin fixation and later removal may reduce complications, though prospective studies are needed.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Outcome and Complications Following Medial Patellar Luxation Corrective Surgery with Tibial Tuberosity Transposition Using a Locking Plate and a Pin Fixation: 45 Unilateral and 20 Single-Session Bilateral Procedures
2025-4-VCOT-eskelinen-1
In Brincin 2023 et al., on radiographic follow-up post-MPL surgery, what was the likelihood of dogs on NSAIDs at recheck requiring a change in management?
🔍 Key Findings
- Routine follow-up radiographs after MPL surgery influenced management in only 3% of asymptomatic cases.
- Isolated radiographic abnormalities were rare (3.3%) and even less likely to alter treatment unless accompanied by clinical concerns.
- Dogs with both radiographic changes and clinical/owner concerns had 32× higher odds of a management change (OR 32.16, P < .001).
- Lameness, NSAID use, or prior unplanned visits significantly increased the odds of altered post-op plans.
- Owner-reported concerns alone led to a change in only 1.6% of cases without corroborating clinical findings.
- Radiographic follow-up was deemed unnecessary in dogs without owner concerns or abnormal physical findings.
- Hands-on clinical exam remains critical, though video-based rechecks may aid triage in uncomplicated cases.
- The study supports selective radiographic follow-up, reducing unnecessary imaging, stress, and clinician workload.
Veterinary Surgery
3
2023
The value of routine radiographic follow up in the postoperative management of canine medial patellar luxation
2023-3-VS-brincin-4
In Thompson 2024 et al., on cyanoacrylate enterotomy sealants, which group had the lowest maximum intraluminal pressure (MIP)?
🔍 Key Findings
- Highest initial leak pressure (ILP) observed in the handsewn + cyanoacrylate (HS + CE) group: 83.3 ± 4.6 mmHg (p < .001 vs. others).
- Lowest ILP: cyanoacrylate-only group (CE): 18.6 ± 3.5 mmHg.
- No significant MIP difference between handsewn (HSE) and HS + CE groups (p = .19); CE had significantly lower MIP (22.7 mmHg).
- Leak location:
- HSE: 60% from suture holes
- CE: 100% from incisional line
- HS + CE: 60% from incisional line, 40% from suture holes
- Authors conclude cyanoacrylate augmentation significantly increases ILP and could reduce enterotomy leakage risk.
Veterinary Surgery
2
2024
Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies
2024-2-VS-thompson-4
In Scharpf 2024 et al., which statement best reflects the authors' conclusion on subtotal coronoidectomy?
🔍 Key Findings Summary
- Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
- No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
- Force plate analysis was more sensitive than visual lameness scoring.
- Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
- Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis
2024-2-VCOT-scharpf-5
In Cortez 2024 et al., on feline ectopic ureters, which surgical technique was used most frequently?
🔍 Key Findings
- Ectopic ureters in cats are rare, but most are extramural and bilateral.
- Surgical techniques used included ureteroneocystostomy (UNC), neoureterostomy (NU), nephroureterectomy, and cystoscopic laser ablation (CLA).
- All cats showed improvement in urinary continence postoperatively, with 11/12 achieving complete resolution.
- Major complications were rare; one cat developed uroabdomen requiring revision surgery.
- Diagnostic imaging was effective, with abdominal ultrasound diagnosing 8/10 and CT 3/3 cases.
- Short- and long-term complications included urethral spasms, UTIs, stranguria, and rectal prolapse; all were manageable.
- CLA was successful in 2 cats and is noted as a first-time described technique in feline ectopic ureter cases.
- Median postoperative follow-up was 340 days, supporting good long-term outcomes.
Veterinary Surgery
6
2024
Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters
2024-6-VS-cortez-1
In Cola 2024 et al., on laparotomy-assisted endoscopy, what was the primary factor associated with the need to convert to 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-1
In Griffin 2025 et al., on SLN mapping with ICG, what imaging modality was used to visualize lymphatic drainage?
🔍 Key Findings
- Case: 9-year-old Labrador with a right caudal pulmonary adenocarcinoma.
- Technique: Peritumoral injection of indocyanine green (ICG) under VATS guidance, followed by near-infrared (NIR) imaging.
- SLN identified: Right tracheobronchial lymph node fluoresced and was safely extirpated.
- Histology: Grade 1 adenocarcinoma, pneumonia, reactive node.
- Outcome: Patient deteriorated and died on postoperative day 3 due to systemic complications (not linked to surgical technique).
- Clinical relevance: First clinical application of SLN mapping for canine pulmonary neoplasia; method feasible with open or minimally invasive approaches.
Veterinary Surgery
1
2025
Intraoperative sentinel lymph node mapping with indocyanine green via video‐assisted thoracoscopic surgery for primary pulmonary neoplasia in a dog
2025-1-VS-griffin-3
In Janas 2024 et al., on ARC outcomes in cats, what percentage of cats with long-term follow-up had a good or excellent outcome?
🔍 Key Findings:
- Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
- Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
- Short-term outcomes (18 cats):
- Excellent: 14
- Good: 2
- Poor: 2
- Long-term outcomes (18 cats):
- Excellent: 15
- Good: 1
- Poor: 2
- Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
- Preoperative blindness resolved in most cats.
- Mean follow-up duration: Median 8 years.
Veterinary Surgery
2
2024
Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)
2024-2-VS-janas-4
In Lee 2022 et al., on TPLO accuracy, which deformity was significantly reduced in cadaver limbs with 3D-guided TPLO?
🔍 Key Findings
- 3D-printed TPLO guides significantly reduced osteotomy inclination angle in both bone models and cadaver limbs compared to jig alone (P < .001).
- Torsional deformities were lower when the 3D-printed guide was used in bone models (P < .001), but not significantly different in cadavers.
- Angular deformities were significantly reduced in cadavers using 3D-printed guides (P < .001).
- Proximal jig pin angulation was more accurate with the guide in cadavers (P < .001); not significant in bone models.
- Medial cortex damage was substantially reduced in bone models when the 3D-printed guide was used (P < .001).
- Postoperative tibial plateau angle (TPA) did not differ significantly between groups, suggesting that clinical alignment can still be achieved without the guide.
- Clinical significance of improved metrics is uncertain, but improved precision may reduce surgical complications.
- 3D guide design allowed direct placement of jig and bone plate, potentially improving workflow and safety.
Veterinary Surgery
6
2022
Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study
2022-6-VS-lee-2
In Townsend 2024 et al., on 3D osteotomy accuracy, which of the following planes showed significant improvement with PSG in both simple and complex cuts?
🔍 Key Findings:
- Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
- Osteotomy types (3 groups):
- 30° uniplanar frontal wedge
- Oblique (30° frontal, 15° sagittal)
- Single oblique (30° frontal, 15° sagittal, 30° external rotation)
- Comparison: 3D PSG vs Freehand (FH)
- Main Outcomes:
- PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
- 84% of PSG osteotomies were within 5° of target vs 50% of FH.
- Significant improvements with PSG in:
- Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
- Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
- Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
- No difference in osteotomy location (mm) between methods.
- Clinical relevance: PSG more consistent and accurate, especially for complex cuts.
Veterinary Surgery
2
2024
Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model
2024-2-VS-townsend-4
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings