
Your Custom Quiz
In Holman 2024 et al., on lateral arthroscopy of the canine shoulder, what percentage of the medial glenohumeral ligament’s cranial border was visible?
🔍 Key Findings
- 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
- 58% of the medial glenohumeral ligament's cranial border was within view.
- 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
- Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
- Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder
2024-1-VCOT-holman-3
In Latifi 2024 et al., on fascial mapping in the canine hindlimb, what was the recommended surgical principle for distal limb resections where deep fascial margins are poor?
🔍 Key Findings
- This anatomical study mapped fascial planes of the canine hindlimb and pelvis to aid superficial tumor resection.
- Type I fascia (discrete sheets) was suitable for deep margins in fascia lata, lateral crus, and gluteal regions.
- Areas with poor or absent fascia included the ischiorectal fossa, femoral triangle, stifle extensor mechanism, and pes.
- Type IV fascia associated with periosteum (e.g., patella, tibial tuberosity) required partial ostectomy for inclusion in surgical margins.
- Nerves at risk during deep dissection included obturator, superficial peroneal, and tibial nerves, particularly in regions with weak fascia.
- In males, bulbospongiosus muscle could act as a fascial plane but dissection was challenging and potentially hemorrhagic.
- In females, constrictor vulvae/vestibulae muscles were tightly associated with mucosa, limiting clean resection options.
- Distal hindlimb resections often lacked a usable fascial plane, suggesting that amputation or adjuvant therapy may be more appropriate.
Veterinary Surgery
3
2024
Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis
2024-3-VS-latifi-5
In Allaith 2023 et al., on THR outcomes, what statistically significant change was observed in postoperative LOAD scores?
🔍 Key Findings
From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry
- 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
- Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
- Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
- Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
- Most common complications: Luxation, femoral fracture, and aseptic loosening.
- BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
- Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
- Owner satisfaction was high, with 88% rating outcome as very good or good.
Veterinary Surgery
2
2023
Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period
2023-2-VS-allaith-4
In Dickerson 2023 et al., on surgical outcomes in hepatic abscessation, what was the reported in-hospital mortality rate?
🔍 Key Findings
- Liver lobectomy was the most common treatment (27/36 dogs), with multiple lobes removed in ~1/3 of cases.
- Septic peritonitis was present in 21/23 sampled dogs, making it a frequent complication.
- Perioperative complications occurred in 21/36 dogs, including aspiration pneumonia, pancreatitis, and acute kidney injury.
- Intraoperative hypotension was common (32/36), often requiring vasopressors or colloids.
- Mortality prior to discharge was 21% (8/38), with deaths related to sepsis, aspiration pneumonia, and multi-organ dysfunction.
- Median survival time was 638 days in dogs surviving to discharge.
- No recurrence of hepatic abscessation was observed in the surviving population.
- E. coli and Clostridium spp. were the most commonly cultured organisms, often as single-agent infections.
Veterinary Surgery
1
2023
Outcome in 38 dogs surgically treated for hepatic abscessation
2023-1-VS-dickerson-3
In Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, which of the following best describes the utility of 3D-printed drill guides?
🔍 Key Findings
- Spinal stabilization with 3D-printed patient-specific drill guides (3D-PSGs) was safe, with no immediate perioperative complications reported.
- 84% of pedicle screws were optimally placed, and only 0.5% breached the spinal canal, reflecting high placement accuracy.
- 80% of dogs experienced no neurologic deterioration postoperatively, indicating reliable short-term safety.
- 3D-PSGs were accurate and reproducible, even across multiple institutions and surgeons.
- Mid-term outcomes were favorable: all dogs were ambulatory, and 90% had static or improved neurologic signs.
- 7 of 10 mid-term follow-ups showed abnormal gait, though owners rated lifestyle ≥3/5, suggesting acceptable function.
- 3D-printed guides enabled precise pedicle screw placement in deformed vertebrae, expanding options in small breeds.
- One dog suffered a T4 spinous process fracture due to overextension of PMMA cement, emphasizing the need for cement placement caution.
Veterinary Surgery
4
2024
Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides
2024-4-VS-violini-5
In Drudi 2022 et al., on CAL vs TAL outcomes, what was the approximate mean increase in rima glottidis area at 15 days post-op for the CAL group?
🔍 Key Findings
- Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
- TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
- No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
- All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
- CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
- Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
- Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
- Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.
Veterinary Surgery
3
2022
Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis
2022-3-VS-drudi-2
In Dobberstein 2022 et al., on NSAID ulcer repair, what was a common factor among most dogs that developed gastrointestinal perforations?
🔍 Key Findings
- Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
- NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
- All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
- No significant association between ulcer size or location and postoperative survival.
- Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
- Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
- Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
- Median follow-up of 444 days showed long-term survival was achievable post-primary repair.
Veterinary Surgery
7
2022
Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs
2022-7-VS-dobberstein-2
In Farrugia 2025 et al., on BODPUO location effects, what complication pattern was observed with more proximal osteotomies?
🔍 Key Findings
- Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
- Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
- Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
- Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
- Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
- Osteotomy length had no significant effect on change in angle.
- Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
- No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.
Veterinary Surgery
6
2025
Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment
2025-6-VS-farrugia-5
In Power 2022 et al., on liposomal bupivacaine use, what was concluded about its use in off-label orthopedic procedures?
🔍 Key Findings
- Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
- Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
- No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
- No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
- Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
- Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
- Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
- Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.
Veterinary Surgery
4
2022
Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs
2022-4-VS-power-3
In Sisk 2024 et al., which nail design feature may reduce infection risk?
🔍 Key Findings Summary
- IMN provides relative stability, resists bending/torsion due to central axis alignment
- Larger diameter nails = exponentially greater stiffness (∝ D⁴)
- Trade-off: Larger interlocking holes weaken fatigue strength of the nail
- Reaming increases contact/stability but has pros/cons:
- Improves outcomes in closed fractures
- May reduce endosteal blood flow in thin-walled bones (e.g., cats)
- Design advances:
- Angle-stable IMN reduce rotational slack
- Expandable nails simplify insertion but may compromise removal or compressive load resistance
- Precontoured nails match bone curvature but lack consistent clinical superiority
- Material debates continue (e.g., titanium vs. stainless steel vs. magnesium)
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine
2024-6-VCOT-sisk-2
Quiz Results
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Key Findings
