
Your Custom Quiz
In Buote 2023 et al., on 3D printed cannulas, what was the approximate manufacturing cost per sterilizable 3D printed cannula?
🔍 Key Findings
- Customized 3D printed cannulas (3DPCs) significantly reduced surgical time in feline cadaver models (125.6 vs. 95.2 min, p = 0.03).
- Use of 3DPCs resulted in a reduction in instrument collisions (6.8 vs. 2.6, p = 0.03).
- Cannula pullout complications decreased with 3DPCs (10 vs. 2.2 per procedure, p = 0.03).
- 3DPCs were designed at shorter lengths (3 cm), improving intra-abdominal working space in cats.
- No incisional or postoperative complications occurred in the two live feline cases.
- One 3DPC insufflation port broke intraoperatively; resolved by using a male luer lock connector in the next case.
- CO₂ leakage occurred from re-used silicone valves in 2 ports; emphasizing the need for durable valve design.
- Estimated cost per 3DPC was <$5.00, suggesting cost-effective customization for feline laparoscopy.
Veterinary Surgery
7
2023
3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series
2023-7-VS-buote-4
In Walker 2025 et al., on ventral slot guides, what was the impact on slot position variability when using the 3D guide?
🔍 Key Findings
Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:
- GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
- FHVS produced significantly shorter slots than intended (p < .01)
- No difference in surgical time (p = .071)
- Shape ratio and slot divergence from midline were similar between groups (p > .4)
- Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)
Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds
Veterinary Surgery
3
2025
Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study
2025-3-VS-walker-2
In Hildebrandt 2023 et al., on Buccal Transposition Flap for Maxillary Lip Reconstruction in Dogs, what was the most common complication observed after flap placement?
🔍 Key Findings
- Buccal transposition flap provided successful closure of large maxillary lip defects in all 5 dogs
- All flaps survived, with 3 dogs experiencing minor complications (e.g., fistulas, dehiscence) that resolved
- Flap vascularization originated from the angularis oris and superior labial arteries, as confirmed via CT angiography
- Excellent cosmetic and functional outcomes were achieved in all cases
- Ex vivo cadaver study validated flap perfusion, showing consistent contrast filling of key arteries
- Oronasal fistulas occurred in 2 dogs at the palatal incision site, likely due to contact with the mandibular canine tooth
- Mandibular canine coronectomy was performed in 2/5 dogs to prevent flap trauma
- Flap design and commissure positioning were customizable, aiding tension relief and improving outcomes
Veterinary Surgery
2
2023
Buccal transposition flap for closure of maxillary lip defects in 5 dogs
2023-2-VS-hildebrandt-2
In Bae 2025 et al., on SI screw orientation, which screw-side combination yielded the highest rotational stability?
🔍 Key Findings
- Ex vivo study using 24 canine cadaver pelves to test screw thread direction in SI luxation.
- Four groups: RhRSI, RhLSI, LhRSI, LhLSI.
- Right-handed screws on right side (RhRSI) had 313% higher torque and 274% higher load vs left side (p < .01).
- Left-handed screws on left side (LhLSI) had 198% higher torque and 195% higher load vs right side (p < .03).
- All failures occurred due to rotation, with no screw breakage or fractures.
- Body weight and moment arm were similar across groups.
- Clinical implication: Use of screw matching handedness to luxation side improves stability.
Veterinary Surgery
2
2025
Effect of thread direction on rotational stability in lag-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs
2025-2-VS-bae-1
In Knudsen 2024 et al., on CTA diagnosis, what was the observed **negative likelihood ratio (NLR)** of CTA for meniscal lesion detection in second readings?
🔍 Key Findings
- Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
- Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
- Training effect was evident, as less experienced observers improved between first and second readings.
- Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
- CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
- Approximately 90% of menisci were correctly classified in second readings.
- No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
- CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.
Veterinary Surgery
8
2024
Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography
2024-8-VS-knudsen-4
In Chen 2024 et al., on pressure-measurement tools, which device demonstrated the highest accuracy and precision?
🔍 Key Findings
- WMg (water manometer with gauge) was the most accurate and precise pressure measurement device.
- APT (arterial pressure transducer) was less accurate than WMg but still precise; it differed significantly from the gold standard (WMr).
- CCT (Compass CT) was the least accurate and precise and differed significantly from the set pressure.
- Mean differences from set pressure were smallest for WMg (−0.020 cm H2O), moderate for APT (−0.390 cm H2O), and largest for CCT (−1.267 cm H2O).
- All devices showed excellent interobserver (ICC = 1.000) and intraobserver agreement (ICC range 0.985–0.998).
- Even though the CCT performed least well, all devices had mean errors ≤1.3 cm H2O, indicating potential clinical utility.
- WMg or WMr should be preferred in surgical settings due to superior accuracy and precision.
- Measurement precision is more critical than accuracy during PSS surgery, as a 1 mm Hg (~1.3 cm H2O) increase in portal pressure raises odds of poor outcomes by 9%.
Veterinary Surgery
4
2024
Accuracy, precision, and interobserver and intraobserver agreements related to pressure-measurement devices
2024-4-VS-chen-1
In McLean 2024 et al., what was the average increase in TPA among dogs with rock-back?
🔍 Key Findings Summary
- 95 TPLO procedures reviewed retrospectively with follow-up radiographs
- Rock-back defined as increase in tibial plateau angle (TPA) ≥2° from immediate post-op to recheck
- 21% of stifles (20/95) experienced rock-back
- Mean ΔTPA among rock-back cases = 3.2° ± 2.6°
- No implant failures or tibial tuberosity fractures were reported in these cases
- Plate inclination and exit cut angle (ECA) were not associated with increased risk of rock-back (p = 0.4 and 0.2)
- Authors hypothesize that compression across osteotomy in vivo may mitigate torsional effects from ECA, unlike in gap-model studies
- Emphasizes that rock-back is relatively common, even with well-placed implants
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs
2024-6-VCOT-mclean-3
In Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, what percentage of dogs experienced no neurologic deterioration postoperatively?
🔍 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-2
In Radke 2022 et al., on outcome measure validation, what was the COSMIN justification for not assessing internal consistency in the LOAD instrument?
🔍 Key Findings
- CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
- COI scored highest in development rigor and evidence quality among evaluated OROMs.
- Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
- LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
- CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
- All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
- Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
- Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).
Veterinary Surgery
2
2022
Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments
2022-2-VS-radke-2
In Marshall 2022 et al., what **effect did bone grafting** have on delayed or non-union outcomes?
🔍 Key Findings
- Delayed union occurred in 13.9% of fractures; non-union in 4.6%; mal-union in 0.7%
- Major implant failure increased odds of delayed or non-union by 12.9×
- Surgical site infection increased risk 3.2×; bone grafting (any type) was also associated (OR 3.3)
- Comminuted fractures had 4.2× greater odds of delayed or non-union
- Older age increased risk, with odds increasing by 21% per year
- Radius and ulna fractures in toy breeds were not high risk, contrary to historical belief
- Most non-unions required revision surgery with rhBMP-2 or autograft to achieve union
- Ilium fractures showed 0% delayed/non-union — possibly due to robust muscle envelope
Veterinary Surgery
7
2022
Delayed union, non-union and mal-union in 442 dogs
2022-7-VS-marshall-4
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
