
Your Custom Quiz
In Almeida 2025 et al., on TPLO and partial CCL rupture, where was the greatest increase in ligament thickness observed postoperatively?
🔍 Key Findings
- Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
- Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
- Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
- Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
- No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
- Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
- Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
- Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture
2025-4-VCOT-almeida-2
In Hoenecke 2025 et al., on radiographic opacity in patella luxation, which diagnostic technique was suggested to provide better sensitivity than arthrotomy for subtle CCL damage?
🔍 Key Findings
- 65% of stifles with patella luxation and intact CCLs had increased radiographic soft tissue opacity
- Weight and radiographic OA were significantly associated with increased opacity (p = .0029 and p = .0143)
- Each 1 kg increase in weight increased the odds of opacity by 10%
- Grade of patella luxation, age, and muscle atrophy were not significantly associated with increased opacity
- 19% of dogs with long-term follow-up developed a CCL rupture post-patella surgery, 50% of those had opacity at initial presentation
- Radiographic opacity alone should not be interpreted as CCL disease in dogs with patella luxation
- Radiographic findings likely represent effusion or synovial hyperplasia, not CCL pathology
- Arthrotomy was used to confirm CCL integrity at surgery, but arthroscopy could provide better sensitivity
Veterinary Surgery
7
2025
Increased radiographic stifle soft tissue opacity in dogs with patella luxation
2025-7-VS-hoenecke-5
In Hawker 2024 et al., on checklist attitudes, what was a leading barrier cited for noncompletion of SSCs?
🔍 Key Findings
- 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
- 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
- Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
- Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
- Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
- Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
- Surgeons and OR staff were most commonly identified as noncompliant team members.
- SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.
Veterinary Surgery
5
2024
Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates
2024-5-VS-hawker-2
In Danielski 2024 et al., on PUO effect on HIF, what was the mean preoperative Hounsfield unit (HU) value of the fissure ROI on CT?
🔍 Key Findings Summary
- Sample: 51 elbows from 35 spaniel dogs
- Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
- Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
- Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
- Complications:
- Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
- Minor: 3 cases (5.8%) due to IM pin migration
- Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
- PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
- Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)
Veterinary Surgery
2
2024
Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs
2024-2-VS-danielski-4
In Konno 2026 et al., on hepatic mass resection risks, what was the significance of the corrected distance from the mass to the CVC?
🔍 Key Findings
- Postoperative complications occurred in 17.7% of dogs undergoing hepatic mass resection; mortality was 6.3%
- Shorter corrected distance from hepatic mass to CVC (per 0.1 cm/kg decrease) was significantly associated with increased complications (OR: 0.666; p = .017)
- Presence of underlying disease increased complication risk (OR: 2.703; p = .007)
- Intraoperative hypotension was a strong predictor of complications (OR: 3.589; p = .019)
- Surgical time was borderline significant in multivariable models (OR: 1.011 per min; p = .052)
- Liver lobe location (left, central, right) was not significantly associated with complications
- Prothrombin time (PT) correlated with complication risk in univariable analysis but was not consistently significant in multivariable models
- CT evaluation of mass proximity to the CVC is a useful preoperative predictor of complication risk
Veterinary Surgery
1
2026
Risk factors for complications associated with canine hepatic mass resection: A study of 96 cases
2026-1-VS-konno-2
In Moore 2023 et al., on Divisional outcomes in canine liver mass resection, which liver division was most commonly affected by liver masses in dogs?
🔍 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-1
In Wang 2025 et al., on TPLO osteotomy alignment, which measurement was found to be more accurate intraoperatively?
🔍 Key Findings
- Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of 3° (range: 0–4.5°), showing excellent accuracy.
- The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
- Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
- Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
- Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
- Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
- Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
- Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.
Veterinary Surgery
7
2025
Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation
2025-7-VS-wang-2
In De Moya 2025 et al., on antebrachial deformity correction, what percentage of the recorded distraction translated to actual radial lengthening?
🔍 Key Findings
- CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
- Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
- Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
- Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
- Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
- Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
- Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
- Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.
Veterinary Surgery
6
2025
Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs
2025-6-VS-demoya-2
In Forzisi 2025 et al., on femoral growth post-THR, how did femoral cortical width change at 50% femoral length?
🔍 Key Findings
Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:
- Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
- No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).
Cortical Width:
- Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).
Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:
- Moderate negative for trochanteric growth.
- Moderate positive for proximal femoral width.
Veterinary Surgery
1
2025
Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs
2025-1-VS-forzisi-3
In Matz 2022 et al., on stapler size comparison, what is the clinical significance of the finding that all stapler groups had ILPs exceeding 25 mmHg?
🔍 Key Findings
- No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
- All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
- Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
- Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
- No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
- Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
- One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
- Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.
Veterinary Surgery
4
2022
Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers
2022-4-VS-matz-4
Quiz Results
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