
Your Custom Quiz
In Evers 2022 et al., on bone-to-tendon plate fixation, what was the primary reason for anchoring the plate to the tendon instead of the bone?
🔍 Key Findings
- Bone-to-tendon plate fixation allowed successful stabilization of a highly comminuted calcaneus fracture in a dog with fragments too small for traditional fixation.
- The plate was sutured to the common calcaneal tendon using a figure-of-8 pattern, bypassing the need for screw fixation into small proximal fragments.
- Radiographic union was achieved by 17 weeks, though considered delayed, with the dog returning to normal function by 36 weeks post-op.
- A second surgery was required to replace the tendon-anchored plate with a calcaneus-only plate due to skin ulceration and implant prominence.
- Implant-associated infection was suspected; cultures confirmed Staphylococcus pseudintermedius, managed with doxycycline and clindamycin.
- Use of human placental matrix (hPM) and both autogenous and allogenic bone grafts supported healing, though their specific contribution remains uncertain.
- Postoperative complications included delayed union and skin ulceration, emphasizing challenges of implant design and soft tissue management.
- This is the first report of using a bone-to-tendon plate for a calcaneus fracture in dogs and demonstrates its potential in cases where traditional methods are not viable.
Veterinary Surgery
5
2022
Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog
2022-5-VS-evers-1
In Miller 2024 et al., on surgical comparison of staphylectomy vs. FFP, which of the following was true regarding anesthetic complications?
🔍 Key Findings
- FFP resulted in longer median surgery (75 min) and anesthesia (111 min) durations than S (51 min and 80 min, respectively).
- No significant difference in anesthetic complications, regurgitation, aspiration pneumonia, or hospitalization time between S and FFP.
- Major complications were rare (4%) and equally distributed between procedures; included tracheostomy and euthanasia due to severe airway disease.
- Postoperative oxygen use was common (52% of dogs) but not significantly different between procedures.
- FFP dogs more often had laryngeal collapse (especially Grade 1: 68% vs. 32% in S dogs).
- Most dogs (85%) had concurrent nares surgery, with caudal wedge resection more frequent in FFP dogs.
- Few dogs needed revision soft palate surgery (7/124 total); similar between groups.
- Postoperative clinical signs improved across both procedures; regurgitation was the most persistent sign post-op.
Veterinary Surgery
8
2024
Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome
2024-8-VS-miller-3
In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had Staphylococcus spp. isolated at the time of incisional dehiscence?
🔍 Key Findings
- Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
- In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
- Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
- Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
- Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
- TECA cultures were not predictive of bacteria at incisional dehiscence.
- 75% of dogs healed with either medical or surgical management.
Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.
Veterinary Surgery
3
2025
Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs
2025-3-VS-smith-3
In de la Oliva 2024 et al., what was the rate of dogs achieving an excellent or good long-term outcome?
🔍 Key Findings Summary
- 89 French Bulldogs with HCF; 40.4% (36/89) had contralateral HIF
- Prophylactic transcondylar screws placed in 20/36 HIF; no complications in these
- Complication rate for HCF repair = 13.4% (6.7% minor, 6.7% major)
- Most complications occurred with Kirschner wire fixation
- Short-term outcome: Bone healing observed in all, but 14/45 had persistent intracondylar gap
- Long-term outcomes (n=27):
- Excellent = 66.7%
- Good = 29.6%
- Fair = 3.7%
- Complication-free dogs significantly more likely to have excellent/good outcomes (p = 0.007)
Veterinary and Comparative Orthopedics and Traumatology
3
2024
Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome
2024-3-VCOT-delaoliva-4
In Wylie 2025 et al., on femoral implant accuracy, which factor was significantly associated with more accurate implant placement?
🔍 Key Findings
- Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
- Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
- Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
- SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
- Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
- No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
- Minor and major complications were low and not significantly different between implant types.
- A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.
Veterinary Surgery
7
2025
Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO
2025-7-VS-wylie-4
In Crystal 2024 et al., on elbow osteotomies, how did opening wedge osteotomies compare to external rotational osteotomies in reducing medial compartment load?
🔍 Key Findings Summary
- Ex vivo cadaver study using 5 paired canine thoracic limbs
- Compared medial opening wedge osteotomy (MOWO) and external rotational osteotomy (ERO) of the humerus
- Measured pressure changes in the medial compartment using thin-film sensors
- ERO significantly reduced peak pressure and pressure distribution in the medial elbow compartment (p < 0.05)
- MOWO showed no significant pressure reduction relative to native state
- Combined MOWO + ERO did not significantly improve over ERO alone
- Findings support the biomechanical rationale for ERO as a surgical strategy to offload the medial compartment in cases like medial compartment disease (MCD)
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study
2024-4-VCOT-crystal-3
In McClean 2025 et al., on shoulder arthrocentesis techniques, what percentage of injections using the subacromial (SA) approach were completely accurate?
🔍 Key Findings
- Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
- Survey Results: 75% of clinicians preferred SA technique; 25% used ST
- Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
- Partial accuracy: 39% (SA), 50% (ST)
- Complete miss: 11% (SA), 5.6% (ST)
- Incidence of IACI:
- SA: 50% (9/18 shoulders)
- ST: 11% (2/18 shoulders) → statistically significant (p = .007)
- Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
- Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
- Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
- ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
- Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.
Veterinary Surgery
4
2025
Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs
2025-4-VS-mcclean-1
In Janas 2024 et al., on ARC outcomes in cats, what percentage of cats experienced perioperative complications?
🔍 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-1
In Levine 2025 et al., on thoracoscopic pericardiectomy, which statement best describes cardiac exposure between groups?
🔍 Key Findings
Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)
Approaches:
- ILR = Intercostal in Left Lateral Recumbency (no OLV required)
- PDR = Paraxiphoid in Dorsal Recumbency (traditional)
Outcomes:
- Pericardiectomy time was shorter for ILR (p = .045)
- Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
- Visibility and cardiac exposure were superior in PDR group
Feasibility:
- ILR approach was consistently successful in achieving partial pericardiectomy
- Bilateral ventilation was adequate; no need for OLV
Clinical relevance:
- ILR may improve efficiency when paired with TDL
- PDR remains preferable for cases requiring maximal pericardial resection
Veterinary Surgery
1
2025
Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection
2025-1-VS-levine-4
In Planchamp 2022 et al., on imaging-based AAI diagnosis, what cranial translation ratio (CTR) cutoff identified potentially unstable dogs?
🔍 Key Findings
- Ventral Compression Index (VCI) ≥0.16 (extension) or ≥0.2 (flexion) was diagnostic for AAI with 100% sensitivity and >94% specificity
- VCI had the highest diagnostic accuracy among all measured variables (AUC > 0.99)
- C1-C2 overlap ≤2.7 mm (extension) or ≤1.8 mm (flexion) also diagnostic for AAI (sensitivity 84–96%, specificity 81–90%)
- C1-C2 angle ≥176.9° (extension) or ≥187.4° (flexion) had high sensitivity and specificity (~95%)
- Basion-dens interval ≥5.9 mm (extension) or ≥3.0 mm (flexion) provided moderate diagnostic accuracy
- Cranial translation ratio (CTR) ≥0.18 classified dogs as potentially unstable (sensitivity 90%, specificity 78%)
- VCI ≥0.23 reliably differentiated AAI from potentially unstable cases (sensitivity 94%, specificity 94%)
- DALR ≤0.24 had high specificity (100%) but low sensitivity for AAI diagnosis
Veterinary Surgery
4
2022
Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs
2022-4-VS-planchamp-4
Quiz Results
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Key Findings
