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In Clayton 2026 et al., on feline bandage complications, which complication was reported most frequently?
🔍 Key Findings
- Bandage-associated complications occurred in 68.4% of cats (104/152) following clean orthopaedic procedures, highlighting the high risk of postoperative coaptation complications in feline patients.
- Most complications were mild (64.4%), while 32.7% were moderate and 2.9% severe, indicating that although common, severe outcomes are relatively rare.
- Use of a splint significantly increased complication severity, with splinted cats 3.42× more likely to develop moderate or severe complications (p = 0.012).
- Complication incidence was not significantly influenced by bandage duration, limb involved, injury location, or professional role of the bandage applier.
- The most common complications were soiled/wet bandages (34.6%), skin irritation (31.7%), bandage slippage (30.8%), pressure sores (29.8%), chewing (20.2%), and toe swelling (19.2%).
- Distal pelvic limb injuries (tarsus and distal) showed the highest proportion of complications (81.5%), suggesting distal limb bandaging in cats carries greater risk.
- Bandages were most commonly applied after osteosynthesis procedures, but procedure type was not associated with complication occurrence (p = 0.720).
- Findings support cautious use of postoperative bandaging in cats, particularly splinted bandages, and emphasize vigilant monitoring and careful case selection.
Veterinary and Comparative Orthopaedics and Traumatology
2
2026
Incidence of Bandage-Associated Complications in Cats following Clean Orthopaedic Procedures: A Retrospective Study of 152 Cases
2026-2-vcot-clayton-3
In Levine 2025 et al., on thoracoscopic pericardiectomy, which approach produced the largest pericardial resection?
🔍 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-1
In Burton 2023 et al., on CHAPS plate design, how many CHAPS plate sizes were developed to accommodate different dog sizes?
🔍 Key Findings
- The Canine Humeral Anatomic Plating System (CHAPS) was designed using CT-based 3D modeling of 100 canine humeri from 5–50 kg.
- Four plate sizes (TP1–TP4) were developed to accommodate a wide range of canine body sizes.
- Plate contour fit was evaluated across 48 cadaveric limbs and showed a 97.5% median surface match, demonstrating excellent topographic conformity.
- Screw hole placement avoided 95–100% of critical anatomical structures including the supratrochlear foramen and nutrient foramen.
- The plates were designed for use with locking screws, improving biomechanical stability for humeral diaphyseal fractures.
- CHAPS plates showed consistent alignment with humeral curvature in both craniocaudal and mediolateral planes.
- CT data revealed marked breed and size variation, but the multi-size design achieved broad anatomical applicability.
- The system provides an anatomic solution with potentially fewer intraoperative contouring needs and reduced iatrogenic risk.
Veterinary Surgery
3
2023
Design and topographic evaluation of a canine humeral anatomic plating system (CHAPS)
2023-3-vs-burton-2
In Becker 2026 et al., on lumbar spine PLC biomechanics, what explanation was given for the preservation of rotational stability despite PLCs?
🔍 Key Findings
- Each PLC significantly increased passive range of motion (ROM) in the sagittal and dorsal planes (p < .05).
- No significant change was observed in rotational ROM after either PLC.
- First PLC increased sagittal ROM by 2.4° (23% increase); second PLC added 1.0° (8% increase).
- Dorsal ROM increased by 2.3° after first PLC and 1.5° after second PLC.
- Second PLC did not cause greater destabilization than the first — both contributed similarly to ROM increase.
- Failure testing showed that spinal segments with two PLCs failed at 13 Nm, while native spines withstood up to 25 Nm, suggesting reduced load-bearing capacity but not clinically significant under normal conditions.
- Rotational stability was preserved, possibly due to intact facet joints and lamina, which play a larger role in rotation.
- Study supports the clinical feasibility of two consecutive PLCs, but cautions against excessive bone removal due to potential for spinal instability.
Veterinary Surgery
1
2026
Influence of two consecutive partial lateral corpectomies on passive motion of the canine lumbar spine
2026-1-VS-becker-5
In Lemmon 2025 et al., on synovitis severity scoring, what was the most common synovitis severity score observed during arthroscopy?
🔍 Key Findings
Synovitis was present in 100% of canine stifles with CCL disease (n = 163).
The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).
Higher synovitis scores were significantly associated with:
- Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
- Longer duration of clinical signs (p < .001, OR = 1.27 per month)
Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.
Bucket handle meniscal tears were not associated with synovitis severity.
Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.
Veterinary Surgery
3
2025
Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease
2025-3-VS-lemmon-1
In Barrett 2023 et al., on complication grading systems, what percentage of complications were graded as **Grade 3** using the aCD system?
🔍 Key Findings
- Cook system had good reliability across all cases (ICC = 0.848), even when complications, sequelae, and failure-to-cure were included.
- aCD system had excellent reliability when excluding sequelae/failure-to-cure cases (ICC = 0.975) but only moderate reliability when including them (ICC = 0.620).
- Majority of complications (60–63%) were graded as Grade 3 in the aCD system, corresponding to surgical or anesthetic intervention.
- Cook system classified most cases (78–81%) as major complications.
- Assessors had difficulty distinguishing sequelae from Grade 1 complications, and failure-to-cure from Grades 1–2, reducing aCD reliability.
- The aCD system offers more resolution (5 grades vs. 3) and less subjectivity through objective definitions.
- Novel terminology (e.g., sequelae, failure to cure) in the aCD system may hinder its uptake without proper training.
- Reclassifying expected events (e.g., swelling, bruising) as sequelae could significantly reduce reported complication rates in other studies.
Veterinary Surgery
1
2023
Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs
2023-1-VS-barrett-4
In Philips 2025 et al., on radiographic IAIP detection, what was the reported sensitivity and specificity of radiography?
🔍 Key Findings
Overall accuracy of radiography to detect IAIP: 77.9%
Sensitivity: 97.2%
Specificity: 67.6%
False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating
Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)
Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)
Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)
No palpable abnormalities (e.g., crepitus) observed during ROM for any group
No significant difference in detection by specialty field or reviewer qualification
Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases
Veterinary Surgery
3
2025
Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study
2025-3-VS-philips-3
In Mazdarani 2025 et al., on simulated muscle loading, what was the clinical significance of using hip mobility in limb press models?
🔍 Key Findings
- Simulated quadriceps and gastrocnemius forces increased proportionally with axial load in all three femoral fixation models.
- Model 2 (rigid fixation) resulted in subphysiologic quadriceps forces and abnormally high gastrocnemius forces, reducing model fidelity.
- Models 1 and 3 (with hip mobility) produced more physiologic quadriceps and force ratios, especially under 30–40% bodyweight loads.
- Force ratios were significantly lower in rigid fixation (Model 2) compared to hip-mobile models (p = .007), suggesting model design affects simulated muscle coordination.
- Joint angles (stifle and hock) remained within acceptable limits, though slight flexion occurred with increasing load.
- Relative foot position differed by ~3.9 mm between models 2 and 3, with model 2 showing a more caudal position.
- Model 3 preserved benefits of hip mobility while allowing radiographic documentation, making it a preferred setup for future studies.
- The study suggests that models used in feline stifle stabilization research may underestimate physiologic forces, especially with rigid fixation designs.
Veterinary Surgery
5
2025
Proximal femoral fixation method and axial load affect simulated muscle forces in an ex vivo feline limb press
2025-5-VS-mazdarani-5
In Bondonny 2024 et al., what was the mid-term functional outcome rate after using the modified IM pin technique?
🔍 Key Findings Summary
- Retrospective study of 33 fractures in 31 cats with Salter–Harris I or II distal femoral fractures
- Used 1 intramedullary Steinmann pin + 1 laterally placed antirotational pin
- 96.9% achieved full functional outcome at mid-term follow-up
- No implant migration or removal required
- Minor complications: 2 seromas; Major: 3 (patellar luxation [2], osteomyelitis [1])
- Growth plate remained open in 27.3% of cases at 6–8 weeks post-op
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management
2024-2-VCOT-bondonny-1
In Viskjer 2026 et al., on SDFT luxation surgery, which breed represented the majority of affected dogs in the study?
🔍 Key Findings
- Modified block recession calcaneoplasty restored full clinical function in all dogs (11 limbs in 9 dogs) at long-term follow-up.
- Objective gait function improved significantly, with symmetry index improving from 0.20 ± 0.13 preoperatively to 0.05 ± 0.03 at long-term follow-up (p = .03).
- No routine postoperative tarsal immobilization was used, yet stable tendon positioning and excellent outcomes were achieved in most cases.
- Overall complication rate was 45%, including 18% major complications requiring revision surgery and 27% minor complications.
- Only one reluxation occurred, secondary to fracture of an overly narrow medial calcaneal wall; successful revision prevented further recurrence.
- CT confirmed persistent deepening of the calcaneal groove and uneventful healing with variable osseous remodeling at long-term follow-up.
- Ultrasonography demonstrated normalization of tendon fiber architecture at long-term evaluation despite heterogeneous appearance in many tendons at 6 weeks.
- Most dogs were Shetland Sheepdogs (8/9), supporting breed predisposition, and all luxations were lateral.
Veterinary Surgery
4
2026
Surgical management of luxation of the superficial digital flexor muscle tendon (SDFT) using a modified block recession calcaneoplasty without subsequent tarsal joint immobilization
2026-4-vs-viskjer-5
Quiz Results
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Key Findings
