
Your Custom Quiz
In Schroeder 2022 et al., on fascial anatomy mapping, what is a key challenge of using cutaneous trunci as a deep margin?
🔍 Key Findings
- Fascial planes in dogs were consistently classifiable into four surgical types:
- Type I (discrete sheets), Type II (tightly adhered to thin muscle), Type III (tightly adhered to thick muscle), and Type IV (periosteum-associated).
- Two junction types were identified: Type A (easily elevated) and Type B (higher risk of disruption).
- Disruption-prone areas include the scapular spine (type IV fascia) and lateral thorax near the 13th rib, where rib resection may be needed to preserve margins.
- The latissimus dorsi transition zones and fascial areas near the thoracic inlet and scapulohumeral joint were prone to fascial thinning or disruption.
- Partial muscle resections or periosteal elevations may be required in areas with fragile fascia to maintain oncologic margins.
- Dorsal spinous processes (T6–L6) showed type IV fascia; however, osteotomy may be needed in some dogs for clear margins.
- Blended fascial transitions (e.g., rectus abdominis: type II cranially, type I caudally) necessitate intraoperative judgment on resection depth.
- Cutaneous trunci may suffice as a deep margin for small, low-grade tumors in well-muscled dogs, but not reliably for high-grade or larger masses.
Veterinary Surgery
1
2022
Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk
2022-1-VS-schroeder-4
In Israel 2023 et al., on povidone-iodine lavage, which component best describes the composition and method of PrePIL?
🔍 Key Findings
- No infections (0/102) occurred in cases where preclosure povidone-iodine lavage (PrePIL) was used, compared to 21/2111 (0.99%) with saline lavage.
- Break-even cost for PrePIL was calculated at $49.74, while the actual cost was only $2.07, confirming strong cost-effectiveness.
- No adverse reactions or healing complications were reported in the 102 PrePIL cases.
- The PrePIL protocol used 0.35% povidone-iodine for 3 minutes before closure, followed by sterile saline lavage.
- Majority of THRs (97%) used cementless fixation (BFX) in PrePIL group; only 3 cases used CFX components.
- Surgeries followed consistent perioperative antibiotic protocols, making PrePIL the only major protocol variable.
- Antibiotics were not added to lavage, aligning with WHO and CDC guidelines for antimicrobial stewardship.
- The infection reduction with PrePIL supports routine use in total hip replacement to reduce periprosthetic joint infections.
Veterinary Surgery
1
2023
Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis
2023-1-VS-israel-3
In Cruciani 2025 et al., on portal placement, what functional outcome was observed in most dogs at long-term follow-up?
🔍 Key Findings
- Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
- Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
- Outcomes:
- Good to excellent mid-to-long-term outcomes in 11/14 dogs.
- Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
- Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
- No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
- Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
- Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
- Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).
Veterinary Surgery
1
2025
A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)
2025-1-VS-cruciani-2
In Peng 2025 et al., on topical amikacin gel, what maximum topical dose per kg was administered?
🔍 Key Findings
Objective: Determine if topical 45 mg/mL amikacin in CMC gel leads to systemic absorption in dogs with wounds.
Dogs enrolled: 11 client-owned dogs, with 31 applications of the gel.
Serum findings:
- Only 5 of 153 samples were above the 2.5 µg/mL quantification limit
- All values remained <5 µg/mL, the presumed toxicity threshold
- No correlation was found between dose-related parameters (mg, mg/kg, mg/cm²) and serum amikacin levels
Peak concentrations were observed at ~2 hours post-application, declining rapidly thereafter
No nephrotoxicity observed, and most values were below detection
Conclusion: Topical amikacin gel appears safe at doses up to 24.9 mg/kg, with minimal systemic absorption
Veterinary Surgery
3
2025
Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel
2025-3-VS-peng2-4
In Kwok 2023 et al., on BFX lateral bolt THR in dogs, what percentage returned to normal function?
🔍 Key Findings
- 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
- Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
- Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
- Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
- Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
- Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
- Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
- Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.
Veterinary Surgery
1
2023
Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)
2023-1-VS-kwok-1
In Adams 2024 et al., on canine tibial plateau fractures, what was the long-term functional outcome for the two cases that completed LOAD questionnaires?
🔍 Key Findings
- Tibial plateau fractures (TPF) are rare in dogs, but can be surgically stabilized with good outcomes even in complex trauma cases.
- Lateral TPFs (Unger type 41-B1) were approached via caudolateral arthrotomy, with elevation of the lateral meniscus for visualization and use of lag screws and K-wires for fixation.
- Medial TPF (Unger type 41-B2) was addressed via medial parapatellar approach using K-wires and a figure-of-eight tension band.
- One minor complication occurred: implant yield at 2 weeks in a case with a concurrent fibular fracture, resulting in a 0.8 mm step defect.
- No major complications were recorded, and all dogs achieved clinical union with full function by 8–10 weeks.
- Long-term owner-reported outcomes (LOAD scores) were excellent (5/52), indicating minimal osteoarthritis or chronic pain.
- Concurrent fibular fractures may increase risk of implant failure and should influence implant selection (e.g., considering buttress plating).
- Arthroscopic-assisted techniques may be applicable in select cases, but open reduction was preferred due to fragment displacement or concurrent injuries.
Veterinary Surgery
6
2024
Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases
2024-6-VS-adams-4
In Cheon 2025 et al., on guide accuracy in DFO, how did correction accuracy compare between uniplanar and biplanar deformities?
🔍 Key Findings
- Both patient-specific and universal guides yielded correction errors <2°, with no statistically significant difference in accuracy.
- Universal guide corrected aLDFA up to 24° and AA up to 20°, addressing multiplanar deformities effectively.
- Patient-specific guides allowed for preoperative simulation, providing more stable pin placement and potentially aiding less-experienced surgeons.
- Universal guide eliminated the need for CT-based customization, reducing time and cost.
- Cadaver and bone model trials showed consistent accuracy, validating both methods in vitro and ex vivo.
- No significant differences in outcome when correcting uniplanar (aLDFA) vs biplanar (aLDFA + AA) deformities.
- Universal guide's fixed size presented limitations in small dogs, potentially requiring multiple size options.
- Universal guide showed potential for standard use, offering repeatable outcomes with minimal prep despite needing precise intraoperative placement.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs
2025-3-VCOT-cheon-5
In Jones 2024 et al., on surgical technique mortality, which factor besides surgical technique was independently associated with increased mortality?
🔍 Key Findings
- Study compared 606 dogs (English Bulldogs, French Bulldogs, Pugs) undergoing partial staphylectomy via CO₂ laser, bipolar vessel sealing device (BVSD), or conventional incision.
- Mortality rate: 4.0% (24/606).
- BVSD was associated with significantly increased perioperative mortality compared to other methods (OR = 6.0, 95% CI: 1.3–28.4, p = .023).
- High-grade laryngeal collapse (stage II or III) independently increased mortality risk (OR = 4.6, 95% CI: 1.8–11.8, p = .002).
- No difference in mortality between CO₂ laser and conventional incision techniques.
- CO₂ laser and conventional techniques had similar complication rates.
Veterinary Surgery
1
2024
Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device
2024-1-VS-jones-3
In Rodiño Tilve 2022 et al., on feline THR outcomes, which implant feature was associated with all luxation complications?
🔍 Key Findings
From “Long-term follow up of 44 cats undergoing total hip replacement” by Rodiño Tilve et al.
- Slipped capital femoral epiphysis (SCFE) was the most common surgical indication (61%, 34/56 hips), primarily affecting young neutered male cats.
- All THRs used cemented micro/nano BioMedtrix implants; most common femoral stem was size #3, and most common acetabular cup was 12 mm.
- Postoperative complication rate was 19.6% (11/56) with 9 major complications (luxation most common), and no intraoperative complications reported.
- All luxations occurred in hips implanted with femoral neck +0 mm length implants.
- Second luxations were more common when revision used same implant size; use of larger implants reduced reluxation rates.
- FMPI-sf score improved significantly from median 2.111 pre-op to 0.111 post-op (P < .001), indicating reduced pain and improved function.
- Very high owner satisfaction: 91% (30/33) reported outcome as "very good."
- No significant associations found between complications and variables like weight, sex, implant size, or surgical indication.
Veterinary Surgery
5
2022
Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)
2022-5-VS-rodino-3
In Latifi 2022 et al., on forelimb fascial mapping, which fascial type was most frequently observed in the antebrachium of dogs?
🔍 Key Findings
- Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
- Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
- Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
- Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
- Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
- Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
- Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
- Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.
Veterinary Surgery
1
2022
Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb
2022-1-VS-latifi-1
Quiz Results
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