
Your Custom Quiz
In Evers 2023 et al., on medial meniscal tear detection, which aspect of the procedure was significantly more difficult using NA compared to SA?
🔍 Key Findings
- Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for diagnosing medial meniscal tears in dogs with CCLR.
- NA missed 1 medial and 1 lateral meniscal tear, both nondisplaced and stable.
- Visibility of all meniscal horns was significantly lower with NA compared to standard arthroscopy (SA) (P < .005 for all horns).
- Probing the caudal horn of the lateral meniscus was significantly more difficult with NA (P = .0017), though medial horn probing was similar.
- Mean NA procedure time was 8 ± 3 minutes, significantly shorter than SA (15 ± 9 min, P = .0041).
- No increase in lameness observed after NA, indicating minimal procedural morbidity.
- NA was performed under sedation in most dogs, though 10/26 required additional chemical restraint or short anesthesia.
- NA was most accurate for displaced vertical longitudinal tears, with all 14 correctly identified; one stable tear and a lateral tear were missed.
Veterinary Surgery
6
2023
Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture
2023-6-VS-evers-2
In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what complication did *not* occur during the follow-up period?
🔍 Key Findings
- Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
- No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
- Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
- No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
- Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
- The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
- Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
- Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.
Veterinary Surgery
8
2022
Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat
2022-8-VS-cruciani-4
In Mazdarani 2025 et al., on simulated muscle loading, which model showed the lowest muscle force ratios (quadriceps:gastrocnemius)?
🔍 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-2
In Fracka 2025 et al., on cementless knee replacement, what did histology confirm about the implant-bone interface?
🔍 Key Findings
Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.
Clinical function:
- Improved ROM from 90° pre-op to 120° post-op.
- Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
- No visible lameness by 14 weeks.
Implant performance:
- No complications at any follow-up points.
- No osteolysis, loosening, or metallosis at 6-year necropsy.
Wear evaluation:
- Mild UHMWPE insert wear, localized to caudal edges.
Histologic findings:
- Robust osseointegration at implant-bone interface.
- Fibrous tissue only in areas lacking porous coating.
Conclusion:
- Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
- Support for considering early surgical intervention in severe stifle OA.
Veterinary Surgery
3
2025
Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog
2025-3-VS-fracka-4
In Williams 2024 et al., on local anesthetic protocol, what was the standard volume used per side for the maxillary nerve block?
🔍 Key Findings Summary
- Design: Prospective, randomized, double-blinded controlled trial
- Population: 32 brachycephalic dogs undergoing cut-and-sew sharp staphylectomy
- Groups: Adrenaline + lidocaine (Group A) vs. Lidocaine only (Group NA)
- Main Findings:
- Total hemorrhage significantly lower in Group A (median 1.82 g) vs Group NA (7.95 g); p = .013
- Normalized hemorrhage significantly lower in Group A; p = .021
- Surgeon-assigned hemorrhage scores significantly lower in Group A; p = .029
- No adverse effects (tachycardia, hypertension, arrhythmia, etc.) noted from adrenaline use
- Breed effect: English Bulldogs bled more overall even after normalization
- Clinical Implication: Adrenaline in nerve blocks reduces hemorrhage without added risk
Veterinary Surgery
1
2024
Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study
2024-1-VS-williams-5
In Low 2025 et al., on gonadectomy and CrCLD, what was the quality of evidence rated using the GRADE framework?
🔍 Key Findings
Increased risk with gonadectomy:
- Pooled OR for CrCLD:
- Females: 2.29 (95% CI: 1.77–2.95)
- Males: 2.12 (95% CI: 1.67–2.69)
Early gonadectomy (≤1 year) further increased risk:
- OR vs >1 year:
- Females: 3.39
- Males: 3.13
Late gonadectomy (>1 year) had no significant difference vs intact dogs.
Breed-specific findings:
- Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
- Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)
Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)
Veterinary Surgery
2
2025
The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis
2025-2-VS-low-4
In Low 2025 et al., on machine-learning outcomes in IVDE, what proportion of deep-pain-negative dogs recovered ambulation after decompressive surgery?
🔍 Key Findings
The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).
Ambulatory recovery occurred in 53.1% of dogs (86/162).
The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.
Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.
Top predictive features (by SHAP analysis) included:
- T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
- Use of fenestration (presence associated with better recovery)
- Hospitalization duration
- Imaging modality used
- Duration of nonambulatory status
Machine learning provided better insight into prognostic factors than traditional statistical methods.
Veterinary Surgery
4
2025
Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion
2025-4-VS-low-1
In Mayhew 2023 et al., on BOAS surgery effects, what long-term clinical outcome was reported at the median 36.5-month follow-up?
🔍 Key Findings
- Owner-reported regurgitation improved after CMS, especially post-eating and during activity (P = .012 and P = .002)
- No significant improvement in VFSS measures of SHH or GER postoperatively (P > .05 for all comparisons)
- Laryngeal ventriculectomy and soft palate resection were performed in all dogs, alaplasty in 14/16
- Aspiration pneumonia occurred in 1 dog immediately post-op and resolved with treatment
- Post-op esophagoscopy results varied, with persistent esophagitis in some cases
- Clinical response was variable, with ~25–30% of dogs being “non-responders” based on owner scoring
- 13/16 dogs showed partial or full clinical improvement, despite no change in objective SHH/GER indicators
- Final follow-up at median 36.5 months showed some dogs still on medical therapy; one underwent further surgery
Veterinary Surgery
2
2023
Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs
2023-2-VS-mayhew-5
In Price 2024 et al., on left-sided TD ligation in dogs, how many clinical cases showed a single thoracic duct branch at the proposed surgical site?
🔍 Key Findings
- Left fourth intercostal thoracotomy allowed successful thoracic duct (TD) ligation in 9/10 canine cadavers.
- 10/13 clinical cases had a single TD branch at the left fourth intercostal space, indicating lower anatomical complexity.
- All TD branches at this site were lateral to the esophagus, simplifying surgical access.
- Unilateral subphrenic pericardiectomy was successfully performed via the same incision in 10/10 cadavers.
- Fewer TD branches at the fourth intercostal space than traditional caudal sites may reduce the risk of missed collaterals.
- In contrast, traditional caudal TD ligation sites had up to 5 branches, requiring broader dissection.
- No cadaver had right-sided TD branches, reducing surgical complexity at the studied location.
- Contrast-confirmed ligation was effective in 90% (9/10) cadavers on CT imaging.
Veterinary Surgery
3
2024
Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers
2024-3-VS-price-4
In Longo 2023 et al., on CT trochlear measurements, what FTGA threshold was proposed for recommending trochleoplasty in small breed dogs?
🔍 Key Findings
- Dogs with MPL had significantly shallower femoral trochlear grooves compared to controls, based on CT-measured femoral trochlear groove angle (FTGA).
- FTGA >134° in small breeds (SB) and >128° in medium/large breeds (MLB) were associated with MPL and can serve as surgical thresholds for considering trochleoplasty.
- FTA and FTRIA measurements were less reliable, showing lower sensitivity/specificity than FTGA.
- Inter-rater reliability for FTGA was excellent (ICC > 0.9), supporting its use in clinical decision-making.
- FTGA differed significantly between SB and MLB dogs, suggesting anatomical variation influences MPL predisposition.
- Dogs with MPL but with FTGA below threshold may not benefit from trochleoplasty, supporting individualized surgical planning.
- CT provides more precise and reproducible evaluation of trochlear morphology than radiography or ultrasound.
- The study introduces a CT protocol using P25 and P50 reference points for consistent FTGA measurement.
Veterinary Surgery
3
2023
Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation
2023-3-VS-longo-2
Quiz Results
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Key Findings
