
Your Custom Quiz
In Galliano 2022 et al., on vascular access ports, what was the most frequent minor complication observed?
🔍 Key Findings
- SVAPs placed in axillary (aSVAP) or femoral/external iliac veins (fSVAP) during limb amputation remained functional in 92.3% and 100% of cases, respectively.
- Complication rates were lower in aSVAP (23.1%) and fSVAP (0%) compared to jSVAP (47.4%), although not statistically significant (P = .12).
- No catastrophic complications occurred with aSVAP or fSVAP; 2 deaths occurred with jSVAP due to port-related issues.
- Infection-related port removal was needed in 1 aSVAP (7.7%) and 2 jSVAPs (10.5%) — no removals were required in fSVAPs.
- Tip placement of the catheter (e.g., right atrium vs. vena cava) did not correlate with complications (P = .66).
- Shorter surgical time likely with aSVAP/fSVAP as they use the same surgical field as the limb amputation.
- Survival time median was similar across groups (jSVAP: 177 days, aSVAP: 125 days, fSVAP: 122 days).
- SVAP implantation during limb amputation offers a practical and safe alternative to separate jugular placement.
Veterinary Surgery
7
2022
Subcutaneous vascular access port implantation in the axillary or femoral/external iliac vein at the time of full limb amputation in dogs
2022-7-VS-galliano-3
In Pfeil 2024 et al., on fluoroscopic pinning, what was a key advantage of the technique?
🔍 Key Findings
- Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
- All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
- Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
- Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
- No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
- Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
- Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
- The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.
Veterinary Surgery
5
2024
Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning
2024-5-VS-pfeil-4
In Barrett 2026 et al., on scapula plating biomechanics, what effect did adding a second plate have on primary plate strain?
🔍 Key Findings
- Double plate fixation significantly increased construct stiffness (563.7 vs 392.8 N/mm; p < .0001), supporting superior biomechanical stability
- Displacement was significantly reduced with double plating (−0.48 mm vs −0.81 mm; p < .0001), indicating improved resistance to cyclic loading
- No difference in primary plate strain between single and double constructs, suggesting load-sharing did not reduce plate stress
- Caudolateral placement of the second plate enhances biomechanical advantage by increasing moment arm and resisting tensile forces
- Cyclic loading model (7200 cycles) simulated 1 hour of walking, making findings clinically relevant to early postoperative activity
- Strain across fracture gap was lower in double plate constructs (~4.3% vs ~6.9%), supporting improved conditions for fracture healing
- No construct failures occurred, but actuator slippage occurred only in double plate group, highlighting potential testing/artifact considerations
- Clinical implication: double plating may allow earlier weightbearing and reduce need for external coaptation, improving recovery outcomes
Veterinary Surgery
3
2026
Double plate fixation improves stiffness in a comminuted canine scapula fracture gap model compared to single plate fixation
2026-3-vs-barrett-3
In İnal 2025 et al., on feline high-rise trauma, which surface type was associated with significantly higher odds of injury?
🔍 Key Findings
Sample: 373 cats with high-rise syndrome (HRS) from 2017–2020.
ATTS was the only significant predictor of survival (p < 0.001); each point increase decreased survival odds (OR = 0.46).
AUC for ATTS ROC curve: 0.857 (95% CI: 0.788–0.926).
Floor height, lesion type, and ground surface were not significantly associated with survival.
Odds of injury were 7.98× higher when landing on hard vs. soft surface (p < 0.001).
16.96× increased injury risk from the fourth vs. third floor (p = 0.008).
Cats with ATTS ≥7 had 62% mortality; median ATTS increased with floor height (r = 0.244, p < 0.001).
Thoracic and vertebral trauma were most common causes of death.
Only 32% of cats had the “classic” HRS triad (pneumothorax, epistaxis, hard palate fracture).
Veterinary and Comparative Orthopedics and Traumatology
1
2025
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
2025-1-VC-inal-4
In Socha 2024 et al., what was the statistical significance of the difference in T2*L values between CrCL and CdCL?
🔍 Key Findings Summary
- Normative ultrashort echo time (UTE) MRI T2* values were established for:
- Patellar ligament (PL): T2*L = 4.65 ms
- Cranial cruciate ligament (CrCL): T2*L = 5.99 ms
- Caudal cruciate ligament (CdCL): T2*L = 7.06 ms
- Statistically significant differences in T2*L values were found between:
- PL vs. CrCL (p = 0.03)
- PL vs. CdCL (p = 0.0097)
- CrCL vs. CdCL (p = 0.03)
- No significant differences in short T2* (T2*S) values across ligaments.
- Study highlights potential of UTE MRI to detect early ligament changes even without physical instability.
- May guide early diagnosis in partial CrCL rupture where standard MRI is limited.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Ultrashort Echo Time Quantitative Magnetic Resonance Imaging of the Cruciate Ligaments in Normal Beagles
2024-2-VCOT-socha-2
In Adair 2023 et al., on urolith removal techniques, what was the approximate percentage of dogs discharged the same day after PCCLm?
🔍 Key Findings
- PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
- Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
- PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
- Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
- Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
- PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
- Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
- Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.
Veterinary Surgery
6
2023
Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)
2023-6-vs-adair-2
In Tobias 2022 et al., on perineal hernia repair positioning, which technique was used in 22 out of 23 dogs?
🔍 Key Findings
- Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
- Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
- Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
- Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
- Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
- Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
- Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
- Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.
Veterinary Surgery
5
2022
Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome
2022-5-VS-tobias-3
In Van Den Brink 2026 et al., on lumbosacral fusion, what CT finding most strongly supported improved fusion in the cage plus PSRF group?
🔍 Key Findings
- Long-term functional outcome was similar between treatments, with complete recovery in 63.6% of stand-alone cage dogs and 64.7% of cage + PSRF dogs.
- Minor complications were substantially more common with stand-alone cages (10/11 dogs) than with cage + PSRF (6/17 dogs).
- Major complications occurred in both groups, including cage migration, implant failure, relapse of clinical signs, and euthanasia.
- Cage subsidence was more frequent with stand-alone cages (75%) than cage + PSRF (33%).
- Fusion through the intervertebral cage was observed more consistently with PSRF, occurring in 4/4 CT-evaluated dogs versus 1/4 stand-alone cage dogs.
- Histologic assessment confirmed successful bone bridging and fusion in the PSRF case, whereas the stand-alone cage specimen demonstrated fibrous tissue predominance and subsidence.
- Positive bacterial cultures were identified in 6/28 dogs, but no dog developed clinically significant postoperative discospondylitis.
- The authors concluded that both approaches are clinically viable, but cage + PSRF may be preferable due to reduced subsidence and improved fusion potential.
Veterinary and Comparative Orthopaedics and Traumatology
3
2026
Comparison of Stand-Alone Cage versus Intervertebral Cage with Pedicle Screw and Rod Fixation in Dogs with Degenerative Lumbosacral Stenosis
2026-3-vcot-van-den-brink-3
In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), which finding prompted surgical intervention in 3 dogs with TPP?
🔍 Key Findings
- Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
- TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
- Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
- Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
- All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
- Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
- One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
- Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.
Veterinary Surgery
4
2023
Traumatic pulmonary pseudocysts in nine dogs and two cats
2023-4-VS-gonzalezmontano-4
In De Moya 2023 et al., on femoral pinning outcomes, what was a reported benefit of FGPP over open techniques?
🔍 Key Findings
- FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
- Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
- Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
- Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
- Median surgical time was 60 minutes, and no conversions to open surgery were needed.
- Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
- One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
- FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.
Veterinary Surgery
6
2023
Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs
2023-6-VS-demoya-4-c617b
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