Your Custom Quiz

In Papacella-Beugger 2024 et al., what was the median deviation of screw entry points?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The median entry point deviation from plan was 1.8 mm (range: 0.3–3.7 mm):contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is 1.8 mm.
The median entry point deviation from plan was 1.8 mm (range: 0.3–3.7 mm):contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • Cadaveric study using 3 miniature breed dogs (6 hemipelves) to assess spinal neuronavigation accuracy for lumbar plate fixation
  • 20 screws placed using CBCT-based navigation with real-time tracking
  • 85% (17/20) of screws were safely and accurately placed
  • Median deviation of screw entry points from plan: 1.8 mm
  • All 3 misplaced screws occurred in a single cadaver, attributed to inexperienced drill handling
  • Custom 3D-printed lightweight tracking array was necessary due to small spinous processes in miniature dogs
  • No iatrogenic canal perforations or vertebral damage in any specimen
  • Concludes neuronavigation offers precise, safe placement of spinal implants in small dogs, with minimal anatomic disruption

Papacella

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs

2024-6-VCOT-papacella-beugger-2

Article Title: Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Rustemeyer 2026 et al., on elbow arthroscopy extravasation, how did the total volume of contrast-enhanced fluid compare between arthroscopy and arthrocentesis groups?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The arthroscopy group showed significantly greater total contrast volume, reflecting leakage into periarticular tissues.
Incorrect. The correct answer is It was significantly higher in the arthroscopy group.
The arthroscopy group showed significantly greater total contrast volume, reflecting leakage into periarticular tissues.

🔍 Key Findings

  • Elbow arthroscopy significantly increased periarticular extravasation of injected contrast compared with simple arthrocentesis (mean volume 11,663 mm³ vs 6,548 mm³; p < 0.0001).
  • Contrast intensity was significantly lower after arthroscopy (739 HU vs 2,069 HU), indicating dilution and leakage into surrounding tissues.
  • Extravasation occurred immediately after injection, with no significant changes in volume or intensity during the 15-minute observation period.
  • Average difference in contrast volume was ~5,115 mm³ greater after arthroscopy, supporting portal-related fluid leakage.
  • Diffuse periarticular spread of contrast was observed on CT in arthroscopy joints, whereas arthrocentesis controls maintained well-contained intraarticular contrast.
  • Cadaveric CT imaging with 3D segmentation effectively quantified intra- and extracapsular contrast distribution.
  • Dilutional effects (≈64% reduction in intensity) suggest both irrigation fluid residue and tissue diffusion contribute to extravasation.
  • Clinical implication: intraarticular therapeutics (e.g., orthobiologics) may achieve higher effective concentrations if injected later rather than immediately after arthroscopy.

Rustemeyer

Veterinary and Comparative Orthopaedics and Traumatology

1

2026

Extravasation of Intraarticular Fluid Injection Following Canine Elbow Arthroscopy: A Cadaveric Study

2026-1-vcot-rustemeyer-2

Article Title: Extravasation of Intraarticular Fluid Injection Following Canine Elbow Arthroscopy: A Cadaveric Study

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Drudi 2022 et al., on CAL vs TAL outcomes, what was the proposed reason for reduced glottic area at t1 in the TAL group?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Repositioning of thyroid cartilage may relax the suture, reducing abduction.
Incorrect. The correct answer is Relaxation of thyroid-arytenoid suture.
Repositioning of thyroid cartilage may relax the suture, reducing abduction.

🔍 Key Findings

  • Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
  • TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
  • No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
  • All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
  • CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
  • Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
  • Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
  • Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.

Drudi

Veterinary Surgery

3

2022

Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis

2022-3-VS-drudi-5

Article Title: Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis

Journal: Veterinary Surgery

In Price 2024 et al., on left-sided TD ligation in dogs, what anatomical advantage was associated with the left fourth intercostal approach?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. This region had fewer branches than traditional sites, reducing collateral risk.
Incorrect. The correct answer is Fewer thoracic duct branches.
This region had fewer branches than traditional sites, reducing collateral risk.

🔍 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.

Price

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-3

Article Title: Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

Journal: Veterinary Surgery

In Mazdarani 2022 et al., on CBLO and stifle biomechanics, when did cranial tibial translation (CTT) occur after CBLO **without** hamstring loading?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. CBLO eliminated CTT at all angles **except 140°** in the absence of hamstring load.
Incorrect. The correct answer is Only at 140°.
CBLO eliminated CTT at all angles **except 140°** in the absence of hamstring load.

🔍 Key Findings

  • CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
  • CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
  • Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
  • Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
  • PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
  • Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
  • Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
  • Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

Mazdarani

Veterinary Surgery

6

2022

Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

2022-6-VS-mazdarani-2

Article Title: Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

Journal: Veterinary Surgery

In Dobberstein 2022 et al., on NSAID ulcer repair, what was a common factor among most dogs that developed gastrointestinal perforations?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 9 of 11 dogs had NSAID misuse, such as overdose, prolonged use, or concurrent steroid administration.
Incorrect. The correct answer is Concurrent corticosteroid or NSAID overdose.
9 of 11 dogs had NSAID misuse, such as overdose, prolonged use, or concurrent steroid administration.

🔍 Key Findings

  • Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
  • NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
  • All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
  • No significant association between ulcer size or location and postoperative survival.
  • Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
  • Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
  • Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
  • Median follow-up of 444 days showed long-term survival was achievable post-primary repair.

Dobberstein

Veterinary Surgery

7

2022

Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

2022-7-VS-dobberstein-2

Article Title: Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

Journal: Veterinary Surgery

In Barnes 2024 et al., on knot performance, which was a notable disadvantage of the double forwarder knot?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The DF knot had significantly greater volume and weight compared to SQ/SU knots at the same throw count.
Incorrect. The correct answer is Higher knot volume and weight.
The DF knot had significantly greater volume and weight compared to SQ/SU knots at the same throw count.

🔍 Key Findings

  • Double forwarder (DF) knots had significantly higher knot holding capacity (KHC) than square (SQ) and surgeon’s (SU) knots when tied with <6 throws.
  • In 3 USP polyglactin 910, DF knots with 4–5 throws were not significantly stronger than SU knots with 6–8 throws (p > .43).
  • DF knots never unraveled, while SQ and SU knots with 4–5 throws showed substantial unraveling.
  • KHC did not increase in DF knots when throws increased from 3 to 5.
  • Knot volume and weight were significantly higher in DF knots than SQ/SU knots at the same throw count (p < .003).
  • DF knots allow sliding placement, potentially useful in minimally invasive or deep cavity procedures.

Barnes

Veterinary Surgery

2

2024

Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture

2024-2-VS-barnes-4

Article Title: Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture

Journal: Veterinary Surgery

In Silveira 2022 et al., on GTO in canine THR, how was the greater trochanter osteotomy (GTO) stabilized during surgery?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The GTO was fixed using pins placed perpendicular to the osteotomy and orthopedic wire in figure-of-eight fashion.
Incorrect. The correct answer is With two intramedullary pins and a figure-of-eight tension band wire.
The GTO was fixed using pins placed perpendicular to the osteotomy and orthopedic wire in figure-of-eight fashion.

🔍 Key Findings

  • GTO enabled successful cementless THR in dogs with severe medialization of the greater trochanter or chronic craniodorsal hip luxation.
  • All 5 hips had acceptable long-term outcomes (median follow-up: 48 months) with full function and no persistent complications.
  • Only one major complication occurred—a luxation unrelated to the GTO and successfully corrected with cup revision.
  • GTO facilitated femoral canal access and gluteal preservation, reducing risk of iatrogenic injury during broaching.
  • All GTOs healed radiographically (4 by 6 weeks, 1 by 12 weeks), with no cases of nonunion or implant migration.
  • No complications related to GTO or PTBW fixation (pins + tension band) were observed in any dog.
  • Surgical planning included templating both THR and GTO to ensure ideal alignment and reduce fracture risk.
  • GTO may be especially valuable in luxoid hip dysplasia phenotypes or chronically fixed luxations.

Silveira

Veterinary Surgery

2

2022

Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

2022-2-VS-silveira-3

Article Title: Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

Journal: Veterinary Surgery

In Miller 2024 et al., on SOP-LC mechanical testing, what torque value may help reduce clamp slippage during use?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The study suggests that increasing torque from 2.5 to 3.0 Nm may improve clamp stability and reduce slippage.
Incorrect. The correct answer is 3.0 Nm.
The study suggests that increasing torque from 2.5 to 3.0 Nm may improve clamp stability and reduce slippage.

🔍 Key Findings Summary

  • No significant difference in mechanical properties between contoured vs non-contoured SOP-LC rods
  • Clamp configuration significantly influenced mechanical performance:
    • Single-side clamps → ↑ yield load, ↑ displacement, ↑ bending strength (p < 0.05)
    • Alternating-side clamps → ↑ initial torsional stiffness (p = 0.029)
  • Clamp slippage was evident only in torsional tests; screw loosening may be torque-dependent
  • Mild screw bending and construct offset suggest subtle instability
  • Recommends clamp configuration choice based on loading scenario
  • Suggests 3.0 Nm torque may be more effective than 2.5 Nm to prevent clamp slippage

Miller

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

2024-4-VCOT-miller-5

Article Title: Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Whyte 2025 et al., on cannulated screw fixation, what percentage of patients experienced any form of complication?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Overall complication rate was 36%, including minor and major complications.
Incorrect. The correct answer is 26%.
Overall complication rate was 36%, including minor and major complications.

🔍 Key Findings

Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%

  • Major complication: Most common was screw breakage

Significant risk factor for screw breakage:

  • Body weight >20 kg (statistically significant)

Breed distribution:

  • Spaniels, especially English Springer Spaniels, were most common

No mention of plate augmentation as standard in this cohort

Whyte

Veterinary Surgery

2

2025

Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

2025-2-VS-whyte-3

Article Title: Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

Journal: Veterinary Surgery

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.