Your Custom Quiz

In Huels 2025 et al., on second-generation screw cup THA, what was the observed rate of late aseptic loosening?

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Correct. No cases of late aseptic loosening were observed during a median 17.5-month follow-up.
Incorrect. The correct answer is None of the hips.
No cases of late aseptic loosening were observed during a median 17.5-month follow-up.

🔍 Key Findings

  • Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
  • Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
  • No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
  • Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
  • Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
  • Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
  • Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
  • Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.

Huels

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

2025-2-VCOT-huels-1

Article Title: Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Marshall 2022 et al., on fracture healing in dogs, how did **radius and ulna fractures in toy breeds** perform regarding delayed or non-union?

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Correct. The study found no increased odds of poor healing in toy breed radius/ulna fractures.
Incorrect. The correct answer is Were no more likely to result in delayed or non-union.
The study found no increased odds of poor healing in toy breed radius/ulna fractures.

🔍 Key Findings

  • Delayed union occurred in 13.9% of fractures; non-union in 4.6%; mal-union in 0.7%
  • Major implant failure increased odds of delayed or non-union by 12.9×
  • Surgical site infection increased risk 3.2×; bone grafting (any type) was also associated (OR 3.3)
  • Comminuted fractures had 4.2× greater odds of delayed or non-union
  • Older age increased risk, with odds increasing by 21% per year
  • Radius and ulna fractures in toy breeds were not high risk, contrary to historical belief
  • Most non-unions required revision surgery with rhBMP-2 or autograft to achieve union
  • Ilium fractures showed 0% delayed/non-union — possibly due to robust muscle envelope

Marshall

Veterinary Surgery

7

2022

Delayed union, non-union and mal-union in 442 dogs

2022-7-VS-marshall-2

Article Title: Delayed union, non-union and mal-union in 442 dogs

Journal: Veterinary Surgery

In Dickson 2024 et al., on VATS for feline chylothorax, what was the study's overall conclusion about clinical outcomes?

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Correct. VATS was feasible in cats, but mortality remained high and outcomes were not superior to open surgery.
Incorrect. The correct answer is It was technically feasible but did not improve outcomes.
VATS was feasible in cats, but mortality remained high and outcomes were not superior to open surgery.

🔍 Key Findings

  • Objective: To evaluate outcomes and complications of video-assisted thoracoscopic surgery (VATS) for idiopathic chylothorax in 15 cats.
  • All 15 cats underwent thoracoscopic thoracic duct ligation (TDL); 13 also had simultaneous pericardectomy, 2 had VATS TDL + laparoscopic cisterna chyli ablation (CCA), and 1 cat had an open CCA.
  • Median surgical time was 152.5 minutes (range 60–255).
  • Contrast was used intraoperatively in 13 cats; 11 received methylene blue, and 2 received indocyanine green (ICG).
  • One intraoperative complication (6%) occurred — a minor intercostal artery laceration. Conversion to open surgery occurred in 3 cases (20%) due to visualization issues or bleeding.
  • Postoperative complications occurred in 8 cats (53%), with persistent pleural effusion in 5 cats (33%) being the most common.
  • Mortality was high: 4 cats (27%) died or were euthanized before discharge. Only 7 of 11 cats discharged had resolution of effusion, and recurrence occurred in 1.
  • Authors concluded that while VATS is technically feasible in cats, it did not improve clinical outcomes compared to open surgery, and feline idiopathic chylothorax continues to have a high mortality rate.

Dickson

Veterinary Surgery

5

2024

Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats

2024-5-VS-dickson-5

Article Title: Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats

Journal: Veterinary Surgery

In Isono 2025 et al., on tibial malalignment in MPL, what clinical advantage does PTMTA provide over TTA in preoperative assessment?

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Correct. Unlike TTA, PTMTA can be visually estimated during palpation, improving clinical utility.
Incorrect. The correct answer is It can be assessed visually during palpation.
Unlike TTA, PTMTA can be visually estimated during palpation, improving clinical utility.

🔍 Key Findings

  • Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
  • PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
  • Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
  • DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
  • PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
  • Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
  • Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
  • Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.

Isono

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

2025-4-VCOT-isono-3

Article Title: Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In O'Marra 2026 et al., on perioperative septic peritonitis, what was the most commonly reported cause of recurrent septic peritonitis in dogs?

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Correct. Gastrointestinal dehiscence was the most common cause of recurrent septic peritonitis, which carried a poor survival rate.
Incorrect. The correct answer is Dehiscence of gastrointestinal surgical site.
Gastrointestinal dehiscence was the most common cause of recurrent septic peritonitis, which carried a poor survival rate.

🔍 Key Findings

  • Early enteral nutrition (<24–48 hrs) is associated with improved survival and reduced hospitalization in dogs with septic peritonitis.
  • Appropriate empirical antimicrobials improve survival in cats, but data are mixed in dogs.
  • Recurrent septic peritonitis (RecSP) has poor survival (0%–43.9%); most common cause is gastrointestinal dehiscence.
  • Intraoperative hypotension and preoperative hypoalbuminemia may increase dehiscence risk, though findings are inconsistent.
  • Lidocaine CRI during surgery improves survival over opioids alone in dogs.
  • Hydroxyethyl starch (HES) is not recommended due to risks of coagulopathy and kidney injury; albumin use is controversial.
  • Intra-abdominal hypertension (IAH) is under-recognized but contributes to mortality; IAP monitoring should be considered.
  • Diagnostic tests (effusion lactate, glucose, cytology) are unreliable for detecting RecSP; clinical judgment and ultrasound are advised.

O'Marra

Veterinary Surgery

1

2026

Perioperative management of septic peritonitis in small animals: A review

2026-1-VS-omarra-3

Article Title: Perioperative management of septic peritonitis in small animals: A review

Journal: Veterinary Surgery

In Longo 2022 et al., on CT-guided osteotomies, what percentage of dogs had physiological patellar tracking restored following surgery?

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Correct. All 22/22 cases had restored physiological patellar tracking at follow-up.
Incorrect. The correct answer is 100%.
All 22/22 cases had restored physiological patellar tracking at follow-up.

🔍 Key Findings

  • 3D CT volume rendering and CAL measurement successfully guided correction of femoral and tibial torsion in dogs with patellar luxation (PL).
  • Physiological patellar tracking was restored in 100% (22/22) of cases after detorsional osteotomy.
  • 94% of dogs (17/18) had either full or acceptable functional outcomes post-surgery.
  • CAL-based correction was accurate in 19/22 cases, confirming reliability of the measurement technique.
  • Complication rate was 45%, with major complications in 2/22 cases—both involved combined femoral and tibial osteotomies.
  • Combined femoral and tibial osteotomies in the same limb were linked to a higher risk of complications and poorer outcomes.
  • Diaphyseal osteotomies offered more implant space, but metaphyseal locations were associated with faster bone healing.
  • Use of a TPLO jig or goniometer was not essential—CAL-based bone marking was sufficient in most cases.

Longo

Veterinary Surgery

7

2022

Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

2022-7-VS-longo-2

Article Title: Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

Journal: Veterinary Surgery

In Huels 2025 et al., on second-generation screw cup THA, what design feature of the SCSL was intended to reduce acetabular fractures?

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Correct. These were developed to reduce insertion torque and thereby lower risk of acetabular fractures.
Incorrect. The correct answer is Finer, self-tapping threads.
These were developed to reduce insertion torque and thereby lower risk of acetabular fractures.

🔍 Key Findings

  • Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
  • Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
  • No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
  • Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
  • Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
  • Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
  • Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
  • Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.

Huels

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

2025-2-VCOT-huels-3

Article Title: Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Korchek 2025 et al., on fracture gap risk, which postoperative finding was most strongly associated with implant failure in toy breed dogs with radius/ulna fractures?

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Correct. Implant failure was significantly associated with a postoperative fracture gap in the caudal cortex, with an OR of 23.0 and p = .004.
Incorrect. The correct answer is Presence of a fracture gap in the caudal cortex.
Implant failure was significantly associated with a postoperative fracture gap in the caudal cortex, with an OR of 23.0 and p = .004.

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

  • 27% in cases with fracture gap
  • 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

  • OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

  • OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

  • OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

Korchek

Veterinary Surgery

2

2025

Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

2025-2-VS-korchek-1

Article Title: Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

Journal: Veterinary Surgery

In Larose 2024 et al., on fluorescence cholangiography, which statement best describes ICG safety profile in this study?

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Correct. Both low- and high-dose ICG were well tolerated with no adverse effects observed.
Incorrect. The correct answer is No cardiovascular or hypersensitivity reactions occurred.
Both low- and high-dose ICG were well tolerated with no adverse effects observed.

🔍 Key Findings

  • Near-infrared fluorescence cholangiography (NIRFC) was feasible and safe in all healthy dogs studied, with no major adverse effects noted.
  • Low-dose ICG (0.05 mg/kg) at 3 h pre-op achieved the highest target-to-background (cystic duct-to-liver) contrast ratio, reaching nearly 4:1 at 280 minutes.
  • Early imaging (time 0) favored low-dose ICG for optimal cystic duct visualization; high-dose ICG led to excessive liver fluorescence and reduced contrast.
  • Visualization of biliary tree occurred within 10–20 min post-injection regardless of dose, but longer delays improved background clearance and contrast.
  • No significant cardiovascular or histamine-related side effects were observed with either dose of ICG.
  • Repeated ICG injections showed minimal residual fluorescence when using a >72 h washout period; shorter intervals caused mild carryover in high-dose groups.
  • Surgeon scoring matched contrast ratios, confirming clinical relevance of imaging outcomes.
  • Recommended dose for laparoscopic imaging: 0.05 mg/kg ICG given 3–5 h before surgery, or at premedication for urgent cases.

Larose

Veterinary Surgery

4

2024

Near-infrared fluorescence cholangiography in dogs: A pilot study

2024-4-VS-larose2-2

Article Title: Near-infrared fluorescence cholangiography in dogs: A pilot study

Journal: Veterinary Surgery

In Hildebrandt 2023 et al., on Buccal Transposition Flap for Maxillary Lip Reconstruction in Dogs, what was the most common complication observed after flap placement?

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Correct. Oronasal fistula occurred in 2 dogs, typically near the palatal incision.
Incorrect. The correct answer is Oronasal fistula.
Oronasal fistula occurred in 2 dogs, typically near the palatal incision.

🔍 Key Findings

  • Buccal transposition flap provided successful closure of large maxillary lip defects in all 5 dogs
  • All flaps survived, with 3 dogs experiencing minor complications (e.g., fistulas, dehiscence) that resolved
  • Flap vascularization originated from the angularis oris and superior labial arteries, as confirmed via CT angiography
  • Excellent cosmetic and functional outcomes were achieved in all cases
  • Ex vivo cadaver study validated flap perfusion, showing consistent contrast filling of key arteries
  • Oronasal fistulas occurred in 2 dogs at the palatal incision site, likely due to contact with the mandibular canine tooth
  • Mandibular canine coronectomy was performed in 2/5 dogs to prevent flap trauma
  • Flap design and commissure positioning were customizable, aiding tension relief and improving outcomes

Hildebrandt

Veterinary Surgery

2

2023

Buccal transposition flap for closure of maxillary lip defects in 5 dogs

2023-2-VS-hildebrandt-2

Article Title: Buccal transposition flap for closure of maxillary lip defects in 5 dogs

Journal: Veterinary Surgery

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