Your Custom Quiz

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 Peng 2025 et al., on topical amikacin gel, what was the highest observed serum amikacin concentration?

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Correct. The highest measured serum concentration was 3.82 μg/mL, remaining below the 5 μg/mL toxicity threshold【90†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is 3.82 μg/mL.
The highest measured serum concentration was 3.82 μg/mL, remaining below the 5 μg/mL toxicity threshold【90†Veterinary Surgery†L1-L20】

🔍 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

Peng

Veterinary Surgery

3

2025

Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

2025-3-VS-peng2-1

Article Title: Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

Journal: Veterinary Surgery

In Glenn 2024 et al., on algorithm performance, which algorithm had the highest sensitivity for identifying SSIs?

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Correct. Algorithm 1 had the highest sensitivity (87.1%), making it the best for screening or ruling out SSIs.
Incorrect. The correct answer is Algorithm 1.
Algorithm 1 had the highest sensitivity (87.1%), making it the best for screening or ruling out SSIs.

🔍 Key Findings Summary

  • Population: 754 soft tissue or orthopedic procedures in dogs and cats
  • SSI Rate: 62/754 (8.2%)
  • Algorithms Evaluated:
    • Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
    • Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
    • Algorithm 3: Highest overall accuracy (95.5%)
  • Active vs. Passive Surveillance:
    • Active surveillance detected 12 additional SSIs (19.4%) missed by passive
    • Active surveillance increased detection rate by 24%
  • Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
  • Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes

Glenn

Veterinary Surgery

1

2024

Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

2024-1-VS-glenn-1

Article Title: Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

Journal: Veterinary Surgery

In Hildebrandt 2023 et al., on Buccal Transposition Flap for Maxillary Lip Reconstruction in Dogs, what was the reported cosmetic and functional outcome of the buccal flap in all 5 dogs?

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Correct. All dogs had satisfactory cosmetic and functional outcomes, despite minor complications in 3 cases.
Incorrect. The correct answer is Good to excellent in all dogs.
All dogs had satisfactory cosmetic and functional outcomes, despite minor complications in 3 cases.

🔍 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-5

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

Journal: Veterinary Surgery

In Gutbrod 2024 et al., on feline tibial stabilization, why might plate–rod constructs be preferred for feline tibial fractures?

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Correct. Plate–rod methods facilitate minimally invasive fixation and preserve biological healing potential.
Incorrect. The correct answer is They better preserve periosteal blood supply.
Plate–rod methods facilitate minimally invasive fixation and preserve biological healing potential.

🔍 Key Findings

  • 2.4 mm LCP with a 1.6 mm IM pin had the highest axial stiffness and yield strength among the tested constructs.
  • Axial stiffness was significantly higher in the 2.4 mm LCP + 1.6 mm IM pin group compared to 2.7 mm LCP alone (p = .013).
  • No significant difference in torsional stiffness was found among groups.
  • 2.4 mm LCP + 1.0 mm pin had the lowest stiffness and failure load, underperforming both other constructs.
  • All constructs failed via valgus bending, consistent with clinical observations in feline tibial fractures.
  • A 1.6 mm pin (~50% canal fill) resulted in superior construct performance vs. 1.0 mm (~30% fill).
  • Group 2 (2.4 LCP + 1.6 mm pin) outperformed the 2.7 mm LCP alone in stiffness, despite using a smaller plate.
  • Plate–rod constructs may better preserve periosteal blood supply and support minimally invasive stabilization strategies.

Gutbrod

Veterinary Surgery

4

2024

Ex vivo biomechanical evaluation of 2.4 mm LCP plate rod constructs versus 2.7 mm LCP applied to the feline tibia

2024-4-VS-gutbrod-5

Article Title: Ex vivo biomechanical evaluation of 2.4 mm LCP plate rod constructs versus 2.7 mm LCP applied to the feline tibia

Journal: Veterinary Surgery

In Viitanen 2023 et al., on zygomatic sialoadenectomy, which structure posed a risk of injury during intraoral dissection of the zygomatic salivary gland?

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Correct. Blunt dissection during IOA needed care to avoid damaging the deep facial vein.
Incorrect. The correct answer is Deep facial vein.
Blunt dissection during IOA needed care to avoid damaging the deep facial vein.

🔍 Key Findings

  • Intraoral approach (IOA) reduced surgical time compared to lateral orbitotomy (median: 42.0 vs 65.7 minutes, p = .005)
  • Ease of closure (Stage III) was better with IOA (p < .001), though gland removal (Stage II) was easier with LOA (p = .039)
  • Complete gland removal was achieved in 8/10 IOA vs 10/10 LOA cases in cadaveric study
  • All 3 clinical cases had uneventful recoveries post-IOA, including one carcinoma, with no intra- or short-term postoperative complications
  • LOA had superior surgical exposure, but was more invasive and time-consuming
  • IOA posed greater difficulty in complete gland removal in brachycephalic dogs, with remnant tissue noted in 2/10 cadavers
  • IOA avoids osteotomy, reducing potential complications like delayed union and postoperative pain
  • Cosmetic outcomes and healing were better with IOA, and no E-collar was required postoperatively

Viitanen

Veterinary Surgery

2

2023

Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

2023-2-VS-viitanen-5

Article Title: Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

Journal: Veterinary Surgery

In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, what was the recurrence rate in the prophylactic fenestration (PF) group?

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Correct. None of the dogs in the PF group had a recurrence, suggesting a protective effect.
Incorrect. The correct answer is 0%.
None of the dogs in the PF group had a recurrence, suggesting a protective effect.

🔍 Key Findings

  • Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
  • Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
  • 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
  • Medical management was effective in 92.9% of recurrence cases.
  • Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
  • Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
  • Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
  • No major complications or deaths linked directly to PF in initial surgeries.

Berthomé

Veterinary Surgery

6

2025

Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

2025-6-VS-berthome-2

Article Title: Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

Journal: Veterinary Surgery

In Clough 2022 et al., on CBLO-TTT construct testing, which outcome best describes the load-to-failure comparison between CBLO-TTT and CBLO alone?

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Correct. The study showed no significant difference in mean failure loads between CBLO-TTT and CBLO (P = .81).
Incorrect. The correct answer is CBLO-TTT and CBLO had similar load-to-failure values..
The study showed no significant difference in mean failure loads between CBLO-TTT and CBLO (P = .81).

🔍 Key Findings

  • Combined CBLO-TTT did not reduce load to failure compared to CBLO or TTT alone (P = .81 and P = .12, respectively).
  • CBLO-TTT maintains construct strength without significant compromise compared to individual procedures.
  • Most common failure mode in CBLO-TTT was displacement of the tibial crest segment with k-wire pullout and tension band untwisting.
  • No fulcrum effect was seen in CBLO-TTT, unlike TPLO-TTT combinations, likely due to preservation of buttress effect.
  • Patellar ligament avulsion occurred in both CBLO and CBLO-TTT, but not as a clinical concern — possibly artifact from cadaver model.
  • Load-to-failure testing was static and unidirectional, not accounting for cyclic fatigue or in vivo healing.
  • Plate size and saw blade variation were based on clinical realism, introducing potential variability but not affecting outcomes.
  • Study suggests feasibility of simultaneous surgical correction of CCL rupture and MPL using CBLO-TTT in dogs.

Clough

Veterinary Surgery

3

2022

Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

2022-3-VS-clough-1

Article Title: Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

Journal: Veterinary Surgery

In Ferreira 2025 et al., on heated pneumoperitoneum in dogs, what was the primary finding comparing heated to nonheated CO₂?

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Correct. Dogs insufflated with heated CO₂ had significantly higher final temperatures than those receiving nonheated gas.
Incorrect. The correct answer is Heated CO₂ improved final body temperature.
Dogs insufflated with heated CO₂ had significantly higher final temperatures than those receiving nonheated gas.

🔍 Key Findings

  • Heated CO₂ insufflation reduced perioperative hypothermia during laparoscopic ovariectomy compared to nonheated CO₂.
  • Final body temperature was significantly higher in the heated group (36.03°C) than in the nonheated group (34.93°C).
  • Temperature reduction correlated with surgical duration only in the nonheated group (p < .05).
  • Heated CO₂ delayed temperature drop, occurring after 20 minutes vs. 5 minutes in nonheated cases.
  • No significant differences between groups in anesthetic, surgical, or insufflation times.
  • All dogs recovered uneventfully and were discharged the same day.
  • Heated CO₂ may offer greater benefit in longer procedures or in small-sized dogs prone to hypothermia.
  • No adverse effects were attributed to heated gas use in this clinical trial.

Ferreira

Veterinary Surgery

5

2025

Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

2025-5-VS-ferreira-1

Article Title: Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

Journal: Veterinary Surgery

In Nash 2024 et al., on esophageal acid exposure, what cumulative exposure was considered physiologic for distal esophagus?

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Correct. Cumulative distal acid exposure of up to 2.3% was identified as the upper reference limit.
Incorrect. The correct answer is <2.3%.
Cumulative distal acid exposure of up to 2.3% was identified as the upper reference limit.

🔍 Key Findings Summary

  • Population: 35 nonbrachycephalic dogs undergoing orthopedic procedures (TPLO)
  • Study design: Prospective observational using transnasal Digitrapper dual-sensor pH probe after short TIVA
  • Upper reference limits:
    • Distal GER events per hour: 2.4
    • Proximal GER events per hour: 0.4
    • Cumulative distal acid exposure: 2.3%
    • Cumulative proximal acid exposure: 0%
  • Median values (normal):
    • Distal GER events per hour: 0.3
    • Proximal GER events per hour: 0
  • Proximal GER observed in 12/31 dogs
  • No regurgitation observed in any dog
  • No major adverse events with probe use
  • Clinical implication: These parameters provide a reference for assessing excessive GER in future canine surgical cases

Nash

Veterinary Surgery

1

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs; a reference

2024-1-VS-nash-2

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs; a reference

Journal: Veterinary Surgery

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