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In Healy 2025 et al., on incidental PBBs, which CT finding was significantly associated with presence of PBBs?

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Correct. Median age was 10.5 years for dogs with PBBs vs. 8.2 years without; p = .001.
Incorrect. The correct answer is Increased age.
Median age was 10.5 years for dogs with PBBs vs. 8.2 years without; p = .001.

🔍 Key Findings

Population: 2,178 canine CTs reviewed retrospectively.
Prevalence: Incidental PBBs found in 1.37% (30/2178).
Outcome: None of the dogs with incidental PBBs developed clinical spontaneous pneumothorax (SP) over a median follow-up of 1255 days.
Significant Associations:

  • Age: Dogs with PBBs were significantly older (median 10.5 yrs vs. 8.2 yrs, p = .001).
  • CT indication: PBBs more likely during neoplastic staging (p = .006).

PBB Characteristics:

  • Total = 60 PBBs (median 1/dog; range 1–7).
  • Location: 35% in left caudal, 31.6% right caudal, only 13.3% in right cranial lobe.
  • Size-based: 25 bullae (>10 mm), 35 blebs (≤10 mm).

Conclusion: Prophylactic resection of incidental PBBs not justified given no observed SP risk in this population.

Healy

Veterinary Surgery

1

2025

Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

2025-1-VS-healy-4

Article Title: Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

Journal: Veterinary Surgery

In Jeon 2025 et al., on distal femoral shortening, which **complication was observed intraoperatively** during the THR procedure?

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Correct. One intraoperative complication occurred: a greater trochanter fissure during trial reduction prior to DFSO.
Incorrect. The correct answer is Fracture of the greater trochanter.
One intraoperative complication occurred: a greater trochanter fissure during trial reduction prior to DFSO.

🔍 Key Findings

  • Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
  • Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
  • Bone union was achieved in all cases post-DFSO, indicating good healing potential.
  • Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
  • One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
  • DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
  • Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
  • DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.

Jeon

Veterinary Surgery

6

2025

Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

2025-6-VS-jeon-3

Article Title: Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

Journal: Veterinary Surgery

In Deprey 2022 et al., on gap fracture implants, which of the following best explains the improved biomechanical performance of the NAS-ILN?

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Correct. NAS-ILN advantages include central positioning, threaded angle-stable screw fixation, and use of titanium alloy.
Incorrect. The correct answer is Central bone alignment, angle-stability, and titanium alloy material.
NAS-ILN advantages include central positioning, threaded angle-stable screw fixation, and use of titanium alloy.

🔍 Key Findings

  • NAS-ILN had significantly greater stiffness in both axial compression and 4-point bending compared to LCP constructs.
  • Ultimate load to failure was significantly higher for NAS-ILN in compression (804 N vs 328 N) and bending (25.7 Nm vs 16.3 Nm).
  • Torsional stiffness and angular deformation were similar, but NAS-ILN resisted higher torque to failure than LCP (22.5 Nm vs 19.1 Nm).
  • No slack was observed with the NAS-ILN construct, unlike older nail designs.
  • Failure modes differed: LCPs failed via plate bending; NAS-ILNs failed at the implant or bone near screw holes.
  • Titanium alloy and curved design of NAS-ILN provides better anatomic fit and more uniform stress distribution.
  • A third, perpendicular locking hole in NAS-ILN may enhance torsional stability but was not utilized in this study.
  • The curved, angle-stable design of NAS-ILN is a novel advancement in veterinary orthopedics.

Deprey

Veterinary Surgery

8

2022

Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

2022-8-VS-deprey-5

Article Title: Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

Journal: Veterinary Surgery

In Chik 2025 et al., on abdominal wall prestretching, what type of complications were most commonly encountered during the study?

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Correct. Gas leakage occurred in 34% of dogs, but was mild and easily resolved; no major anesthetic or surgical complications occurred.
Incorrect. The correct answer is Gas leakage at port sites.
Gas leakage occurred in 34% of dogs, but was mild and easily resolved; no major anesthetic or surgical complications occurred.

🔍 Key Findings

  • Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
  • PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
  • All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
  • Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
  • Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
  • No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
  • Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
  • Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.

Chik

Veterinary Surgery

5

2025

Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

2025-5-VS-chik-5

Article Title: Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

Journal: Veterinary Surgery

In Buote 2023 et al., on 3D printed cannulas, how did the number of instrument collisions compare before and after 3DPC use?

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Correct. Collisions dropped from a mean of 6.8 to 2.6 with 3DPC use, *p = 0.03*.
Incorrect. The correct answer is Instrument collisions decreased significantly with 3DPCs.
Collisions dropped from a mean of 6.8 to 2.6 with 3DPC use, *p = 0.03*.

🔍 Key Findings

  • Customized 3D printed cannulas (3DPCs) significantly reduced surgical time in feline cadaver models (125.6 vs. 95.2 min, p = 0.03).
  • Use of 3DPCs resulted in a reduction in instrument collisions (6.8 vs. 2.6, p = 0.03).
  • Cannula pullout complications decreased with 3DPCs (10 vs. 2.2 per procedure, p = 0.03).
  • 3DPCs were designed at shorter lengths (3 cm), improving intra-abdominal working space in cats.
  • No incisional or postoperative complications occurred in the two live feline cases.
  • One 3DPC insufflation port broke intraoperatively; resolved by using a male luer lock connector in the next case.
  • CO₂ leakage occurred from re-used silicone valves in 2 ports; emphasizing the need for durable valve design.
  • Estimated cost per 3DPC was <$5.00, suggesting cost-effective customization for feline laparoscopy.

Buote

Veterinary Surgery

7

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-7-VS-buote-2

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

In Trefny 2025 et al., on locking plate biomechanics, why may in vitro stiffness benefits of transcortical contact not translate in vivo?

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Correct. Transcortical contact in vivo may cause unsustainable strain and bone resorption.
Incorrect. The correct answer is Causes high interfragmentary strain.
Transcortical contact in vivo may cause unsustainable strain and bone resorption.

🔍 Key Findings

  • Short working length constructs had significantly higher stiffness and lower strain than long constructs in compression bending (p = 0.0172).
  • In tension bending, short constructs also had higher precontact stiffness and lower strain, but this reversed after transcortical contact (~150 N).
  • Transcortical contact increased stiffness only in long constructs, producing a bilinear load-displacement curve.
  • Postcontact stiffness was higher in long constructs, but this may not reflect clinical benefit due to risks of high interfragmentary strain.
  • Short working length reduced strain at multiple ROIs under both loading conditions, including over fracture gap (Tables 1–3).
  • Increased working length promoted stress concentration and deformation, especially in compression bending.
  • In vitro benefits of long constructs (via contact stability) may not translate to healing, as repetitive loading could increase plate strain and bone resorption.
  • Plate strain was effectively mapped using 3D digital image correlation, confirming regional strain differences between configurations.

Trefny

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate

2025-3-VCOT-trefny-4

Article Title: Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Evers 2023 et al., on needle arthroscopy, what was a common limitation of needle arthroscopy compared to standard arthroscopy?

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Correct. Visibility scores were significantly lower for needle arthroscopy across all meniscal regions.
Incorrect. The correct answer is Poor visualization of meniscal horns.
Visibility scores were significantly lower for needle arthroscopy across all meniscal regions.

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for detecting medial meniscal tears using standard arthroscopy (SA) as the reference.
  • NA correctly identified meniscal status in 25/26 dogs, missing only one stable nondisplaced tear.
  • NA took less time than SA: 8 ± 3 min vs. 15 ± 9 min (P = .0041).
  • Visibility scores were significantly lower with NA than SA for all meniscal horns (medial and lateral) .
  • Probing difficulty was greater with NA, especially for the lateral meniscus (P = .0017).
  • NA caused no measurable morbidity: lameness scores were unchanged before and after the procedure (P = .25).
  • NA was possible in sedated dogs, though 10/26 required additional anesthesia due to delays.
  • NA missed 1 lateral tear, likely due to reduced access and lack of shaving compared to SA.

Evers

Veterinary Surgery

7

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-7-VS-evers-2

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, what key factor was significantly associated with failed RRCT attempts?

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Correct. Cats with failed RRCTs had a longer median duration of clinical signs (6.5 vs. 2.0 days).
Incorrect. The correct answer is Longer duration of clinical signs prior to surgery.
Cats with failed RRCTs had a longer median duration of clinical signs (6.5 vs. 2.0 days).

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-2

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Journal: Veterinary Surgery

In Walker 2022 et al., on TPLO mRUST scoring, which metric demonstrated the highest inter-rater reliability?

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Correct. The TPLO mRUST system had an inter-rater ICC of 0.56 vs 0.33 for subjective evaluation.
Incorrect. The correct answer is TPLO mRUST scoring system.
The TPLO mRUST system had an inter-rater ICC of 0.56 vs 0.33 for subjective evaluation.

🔍 Key Findings

  • TPLO mRUST scoring showed improved inter-rater reliability (ICC = 0.56) compared to subjective evaluation (Kappa = 0.33).
  • Intra-rater reliability was similar for both methods (TPLO mRUST: 0.73, subjective: 0.72).
  • TPLO mRUST scores ≥10/12 strongly correlated with radiographic union, as subjectively assessed (99% agreement).
  • No significant difference in healing between first and second TPLO sides (P = .09), countering assumptions about load-bearing impact.
  • Higher initial lameness scores and younger age were associated with higher TPLO mRUST scores, suggesting more robust healing in those groups.
  • Postoperative complications were linked to lower TPLO mRUST scores, indicating impaired healing.
  • Medial cortex was excluded from scoring due to plate obstruction, validating use of only 3 cortices for scoring.
  • The TPLO mRUST system may standardize healing assessment, reducing subjective bias across specialties.

Walker

Veterinary Surgery

8

2022

Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing

2022-8-VS-walker-1

Article Title: Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing

Journal: Veterinary Surgery

In Wang 2025 et al., on TPLO osteotomy alignment, what was the primary benefit of using intraoperative fluoroscopy?

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Correct. Fluoroscopy-guided osteotomy placement led to a median postoperative TPA of 3°, with a narrow range of 0–4.5°, indicating high precision.
Incorrect. The correct answer is More accurate postoperative tibial plateau angle (TPA).
Fluoroscopy-guided osteotomy placement led to a median postoperative TPA of 3°, with a narrow range of 0–4.5°, indicating high precision.

🔍 Key Findings

  • Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of (range: 0–4.5°), showing excellent accuracy.
  • The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
  • Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
  • Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
  • Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
  • Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
  • Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
  • Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.

Wang

Veterinary Surgery

7

2025

Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

2025-7-VS-wang-1

Article Title: Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

Journal: Veterinary Surgery

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