Your Custom Quiz

In Carvajal 2025 et al., on femoral stem breakage, what was the most common site of stem failure?

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Correct. All failures occurred at the proximolateral shoulder, consistent with high stress concentration and fatigue location.
Incorrect. The correct answer is Proximolateral shoulder.
All failures occurred at the proximolateral shoulder, consistent with high stress concentration and fatigue location.

🔍 Key Findings

Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)

Implant factors:

  • 13/14 were BFX lateral bolt stems (sizes #5–7)
  • +9 necks used in 5/11 of 17 mm heads
  • 10/14 stems undersized based on radiographs
  • 10/13 dogs exceeded weight limits for implanted stem size

Malalignment:

  • 10/14 had varus alignment (median 3.9°)
  • 8/14 had insufficient proximodistal seating

Breakage site: Proximolateral shoulder in all cases

Revision outcomes:

  • 11 revised (7 CFX, 3 larger BFX, 1 collared)
  • 9/10 revised dogs regained full function
  • Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure

Histopathology:

  • Electron microscopy showed fatigue striations and incomplete bead fusion

Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.

Carvajal

Veterinary Surgery

3

2025

Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

2025-3-VS-carvajal-4

Article Title: Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

Journal: Veterinary Surgery

In Socha 2024 et al., what is a clinical implication of UTE MRI for stifle evaluation in dogs?

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Correct. UTE T2* mapping may identify degenerative changes missed by exam or FSE MRI:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is It detects early CrCL damage before instability is palpable.
UTE T2* mapping may identify degenerative changes missed by exam or FSE MRI:contentReference[oaicite:4]{index=4}

🔍 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.

Socha

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-5

Article Title: Ultrashort Echo Time Quantitative Magnetic Resonance Imaging of the Cruciate Ligaments in Normal Beagles

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Kennedy 2024 et al., which muscle group was most frequently damaged by the caudal portal?

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Correct. Deltoideus was damaged in 90% of shoulders by the caudal portal:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Deltoideus.
Deltoideus was damaged in 90% of shoulders by the caudal portal:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • 20 shoulders from 11 medium-to-large breed dogs evaluated
  • Lateral portals used: middle arthroscopic, caudal instrument, cranial egress
  • Musculotendinous lesions unavoidable, but small (18G needle); seen in deltoideus (90%), infraspinatus, teres minor, etc.
  • Neurovascular safety:
    • Caudal portal was closest to axillary artery/nerve branches (as close as 7 mm)
    • Only 2/20 shoulders (10%) had omobrachial vein penetrated
  • Cartilage injuries (IACI) occurred in 65%, primarily minor linear defects; use of guarded cannulas and distractors suggested for minimization
  • Supports overall safety of lateral shoulder arthroscopy with portal placement awareness

Kennedy

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations

2024-4-VCOT-kennedy-4

Article Title: Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Heald 2022 et al., on PED wound therapy, what antimicrobial mechanism is attributed to the electroceutical dressing?

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Correct. The PED generates HOCl via direct current, which contributes to bacterial inhibition.
Incorrect. The correct answer is Generation of hypochlorous acid at the anode site.
The PED generates HOCl via direct current, which contributes to bacterial inhibition.

🔍 Key Findings

  • Electroceutical dressing (PED) promoted complete healing of chronic wounds in both a dog and a cat previously unresponsive to standard therapies.
  • Infection clearance occurred in both animals by the end of PED therapy, as shown by negative culture results.
  • In the dog, wound area reduced by ~4.2× over 10 days; healing completed by day 67 with no further antibiotic therapy.
  • In the cat, wound area reduced by ~2.5× over 17 days; healing completed by day 47 without systemic antibiotics.
  • PEDs function via direct current (DC) stimulation, believed to generate hypochlorous acid (HOCl) with antibacterial properties.
  • No side effects or adverse tissue reactions were observed in either case, supporting biocompatibility.
  • Multidrug-resistant organisms (e.g., S. pseudintermedius, S. canis, S. epidermidis) were eradicated by PED treatment.
  • PED therapy may reduce reliance on antibiotics and surgery, offering a novel adjunct for chronic, infected wounds.

Heald

Veterinary Surgery

3

2022

Electroceutical treatment of infected chronic wounds in a dog and a cat

2022-3-VS-heald-1

Article Title: Electroceutical treatment of infected chronic wounds in a dog and a cat

Journal: Veterinary Surgery

In Power 2022 et al., on liposomal bupivacaine use, what was concluded about its use in off-label orthopedic procedures?

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Correct. The study found no significant difference in complication rates between labeled and off-label orthopedic uses.
Incorrect. The correct answer is It appeared safe.
The study found no significant difference in complication rates between labeled and off-label orthopedic uses.

🔍 Key Findings

  • Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
  • Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
  • No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
  • No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
  • Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
  • Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
  • Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
  • Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.

Power

Veterinary Surgery

4

2022

Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

2022-4-VS-power-3

Article Title: Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

Journal: Veterinary Surgery

In Walker 2022 et al., on TPLO mRUST scoring, which cortex was **excluded** from scoring due to plate obstruction?

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Correct. The medial cortex was obstructed by the TPLO plate and excluded from mRUST scoring.
Incorrect. The correct answer is Medial.
The medial cortex was obstructed by the TPLO plate and excluded from mRUST scoring.

🔍 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-3

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 Sanders 2024 et al., on feline anastomosis techniques, what was the observed mean jejunal mural thickness?

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Correct. Jejunal mural thickness averaged 2.28 ± 0.30 mm, the greatest among gastrointestinal segments measured.
Incorrect. The correct answer is 2.28 mm.
Jejunal mural thickness averaged 2.28 ± 0.30 mm, the greatest among gastrointestinal segments measured.

🔍 Key Findings Summary

  • ILP and MIP: No significant differences in leak pressure between HSA, FEESA, and SS techniques (p > .05).
  • Construct Time:
    • FEESA (no oversew) fastest: 79 ± 30 s
    • HSA-SI slowest: 397 ± 70 s (p < .001)
  • Tissue Thickness:
    • Jejunum thickest: 2.28 ± 0.30 mm
    • Stomach thinnest: 1.66 ± 0.28 mm
  • Staple Malformation: Noted in 2 FEESA-O constructs, vertical staple line.
  • Leak Locations:
    • HSA: All leaked from suture bites
    • FEESA: Leaks from vertical and horizontal staple lines
    • SS: Mostly from staple holes

Sanders

Veterinary Surgery

2

2024

Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats

2024-2-VS-sanders-2

Article Title: Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats

Journal: Veterinary Surgery

In Swieton 2025 et al., on portocaval shunts, what was the perioperative mortality rate?

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Correct. Only one dog died in the perioperative period, resulting in a 5% mortality rate.
Incorrect. The correct answer is 5%.
Only one dog died in the perioperative period, resulting in a 5% mortality rate.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

  • Good to excellent outcome: 81% (17/21)
  • Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

2025-2-VS-swieton-5

Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

Journal: Veterinary Surgery

In Tobias 2022 et al., on perineal hernia repair positioning, which statement best reflects the outcome of colopexy?

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Correct. Colopexy helped facilitate visualization but did not prevent recurrence.
Incorrect. The correct answer is It improved visualization during hernia reduction.
Colopexy helped facilitate visualization but did not prevent recurrence.

🔍 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.

Tobias

Veterinary Surgery

5

2022

Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

2022-5-VS-tobias-5

Article Title: Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

Journal: Veterinary Surgery

In Cruciani 2022 et al., on feline pancreaticoduodenostomy, which anatomical consideration required splenectomy during surgery?

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Correct. The splenic artery and vein could not be preserved due to the extent of the abscess in the left lobe.
Incorrect. The correct answer is Location of pancreatic abscess near splenic vessels.
The splenic artery and vein could not be preserved due to the extent of the abscess in the left lobe.

🔍 Key Findings

  • Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
  • No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
  • Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
  • No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
  • Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
  • The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
  • Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
  • Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.

Cruciani

Veterinary Surgery

8

2022

Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

2022-8-VS-cruciani-5

Article Title: Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

Journal: Veterinary Surgery

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