Your Custom Quiz

In Vandekerckhove 2024 et al., what was the main biomechanical interpretation of repeated stress testing on hip joints?

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Correct. Repeat stress radiographs showed no lasting change in LImax—indicating elastic behavior
Incorrect. The correct answer is Elastic deformation occurred.
Repeat stress radiographs showed no lasting change in LImax—indicating elastic behavior

🔍 Key Findings Summary

  • Used VMBDmD to quantify hip laxity under increasing force in cadaveric dogs (n=34).
  • 90% of hips reached ≥90% of LImax at 95.32 N, defining this force as sufficient for subluxation.
  • LImax was not significantly influenced by osteoarthritis, weight, sex, or limb side.
  • Position of device (lever length) influenced rate of laxity acquisition, not final LImax.
  • LI curves were repeatable across 5 sessions, indicating elastic—not plastic—deformation.

Vandekerckhove

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint

2024-1-VCOT-vandekerckhove-3

Article Title: Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Williams 2024 et al., on adrenaline use in maxillary nerve blocks, what adverse cardiovascular effects were observed due to adrenaline?

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Correct. No dogs developed tachycardia, arrhythmia, tachypnea, or hypertension.
Incorrect. The correct answer is No significant adverse effects.
No dogs developed tachycardia, arrhythmia, tachypnea, or hypertension.

🔍 Key Findings

  • The addition of adrenaline (0.00198%) to bilateral maxillary nerve blocks significantly reduced intraoperative hemorrhage in dogs undergoing sharp staphylectomy (median reduction: 77.1%).
  • Normalized hemorrhage (g/kg) and total hemorrhage (g) were significantly lower in the adrenaline group (p = .021 and p = .013, respectively).
  • Surgeon-assessed hemorrhage scores were also significantly lower in the adrenaline group (median 2 vs. 3; p = .029), indicating improved surgical visibility.
  • No adverse effects (e.g. tachycardia, arrhythmia, or hypertension) were observed with adrenaline administration.
  • A standardized intraoral approach to the maxillary nerve block was used with 0.5 mL per side regardless of dog size.
  • Breed effect observed: English Bulldogs had higher normalized hemorrhage, possibly due to anatomical variation or underdosing relative to size.
  • Adrenaline may also prolong local anesthetic action and reduce blood aspiration risks, though this was not directly measured.
  • The study supports the routine inclusion of adrenaline in maxillary nerve blocks for staphylectomy in BOAS patients to improve surgical field and reduce bleeding.

Williams

Veterinary Surgery

8

2024

Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

2024-8-VS-williams-4

Article Title: Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

Journal: Veterinary Surgery

In Barnes 2024 et al., on knot strength testing, how did increasing the number of throws affect DF knot strength?

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Correct. Increasing throws from 3 to 5 in DF knots did not significantly increase KHC.
Incorrect. The correct answer is No significant change in KHC.
Increasing throws from 3 to 5 in DF knots did not significantly increase KHC.

🔍 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-3

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 Marchionatti 2022 et al., on antiseptic efficacy comparison, what was reported about skin bacterial colonization?

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Correct. Meta-analysis demonstrated no significant difference in immediate or delayed colonization between groups (RR and SMD not significant):contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Both antiseptics showed equivalent colonization reduction.
Meta-analysis demonstrated no significant difference in immediate or delayed colonization between groups (RR and SMD not significant):contentReference[oaicite:1]{index=1}

🔍 Key Findings

  • Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
  • No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
  • Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
  • Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
  • Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
  • Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
  • Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
  • Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.

Marchionatti

Veterinary Surgery

5

2022

Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

2022-5-VS-marchionatti-2

Article Title: Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

Journal: Veterinary Surgery

In İnal 2025 et al., on feline high-rise trauma, what was the survival rate across all included cats?

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Correct. 354 out of 373 cats survived, giving a 94.9% survival rate
Incorrect. The correct answer is 94.9%.
354 out of 373 cats survived, giving a 94.9% survival rate

🔍 Key Findings

Sample: 373 cats with high-rise syndrome (HRS) from 2017–2020.
ATTS was the only significant predictor of survival (p < 0.001); each point increase decreased survival odds (OR = 0.46).
AUC for ATTS ROC curve: 0.857 (95% CI: 0.788–0.926).
Floor height, lesion type, and ground surface were not significantly associated with survival.
Odds of injury were 7.98× higher when landing on hard vs. soft surface (p < 0.001).
16.96× increased injury risk from the fourth vs. third floor (p = 0.008).
Cats with ATTS ≥7 had 62% mortality; median ATTS increased with floor height (r = 0.244, p < 0.001).
Thoracic and vertebral trauma were most common causes of death.
Only 32% of cats had the “classic” HRS triad (pneumothorax, epistaxis, hard palate fracture).

Inal

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

2025-1-VC-inal-3

Article Title: Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Parker 2023 et al., on Locoregional analgesia in TPLO, what percentage of respondents reported that peripheral nerve blocks (PNB) were effective 81–100% of the time?

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Correct. Most respondents using PNB reported high confidence in its effectiveness (78% rated it 81–100% effective).
Incorrect. The correct answer is 78%.
Most respondents using PNB reported high confidence in its effectiveness (78% rated it 81–100% effective).

🔍 Key Findings

  • Peripheral nerve block (PNB) was preferred by 79% of anesthesiologists; lumbosacral epidural (LE) by 21%; PI <1%.
  • Time since board-certification significantly influenced preference: PNB favored by newer diplomates, LE favored by more senior ones (p < .001).
  • Employment sector mattered: PNB was preferred more in private practice, LE more in academia (p = .003).
  • PNB perceived as more effective, with 78% reporting 81–100% effectiveness; compared to 55% for LE.
  • PNB associated with fewer adverse effects (75%) than LE (4%) and PI (21%).
  • PNB required less rescue analgesia intraoperatively (57%) and postoperatively (54%) than LE or PI.
  • LE preferred for bilateral TPLOs and in smaller dogs; PNB for larger dogs, due to motor function preservation.
  • Dexmedetomidine was the most common additive to PNB; bupivacaine-only was most used for PNB.

Parker

Veterinary Surgery

4

2023

Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists

2023-4-VS-parker-4

Article Title: Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists

Journal: Veterinary Surgery

In Dekerle 2022 et al., on ectopic ureter correction, how did **CLA compare to neoureterostomy** in terms of recurrence of incontinence?

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Correct. Recurrence occurred in 5/12 neoureterostomy cases, but none in CLA-treated dogs (P < .05).
Incorrect. The correct answer is CLA had zero recurrence, while neoureterostomy had significantly more.
Recurrence occurred in 5/12 neoureterostomy cases, but none in CLA-treated dogs (P < .05).

🔍 Key Findings

  • Cystoscopic-guided laser ablation (CLA) was associated with significantly fewer minor complications (13%) than neoureterostomy (100%) (P < .01)
  • CLA resulted in significantly fewer recurrences of incontinence compared to neoureterostomy (0/7 vs 5/12; P < .05)
  • 80% of dogs achieved continence within 1 month postoperatively, with a median continence score of 10
  • Long-term continence was achieved in 88% of dogs, with or without adjunctive treatment, over a median of 66 months
  • Major complications occurred in only 8% of dogs, and all were successfully managed with surgical revision
  • Persistent ureteral remnants were seen only in neoureterostomy dogs, potentially contributing to incontinence recurrence
  • All dogs with incontinence recurrence responded to medical treatment, while only 1/5 with persistent incontinence after surgery did
  • CLA is recommended over open surgery for iEU correction, due to lower complication and recurrence rates

Dekerle

Veterinary Surgery

4

2022

Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

2022-4-VS-dekerle-5

Article Title: Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

Journal: Veterinary Surgery

In Turner 2025 et al., on TPA changes after SH-1/2 fracture repair, what does the study suggest regarding further surgery when TPA remains high immediately postoperatively?

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Correct. The study supports avoiding further surgery despite high TPA if reduction is imperfect but stable.
Incorrect. The correct answer is Monitor, as TPA may reduce without intervention.
The study supports avoiding further surgery despite high TPA if reduction is imperfect but stable.

🔍 Key Findings

  • TPA decreased significantly from preoperative to follow-up (mean 5.89°; p < 0.001), and from immediate postoperative to follow-up (mean 2.2°; p = 0.018)
  • Use of tension band in addition to K-wires did not significantly improve TPA reduction compared to K-wires alone
  • Cranial K-wire positioning may attenuate growth at the cranial tibial physis, allowing relative caudal growth to reduce TPA over time
  • Dynamic TPA reduction may reduce risk of cranial cruciate ligament rupture even when initial TPA is high
  • Small breeds (e.g., French Bulldogs) were overrepresented; further research is needed in larger breeds with more growth potential
  • Surgical reduction is difficult, but perfect alignment may not be essential if TPA reduces postoperatively
  • Radiographic TPA measurement was reliably performed with low interobserver variability
  • K-wire removal at 3–8 weeks may facilitate continued growth in growing dogs

Turner

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs

2025-5-VCOT-turner-4

Article Title: Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Kimura 2025 et al., on mini-THA in <4 kg dogs, which implant strategy was used to reduce risk of femoral fracture during THA in small dogs?

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Correct. Prophylactic screws and plates were used in cases with instability or over-reaming to prevent fracture:contentReference[oaicite:4]{index=4}.
Incorrect. The correct answer is Use of prophylactic bicortical screw and plate.
Prophylactic screws and plates were used in cases with instability or over-reaming to prevent fracture:contentReference[oaicite:4]{index=4}.

🔍 Key Findings

  • Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
  • Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
  • Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
  • Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
  • Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
  • Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
  • No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
  • CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.

Kimura

Veterinary Surgery

6

2025

Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

2025-6-VS-kimura-5

Article Title: Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

Journal: Veterinary Surgery

In Caiazzo 2025 et al., on suture material comparison, which factor was significantly associated with incisional dehiscence?

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Correct. Lack of postoperative antibiotics was significantly associated with higher dehiscence rates (p = .023).
Incorrect. The correct answer is Postoperative antibiotic use.
Lack of postoperative antibiotics was significantly associated with higher dehiscence rates (p = .023).

🔍 Key Findings

  • No significant difference in non-infected incisional dehiscence rates among groups using PDS vs. Monocryl for subcutaneous and skin closure.
  • Overall dehiscence rate: 9.48% (22/232 dogs).
  • Postoperative antibiotic use and signs of inflammation were significantly associated with dehiscence (p = .023 and p < .001, respectively).
  • Dogs not receiving postoperative antibiotics had a higher dehiscence rate (14.74%) than those that did (5.84%).
  • Most dehiscence cases were superficial (85.7%), and the average length of dehiscence was 1.71 cm.
  • No statistically significant impact of weight, BCS, incision length, procedure type, surgeon experience, closure direction, or barrier use on dehiscence rate.

Caiazzo

Veterinary Surgery

3

2025

Impact of suture materials polydioxanone and poliglecaprone 25 on non-infected clean orthopedic stifle procedure incisional dehiscence rates

2025-3-VS-caiazzo-2

Article Title: Impact of suture materials polydioxanone and poliglecaprone 25 on non-infected clean orthopedic stifle procedure incisional dehiscence rates

Journal: Veterinary Surgery

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