Your Custom Quiz

In Cola 2024 et al., on laparotomy-assisted endoscopy, what was the overall success rate of LAER in avoiding full conversion to enterotomy or gastrotomy?

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Correct. LAER was completely or partially effective in 35/40 cases (88%).
Incorrect. The correct answer is 88%.
LAER was completely or partially effective in 35/40 cases (88%).

🔍 Key Findings

  • LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
  • Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
  • LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
  • Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
  • Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
  • No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
  • Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
  • Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.

Cola

Veterinary Surgery

7

2024

Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats

2024-7-VS-cola-4

Article Title: Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats

Journal: Veterinary Surgery

In Lin 2025 et al., on surgical approaches to the radius, which measurement was significantly greater for CLA at the P2 site?

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Correct. CLA had wider exposure proximally (P2), supporting easier plate placement.
Incorrect. The correct answer is Width of exposure.
CLA had wider exposure proximally (P2), supporting easier plate placement.

🔍 Key Findings

  • Craniolateral approach (CLA) exposed significantly more radial surface area than craniomedial approach (CMA) (19.4 cm² vs. 13.8 cm²; p = 0.01).
  • Proximal width of exposure was greater in CLA, especially at 12.5% length (P2 level, p = 0.016), aiding plate placement.
  • No significant difference in exposed bone length between approaches.
  • CLA avoided major neurovascular structures, making dissection cleaner and safer proximally.
  • CMA consistently encountered median nerve/artery/vein, complicating proximal exposure.
  • CLA allowed better access to proximal radius for locking plate application, which may benefit MIPO techniques.
  • CLA also enables ulna fixation via the same incision, whereas CMA requires a separate skin incision.
  • Anatomical tilt of the proximal cranial surface favored CLA, requiring less plate contouring than CMA for proper fit.

Lin

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?

2025-3-VCOT-lin-3

Article Title: Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Planchamp 2022 et al., on imaging-based AAI diagnosis, which measurement best differentiated potentially unstable dogs from AAI-affected dogs?

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Correct. VCI ≥0.23 had a sensitivity of 93.75% and specificity of 94.44% to distinguish AAI from potentially unstable dogs.
Incorrect. The correct answer is Ventral compression index (VCI).
VCI ≥0.23 had a sensitivity of 93.75% and specificity of 94.44% to distinguish AAI from potentially unstable dogs.

🔍 Key Findings

  • Ventral Compression Index (VCI) ≥0.16 (extension) or ≥0.2 (flexion) was diagnostic for AAI with 100% sensitivity and >94% specificity
  • VCI had the highest diagnostic accuracy among all measured variables (AUC > 0.99)
  • C1-C2 overlap ≤2.7 mm (extension) or ≤1.8 mm (flexion) also diagnostic for AAI (sensitivity 84–96%, specificity 81–90%)
  • C1-C2 angle ≥176.9° (extension) or ≥187.4° (flexion) had high sensitivity and specificity (~95%)
  • Basion-dens interval ≥5.9 mm (extension) or ≥3.0 mm (flexion) provided moderate diagnostic accuracy
  • Cranial translation ratio (CTR) ≥0.18 classified dogs as potentially unstable (sensitivity 90%, specificity 78%)
  • VCI ≥0.23 reliably differentiated AAI from potentially unstable cases (sensitivity 94%, specificity 94%)
  • DALR ≤0.24 had high specificity (100%) but low sensitivity for AAI diagnosis

Planchamp

Veterinary Surgery

4

2022

Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs

2022-4-VS-planchamp-3

Article Title: Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs

Journal: Veterinary Surgery

In Danielski 2022 et al., on PAUL complications, what was the most commonly observed major complication?

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Correct. Non-union occurred in 6 limbs and was the most common major complication.
Incorrect. The correct answer is Non-union.
Non-union occurred in 6 limbs and was the most common major complication.

🔍 Key Findings

  • Major complications occurred in 25.6% of limbs treated with PAUL, including non-union, implant failure, and infection requiring revision surgery.
  • Increased body weight was significantly associated with a higher risk of complications (7% increased risk per additional kg; p = .04).
  • Post-operative radiographic assessment was unreliable in predicting complications; inter-observer agreement was poor (kappa ≤ 0.12).
  • Expert evaluation of implant or reduction errors had low predictive value (k < 0.2) for postoperative complications.
  • Common major complications included non-union (6 limbs), screw breakage, and surgical site infections.
  • Implant removal was required in 11.5% of limbs, mostly due to non-union or infection.
  • Being a Labrador appeared protective on univariate analysis, but not on multivariate analysis after adjusting for weight.
  • Radiographs showing suboptimal plate placement or osteotomy reduction did not reliably correlate with actual complication occurrence.

Danielski

Veterinary Surgery

1

2022

Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

2022-1-VS-danielski-2

Article Title: Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

Journal: Veterinary Surgery

In Moreira 2024 et al., on predictive equations for TPA correction, which of the following is true regarding the Oxley mCCWO technique?

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Correct. The Oxley mCCWO did not require caudal translation for cortical alignment, unlike others.
Incorrect. The correct answer is It achieved cranial cortical alignment without requiring caudal translation.
The Oxley mCCWO did not require caudal translation for cortical alignment, unlike others.

🔍 Key Findings

  • A linear relationship was observed between wedge angle and tibial plateau angle (TPA) correction across all four CCWO techniques.
  • All techniques produced predictable TPA corrections using linear regression-derived equations, allowing wedge angle extrapolation to achieve a target postoperative TPA of 5°.
  • TLA shift (tibial long axis) increased with wedge angle and influenced final TPA; greatest in Frederick & Cross method.
  • Tibial shortening (mTL%) varied by technique, being most severe (up to 40.9%) in traditional Slocum & Devine CCWO and least in newer techniques (7.5–12%).
  • The Oxley mCCWO technique showed lower TLA shift compared to the Frederick & Cross and Christ techniques, though similar to Slocum & Devine; tibial shortening was more pronounced than other modified techniques at wedge angles ≤40°.
  • Techniques varied in craniocaudal translation and wedge apex positioning, influencing planning accuracy and mechanical axis alignment.
  • The corrective wedge angle equations reliably predicted TPA within 4–6° across varied tibial conformations.
  • The study supports equation-based planning over static TPA–5° subtraction to reduce risk of under- or over-correction.

Moreira

Veterinary Surgery

8

2024

Predicting tibial plateau angles following four different types of cranial closing wedge ostectomy

2024-8-VS-moreira-5

Article Title: Predicting tibial plateau angles following four different types of cranial closing wedge ostectomy

Journal: Veterinary Surgery

In Radke 2022 et al., on outcome measure validation, which limitation applied to **all 6 OROMs** evaluated?

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Correct. No OROMs reported measurement error, limiting score interpretability.
Incorrect. The correct answer is No information on measurement error.
No OROMs reported measurement error, limiting score interpretability.

🔍 Key Findings

  • CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
  • COI scored highest in development rigor and evidence quality among evaluated OROMs.
  • Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
  • LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
  • CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
  • All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
  • Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
  • Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).

Radke

Veterinary Surgery

2

2022

Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

2022-2-VS-radke-4

Article Title: Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

Journal: Veterinary Surgery

In Butare-Smith 2022 et al., on cerclage knot biomechanics, which knot type demonstrated the highest resistance to cyclic loading before loosening?

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Correct. Double-loop cerclage resisted up to 500,000 cycles at high loads, outperforming other configurations.
Incorrect. The correct answer is Double-loop cerclage.
Double-loop cerclage resisted up to 500,000 cycles at high loads, outperforming other configurations.

🔍 Key Findings

  • Double-loop cerclage resisted the highest peak load (805 N) and maintained tension longer than twist (488 N) and single-loop (397 N) configurations.
  • Double-loop cerclage sustained 500,000 cycles at 60–80% of peak load in some cases without loosening, outperforming other types.
  • Twist knots loosened rapidly, often within 10 cycles even at low loads (100–390 N).
  • Single-loop knots performed better than twist, with partial resistance up to 100,000 cycles at 160 N, but showed wide variability.
  • All loosening occurred before wire breakage, indicating clinical failure would happen from slack, not fracture.
  • Double-loop cerclage had highest initial tension (323 N) compared to single-loop (124 N) and twist (69 N).
  • Fatigue limit was not identified for twist, since they all loosened early at even 20% of peak load.
  • Clinical recommendation: double-loop cerclage is best for resisting repeated subfailure loading, ideal for fissure prevention or fragment stabilization.

Butare-Smith

Veterinary Surgery

2

2022

Double-loop cerclage resists greater loads for more cycles than twist and single-loop cerclage

2022-2-VS-butare-smith-1

Article Title: Double-loop cerclage resists greater loads for more cycles than twist and single-loop cerclage

Journal: Veterinary Surgery

In Forzisi 2025 et al., on femoral growth post-THR, how did femoral cortical width change at 50% femoral length?

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Correct. THR increased femoral cortical width by 8.5% at 50% length (p = .030).
Incorrect. The correct answer is It increased by 8.5%.
THR increased femoral cortical width by 8.5% at 50% length (p = .030).

🔍 Key Findings

Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:

  • Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
  • No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).

Cortical Width:

  • Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).

Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:

  • Moderate negative for trochanteric growth.
  • Moderate positive for proximal femoral width.

Forzisi

Veterinary Surgery

1

2025

Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

2025-1-VS-forzisi-3

Article Title: Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

Journal: Veterinary Surgery

In Fitzpatrick 2024 et al., on ESF for pelvic fractures in cats, what percentage of cases showed implant loosening on follow-up radiographs?

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Correct. Implant loosening was identified in 16/125 cases (13%) on radiographic follow-up.
Incorrect. The correct answer is 13%.
Implant loosening was identified in 16/125 cases (13%) on radiographic follow-up.

🔍 Key Findings

  • External skeletal fixation (ESF) was successfully applied to a variety of pelvic fracture types in cats, including sacroiliac luxations and ilial body fractures.
  • All fractures achieved radiographic union within 9 weeks, even in comminuted or complex configurations.
  • No intraoperative or long-term complications were reported during the study period.
  • Implant loosening was observed radiographically in 13% of cases, with 8% of pins found to be loose at frame removal.
  • ESF enabled indirect fracture reduction using components as handles, with a limited open approach minimizing soft tissue disruption.
  • No iatrogenic neurological deficits were observed, supporting safe pin placement near neurovascular structures, although some cats presented with pre-existing neurologic signs.
  • No cases required revision surgery, and all cats underwent stabilization solely with ESF as per study inclusion criteria.
  • Postoperative hospitalization ranged from 2 to 5 days, though no comparison to other fixation types was evaluated.

Fitzpatrick

Veterinary Surgery

7

2024

External skeletal fixation for the treatment of pelvic fractures in cats

2024-7-VS-fitzpatrick-2

Article Title: External skeletal fixation for the treatment of pelvic fractures in cats

Journal: Veterinary Surgery

In Williams 2024 et al., on adrenaline use in maxillary nerve blocks, which of the following best describes the difference in surgeon-assessed hemorrhage scores between groups?

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Correct. Group A (adrenaline) had median score 2 vs. 3 in group NA; p = .029.
Incorrect. The correct answer is Adrenaline group had significantly lower scores.
Group A (adrenaline) had median score 2 vs. 3 in group NA; p = .029.

🔍 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-3

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

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