Your Custom Quiz

In Crystal 2024 et al., on elbow osteotomies, which location of osteotomy provided better reduction of medial elbow pressure?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. More distal osteotomies (75%) significantly reduced medial elbow load more than mid-humeral ones (adjustment value 8.06, p = 0.026).
Incorrect. The correct answer is 75% humeral length.
More distal osteotomies (75%) significantly reduced medial elbow load more than mid-humeral ones (adjustment value 8.06, p = 0.026).

🔍 Key Findings Summary

  • Ex vivo cadaver study using 5 paired canine thoracic limbs
  • Compared medial opening wedge osteotomy (MOWO) and external rotational osteotomy (ERO) of the humerus
  • Measured pressure changes in the medial compartment using thin-film sensors
  • ERO significantly reduced peak pressure and pressure distribution in the medial elbow compartment (p < 0.05)
  • MOWO showed no significant pressure reduction relative to native state
  • Combined MOWO + ERO did not significantly improve over ERO alone
  • Findings support the biomechanical rationale for ERO as a surgical strategy to offload the medial compartment in cases like medial compartment disease (MCD)

Crystal

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

2024-4-VCOT-crystal-2

Article Title: Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Lederer 2025 et al., on MIPO vs ORPS, what factor was significantly associated with explantation?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Fracture comminution was significantly associated with implant explantation (p < .001).
Incorrect. The correct answer is Comminution of fracture.
Fracture comminution was significantly associated with implant explantation (p < .001).

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

  • Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
  • Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
  • Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
  • Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
  • Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

Lederer

Veterinary Surgery

4

2025

Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

2025-4-VS-lederer-4

Article Title: Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

Journal: Veterinary Surgery

In Buote 2023 et al., on 3D printed cannulas, what was the approximate manufacturing cost per sterilizable 3D printed cannula?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Each sterilizable 3D printed cannula cost less than $5 to produce including materials and consumables.
Incorrect. The correct answer is $5.00.
Each sterilizable 3D printed cannula cost less than $5 to produce including materials and consumables.

🔍 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-4

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

Journal: Veterinary Surgery

In Kokkinos 2025 et al., on THR age effects, what best describes the clinical recommendation based on the study findings?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Due to higher complication rates in young dogs, surgeons are advised to exercise caution in elective early-age THR.
Incorrect. The correct answer is Early-age THR should be approached with caution.
Due to higher complication rates in young dogs, surgeons are advised to exercise caution in elective early-age THR.

🔍 Key Findings

  • Study population: 116 dogs underwent cementless THR; grouped by age:
    • Group A: ≤6 months (n = 27)
    • Group B: >6 to ≤12 months (n = 41)
    • Group C: >12 months (n = 48)
  • Overall perioperative complication rate: 31.9% (37/116)
    • Group A: 22.2%
    • Group B: 26.8%
    • Group C: 41.7%
  • No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
  • Luxation was significantly more common in dogs >12 months:
    • Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
  • Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
  • Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
  • No infections or aseptic loosening observed during the 8-week follow-up.

Kokkinos

Veterinary Surgery

3

2025

The influence of age at total hip replacement on perioperative complications in dogs

2025-3-VS-kokkinos-5

Article Title: The influence of age at total hip replacement on perioperative complications in dogs

Journal: Veterinary Surgery

In Hernon 2023 et al., on flushing the CBD, what was concluded regarding the routine use of CBD flushing during cholecystectomy in dogs with GBM?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The authors concluded that CBD flushing did not yield clinical or clinico-pathological benefits, and should not be routinely performed.
Incorrect. The correct answer is It showed no added benefit and should not be routine.
The authors concluded that CBD flushing did not yield clinical or clinico-pathological benefits, and should not be routinely performed.

🔍 Key Findings

  • Flushing the common bile duct (CBD) during cholecystectomy did not result in improved hepatobiliary markers compared to no flushing.
  • Cholecystectomy alone significantly reduced ALP, ALT, GGT, bilirubin, and cholesterol 3 days postoperatively (p < .05 for all).
  • Survival to discharge was 90.3%, with no survival difference between flushed and non-flushed groups.
  • Postoperative pancreatitis occurred in 12.9% of dogs, evenly distributed between groups, suggesting flushing did not increase risk.
  • Most common complication was regurgitation (29%), not significantly different between groups.
  • Free abdominal fluid had low sensitivity (29%) but moderate specificity (73%) for gallbladder rupture.
  • No difference in duration of hospitalization or postoperative complications between groups.
  • Gallbladder rupture rate was 12.9%, lower than previously reported in literature.

Hernon

Veterinary Surgery

5

2023

The effect of flushing of the common bile duct on hepatobiliary markers and short‐term outcomes in dogs undergoing cholecystectomy for the management of gall bladder mucocele: A randomized controlled prospective study

2023-5-VS-hernon-5

Article Title: The effect of flushing of the common bile duct on hepatobiliary markers and short‐term outcomes in dogs undergoing cholecystectomy for the management of gall bladder mucocele: A randomized controlled prospective study

Journal: Veterinary Surgery

In Kikuchi 2025 et al., on arthroscopic MMI in toy breeds, which variable was **not** part of the final regression model predicting MMI?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The final model included body weight, lameness score, and CrCL status. Breed and age were excluded in multivariate analysis.
Incorrect. The correct answer is Age.
The final model included body weight, lameness score, and CrCL status. Breed and age were excluded in multivariate analysis.

🔍 Key Findings

  • Medial meniscus injury (MMI) occurred in 36.3% of stifles with CrCLR in toy breed dogs (<5 kg)
  • Complete CrCLR was significantly associated with MMI (15.3% of complete vs. 3.4% of partial)
  • Severe lameness (grade 3) increased the likelihood of MMI compared to mild lameness (grade 1)
  • Higher body weight, even within the toy breed range, was positively associated with MMI
  • Yorkshire Terriers had the highest MMI incidence (55.6%), but this was not a significant independent factor due to multicollinearity
  • Arthroscopy identified more meniscal damage (including small radial tears and bucket-handle lesions) than gross examination might detect
  • MMI was classified as mild (radial tear) or severe (bucket-handle or flap) with implications for partial meniscectomy
  • Arthroscopy was used in all cases, underscoring its utility in small-breed stifle assessment

Kikuchi

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Incidence of Medial Meniscus Injury Detected by Arthroscopy in Toy Breed Dogs

2025-5-VCOT-kikuchi-4

Article Title: Incidence of Medial Meniscus Injury Detected by Arthroscopy in Toy Breed Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Carvajal 2023 et al., on serum biomarkers post-THA, what is the clinical implication of stable CRP and SAA levels postoperatively?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Deviations from baseline in future cases could suggest infection.
Incorrect. The correct answer is It may help screen for PJIs.
Deviations from baseline in future cases could suggest infection.

🔍 Key Findings

  • C-reactive protein (CRP) and serum amyloid A (SAA) levels remained low at 3 and 6 months after uncomplicated THA in dogs.
  • No significant differences were observed in CRP or SAA between preoperative, 3-month, and 6-month time points.
  • Mean CRP values were 3.8 mg/L pre-op, 0.8 mg/L at 3 months, and 1.4 mg/L at 6 months.
  • Mean SAA values were 13.9 mg/L pre-op, 14.1 mg/L at 3 months, and 18.4 mg/L at 6 months.
  • All dogs recovered normally with no complications or persistent signs of inflammation at follow-up.
  • Study establishes baseline CRP and SAA levels for dogs post-THA, useful for comparison in suspected PJI.
  • These markers may help differentiate periprosthetic joint infection (PJI) if values deviate from baseline post-THA.
  • NSAID therapy was discontinued by 6 months in all dogs, possibly reflecting decreased inflammation.

Carvajal

Veterinary Surgery

1

2023

Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

2023-1-VS-carvajal-4

Article Title: Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

Journal: Veterinary Surgery

In Paul 2024 et al., on postoperative analgesia with BLIS vs fentanyl in amputation, how did postoperative vomiting compare between BLIS and fentanyl-treated dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Only fentanyl group dogs vomited (4/20); none in the BLIS group vomited.
Incorrect. The correct answer is Observed only in fentanyl group.
Only fentanyl group dogs vomited (4/20); none in the BLIS group vomited.

🔍 Key Findings

  • BLIS (bupivacaine liposome injectable solution) provided equivalent analgesia to fentanyl CRI based on CMPS-SF scores at all time points except 6h, where BLIS was superior
  • Fewer adverse effects (nausea, vomiting, sedation) were noted in the BLIS group
  • BLIS dogs ate sooner postoperatively (median 6h vs 9h in control)
  • Sedation occurred in 2/20 dogs in BLIS group vs 10/20 in fentanyl group
  • Vomiting occurred in 0/20 BLIS dogs vs 4/20 in fentanyl group
  • Rescue analgesia rates were similar (5 BLIS vs 4 fentanyl group), confirming noninferiority
  • Owner-reported VAS scores were lower for BLIS on day 1 a.m. and p.m. despite variability
  • Results suggest BLIS could reduce opioid reliance post-amputation

Paul

Veterinary Surgery

6

2024

Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

2024-6-VS-paul-2

Article Title: Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on MIPO with 3D-printed bone models, what was the main advantage of using the fracture reduction system (FRS) compared to intramedullary pin (IMP) reduction?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. FRS procedures required significantly fewer fluoroscopic images (median 7 vs. 26, *P = .001*).
Incorrect. The correct answer is Reduced intraoperative fluoroscopy use.
FRS procedures required significantly fewer fluoroscopic images (median 7 vs. 26, *P = .001*).

🔍 Key Findings

  • Precontoured plates based on 3D-printed femurs produced accurate femoral alignment (median deviations <3 mm or <3° in all planes).
  • Both fracture reduction system (FRS) and intramedullary pin (IMP) methods achieved near-anatomic alignment in cadaveric femoral fractures.
  • FRS required fewer fluoroscopic images (median 7 vs. 26, P = .001), but longer surgical time (median 43 vs. 29 min, P = .011).
  • Sagittal plane alignment: FRS led to mild increased recurvatum (median 2.9°), but still within near-anatomic limits (<5°).
  • Axial alignment: Both groups achieved near-anatomic torsion (<10°), though one IMP case had acceptable (not near-anatomic) alignment.
  • Custom drill guides and FRS improved fluoroscopy efficiency but were cumbersome and time-consuming to use. Authors do not recommend current prototype for clinical use.
  • Clinical significance: 3D printed models allow accurate precontouring, reducing intra-op plate adjustment; custom guides may reduce radiation exposure for the surgical team.

Scheuermann

Veterinary Surgery

7

2023

Minimally invasive plate osteosynthesis of femoral fractures with 3D-printed bone models and custom surgical guides: A cadaveric study in dogs

2023-7-VS-scheuermann-1

Article Title: Minimally invasive plate osteosynthesis of femoral fractures with 3D-printed bone models and custom surgical guides: A cadaveric study in dogs

Journal: Veterinary Surgery

In Kokkinos 2025 et al., on THR age effects, what was the most commonly reported perioperative complication?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Dislocation was the most frequent complication overall in the cohort.
Incorrect. The correct answer is Dislocation.
Dislocation was the most frequent complication overall in the cohort.

🔍 Key Findings

  • Study population: 116 dogs underwent cementless THR; grouped by age:
    • Group A: ≤6 months (n = 27)
    • Group B: >6 to ≤12 months (n = 41)
    • Group C: >12 months (n = 48)
  • Overall perioperative complication rate: 31.9% (37/116)
    • Group A: 22.2%
    • Group B: 26.8%
    • Group C: 41.7%
  • No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
  • Luxation was significantly more common in dogs >12 months:
    • Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
  • Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
  • Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
  • No infections or aseptic loosening observed during the 8-week follow-up.

Kokkinos

Veterinary Surgery

3

2025

The influence of age at total hip replacement on perioperative complications in dogs

2025-3-VS-kokkinos-4

Article Title: The influence of age at total hip replacement on perioperative complications in dogs

Journal: Veterinary Surgery

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.