Your Custom Quiz

In Almeida 2025 et al., on TPLO and partial CCL rupture, what was the authors’ conclusion on CCL transection as a preventive for desmitis?

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Correct. Authors do not recommend routine CCL remnant transection to prevent patellar desmitis.
Incorrect. The correct answer is Not recommended.
Authors do not recommend routine CCL remnant transection to prevent patellar desmitis.

🔍 Key Findings

  • Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
  • Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
  • Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
  • Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
  • No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
  • Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
  • Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
  • Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.

Almeida

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

2025-4-VCOT-almeida-4

Article Title: Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In McClean 2025 et al., on shoulder arthrocentesis techniques, what proportion of SA injections resulted in cartilage injury (IACI)?

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Correct. Half of the SA injections resulted in iatrogenic cartilage injury.
Incorrect. The correct answer is 50%.
Half of the SA injections resulted in iatrogenic cartilage injury.

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-4

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

In Miller 2024 et al., on SOP-LC mechanical testing, what torque value may help reduce clamp slippage during use?

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Correct. The study suggests that increasing torque from 2.5 to 3.0 Nm may improve clamp stability and reduce slippage.
Incorrect. The correct answer is 3.0 Nm.
The study suggests that increasing torque from 2.5 to 3.0 Nm may improve clamp stability and reduce slippage.

🔍 Key Findings Summary

  • No significant difference in mechanical properties between contoured vs non-contoured SOP-LC rods
  • Clamp configuration significantly influenced mechanical performance:
    • Single-side clamps → ↑ yield load, ↑ displacement, ↑ bending strength (p < 0.05)
    • Alternating-side clamps → ↑ initial torsional stiffness (p = 0.029)
  • Clamp slippage was evident only in torsional tests; screw loosening may be torque-dependent
  • Mild screw bending and construct offset suggest subtle instability
  • Recommends clamp configuration choice based on loading scenario
  • Suggests 3.0 Nm torque may be more effective than 2.5 Nm to prevent clamp slippage

Miller

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

2024-4-VCOT-miller-5

Article Title: Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Lampart 2023 et al., on manual laxity testing, what clinical utility does the TPCT potentially provide compared to other tests?

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Correct. TPCT includes a rotational and valgus stress component, allowing assessment of rotational laxity.
Incorrect. The correct answer is It reveals rotational instability.
TPCT includes a rotational and valgus stress component, allowing assessment of rotational laxity.

🔍 Key Findings

  • Cranial drawer (CD), tibial compression (TCT), and tibial pivot compression test (TPCT) showed 100% sensitivity and specificity in differentiating intact from CCL-deficient stifles in this ex vivo model.
  • TPCT elicited the highest cranial tibial translation (CTT) and internal tibial rotation, though differences in rotation did not reach statistical significance.
  • Inter- and intraobserver agreement for CTT was excellent across all tests (ICC >0.9).
  • Rotation and force application had greater variability, particularly with less experienced observers and during CD.
  • Forces applied during CD were significantly higher in intact limbs and correlated with observer experience.
  • Subjective CTT estimates strongly correlated with objective kinematic measurements (r = 0.895), with a median absolute error of 1.31 mm.
  • TPCT may be particularly useful for assessing rotational instability, mimicking the pivot-shift test used in human ACL exams.
  • Study supports development of a grading system for manual laxity testing, especially in acute CCLR cases.

Lampart

Veterinary Surgery

5

2023

Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study

2023-5-VS-lampart-5

Article Title: Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study

Journal: Veterinary Surgery

In Maeta 2022 et al., on total cystectomy in cats, which surgical method was used to prevent ureteral bending and misalignment during cutaneous ureterostomy?

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Correct. The modified Toyoda technique minimized ureteral misalignment by creating a rectangular ureteral stoma and aligning it precisely with the abdominal wall and skin incisions.
Incorrect. The correct answer is Modified Toyoda technique.
The modified Toyoda technique minimized ureteral misalignment by creating a rectangular ureteral stoma and aligning it precisely with the abdominal wall and skin incisions.

🔍 Key Findings

  • First reported case of total cystectomy and bilateral cutaneous ureterostomy in a cat using a modified Toyoda technique.
  • Histologically complete tumor resection was achieved, with tumor-free ureter and urethral margins >20 mm.
  • The modified Toyoda technique involved shaping the ureter into a fish-mouth aperture and anastomosing it to a rectangular skin defect for stomal formation.
  • Incontinence was managed using a diaper changed every 6–8 hours, with no dermatological complications.
  • Obstruction of the right ureter occurred 14 months post-op, associated with a subcutaneous nodule at the anastomosis site.
  • Despite incontinence, owner satisfaction and perceived quality of life were high, with the cat living ~16 months post-op.
  • The stents were removed on days 7 (left) and 28 (right) postoperatively, with initial patency maintained until 14 months.
  • This surgical approach may offer palliative or curative benefit for feline trigonal TCC where partial cystectomy is not feasible.

Maeta

Veterinary Surgery

8

2022

Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

2022-8-VS-maeta-1

Article Title: Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

Journal: Veterinary Surgery

In İnal 2025 et al., on feline high-rise trauma, what percentage of cats lacked the classic triad of HRS signs (epistaxis, pneumothorax, hard palate fracture)?

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Correct. 68.1% of cats lacked the classic triad of pneumothorax, epistaxis, and hard palate fracture
Incorrect. The correct answer is 68%.
68.1% of cats lacked the classic triad of pneumothorax, epistaxis, and hard palate fracture

🔍 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-5

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what surgical technique was used to restore pancreaticoduodenal continuity after resection?

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Correct. The authors performed an end-to-side anastomosis between the left pancreatic duct and the duodenum.
Incorrect. The correct answer is End-to-side pancreaticoduodenostomy.
The authors performed an end-to-side anastomosis between the left pancreatic duct and the duodenum.

🔍 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-1

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

Journal: Veterinary Surgery

In Azuma 2024 et al., on 3D vs 2D laparoscopy, what was the incidence of intraoperative complications in both 2D and 3D groups?

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Correct. No cystic duct injuries, clip failures, or perforations occurred in either group.
Incorrect. The correct answer is Comparable, low in both groups.
No cystic duct injuries, clip failures, or perforations occurred in either group.

🔍 Key Findings

  • 3D laparoscopy significantly reduced time to first endoclip placement compared to 2D (median 76 vs. 238 seconds, p = .016).
  • Total surgical time was not significantly different between 3D and 2D groups.
  • No differences were observed in intraoperative complications such as cystic duct injury, clip dislodgment, or gallbladder perforation.
  • Cystic duct stump length was comparable between groups (median 2.5 mm).
  • Liver parenchyma attachment severity did not differ significantly between 2D and 3D groups.
  • All procedures were performed by an experienced surgeon, potentially reducing the benefit seen with 3D visualization.
  • No conversions to open surgery occurred, and no intraoperative complications were reported.
  • The study suggests 3D laparoscopy may aid less experienced surgeons due to enhanced depth perception.

Azuma

Veterinary Surgery

4

2024

Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study

2024-4-VS-azuma-3

Article Title: Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study

Journal: Veterinary Surgery

In Sherman 2023 et al., on minimally invasive ESF, how did intraoperative imaging affect surgery time?

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Correct. Intraoperative imaging shortened surgical time significantly (P = .046).
Incorrect. The correct answer is Decreased from 100 to 74 minutes.
Intraoperative imaging shortened surgical time significantly (P = .046).

🔍 Key Findings

  • 55 cases (49 dogs, 6 cats) with nonarticular tibial fractures were treated using linear ESF with a minimally invasive approach
  • All fractures achieved radiographic union; no unacceptable outcomes were reported
  • 40% complication rate, mostly minor (82%), primarily pin-tract morbidity; major complications (7%) included osteomyelitis and refracture
  • Open fractures had significantly more major complications than closed ones (P = .019)
  • Use of intraoperative imaging (72% cases) reduced surgery time but did not improve alignment (P > .05)
  • Median surgery time: 74 min with imaging vs. 100 min without (P = .046)
  • TPA was lower than normal in both dogs and cats, but did not correlate with poor outcomes
  • 62% had full clinical recovery, and 38% had acceptable outcomes at fixator removal

Sherman

Veterinary Surgery

2

2023

Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

2023-2-VS-sherman-5

Article Title: Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

Journal: Veterinary Surgery

In Deveci 2025 et al., on 3D drill guides, how many screws breached the sacral canal contents?

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Correct. None of the 20 screws breached the canal contents, despite 19 breaching the canal wall (≤ grade 2).
Incorrect. The correct answer is 0.
None of the 20 screws breached the canal contents, despite 19 breaching the canal wall (≤ grade 2).

🔍 Key Findings

  • Objective: Evaluate feasibility and accuracy of 3D-printed patient-specific drill guides for iliosacral screw placement in cadaver dogs.
  • N = 10 canine cadavers (20 hemipelves); screw placement done using fluoroscopic-assisted patient-specific guides (PSG).
  • Median cortical breach grade: 0 (IQR 0–1) for all screws.
    19/20 screws breached sacral canal wall (all ≤ grade 2), but no screws breached canal contents (grade 3).
  • Median trajectory deviation: 0.88° transverse, 0.72° dorsal.
  • Procedure time: Median 7.2 minutes for guide placement and drilling.
  • Conclusions: PSG-assisted screw placement was safe, accurate, and fast, offering clinical potential in pelvic trauma.

Deveci

Veterinary Surgery

2

2025

Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

2025-2-VS-deveci-2

Article Title: Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

Journal: Veterinary Surgery

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