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In Alvarez 2022 et al., on rehabilitation modalities, which therapy showed consistent positive outcomes in two Level II studies with low risk of bias?

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Correct. CCT was the only modality supported by two Level II, low RoB studies showing pain relief, improved ROM, and reduced swelling.
Incorrect. The correct answer is Cold compression therapy.
CCT was the only modality supported by two Level II, low RoB studies showing pain relief, improved ROM, and reduced swelling.

🔍 Key Findings

  • Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
  • Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
  • Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
  • Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
  • Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
  • Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
  • No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
  • The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.

Alvarez

Veterinary Surgery

2

2022

Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

2022-2-VS-alvarez-2

Article Title: Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

Journal: Veterinary Surgery

In Cabreira 2026 et al., on dorsal AAI implant, what was the maximum stress recorded in the implant during finite element testing?

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Correct. The peak stress was 425 MPa, which remained below the titanium alloy yield strength of 880 MPa, indicating no predicted failure.
Incorrect. The correct answer is 425 MPa.
The peak stress was 425 MPa, which remained below the titanium alloy yield strength of 880 MPa, indicating no predicted failure.

🔍 Key Findings

  • A patient-specific dorsal implant for atlantoaxial stabilization was developed using CT-based 3D modeling, enabling customized implant design and safe screw trajectory planning.
  • The implant accommodates six 1.7-mm bicortical locking screws, including two transarticular screws plus two screws in each vertebra (atlas lateral masses and axis lamina/spinous base).
  • The implant also functions as a drilling guide, allowing the screw-head housing to accept a threaded drill guide that ensures accurate drilling along predefined safe corridors.
  • An opening around the C1–C2 intervertebral foramen was incorporated to avoid injury to the C2 nerve root during dorsal instrumentation.
  • Finite element analysis evaluated implant behavior under flexion, extension, lateral flexion, and torsion using loads of 50 N (physiologic) and 107 N (supraphysiologic).
  • Maximum stress occurred during lateral flexion with axis fixation (425 MPa), which remained well below the titanium alloy yield strength of 880 MPa, indicating no mechanical failure.
  • Maximum implant displacement was minimal (0.13 mm), far less than the approximately 2 mm movement of the intact atlantoaxial joint under physiologic loading.
  • The implant design demonstrated adequate rigidity and mechanical safety in simulation, suggesting potential to improve dorsal stabilization while avoiding complications associated with PMMA constructs.

Cabreira

Veterinary and Comparative Orthopaedics and Traumatology

1

2026

Development and Finite Element Analysis of a Patient-Specific Implant for Atlantoaxial Joint Stabilization via Dorsal Approach in Dogs

2026-1-vcot-cabreira-4

Article Title: Development and Finite Element Analysis of a Patient-Specific Implant for Atlantoaxial Joint Stabilization via Dorsal Approach in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Eiger 2024 et al., on NIRFA-ICG in axial flaps, which flap had the highest visibility score (VFP 4) across all surgeons?

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Correct. 97% of CSE flap observations scored VFP 4/4, indicating the highest clarity using NIRFA-ICG.
Incorrect. The correct answer is Caudal superficial epigastric (CSE).
97% of CSE flap observations scored VFP 4/4, indicating the highest clarity using NIRFA-ICG.

🔍 Key Findings

  • Caudal superficial epigastric (CSE) flaps were most visible with NIRFA, scoring 4/4 VFP in 97% of evaluations.
  • CSE flap margins were altered in 65% of observations after NIRFA, showing the strongest influence on surgical planning.
  • Thoracodorsal (THO) and omocervical (OMO) flaps had lower visualization scores, with 60–81% of images scoring below 2.
  • Surgeons were 17–25 times more likely to adjust margins for CSE flaps versus OMO or THO based on fluorescence imaging.
  • Poor inter-rater agreement was found for OMO (ICC 0.49) and THO (ICC 0.35); CSE had near-perfect agreement, but ICC was low due to uniform high scoring.
  • Visualization was affected by flap depth and panniculus, making deeper vessels (OMO, THO) harder to see.
  • Surgeons often shortened flap length and reduced flap area when modifying based on NIRFA results.
  • Real-time angiosome visualization via NIRFA-ICG may reduce necrosis risk and improve patient-specific APF design.

Eiger

Veterinary Surgery

6

2024

Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

2024-6-VS-eiger-1

Article Title: Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

Journal: Veterinary Surgery

In Huels 2025 et al., on second-generation screw cup THA, what was the most common major complication encountered in this THA case series?

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Correct. Three stem fractures occurred in a single dog, making it the most frequent major complication.
Incorrect. The correct answer is Stem fracture.
Three stem fractures occurred in a single dog, making it the most frequent major complication.

🔍 Key Findings

  • Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
  • Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
  • No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
  • Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
  • Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
  • Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
  • Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
  • Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.

Huels

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

2025-2-VCOT-huels-4

Article Title: Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Boullenger 2025 et al., on traumatic patellar luxation, what was the most common grade of luxation reported at presentation?

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Correct. Grade 3 PL was most common, consistent across both dogs and cats.
Incorrect. The correct answer is Grade 3.
Grade 3 PL was most common, consistent across both dogs and cats.

🔍 Key Findings

  • Patients: 16 (11 dogs, 5 cats); 6.1% of canine and 23.8% of feline PL cases were traumatic.
  • Most common luxation direction: Medial (81.3%).
  • Surgery: All had capsular imbrication; 75% had fabello-patellar suture (FPS).
  • Short-term results (13/16 cases):
    • 77% had no lameness by 2 months.
    • 85% had no PL recurrence.
    • 3 severe complications: capsulorrhaphy tear, FPS fabellar tear, septic arthritis.
  • Long-term results (13/16 cases):
    • 85% lameness-free.
    • 77% full function; 23% acceptable.
    • 0 reluxations reported by owners.

Boullenger

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022

2025-1-VC-boullenger-2

Article Title: Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Mullen 2023 et al., on microvascular perfusion, why was the green TA (4.8 mm) cartridge selected for stapled enterectomies?

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Correct. The green TA cartridge matched canine small intestinal thickness (approx. 2.5 mm), supporting its appropriate use.
Incorrect. The correct answer is It matches canine intestinal thickness more closely.
The green TA cartridge matched canine small intestinal thickness (approx. 2.5 mm), supporting its appropriate use.

🔍 Key Findings

  • Microvascular density at the site of foreign body obstruction was significantly lower in obstructed dogs compared to healthy controls.
  • PBR (perfused boundary region) was paradoxically lower in obstructed dogs, indicating that PBR may not reliably correlate with tissue viability in this context.
  • No significant difference in microvascular perfusion between subjectively viable vs nonviable intestines, suggesting subjective assessment is unreliable.
  • No difference in perfusion parameters between handsewn and stapled enterectomies, indicating both techniques preserve vascular health equally.
  • Stapled enterectomy using green TA staples is safe and did not impair intestinal perfusion at the anastomosis site.
  • SDF videomicroscopy is feasible intraoperatively and can differentiate healthy from diseased intestine in dogs.
  • Surgeons' subjective evaluations led to potentially unnecessary enterectomies, as microvascular parameters did not differ.
  • No cases of dehiscence or mortality, suggesting both surgical approaches are effective when applied properly.

Mullen

Veterinary Surgery

4

2023

A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health

2023-4-VS-mullen-5

Article Title: A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health

Journal: Veterinary Surgery

In Mazdarani 2025 et al., on simulated muscle loading, which fixation model produced the most physiologic quadriceps forces?

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Correct. Model 3 preserved near-physiologic quadriceps loads with improved reproducibility over Model 1.
Incorrect. The correct answer is Model 3 (flexion-extension hip mobility).
Model 3 preserved near-physiologic quadriceps loads with improved reproducibility over Model 1.

🔍 Key Findings

  • Simulated quadriceps and gastrocnemius forces increased proportionally with axial load in all three femoral fixation models.
  • Model 2 (rigid fixation) resulted in subphysiologic quadriceps forces and abnormally high gastrocnemius forces, reducing model fidelity.
  • Models 1 and 3 (with hip mobility) produced more physiologic quadriceps and force ratios, especially under 30–40% bodyweight loads.
  • Force ratios were significantly lower in rigid fixation (Model 2) compared to hip-mobile models (p = .007), suggesting model design affects simulated muscle coordination.
  • Joint angles (stifle and hock) remained within acceptable limits, though slight flexion occurred with increasing load.
  • Relative foot position differed by ~3.9 mm between models 2 and 3, with model 2 showing a more caudal position.
  • Model 3 preserved benefits of hip mobility while allowing radiographic documentation, making it a preferred setup for future studies.
  • The study suggests that models used in feline stifle stabilization research may underestimate physiologic forces, especially with rigid fixation designs.

Mazdarani

Veterinary Surgery

5

2025

Proximal femoral fixation method and axial load affect simulated muscle forces in an ex vivo feline limb press

2025-5-VS-mazdarani-1

Article Title: Proximal femoral fixation method and axial load affect simulated muscle forces in an ex vivo feline limb press

Journal: Veterinary Surgery

In Levine 2025 et al., on thoracoscopic pericardiectomy, which approach avoided the need for one-lung ventilation?

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Correct. ILR enabled bilateral ventilation and avoided the need for OLV.
Incorrect. The correct answer is Intercostal in left lateral recumbency (ILR).
ILR enabled bilateral ventilation and avoided the need for OLV.

🔍 Key Findings

Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)

Approaches:

  • ILR = Intercostal in Left Lateral Recumbency (no OLV required)
  • PDR = Paraxiphoid in Dorsal Recumbency (traditional)

Outcomes:

  • Pericardiectomy time was shorter for ILR (p = .045)
  • Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
  • Visibility and cardiac exposure were superior in PDR group

Feasibility:

  • ILR approach was consistently successful in achieving partial pericardiectomy
  • Bilateral ventilation was adequate; no need for OLV

Clinical relevance:

  • ILR may improve efficiency when paired with TDL
  • PDR remains preferable for cases requiring maximal pericardial resection

Levine

Veterinary Surgery

1

2025

Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

2025-1-VS-levine-2

Article Title: Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

Journal: Veterinary Surgery

In Bresciani 2022 et al., on modified urethrostomy outcomes, what complication required surgical revision in 2 cats?

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Correct. Weight gain led to abdominal fat and skin folds occluding the stoma, requiring surgical correction.
Incorrect. The correct answer is Skin fold obstruction from weight gain.
Weight gain led to abdominal fat and skin folds occluding the stoma, requiring surgical correction.

🔍 Key Findings

  • Modified prepubic urethrostomy (mPPU) was effective for managing proximal urethral obstructions in male cats.
  • All 8 cats regained voluntary urination within 24 hours postoperatively.
  • Early urinary incontinence and peristomal dermatitis occurred in all cats but were self-limiting.
  • Two cats (25%) required surgical revision due to stomal obstruction from weight gain and abdominal fat.
  • No intraoperative complications were reported in any of the 8 cats.
  • Follow-up (13–84 months) showed sustained urinary continence and owner satisfaction in all cases.
  • The rectus abdominis muscle tunnel likely increased outflow resistance, minimizing persistent incontinence.
  • Recurrent hematuria and dysuria occurred in 3 cats but were managed conservatively.

Bresciani

Veterinary Surgery

2

2022

Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats

2022-2-VS-bresciani-4

Article Title: Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats

Journal: Veterinary Surgery

In Cinti 2026 et al., on feline caudal axial flaps, how many cats required surgical revision to manage complications?

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Correct. Although complications occurred, all were minor and none required revision surgery.
Incorrect. The correct answer is None.
Although complications occurred, all were minor and none required revision surgery.

🔍 Key Findings

  • The lateral caudal axial pattern flap was successfully used to reconstruct caudodorsal trunk defects in cats, most commonly following tumor excision (85.7%).
  • Mean flap length was 61.3% of tail length, aligning with canine recommendations of ~60–78% to reduce distal necrosis risk.
  • Postoperative complications occurred in 50% of cats, although many experienced more than one minor complication.
  • Most common complications were partial flap dehiscence, seroma, and edema (each 14.2%).
  • Uncomplicated healing occurred in 57.1% of cats, while the remaining 42.8% had only minor complications not requiring surgical revision.
  • No cats required revision surgery for complications, indicating acceptable clinical outcomes despite the moderate complication rate.
  • Seromas resolved spontaneously despite the routine use of active drains, suggesting they may be a relatively common but minor complication.
  • Local tumor control was achieved in 83.3% of cats undergoing tumor excision, with a median follow-up of 135 days.

Cinti

Veterinary Surgery

2

2026

Outcome and complications of lateral caudal axial pattern flap in 14 cats

2026-2-vs-cinti-5

Article Title: Outcome and complications of lateral caudal axial pattern flap in 14 cats

Journal: Veterinary Surgery

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