Your Custom Quiz

In Shetler 2022 et al., on radial head OCD, what feature characterized the OCD lesions arthroscopically?

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Correct. This classic appearance described a partially detached OCD flap.
Incorrect. The correct answer is Discoid elevation of cartilage with a cleft.
This classic appearance described a partially detached OCD flap.

🔍 Key Findings

  • Bilateral radial head OCD lesions were identified in a 6-month-old English Bulldog with elbow lameness.
  • Medial arthroscopic portals allowed only partial visualization of radial head lesions, insufficient for treatment.
  • Lateral arthroscopy portals provided excellent access for fragment removal and abrasion arthroplasty.
  • Histopathology confirmed OCD, showing cartilage degeneration and retained cartilaginous cores.
  • Dog showed complete resolution of lameness and no elbow pain at 5 months post-op.
  • Lesions were caudolateral on the radial head, with discoid elevation of cartilage and clefts.
  • Lateral approach avoids major neurovascular structures, reducing iatrogenic risk.
  • The authors suggest lateral elbow arthroscopy may have broader indications, including for medial compartment disease or synovial biopsies.

Shetler

Veterinary Surgery

8

2022

The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog

2022-8-VS-shetler-3

Article Title: The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog

Journal: Veterinary Surgery

In Weichert 2026 et al., on feline CMF fractures, how commonly were multiple functional systems involved simultaneously?

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Correct. Combined involvement of two or more functional systems (oral cavity, nasal airway, orbit, or neurocranium) occurred in 36 of 48 cats.
Incorrect. The correct answer is 36 of 48 cats.
Combined involvement of two or more functional systems (oral cavity, nasal airway, orbit, or neurocranium) occurred in 36 of 48 cats.

🔍 Key Findings

  • Mandibular fractures were the most common injury, occurring in 40/48 cats, often affecting multiple mandibular regions simultaneously.
  • Temporomandibular joint (TMJ) injuries were frequent, present in 27/48 cats, with 23 fractures and 4 luxations, most commonly involving the condylar process.
  • Maxillofacial fractures involving nasal and palatal structures occurred in 36/48 cats, frequently producing airway obstruction due to fragment displacement or swelling.
  • Orbital fractures occurred in 30/48 cats, predominantly affecting the dorsomedial orbital wall and often associated with nasal airway obstruction.
  • Pterygoid bone fractures (25/48) were clinically important, frequently causing medial displacement and obstruction of the nasopharyngeal airway.
  • Combined involvement of multiple functional systems was common, with 36/48 cats showing concurrent injuries affecting oral cavity and nasal airway function.
  • Neurocranial fractures were uncommon (6/48) but occurred only in cases with severe, multifocal CMF trauma.
  • CT imaging was essential for diagnosis, as many orbital and skull fractures were difficult or impossible to detect clinically.

Weichert

Veterinary and Comparative Orthopaedics and Traumatology

2

2026

Assessment of Fracture Distribution and Involvement of Functional Systems Following Craniomaxillofacial Trauma in 48 Cats

2026-2-vcot-weichert-5

Article Title: Assessment of Fracture Distribution and Involvement of Functional Systems Following Craniomaxillofacial Trauma in 48 Cats

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Saitoh 2025 et al., on CTS stabilization, which of the following was used in the majority of stabilization procedures?

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Correct. 8 of 12 dogs underwent synthetic ligament reconstruction as the primary repair method.
Incorrect. The correct answer is Synthetic ligament reconstruction.
8 of 12 dogs underwent synthetic ligament reconstruction as the primary repair method.

🔍 Key Findings

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

  • 3 dogs = primary ligamentous repair
  • 8 dogs = synthetic ligament reconstruction
  • 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

  • All 10 dogs had improved or resolved lameness.
  • All 5 farm dogs returned to work (most at full or substantial capacity).
  • Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

Saitoh

Veterinary Surgery

1

2025

Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

2025-1-VS-saitoh-5

Article Title: Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

Journal: Veterinary Surgery

In Mihara 2024 et al., on mitral valve repair in dogs, what postoperative change supported improved forward flow?

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Correct. Forward stroke volume index significantly increased from 1.5 to 2.3 mL/kg.
Incorrect. The correct answer is Increased stroke volume index.
Forward stroke volume index significantly increased from 1.5 to 2.3 mL/kg.

🔍 Key Findings

  • Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
  • MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
  • Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
  • Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
  • Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
  • The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
  • Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.

Mihara

Veterinary Surgery

3

2024

Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

2024-3-VS-mihara-5

Article Title: Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

Journal: Veterinary Surgery

In Clayton 2026 et al., on feline bandage complications, which statement best describes the distribution of complication severity?

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Correct. The majority of complications were mild (64.4%), typically superficial skin issues or bandage management problems that required little or no treatment.
Incorrect. The correct answer is Most complications were mild and required no treatment.
The majority of complications were mild (64.4%), typically superficial skin issues or bandage management problems that required little or no treatment.

🔍 Key Findings

  • Bandage-associated complications occurred in 68.4% of cats (104/152) following clean orthopaedic procedures, highlighting the high risk of postoperative coaptation complications in feline patients.
  • Most complications were mild (64.4%), while 32.7% were moderate and 2.9% severe, indicating that although common, severe outcomes are relatively rare.
  • Use of a splint significantly increased complication severity, with splinted cats 3.42× more likely to develop moderate or severe complications (p = 0.012).
  • Complication incidence was not significantly influenced by bandage duration, limb involved, injury location, or professional role of the bandage applier.
  • The most common complications were soiled/wet bandages (34.6%), skin irritation (31.7%), bandage slippage (30.8%), pressure sores (29.8%), chewing (20.2%), and toe swelling (19.2%).
  • Distal pelvic limb injuries (tarsus and distal) showed the highest proportion of complications (81.5%), suggesting distal limb bandaging in cats carries greater risk.
  • Bandages were most commonly applied after osteosynthesis procedures, but procedure type was not associated with complication occurrence (p = 0.720).
  • Findings support cautious use of postoperative bandaging in cats, particularly splinted bandages, and emphasize vigilant monitoring and careful case selection.

Clayton

Veterinary and Comparative Orthopaedics and Traumatology

2

2026

Incidence of Bandage-Associated Complications in Cats following Clean Orthopaedic Procedures: A Retrospective Study of 152 Cases

2026-2-vcot-clayton-5

Article Title: Incidence of Bandage-Associated Complications in Cats following Clean Orthopaedic Procedures: A Retrospective Study of 152 Cases

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Jones 2024 et al., on surgical technique mortality, what was the overall in-hospital mortality rate for dogs undergoing BOAS surgery?

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Correct. The study documented a 4.0% in-hospital mortality rate (24/606 dogs).
Incorrect. The correct answer is 4.0%.
The study documented a 4.0% in-hospital mortality rate (24/606 dogs).

🔍 Key Findings

  • Study compared 606 dogs (English Bulldogs, French Bulldogs, Pugs) undergoing partial staphylectomy via CO₂ laser, bipolar vessel sealing device (BVSD), or conventional incision.
  • Mortality rate: 4.0% (24/606).
  • BVSD was associated with significantly increased perioperative mortality compared to other methods (OR = 6.0, 95% CI: 1.3–28.4, p = .023).
  • High-grade laryngeal collapse (stage II or III) independently increased mortality risk (OR = 4.6, 95% CI: 1.8–11.8, p = .002).
  • No difference in mortality between CO₂ laser and conventional incision techniques.
  • CO₂ laser and conventional techniques had similar complication rates.

Jones

Veterinary Surgery

1

2024

Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

2024-1-VS-jones-2

Article Title: Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

Journal: Veterinary Surgery

In Viskjer 2026 et al., on SDFT luxation surgery, which postoperative management strategy was intentionally omitted in most cases?

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Correct. A major goal of the study was to challenge the perceived need for postoperative tarsal immobilization.
Incorrect. The correct answer is Tarsal joint immobilization with rigid coaptation.
A major goal of the study was to challenge the perceived need for postoperative tarsal immobilization.

🔍 Key Findings

  • Modified block recession calcaneoplasty restored full clinical function in all dogs (11 limbs in 9 dogs) at long-term follow-up.
  • Objective gait function improved significantly, with symmetry index improving from 0.20 ± 0.13 preoperatively to 0.05 ± 0.03 at long-term follow-up (p = .03).
  • No routine postoperative tarsal immobilization was used, yet stable tendon positioning and excellent outcomes were achieved in most cases.
  • Overall complication rate was 45%, including 18% major complications requiring revision surgery and 27% minor complications.
  • Only one reluxation occurred, secondary to fracture of an overly narrow medial calcaneal wall; successful revision prevented further recurrence.
  • CT confirmed persistent deepening of the calcaneal groove and uneventful healing with variable osseous remodeling at long-term follow-up.
  • Ultrasonography demonstrated normalization of tendon fiber architecture at long-term evaluation despite heterogeneous appearance in many tendons at 6 weeks.
  • Most dogs were Shetland Sheepdogs (8/9), supporting breed predisposition, and all luxations were lateral.

Viskjer

Veterinary Surgery

4

2026

Surgical management of luxation of the superficial digital flexor muscle tendon (SDFT) using a modified block recession calcaneoplasty without subsequent tarsal joint immobilization

2026-4-vs-viskjer-2

Article Title: Surgical management of luxation of the superficial digital flexor muscle tendon (SDFT) using a modified block recession calcaneoplasty without subsequent tarsal joint immobilization

Journal: Veterinary Surgery

In Grimes 2022 et al., on PDA rupture risks, what was the overall mortality rate following surgical PDA ligation?

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Correct. Only one dog died postoperatively, yielding a 0.4% mortality rate.
Incorrect. The correct answer is 0.4%.
Only one dog died postoperatively, yielding a 0.4% mortality rate.

🔍 Key Findings

  • Rupture occurred in 7.0% of dogs undergoing surgical PDA ligation (20/285).
  • Overall mortality was low (0.4%), with only one death occurring post-rupture.
  • Residual flow occurred in 9.4% of dogs; significantly more common in dogs with rupture.
  • Residual flow odds were not increased when ligation was successfully performed despite rupture.
  • No significant associations between rupture and age, weight, suture size, or dissection technique.
  • Jackson-Henderson and intrapericardial techniques were helpful in managing rupture or fibrosis.
  • Major complications (non-rupture) were rare (1.4%), including pulmonary artery ligation and cardiac arrest.
  • Surgeon preparedness (e.g., hemostatic tools, alternate techniques) was key to successful outcomes.

Grimes

Veterinary Surgery

4

2022

Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

2022-4-VS-grimes-3

Article Title: Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

Journal: Veterinary Surgery

In Eiger 2024 et al., on NIRFA-ICG in axial flaps, what was the typical direction of margin adjustment surgeons made after viewing NIRFA-ICG images?

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Correct. Surgeons most often shortened flaps and reduced area after visualizing perfusion zones with NIRFA.
Incorrect. The correct answer is Shortening flap length and decreasing area.
Surgeons most often shortened flaps and reduced area after visualizing perfusion zones with NIRFA.

🔍 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-5

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 Duffy 2022 et al., on barbed suture oversew, which repair method demonstrated the **shortest completion time** during oversew of the transverse staple line?

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Correct. Barbed suture repairs were ~18% faster than monofilament; unidirectional suture had the shortest average time.
Incorrect. The correct answer is FEESA with unidirectional barbed suture oversew.
Barbed suture repairs were ~18% faster than monofilament; unidirectional suture had the shortest average time.

🔍 Key Findings

  • Oversewing the transverse staple line using barbed suture showed no difference in initial (ILP) or maximum leakage pressure (MLP) compared to monofilament suture (p = .439 and .644).
  • Barbed suture repairs were ~18% faster (25 seconds faster; p < .001) than monofilament suture.
  • No difference was found between unidirectional and bidirectional barbed sutures in leakage resistance or repair time (p = .697).
  • Mean ILP and MLP were significantly higher in control jejunal segments (6.6x and 5.1x greater respectively; p < .001).
  • Leakage consistently occurred at the crotch of the FEESA in all oversew groups (>80%), not the staple line.
  • All oversewn techniques leaked at supraphysiologic pressures, indicating clinical safety against in vivo leakage.
  • No leakage was observed from barbed suture holes, addressing concerns of tissue trauma due to barb design.
  • The study supports barbed suture as a viable alternative to conventional monofilament suture for FEESA oversew in dogs.

Duffy

Veterinary Surgery

5

2022

Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

2022-5-VS-duffy-1

Article Title: Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

Journal: Veterinary Surgery

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