Your Custom Quiz

In Huels 2025 et al., on second-generation screw cup THA, what was the primary functional outcome observed in dogs following SCSL THA?

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Correct. 26 out of 30 hips had full functional recovery, including one revised for stem subsidence.
Incorrect. The correct answer is Full recovery in most hips.
26 out of 30 hips had full functional recovery, including one revised for stem subsidence.

🔍 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-5

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 McNamara 2022 et al., on transoral endoscopic arytenopexy, which of the following best describes the tissue fixation performed during TEA?

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Correct. TEA involved suturing arytenoid soft tissues (not cartilage) to pharyngeal wall across the piriform recess.
Incorrect. The correct answer is Suturing of arytenoid soft tissue to piriform recess.
TEA involved suturing arytenoid soft tissues (not cartilage) to pharyngeal wall across the piriform recess.

🔍 Key Findings

  • TEA significantly increased the rima glottis area (RGA) from a mean of 0.52 cm³ to 0.78 cm³ (p < .0001)
  • Mean RGA increased by 157%, equivalent to an 84% estimated decrease in airway resistance
  • LEGS (laryngeal epiglottic-glottic seal) remained intact in all cadavers post-procedure, indicating maintained airway protection
  • TEA was technically feasible in all 15 cadaveric dogs using a custom endoscopic gag port (EGP)
  • TEA avoids cervical dissection, potentially reducing surgical trauma and risks compared to UAL (unilateral arytenoid lateralization)
  • Compared to UAL, TEA showed slightly less RGA increase, but greater LEGS preservation, potentially reducing aspiration risk
  • No cartilage was included in sutures; arytenopexy involved soft tissue fixation to pharyngeal wall across the piriform recess
  • Cadaver model limitations include inability to assess functional outcomes like swallowing and respiratory motion impact

McNamara

Veterinary Surgery

7

2022

Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers

2022-7-VS-mcnamara-3

Article Title: Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers

Journal: Veterinary Surgery

In McCarthy 2022 et al., on 3D drill guide accuracy, what was the primary finding regarding drill angle deviation in the 3D-GDT group versus FHDT?

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Correct. 3D-GDT significantly reduced deviation in both planes, supporting increased accuracy.
Incorrect. The correct answer is Craniocaudal and dorsoventral angles were significantly lower with 3D-GDT.
3D-GDT significantly reduced deviation in both planes, supporting increased accuracy.

🔍 Key Findings

  • 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
  • No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
  • 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
  • Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
  • 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
  • 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
  • Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
  • The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.

McCarthy

Veterinary Surgery

1

2022

Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

2022-1-VS-mccarthy-1

Article Title: Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

Journal: Veterinary Surgery

In Marti 2024 et al., on surgical outcomes in feline sialoceles, what was the reported recurrence rate after surgical treatment?

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Correct. No cats experienced recurrence or contralateral lesion formation during the follow-up period.
Incorrect. The correct answer is 0%.
No cats experienced recurrence or contralateral lesion formation during the follow-up period.

🔍 Key Findings

  • Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
  • Left-sided lesions were more prevalent (71%) among affected cats.
  • Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
  • Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
  • Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
  • Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
  • One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
  • Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.

Marti

Veterinary Surgery

7

2024

Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)

2024-7-VS-marti-2

Article Title: Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)

Journal: Veterinary Surgery

In Allaith 2023 et al., on THR outcomes, which implant system was used most frequently across the 10-year registry period?

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Correct. Kyon implants were used in 46% of THRs, making them the most frequently used implant system in the registry.
Incorrect. The correct answer is Kyon.
Kyon implants were used in 46% of THRs, making them the most frequently used implant system in the registry.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

  • 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
  • Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
  • Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
  • Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
  • Most common complications: Luxation, femoral fracture, and aseptic loosening.
  • BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
  • Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
  • Owner satisfaction was high, with 88% rating outcome as very good or good.

Allaith

Veterinary Surgery

2

2023

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

2023-2-VS-allaith-5

Article Title: Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

Journal: Veterinary Surgery

In Espinel Rupérez 2023 et al., on hip toggle stabilization, what was a major cause of technique deviation?

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Correct. This was a common deviation; though implant positions were ideal, 8 major deviations were noted—all in the femoral tunnel.
Incorrect. The correct answer is Femoral tunnel exit outside fovea capitis.
This was a common deviation; though implant positions were ideal, 8 major deviations were noted—all in the femoral tunnel.

🔍 Key Findings

  • Arthroscopic-assisted hip toggle stabilization (AA-HTS) was successfully completed in all 14 feline cadaver joints.
  • Femoral and acetabular tunnel creation was feasible in all cases, though femoral tunnel placement had a higher rate of deviations.
  • Intraoperative complications occurred in 5/14 joints, mostly related to femoral tunnel creation and toggle lodging.
  • Minor articular cartilage injury (<10% total cartilage area) occurred in 10/14 joints, but no injury to neurovascular or intrapelvic structures.
  • Thirteen surgical technique deviations (8 major, 5 minor) were identified in 7 joints, all involving the femoral tunnel.
  • Toggle passage through the femoral tunnel was the most challenging step, being mildly difficult in 6 joints.
  • Postoperative CT and gross dissection confirmed all toggles and buttons were in correct position, without damage to major surrounding structures.
  • No deviations, complications, or cartilage injuries occurred in the last 4 joints, suggesting a learning curve effect.

Espinel Rupérez

Veterinary Surgery

6

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-6-VS-espinel-5

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

In Burton 2025 et al., on antebrachial conformation, what is a proposed biomechanical consequence of increased PRUDA?

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Correct. Increased PRUDA may produce divergent force vectors during weightbearing, stressing the humeral condyle.
Incorrect. The correct answer is Increased distraction at the capitulotrochlear boundary.
Increased PRUDA may produce divergent force vectors during weightbearing, stressing the humeral condyle.

🔍 Key Findings

  • PRUDA (proximal radio-ulnar divergence angle) and UCORA (ulnar center of rotation of angulation) were significantly greater in Cocker Spaniels with HIF vs those without.
  • PRUDA (p < .001): Group 1 (HIF) vs Group 2 & 3.
  • UCORA (p = .036): Group 1 vs Group 3.
  • Other angles (MPRA, LDRA, PCRA, DCRA, torsion) showed no significant differences.
  • Increased PRUDA and UCORA may lead to divergent load vectors across the humeral condyle, potentially predisposing to stress fracture (HIF).
  • Measurement techniques using CT-based 3D reconstructions were reliable (intraobserver ICC > 0.84).

Burton

Veterinary Surgery

4

2025

Antebrachial conformation in Cocker Spaniels with and without humeral intracondylar fissure

2025-4-VS-burton-5

Article Title: Antebrachial conformation in Cocker Spaniels with and without humeral intracondylar fissure

Journal: Veterinary Surgery

In Giansetto 2022 et al., on preputial urethrostomy, which key benefit did the novel surgical technique provide over traditional prepubic urethrostomy?

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Correct. The internal anastomosis via the prepuce avoided contact with skin, reducing urine-induced complications.
Incorrect. The correct answer is Eliminated urine dribbling and skin scalding.
The internal anastomosis via the prepuce avoided contact with skin, reducing urine-induced complications.

🔍 Key Findings

  • Modified preputial urethrostomy without penile amputation was successfully performed in 4 male dogs with urethral stenosis or trauma.
  • The technique involved anastomosis of the pelvic urethra to the preputial mucosa via caudal celiotomy, avoiding perineal urethrostomy complications.
  • No cases of skin scalding or stoma stenosis were reported during short- and long-term follow-up.
  • Two dogs developed mild urinary incontinence, particularly when excited; one improved with phenylpropanolamine.
  • The approach preserved local anatomy, avoiding penile amputation, osteotomies, and preputial dissection.
  • Postoperative urinary catheterization was used to protect the anastomosis, although optimal duration remains debated.
  • Surgical access via the linea alba minimized tension at the anastomosis site and avoided complications from paramedian approaches.
  • This technique may serve as a viable alternative to prepubic urethrostomy, reducing urine-related skin complications and improving cosmetic outcome.

Giansetto

Veterinary Surgery

8

2022

Preputial urethrostomy with preservation of the local anatomy in 4 dogs

2022-8-VS-giansetto-1

Article Title: Preputial urethrostomy with preservation of the local anatomy in 4 dogs

Journal: Veterinary Surgery

In Barnes 2024 et al., on knot performance, which was a notable disadvantage of the double forwarder knot?

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Correct. The DF knot had significantly greater volume and weight compared to SQ/SU knots at the same throw count.
Incorrect. The correct answer is Higher knot volume and weight.
The DF knot had significantly greater volume and weight compared to SQ/SU knots at the same throw count.

🔍 Key Findings

  • Double forwarder (DF) knots had significantly higher knot holding capacity (KHC) than square (SQ) and surgeon’s (SU) knots when tied with <6 throws.
  • In 3 USP polyglactin 910, DF knots with 4–5 throws were not significantly stronger than SU knots with 6–8 throws (p > .43).
  • DF knots never unraveled, while SQ and SU knots with 4–5 throws showed substantial unraveling.
  • KHC did not increase in DF knots when throws increased from 3 to 5.
  • Knot volume and weight were significantly higher in DF knots than SQ/SU knots at the same throw count (p < .003).
  • DF knots allow sliding placement, potentially useful in minimally invasive or deep cavity procedures.

Barnes

Veterinary Surgery

2

2024

Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture

2024-2-VS-barnes-4

Article Title: Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture

Journal: Veterinary Surgery

In Devriendt 2022 et al., on EHPSS blood testing, which single test had the highest **specificity** for confirming shunt closure after surgery?

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Correct. FA had 100% specificity, making it the most specific single test to confirm shunt closure.
Incorrect. The correct answer is Fasting ammonia (FA).
FA had 100% specificity, making it the most specific single test to confirm shunt closure.

🔍 Key Findings

  • Fasting ammonia (FA) was the most specific test (100%) for confirming EHPSS closure postoperatively.
  • Serum hyaluronic acid (SHA) and MEGX at 15 minutes post-lidocaine were the most sensitive tests (96.9% and 96.2%, respectively).
  • SHA combined with MEGX T15, or with FA or postprandial serum bile acids (SBA), provided 100% sensitivity with good specificity (72.4–82.8%).
  • SHA levels remained elevated in all dogs with persistent shunting, even when other tests were normal.
  • Paired SBA had moderate sensitivity (90%) and variable specificity (89%).
  • The L/MEGX test at 30 min was less useful than at 15 min for assessing closure.
  • Traditional SBA testing showed reduced utility postoperatively; normal values did not rule out persistent shunting.
  • Blood tests improved when combined, but imaging remains essential to definitively confirm EHPSS closure.

Devriendt

Veterinary Surgery

7

2022

Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment

2022-7-VS-devriendt-1

Article Title: Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment

Journal: Veterinary Surgery

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