Your Custom Quiz

In Berger 2023 et al., on elbow COR estimation, how did the COR in FMCP elbows compare to normal elbows?

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Correct. CT-based analysis showed that the COR in FMCP elbows shifted caudally compared to normal.
Incorrect. The correct answer is It was more caudal.
CT-based analysis showed that the COR in FMCP elbows shifted caudally compared to normal.

🔍 Key Findings

  • COR of elbows with FMCP was significantly more caudal compared to normal elbows, based on CT-derived geometry.
  • In normal elbows, 74% of medial and 93% of lateral axes exited cranial and distal to the epicondyles.
  • In FMCP elbows, 81% of medial and 70% of lateral axes exited caudal and distal to the epicondyles.
  • Different landmark combinations produced slightly different COR approximations, especially between humeral vs. radius/ulna-based axes.
  • The medial-lateral axis using trochlea and capitulum centers provided the most consistent COR approximation.
  • COR estimations based on diseased elbows may not match normal joint geometry, impacting implant alignment accuracy.
  • External epicondylar landmarks may be useful intraoperatively to estimate COR location, but variability limits precision.
  • Drill diameter size may buffer small COR differences, but impact in advanced disease or bilateral cases remains unclear.

Berger

Veterinary Surgery

1

2023

The use of subchondral bone topography to approximate the center of rotation of the elbow joint in dogs

2023-1-VS-berger-2

Article Title: The use of subchondral bone topography to approximate the center of rotation of the elbow joint in dogs

Journal: Veterinary Surgery

In Thomsen 2024 et al., on CT accuracy for liver tumors, which anatomical level had the highest accuracy?

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Correct. Accuracy was 88% when localizing by division, compared to 74.3% at the lobe level.
Incorrect. The correct answer is Liver division.
Accuracy was 88% when localizing by division, compared to 74.3% at the lobe level.

🔍 Key Findings

  • CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
  • Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
  • Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
  • CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
  • Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
  • No significant associations found between histopathologic diagnosis and localization accuracy
  • Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
  • Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best

Thomsen

Veterinary Surgery

7

2024

Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

2024-7-VS-thomsen-1

Article Title: Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

Journal: Veterinary Surgery

In Scheuermann 2024 et al., on 3D-printed reduction systems, what was the most significant intraoperative imaging difference between 3D-MIPO and c-MIPO groups?

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Correct. The 3D-MIPO group required significantly fewer intraoperative fluoroscopic images (11 vs. 37; p < .001).
Incorrect. The correct answer is Fewer images required in 3D-MIPO.
The 3D-MIPO group required significantly fewer intraoperative fluoroscopic images (11 vs. 37; p < .001).

🔍 Key Findings

  • The study was a historic case-control trial comparing custom 3D-printed VSP-guided MIPO (3D-MIPO) to conventional MIPO (c-MIPO) in dogs with diaphyseal tibial fractures.
  • Surgical time was significantly shorter in the 3D-MIPO group (117 min vs. 151 min; p = .014), and fluoroscopy use was dramatically reduced (11 vs. 37 images; p < .001).
  • All 3D-MIPO reductions were acceptable or near-anatomic; 2 c-MIPO dogs had unacceptable reductions.
  • Tibial length, frontal, and sagittal alignment post-op were similar between groups; no significant difference in anatomic restoration (p > .1).
  • Radiographic union occurred in all dogs by 3 months. Time to union was similar between groups (3D-MIPO: 67 days vs. c-MIPO: 53 days; p = .207).
  • Postoperative complication rate was higher in 3D-MIPO (27% vs. 14%), including 2 major infections requiring implant removal.
  • 3D-MIPO required more pre-op time (~23 hours longer from presentation to surgery; p = .002), partly due to guide printing/sterilization.
  • Improved surgical efficiency and more consistent reductions were noted in the 3D-MIPO group, supporting its clinical utility despite increased pre-op logistics.

Scheuermann

Veterinary Surgery

6

2024

Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study

2024-6-VS-scheuermann2-2

Article Title: Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study

Journal: Veterinary Surgery

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 Muroi 2024 et al., on radius plate stress effects, what FEA result was consistent in both LP 1 mm and 3 mm groups?

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Correct. Maximum principal stress decreased significantly at cranial cortex in both LP groups.
Incorrect. The correct answer is Reduced tensile stress on cranial aspect.
Maximum principal stress decreased significantly at cranial cortex in both LP groups.

🔍 Key Findings Summary

  • Finite element analysis compared intact radii vs. locking plates placed 1 mm or 3 mm above the bone
  • LP placement significantly reduced tensile (maximum principal) stress on cranial cortex, potentially causing implant-induced osteoporosis
  • Shell element findings:
    • Max principal stress significantly lower in both LP groups vs. intact (p < 0.05)
  • Solid element findings:
    • Equivalent stress higher and max principal stress lower in LP groups
  • Implication: Tension reduction may impair bone remodeling; implant design and placement height affect stress environment

Muroi

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

2024-3-VCOT-muroi-4

Article Title: Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Thibault 2023 et al., on DPO for THR luxation, what major limitation of DPO was discussed compared to TPO?

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Correct. DPO reduced ALO less effectively than TPO due to plate design and patient skeletal maturity.
Incorrect. The correct answer is Limited reduction in ALO.
DPO reduced ALO less effectively than TPO due to plate design and patient skeletal maturity.

2023-8-VS-thibault-5

Article Title:

Journal:

In Smith 2025 et al., on ergonomic injury risk, what was the most commonly reported type of musculoskeletal disorder?

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Correct. Neck strain was reported in 35% of WRMD cases, the most frequent condition.
Incorrect. The correct answer is Neck strain.
Neck strain was reported in 35% of WRMD cases, the most frequent condition.

🔍 Key Findings

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

  • Rotating cup biopsy forceps (p < .001)
  • Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

Smith

Veterinary Surgery

2

2025

Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

2025-2-VS-smith-2

Article Title: Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

Journal: Veterinary Surgery

In Cortina 2023 et al., on modified TTT outcomes for MPL in dogs, which implant-related complication occurred long-term and required management?

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Correct. Pin migration was the only long-term major complication (1.3%) and was easily resolved without additional surgery.
Incorrect. The correct answer is Pin migration.
Pin migration was the only long-term major complication (1.3%) and was easily resolved without additional surgery.

🔍 Key Findings

  • m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
  • Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
  • Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
  • Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
  • Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
  • All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
  • Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
  • Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.

Cortina

Veterinary Surgery

5

2023

Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs

2023-5-VS-cortina-2

Article Title: Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs

Journal: Veterinary Surgery

In Mullen 2024 et al., on NIRF for GDV, how did near-infrared imaging alter the surgical plan in affected dogs?

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Correct. NIRF identified additional nonviable tissue and altered the surgeon’s planned margins in 3 of 20 GDV dogs.
Incorrect. The correct answer is It changed resection margins in 3/20 dogs.
NIRF identified additional nonviable tissue and altered the surgeon’s planned margins in 3 of 20 GDV dogs.

🔍 Key Findings

  • NIRF altered surgical strategy in 3 of 20 GDV dogs, identifying necrosis not appreciated subjectively.
  • Fundic fluorescence <10% indicated histologically confirmed gastric necrosis.
  • In 1 dog, NIRF revealed nonviability despite the surgeon’s impression of viability.
  • Staple line fluorescence resembled viable tissue in the only stapled gastrectomy, suggesting preservation of perfusion.
  • GDV dogs (even “viable”) showed lower fluorescence vs. healthy controls, indicating subclinical vascular compromise.
  • Histology confirmed full-thickness necrosis in all 4 dogs with NIRF-defined nonviability.
  • Pre-op lactate was significantly higher in nonviable GDV dogs (8.55 vs 4.89 mmol/L, p=0.03).
  • No complications were reported from ICG use; imaging was safe and repeatable.

Mullen

Veterinary Surgery

4

2024

Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

2024-4-VS-mullen-2

Article Title: Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

Journal: Veterinary Surgery

In Bilmont 2025 et al., on cup version comparison, what was the typical degree of underestimation when using truncated face version to infer open face version?

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Correct. Open face version consistently exceeded truncated face version by 14–22°, depending on inclination and pelvic extension.
Incorrect. The correct answer is 14–22 degrees.
Open face version consistently exceeded truncated face version by 14–22°, depending on inclination and pelvic extension.

🔍 Key Findings

  • Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
  • Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
  • Truncated face version is an unreliable surrogate for open face version.
  • Accurate interpretation of cup version should include both truncated face version and inclination.
  • Canine 3D pelvic model and CT-based simulation used for all measurements.

Bilmont

Veterinary Surgery

1

2025

Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

2025-1-VS-bilmont-1

Article Title: Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

Journal: Veterinary Surgery

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