Your Custom Quiz

In Whyte 2025 et al., on cannulated screw fixation, what factor was significantly associated with an increased risk of screw breakage?

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Correct. Heavier dogs (>20 kg) had a statistically significant association with screw breakage.
Incorrect. The correct answer is Body weight over 20 kg.
Heavier dogs (>20 kg) had a statistically significant association with screw breakage.

🔍 Key Findings

Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%

  • Major complication: Most common was screw breakage

Significant risk factor for screw breakage:

  • Body weight >20 kg (statistically significant)

Breed distribution:

  • Spaniels, especially English Springer Spaniels, were most common

No mention of plate augmentation as standard in this cohort

Whyte

Veterinary Surgery

2

2025

Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

2025-2-VS-whyte-4

Article Title: Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

Journal: Veterinary Surgery

In Duvieusart 2025 et al., on lung lobectomy approaches, what conclusion was drawn about stapler success across techniques?

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Correct. Staplers successfully completed lobectomies in all cases; no group differences noted in success.
Incorrect. The correct answer is Similar across all groups.
Staplers successfully completed lobectomies in all cases; no group differences noted in success.

🔍 Key Findings

  • Study Design: Canine cadaveric study comparing intercostal thoracotomy (ICT), median sternotomy (MS), and transdiaphragmatic with caudal median sternotomy (TDCM) for accessory lung lobectomy (ALL).
  • Main Outcomes:
    • Exposure Area: TDCM (193.5 cm²) > MS (106.5 cm²) > ICT (73.5 cm²) (p = .01).
    • TDCM provided significantly greater exposure than MS (p = .02) and ICT (p = .02); MS > ICT (p = .04).
    • Surgical Time: No significant difference (p = .06).
    • Lobe Excision (% by weight/surface area): No significant difference between groups (p = .4).
    • Staple Line Leak: Leak at ≤40 cmH₂O in 2/4 ICT, 0/4 MS, 0/4 TDCM (p = .09).
  • Complications:
    • 1/4 MS cases had iatrogenic damage to an adjacent lobe.
  • Technical Insights:
    • TDCM approach allowed immediate visualization of all three parts of the right pulmonary ligament.
    • The TDCM approach offers improved access without requiring en bloc removal with the right caudal lobe.
  • Conclusion: The TDCM approach provides improved exposure for ALL lobectomy with no increase in surgical time or complications relative to other approaches.

Duvieusart

Veterinary Surgery

1

2025

Comparison of three approaches for accessory lung lobectomy in the canine cadaveric model: Intercostal thoracotomy, median sternotomy, and a transdiaphragmatic approach combined with caudal median sternotomy

2025-1-VS-duvieusart-4

Article Title: Comparison of three approaches for accessory lung lobectomy in the canine cadaveric model: Intercostal thoracotomy, median sternotomy, and a transdiaphragmatic approach combined with caudal median sternotomy

Journal: Veterinary Surgery

In Bae 2025 et al., on SI screw orientation, which parameter did NOT differ significantly among groups?

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Correct. Moment arm measurements showed no significant differences (p = .82), ensuring fair comparison of torque outcomes.
Incorrect. The correct answer is Moment arm.
Moment arm measurements showed no significant differences (p = .82), ensuring fair comparison of torque outcomes.

🔍 Key Findings

  • Ex vivo study using 24 canine cadaver pelves to test screw thread direction in SI luxation.
  • Four groups: RhRSI, RhLSI, LhRSI, LhLSI.
  • Right-handed screws on right side (RhRSI) had 313% higher torque and 274% higher load vs left side (p < .01).
  • Left-handed screws on left side (LhLSI) had 198% higher torque and 195% higher load vs right side (p < .03).
  • All failures occurred due to rotation, with no screw breakage or fractures.
  • Body weight and moment arm were similar across groups.
  • Clinical implication: Use of screw matching handedness to luxation side improves stability.

Bae

Veterinary Surgery

2

2025

Effect of thread direction on rotational stability in lag​-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs

2025-2-VS-bae-4

Article Title: Effect of thread direction on rotational stability in lag​-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs

Journal: Veterinary Surgery

In Campbell 2026 et al., on septic peritonitis surgery, what was noted about postoperative use of closed-suction drains in dogs with SP?

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Correct. Although nosocomial infections were noted, survival ranged widely and was not clearly affected.
Incorrect. The correct answer is They had survival rates ranging from 52–100%.
Although nosocomial infections were noted, survival ranged widely and was not clearly affected.

🔍 Key Findings

  • Peritoneal effusion cytology remains the most rapid and reliable diagnostic for SP; detection of intracellular bacteria is highly specific (100%) and sensitive in dogs and cats.
  • Blood-effusion glucose difference >20 mg/dL has 100% sensitivity and specificity for SP in both dogs and cats, but point-of-care glucometers may falsely elevate effusion glucose.
  • Preoperative stapled intestinal anastomoses have lower dehiscence rates than handsewn in dogs with SP in some studies, especially in unstable patients.
  • Fluorescent angiography may outperform visual/palpatory assessment in determining intestinal viability during surgery.
  • Omentalization and serosal patching offer reinforcement for intestinal repairs in SP; experimental studies show improved healing, though clinical data are limited.
  • Open abdomen with VAC therapy offers comparable survival to closed methods, with potential benefits including improved peritoneal healing and drainage.
  • Closed suction drains show survival rates ranging from 52–100% in dogs and cats with SP; concerns exist about nosocomial infections, but survival was not consistently affected.
  • Lavage with saline is standard (200–300 mL/kg), but risks include mesothelial irritation and cytokine spread; buffered solutions like LRS or Plasmalyte may be superior.

Campbell

Veterinary Surgery

1

2026

Diagnosis and surgical management of septic peritonitis in small animals: A review

2026-1-vs-campbell-5

Article Title: Diagnosis and surgical management of septic peritonitis in small animals: A review

Journal: Veterinary Surgery

In Ritson 2025 et al., on feline hilar lobectomy sealants, what was the **design benefit** of the double-shank (DS) titanium clip?

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Correct. The DS clip's dual shanks prevent clip scissoring and improve tissue grip.
Incorrect. The correct answer is Compression with reduced scissoring risk.
The DS clip's dual shanks prevent clip scissoring and improve tissue grip.

🔍 Key Findings

  • No leakage occurred using pretied ligature loops (PLL) or double-shank (DS) titanium clips up to 40 cm H₂O airway pressure.
  • 1/10 stapled lobes leaked at supraphysiologic pressure (40 cm H₂O), but this was not statistically significant (p = .33).
  • All techniques sealed effectively under physiologic and supraphysiologic pressures in cadaveric feline lungs.
  • PLL and DS clips required less working space than staplers, making them more practical for small thoracic cavities.
  • DS titanium clips offer enhanced security due to dual shanks and tissue-gripping design, reducing clip slippage.
  • Leak testing was cyclic and submerged, simulating physiologic ventilation and allowing robust evaluation.
  • Stapling failure occurred along the staple line, highlighting risks of air leakage due to staple misalignment or poor hilar access.
  • PLL and DS clips may be cost-effective and efficient alternatives for open or minimally invasive feline lung lobectomy.

Ritson

Veterinary Surgery

7

2025

Ex vivo comparative evaluation of feline hilar lung lobectomy using linear stapler, pretied ligature loop, and double-shank titanium clips

2025-7-VS-ritson-3

Article Title: Ex vivo comparative evaluation of feline hilar lung lobectomy using linear stapler, pretied ligature loop, and double-shank titanium clips

Journal: Veterinary Surgery

In Nicolas 2024 et al., what was a key advantage of the lateral scapular osteotomy approach versus dorsal or ventral routes?

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Correct. The approach offered good foramen access while preserving articular facets and minimizing spinal disruption:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Avoided thoracic entry and preserved vertebral stability.
The approach offered good foramen access while preserving articular facets and minimizing spinal disruption:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • The lateral approach via scapular osteotomy allowed safe access to the T1-2 foramen in a French Bulldog with foraminal disc extrusion.
  • A mini-hemilaminectomy was performed, preserving articular facets.
  • The dog had no neurologic deficits postoperatively, returned to ambulation within 24 hours, and was discharged in 3 days.
  • At 10 months, CT confirmed excellent scapular healing and no recurrence.
  • Double 2.4-mm locking plates provided stable fixation across the scapular spine.
  • The technique avoided thoracic entry or dorsal spine dissection, suggesting a less invasive alternative for select T1-2 foraminal cases.

Nicolas

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

2024-2-VCOT-nicolas-4

Article Title: Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Bower 2025 et al., on radial diaphyseal exposure, what was the effect of elevating the supinator muscle?

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Correct. Elevation of the supinator increased the measured surface area in both approaches.
Incorrect. The correct answer is It increased exposure.
Elevation of the supinator increased the measured surface area in both approaches.

🔍 Key Findings

  • Craniomedial and craniolateral approaches provided comparable exposure of the feline radial diaphysis (p > .05).
  • Mean exposed surface area was slightly greater with the craniolateral approach, both including and excluding the supinator muscle, but differences were not significant.
  • Elevation of the supinator muscle increased exposure for both approaches.
  • Cadaver weight and limb side did not significantly affect exposure area.
  • The craniolateral approach allows easier patient positioning in lateral recumbency without traction or an assistant.
  • Craniolateral access facilitates dual bone fixation (radius and ulna) through a single approach.
  • The craniomedial approach carries greater risk to median and radial nerves during muscle elevation.
  • Findings validate the craniolateral approach as a practical alternative for feline antebrachial fracture repair.

Bower

Veterinary Surgery

8

2025

Comparison of exposure of the feline radial diaphysis by the craniomedial and craniolateral surgical approaches for repair of antebrachial fractures

2025-8-vs-bower-2

Article Title: Comparison of exposure of the feline radial diaphysis by the craniomedial and craniolateral surgical approaches for repair of antebrachial fractures

Journal: Veterinary Surgery

In Carrera 2024 et al., what was the only complication reported in the 5-patient case series?

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Correct. This was unrelated to the surgical procedure itself and occurred during recovery:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Femoral fracture after trauma.
This was unrelated to the surgical procedure itself and occurred during recovery:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
  • Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
  • Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
  • Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
  • No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
  • One complication due to domestic trauma, not surgical failure.
  • Early surgery appeared to preserve alignment and prevent deformity progression.

Carrera

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

2024-2-VCOT-carrera-5

Article Title: Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Lu 2025 et al., on SOP constructs, what was concluded about the **clinical significance** of the increased mediolateral stiffness with bending tees?

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Correct. The absolute difference in stiffness was small (2.08 N/mm), so the clinical impact remains unclear.
Incorrect. The correct answer is Uncertain, likely minimal impact.
The absolute difference in stiffness was small (2.08 N/mm), so the clinical impact remains unclear.

🔍 Key Findings

  • Bending tees significantly increased mediolateral bending stiffness, but not craniocaudal stiffness, in plate-bone constructs.
  • Mean mediolateral stiffness was 43.2 N/mm with tees vs. 41.1 N/mm without (p = 0.0042), though the absolute difference was small.
  • No significant differences were found in craniocaudal bending stiffness between constructs with or without tees (p = 0.89).
  • Plastic deformation occurred in all constructs; no screw pull-out or implant breakage was observed.
  • SOP nodes may resist compressive but not tensile deformation, suggesting variable mechanical contributions depending on loading direction.
  • Craniocaudal bending had greater stiffness than mediolateral due to higher area moment of inertia along the node diameter.
  • Clinical relevance of added stiffness from tees remains unclear, warranting further in vivo and cyclic testing.
  • This was the first study to directly test SOP constructs with/without tees over a fracture gap in multiple planes.

Lu

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Comparison of Bending Stiffness between String of Pearls Plate-Bone Substitute Constructs with and without Bending Tees in a Fracture Gap Model

2025-2-VCOT-lu-4

Article Title: Comparison of Bending Stiffness between String of Pearls Plate-Bone Substitute Constructs with and without Bending Tees in a Fracture Gap Model

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Sadowitz 2023 et al., on screw angle & speed, what was the transcortical fracture (TCF) rate when screws were inserted at a 10° angle at 1350 rpm?

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Correct. Higher insertion angle and speed were associated with the highest TCF rate, observed in Group E at 10°/1350 rpm.
Incorrect. The correct answer is 17.5%.
Higher insertion angle and speed were associated with the highest TCF rate, observed in Group E at 10°/1350 rpm.

2023-8-VS-sadowitz-1

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