Your Custom Quiz

In Glenn 2024 et al., on client-based SSI surveillance, which major limitation was noted in detecting deep or implant-associated infections?

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Correct. Algorithms required wound healing problems, which may exclude deep infections not presenting externally.
Incorrect. The correct answer is Algorithms relied on superficial wound signs only.
Algorithms required wound healing problems, which may exclude deep infections not presenting externally.

🔍 Key Findings

  • Algorithm 3 had the highest overall accuracy (95.5%) in diagnosing SSIs from client questionnaires.
  • Active surveillance identified 19.4% more SSIs compared to passive surveillance alone.
  • SSI rate was 8.22% across 754 surgeries; 33.9% of SSIs required revision surgery.
  • Client-based responses were 37.9% more frequent than those from referring veterinarians.
  • Deep/implant SSIs could be missed if not associated with visible wound healing problems.
  • Two late SSIs (after 90 days) occurred, both linked to implant surgeries.
  • Algorithm 1 was the most sensitive (87.1%) but less specific; useful for screening.
  • Algorithm 2 had the highest specificity (97.9%); useful as a “rule-in” diagnostic method.

Glenn

Veterinary Surgery

8

2024

Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

2024-8-VS-glenn-5

Article Title: Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

Journal: Veterinary Surgery

In Schuenemann 2025 et al., on biceps tenodesis, what was the functional outcome in all dogs?

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Correct. All dogs returned to full function, including high-performance sports in some cases.
Incorrect. The correct answer is Returned to full function.
All dogs returned to full function, including high-performance sports in some cases.

🔍 Key Findings

  • Case series of 6 shoulders in 5 working/sporting dogs. Conditions treated: 3 partial biceps ruptures, 3 luxations with fraying.
  • All treated with biceps tenodesis using a bioabsorbable anchor (Weldix 2.3 mm).
  • All dogs returned to function (some to high-level sports); lameness resolved within 1–5 weeks.
  • No implant-related complications with anchor-only cases. One dog had seroma and later infection but recovered.
  • Tendon clamp (used in 2 cases) caused irritation in one dog → resolved after removal.
  • CT follow-up confirmed integrity; drill holes filled with bone.
  • Median LOAD score: 12; higher in older dogs or with concurrent conditions.
  • Authors suggest tenodesis offers more stability and faster return to function than tenotomy in working dogs.
  • Larger, controlled studies are recommended.

Schuenemann

Veterinary Surgery

4

2025

Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technology: Results in six clinical cases (5 dogs)

2025-4-VS-schuenemann-2

Article Title: Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technology: Results in six clinical cases (5 dogs)

Journal: Veterinary Surgery

In Barnes 2024 et al., on knot strength testing, which knot type had the highest overall knot holding capacity (KHC)?

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Correct. The DF knot with 4 throws in 3 USP suture had the highest KHC of 208.21 N.
Incorrect. The correct answer is Double forwarder knot with 4 throws.
The DF knot with 4 throws in 3 USP suture had the highest KHC of 208.21 N.

🔍 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-1

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 Neal 2023 et al., on transcondylar screw placement, what was the observed rate of joint infringement when using the aiming device?

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Correct. Joint infringement occurred in 10% of aiming device cases vs. 1.45% with fluoroscopy (8x risk, p = .0575).
Incorrect. The correct answer is 10%.
Joint infringement occurred in 10% of aiming device cases vs. 1.45% with fluoroscopy (8x risk, p = .0575).

🔍 Key Findings

  • Aiming device provided comparable trajectory accuracy to fluoroscopy, especially in right limbs (1.9° vs. 3.4°, p = .0128).
  • Eccentricity (deviation from condylar center) was lower with fluoroscopy (3.1 mm vs 4.2 mm, p = .0017), making fluoroscopy more precise.
  • Odds of joint infringement were 8× higher with the aiming device, though not statistically significant (p = .0575).
  • Residents had greater screw trajectory deviation than diplomates (p = .0366), highlighting impact of experience.
  • Aiming device procedures took less time than fluoroscopy in some scenarios, particularly for right limbs with right-handed surgeons.
  • Fluoroscopic procedures had more pin/drill attempts, increasing risk of glove puncture and potential aseptic breaks.
  • Mean deviation angles in both groups (<3.5°) were within acceptable range to avoid intracondylar fracture gap.
  • Cadaver model used large-breed, healthy adult dogs, not small-breed immature dogs, limiting generalizability.

Neal

Veterinary Surgery

4

2023

The effect of an aiming device on the accuracy of humeral transcondylar screw placement

2023-4-VS-neal-3

Article Title: The effect of an aiming device on the accuracy of humeral transcondylar screw placement

Journal: Veterinary Surgery

In Lu 2025 et al., on SOP constructs, what was the **mean mediolateral bending stiffness** of SOP constructs **with** bending tees?

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Correct. The mean mediolateral stiffness with tees was 43.17 N/mm compared to 41.09 N/mm without (p = 0.0042).
Incorrect. The correct answer is 43.2 N/mm.
The mean mediolateral stiffness with tees was 43.17 N/mm compared to 41.09 N/mm without (p = 0.0042).

🔍 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-2

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 Carvajal 2025 et al., on femoral stem breakage, what was the most common radiographic finding among failed implants?

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Correct. Varus malalignment was present in 10 of 14 failed cases, with a median angle of 3.9°.
Incorrect. The correct answer is Varus alignment of femoral stem.
Varus malalignment was present in 10 of 14 failed cases, with a median angle of 3.9°.

🔍 Key Findings

Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)

Implant factors:

  • 13/14 were BFX lateral bolt stems (sizes #5–7)
  • +9 necks used in 5/11 of 17 mm heads
  • 10/14 stems undersized based on radiographs
  • 10/13 dogs exceeded weight limits for implanted stem size

Malalignment:

  • 10/14 had varus alignment (median 3.9°)
  • 8/14 had insufficient proximodistal seating

Breakage site: Proximolateral shoulder in all cases

Revision outcomes:

  • 11 revised (7 CFX, 3 larger BFX, 1 collared)
  • 9/10 revised dogs regained full function
  • Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure

Histopathology:

  • Electron microscopy showed fatigue striations and incomplete bead fusion

Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.

Carvajal

Veterinary Surgery

3

2025

Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

2025-3-VS-carvajal-1

Article Title: Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

Journal: Veterinary Surgery

In Vodnarek 2024 et al., on nasopharyngeal fluoroscopy, which method showed the **highest intraobserver agreement** for ΔL?

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Correct. The functional method yielded the highest intraobserver ICC (0.751) for ΔL.
Incorrect. The correct answer is Functional method.
The functional method yielded the highest intraobserver ICC (0.751) for ΔL.

🔍 Key Findings

  • Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
  • Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
    • Functional method
    • Anatomically adjusted method
  • Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
  • Outcomes:
    • Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
    • Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
    • Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
    • ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.

Vodnarek

Veterinary Surgery

1

2024

Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

2024-1-VS-vodnarek-2

Article Title: Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

Journal: Veterinary Surgery

In Silveira 2022 et al., on GTO in canine THR, how was the greater trochanter osteotomy (GTO) stabilized during surgery?

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Correct. The GTO was fixed using pins placed perpendicular to the osteotomy and orthopedic wire in figure-of-eight fashion.
Incorrect. The correct answer is With two intramedullary pins and a figure-of-eight tension band wire.
The GTO was fixed using pins placed perpendicular to the osteotomy and orthopedic wire in figure-of-eight fashion.

🔍 Key Findings

  • GTO enabled successful cementless THR in dogs with severe medialization of the greater trochanter or chronic craniodorsal hip luxation.
  • All 5 hips had acceptable long-term outcomes (median follow-up: 48 months) with full function and no persistent complications.
  • Only one major complication occurred—a luxation unrelated to the GTO and successfully corrected with cup revision.
  • GTO facilitated femoral canal access and gluteal preservation, reducing risk of iatrogenic injury during broaching.
  • All GTOs healed radiographically (4 by 6 weeks, 1 by 12 weeks), with no cases of nonunion or implant migration.
  • No complications related to GTO or PTBW fixation (pins + tension band) were observed in any dog.
  • Surgical planning included templating both THR and GTO to ensure ideal alignment and reduce fracture risk.
  • GTO may be especially valuable in luxoid hip dysplasia phenotypes or chronically fixed luxations.

Silveira

Veterinary Surgery

2

2022

Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

2022-2-VS-silveira-3

Article Title: Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

Journal: Veterinary Surgery

In Meltzer 2022 et al., on femoral implant selection, which statement best describes the complication rate among dogs undergoing total hip replacement?

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Correct. The study reported a 14% complication rate and no association between implant type and complication risk.
Incorrect. The correct answer is Total complication rate was 14% with no significant difference between implant types.
The study reported a 14% complication rate and no association between implant type and complication risk.

🔍 Key Findings

  • Hybrid implants were used in older, heavier dogs with lower canal flare index (CFI) compared to cementless types.
  • CFI <1.8 was associated with higher risk of femoral fracture or stem subsidence with cementless implants.
  • Total complication rate was 14%, with catastrophic complications in only 1.5%—lower than reported in other studies.
  • No significant difference in complication rates across implant types (BFX, BFX-C, hybrid).
  • Femur fractures were rare (2.9%), lower than in prior studies, and successfully managed with cerclage/plate fixation.
  • Coxofemoral luxation was the most common complication (8 cases); all occurred within 62 days post-op, mostly resolved with revision.
  • Collared BFX stems did not significantly reduce complications, though they may limit stem subsidence.
  • An implant selection algorithm was proposed, using age ≥7 years, weight ≥45 kg, and CFI <1.8 to guide cemented vs. cementless stem use.

Meltzer

Veterinary Surgery

2

2022

Case factors for selection of femoral component type in canine hip arthroplasty using a modular system

2022-2-VS-meltzer-2

Article Title: Case factors for selection of femoral component type in canine hip arthroplasty using a modular system

Journal: Veterinary Surgery

In Anderson 2024 et al., what did the electrodiagnostic testing in Case 3 confirm?

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Correct. Electromyography and nerve conduction confirmed bilateral fibular neuropathy in the right limb only:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Right deep and superficial fibular neuropathy.
Electromyography and nerve conduction confirmed bilateral fibular neuropathy in the right limb only:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 3 dogs developed permanent fibular nerve dysfunction following TPLO
  • Common findings:
    • Drill hole or screw in caudal tibial cortex just distal to osteotomy
    • Caudal malpositioning of TPLO plate (esp. right limb of case 3)
    • Post-op signs: cranial tibial atrophy, knuckling, exaggerated gait, no hock flexion
  • One case had confirmed deep/superficial fibular neuropathy via electrodiagnostics
  • Recommended prevention: avoid overly caudal drill paths; careful gait assessment at follow-up is key

Anderson

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

2024-3-VCOT-anderson-3

Article Title: Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

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