Your Custom Quiz

In Cabreira 2026 et al., on dorsal AAI implant, how many screws were incorporated into the patient-specific implant design for atlantoaxial stabilization?

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Correct. The implant design specifically included six 1.7-mm bicortical locking screws: two transarticular screws plus two screws each in the atlas and axis.
Incorrect. The correct answer is Six bicortical locking screws including two transarticular screws.
The implant design specifically included six 1.7-mm bicortical locking screws: two transarticular screws plus two screws each in the atlas and axis.

🔍 Key Findings

  • A patient-specific dorsal implant for atlantoaxial stabilization was developed using CT-based 3D modeling, enabling customized implant design and safe screw trajectory planning.
  • The implant accommodates six 1.7-mm bicortical locking screws, including two transarticular screws plus two screws in each vertebra (atlas lateral masses and axis lamina/spinous base).
  • The implant also functions as a drilling guide, allowing the screw-head housing to accept a threaded drill guide that ensures accurate drilling along predefined safe corridors.
  • An opening around the C1–C2 intervertebral foramen was incorporated to avoid injury to the C2 nerve root during dorsal instrumentation.
  • Finite element analysis evaluated implant behavior under flexion, extension, lateral flexion, and torsion using loads of 50 N (physiologic) and 107 N (supraphysiologic).
  • Maximum stress occurred during lateral flexion with axis fixation (425 MPa), which remained well below the titanium alloy yield strength of 880 MPa, indicating no mechanical failure.
  • Maximum implant displacement was minimal (0.13 mm), far less than the approximately 2 mm movement of the intact atlantoaxial joint under physiologic loading.
  • The implant design demonstrated adequate rigidity and mechanical safety in simulation, suggesting potential to improve dorsal stabilization while avoiding complications associated with PMMA constructs.

Cabreira

Veterinary and Comparative Orthopaedics and Traumatology

1

2026

Development and Finite Element Analysis of a Patient-Specific Implant for Atlantoaxial Joint Stabilization via Dorsal Approach in Dogs

2026-1-vcot-cabreira-1

Article Title: Development and Finite Element Analysis of a Patient-Specific Implant for Atlantoaxial Joint Stabilization via Dorsal Approach in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In McCarthy 2022 et al., on 3D drill guide accuracy, what was the primary proposed benefit of using a 3D-printed guide?

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Correct. 3D-GDT minimized angular deviation and eliminated drill exits in this study.
Incorrect. The correct answer is It enhances drilling accuracy with reduced exit risk.
3D-GDT minimized angular deviation and eliminated drill exits in this study.

🔍 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-5

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 Ellis 2024 et al., what was the significant finding in the MCP HU values in Guide Dogs vs Border Collies?

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Correct. Hounsfield units were significantly higher in the MCP of Guide Dogs across mean and maximum measures (p < 0.01):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Guide Dogs had higher mean and maximum HU.
Hounsfield units were significantly higher in the MCP of Guide Dogs across mean and maximum measures (p < 0.01):contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • 86 elbows assessed: 32 Guide Dogs, 11 Border Collies
  • Guide Dogs showed significantly higher HU values in:
    • MCP: min (p = 0.022), mean (p < 0.01), max (p < 0.01)
    • Humeral trochlea: mean (p < 0.01), max (p < 0.01)
  • Results imply breed-associated HU variation, not necessarily pathologic sclerosis
  • Relevance: Important to avoid false positives for elbow dysplasia during CT-based breeding screens
  • Good interobserver agreement for mean HU values (ICC ~0.82–0.90)

Ellis

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies

2024-3-VCOT-ellis-1

Article Title: Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Saitoh 2025 et al., on CTS stabilization, what was the major complication observed?

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Correct. A single major complication occurred: breakage of the CTS.
Incorrect. The correct answer is CTS breakage.
A single major complication occurred: breakage of the CTS.

🔍 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-2

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 Chik 2024 et al., on cholangioscopy feasibility, what was the key limitation of using standard biopsy forceps through the disposable flexible endoscope?

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Correct. The 1.2 mm working channel could not accommodate standard radial jaw biopsy forceps.
Incorrect. The correct answer is Working channel diameter was too small.
The 1.2 mm working channel could not accommodate standard radial jaw biopsy forceps.

🔍 Key Findings

  • Open transcholecystic cholangioscopy was feasible using a 3.8 mm disposable flexible endoscope in all 8 canine cadavers.
  • Visualization was consistently achieved up to the junction of the hepatic ducts, common bile duct, and cystic duct.
  • Advancement past the junction was limited by the endoscope diameter (3.8 mm) and anatomical flexure.
  • The 1.9 mm flexible ureteroscope could visualize the entire biliary tree, including the major duodenal papilla, in a large dog (43.8 kg).
  • Endoscopic tools (e.g., 3 Fr grasping forceps) could be passed through the working channel only after removing the irrigation line.
  • Standard biopsy forceps were incompatible with the disposable endoscope's 1.2 mm working channel.
  • Cadaver study showed no rupture, but clinical extrapolation is limited due to lack of diseased tissue.
  • Disposable endoscope setup cost (~$6,100) was significantly lower than traditional endoscopy systems (~$75,000–100,000), improving accessibility.

Chik

Veterinary Surgery

7

2024

Feasibility of open cholangioscopy with disposable flexible endoscopes

2024-7-VS-chik-4

Article Title: Feasibility of open cholangioscopy with disposable flexible endoscopes

Journal: Veterinary Surgery

In Dobberstein 2024 et al., on liver biopsy forceps, what was concluded about diagnostic suitability of 3 mm samples?

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Correct. The 3 mm samples were sufficient for histopathology, but diagnostic accuracy remains unknown.
Incorrect. The correct answer is Adequate but lower diagnostic accuracy.
The 3 mm samples were sufficient for histopathology, but diagnostic accuracy remains unknown.

🔍 Key Findings Summary

  • Subjects: 12 healthy colony cats, 68 total liver samples collected via laparoscopy
  • Biopsy instruments: 3 mm vs 5 mm Storz Blakesley cup forceps
  • Techniques: Twist (T), Pull (P), Twist + Pull (TP)
  • Results:
    • 5 mm forceps yielded significantly more hepatic lobules (mean 12.4 vs 4.9), portal triads (29.6 vs 19.0), weight, and histologic area (p < .01)
    • T and P techniques yielded more portal triads and lobules than TP (p = .003 and p = .015)
    • TP technique resulted in greater tissue crush vs T (p = .01)
    • Good diagnostic agreement between 3 mm and 5 mm samples only with TP (κ = 0.75)
    • All samples were of sufficient diagnostic quality, despite size or technique
  • Clinical implication: Both 3 mm and 5 mm forceps are viable; further studies are needed to confirm diagnostic accuracy of 3 mm samples

Dobberstein

Veterinary Surgery

2

2024

Comparison of the diagnostic yield of 3 and 5 mm laparoscopic liver biopsy forceps in cats

2024-2-VS-dobberstein-5

Article Title: Comparison of the diagnostic yield of 3 and 5 mm laparoscopic liver biopsy forceps in cats

Journal: Veterinary Surgery

In Aldrich 2023 et al., on liposomal bupivacaine in TPLO, which metric showed no significant difference between treatment and placebo groups?

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Correct. CMPS-SF scores did not differ significantly between liposomal bupivacaine and placebo groups at any time point.
Incorrect. The correct answer is CMPS-SF pain scores.
CMPS-SF scores did not differ significantly between liposomal bupivacaine and placebo groups at any time point.

🔍 Key Findings

  • Liposomal bupivacaine (LB) infiltration did not reduce the need for rescue analgesia compared with placebo in dogs undergoing TPLO.
  • CMPS-SF pain scores were not significantly different between LB and placebo groups at any postoperative time point.
  • % body weight distribution (%BWdist) to the operated limb did not differ significantly between treatment groups across all time points.
  • No correlation was found between CMPS-SF scores and %BWdist, suggesting these metrics assess different aspects of postoperative pain.
  • Postoperative carprofen administration was standardized, and LB did not provide additional detectable analgesic benefit.
  • Three-layer infiltration technique (joint capsule, fascia, subcutis) was used consistently across all cases.
  • Adverse events were minor and comparable between LB and placebo groups.
  • Post hoc analysis suggested a much larger sample size (58–436 dogs) would be needed to detect significant differences in %BWdist.

Aldrich

Veterinary Surgery

5

2023

Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery

2023-5-VS-aldrich-1

Article Title: Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery

Journal: Veterinary Surgery

In Altwal 2026 et al., on limb sparing review, which of the following represents a limb-sparing technique involving reconstruction of the bone defect?

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Correct. Cortical allografts are used to reconstruct the segmental bone defect after tumor resection.
Incorrect. The correct answer is Cortical allograft reconstruction.
Cortical allografts are used to reconstruct the segmental bone defect after tumor resection.

🔍 Key Findings

  • Limb-sparing surgery aims to preserve limb function after resection of diseased bone, most commonly for appendicular osteosarcoma but also for non-repairable fractures causing critical bone defects.
  • Survival outcomes after limb-sparing can be comparable to limb amputation, providing an alternative for owners who decline amputation or for dogs poor candidates for amputation.
  • Techniques fall into two main categories: reconstruction of the bone defect or procedures that avoid reconstruction, depending on tumor location and surgical strategy.
  • Common reconstructive techniques include cortical allografts, endoprostheses, bone transport osteogenesis, vascular or non-vascular autografts, and tumor-treated autografts.
  • Non-reconstruction procedures include partial scapulectomy, partial ulnectomy, or limb shortening, which preserve limb function without rebuilding the bone defect.
  • Major contraindications include detectable metastatic disease and extensive soft tissue involvement, although criteria such as pathologic fracture remain controversial.
  • Complications are common and include infection, biomechanical failure, and local tumor recurrence, often due to extensive surgery, implants, chemotherapy-associated immunosuppression, and limited soft tissue coverage.
  • Technique selection depends on anatomical site, available equipment, surgeon expertise, and owner factors, and comparative outcome data for many techniques remain limited.

Altwal

Veterinary Surgery

2

2026

Surgical limb-sparing in veterinary medicine: A review of existing techniques in dogs

2026-2-vs-altwal-3

Article Title: Surgical limb-sparing in veterinary medicine: A review of existing techniques in dogs

Journal: Veterinary Surgery

In Miller 2024 et al., what was the most common breed represented in the surgical cohort?

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Correct. French Bulldogs accounted for 54 of 124 dogs, making them the most common breed in the study.
Incorrect. The correct answer is French Bulldog.
French Bulldogs accounted for 54 of 124 dogs, making them the most common breed in the study.

🔍 Key Findings Summary

  • Sample: 124 dogs (64 S, 60 FFP); French Bulldogs most common (54/124)
  • Pre-op clinical signs: Exercise intolerance (34/124), stertor (22), regurgitation (7), vomiting (12)
  • Operative time (no concurrent procedure): Longer in FFP (75 vs 51 min, p = .02)
  • Anesthetic time: Longer in FFP (111 vs 80 min, p = .02)
  • Anesthetic complications: Similar rates (FFP 50, S 49; p = .30)
  • Post-op regurgitation: 27/124 (S: 17, FFP: 10; p = .18)
  • Post-op aspiration pneumonia: Rare (S: 4, FFP: 5)
  • Major complications: Rare (5/124); 2 dogs euthanized post-op (1 per group)
  • Revision surgery: Needed in 7/124 (3 S, 4 FFP)

Miller

Veterinary Surgery

1

2024

Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

2024-1-VS-miller-1

Article Title: Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

Journal: Veterinary Surgery

In Buote 2023 et al., on feline laparoscopic cannulas, how did the instrument collision rate change when using 3D printed cannulas compared to traditional ports?

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Correct. Instrument collisions decreased from a mean of 6.8 to 2.6 per procedure (p = 0.03) with 3DPCs:contentReference[oaicite:2]{index=2}.
Incorrect. The correct answer is Collisions decreased significantly.
Instrument collisions decreased from a mean of 6.8 to 2.6 per procedure (p = 0.03) with 3DPCs:contentReference[oaicite:2]{index=2}.

🔍 Key Findings

  • 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
  • Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
  • Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
  • Live patients experienced no postoperative complications, including no incision site infections or discomfort.
  • Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
  • Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
  • Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
  • Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.

Buote

Veterinary Surgery

6

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-6-vs-buote-3

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

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