Your Custom Quiz

In Eiger 2024 et al., on NIRFA-ICG in axial flaps, what was the typical direction of margin adjustment surgeons made after viewing NIRFA-ICG images?

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Correct. Surgeons most often shortened flaps and reduced area after visualizing perfusion zones with NIRFA.
Incorrect. The correct answer is Shortening flap length and decreasing area.
Surgeons most often shortened flaps and reduced area after visualizing perfusion zones with NIRFA.

🔍 Key Findings

  • Caudal superficial epigastric (CSE) flaps were most visible with NIRFA, scoring 4/4 VFP in 97% of evaluations.
  • CSE flap margins were altered in 65% of observations after NIRFA, showing the strongest influence on surgical planning.
  • Thoracodorsal (THO) and omocervical (OMO) flaps had lower visualization scores, with 60–81% of images scoring below 2.
  • Surgeons were 17–25 times more likely to adjust margins for CSE flaps versus OMO or THO based on fluorescence imaging.
  • Poor inter-rater agreement was found for OMO (ICC 0.49) and THO (ICC 0.35); CSE had near-perfect agreement, but ICC was low due to uniform high scoring.
  • Visualization was affected by flap depth and panniculus, making deeper vessels (OMO, THO) harder to see.
  • Surgeons often shortened flap length and reduced flap area when modifying based on NIRFA results.
  • Real-time angiosome visualization via NIRFA-ICG may reduce necrosis risk and improve patient-specific APF design.

Eiger

Veterinary Surgery

6

2024

Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

2024-6-VS-eiger-5

Article Title: Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

Journal: Veterinary Surgery

In Banks 2024 et al., on CCWO technique, what was the observed effect of **osteotomy distalization >7.5 mm**?

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Correct. Osteotomy performed >7.5 mm distal to the patellar tendon led to worse TPA correction.
Incorrect. The correct answer is It caused progressive TPA under-correction.
Osteotomy performed >7.5 mm distal to the patellar tendon led to worse TPA correction.

🔍 Key Findings

  • Oxley's modified CCWO did not achieve the target TPA of 5° in most cases, even with planning.
  • Mean planned TPA was 7.6°, higher than target, and consistent across dog sizes.
  • Postoperative TPAs were significantly higher in small dogs (median 7°) than in large dogs (median 4.5°).
  • Distalization >7.5 mm of the osteotomy from the patellar tendon led to increased under-correction of TPA.
  • Only dogs with preoperative TPA >35° achieved post-planning TPAs close to the 5° target.
  • Postoperative osteotomy positions were generally more distal than recommended (8.6 mm median).
  • Virtual plate fit was appropriate for all dogs at 5 mm or 7.5 mm positions, suggesting no need for excessive distalization.
  • Excessive correction leading to negative TPAs occurred in some cases, risking caudal cruciate ligament strain.

Banks

Veterinary Surgery

8

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-8-VS-banks-3

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

In Niida 2024 et al., on surgical residents and TPLO time, what was reported about osteotomy healing or union outcomes?

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Correct. Healing outcomes were not part of the study; cases needing reoperation were excluded.
Incorrect. The correct answer is Union was not assessed.
Healing outcomes were not part of the study; cases needing reoperation were excluded.

🔍 Key Findings

  • Resident involvement significantly increased TPLO surgery duration compared to cases performed by faculty surgeons (FS)-only. Residents required 54% more surgery time (GLSM, 153 min) than FS-only cases (GLSM, 99 min), representing a 1.54-fold increase.
  • The study did not report on short-term complication rates. No conclusions can be drawn from this source regarding complications between resident and faculty groups.
  • Bone plate contouring was not evaluated. The source does not provide data regarding contouring frequency or its comparison between groups.
  • Surgery duration significantly decreased after the first year of residency, but remained stable between second- and third-year residents. This was largely due to shorter tibial osteotomy durations, while arthroscopy times remained unchanged across residency years.
  • Meniscal treatment was performed in 80% of cases, and it was associated with increased surgical duration, but the study did not compare the frequency of medial meniscal release between resident and faculty cases.
  • The study did not evaluate osteotomy healing or revision surgery. Cases requiring immediate reoperation were excluded.
  • Bone union outcomes were not assessed at 8 weeks or any other time point.
  • The study concludes that resident participation significantly prolongs surgical time, but no data are provided regarding the effect on short-term clinical outcomes.

Niida

Veterinary Surgery

5

2024

The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs

2024-5-VS-niida-5

Article Title: The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs

Journal: Veterinary Surgery

In Rodiño Tilve 2022 et al., on feline THR outcomes, what femoral implant size was most commonly used?

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Correct. Implant size #3 was used in 46 of 56 THRs, making it the most common.
Incorrect. The correct answer is #3.
Implant size #3 was used in 46 of 56 THRs, making it the most common.

🔍 Key Findings

From “Long-term follow up of 44 cats undergoing total hip replacement” by Rodiño Tilve et al.

  • Slipped capital femoral epiphysis (SCFE) was the most common surgical indication (61%, 34/56 hips), primarily affecting young neutered male cats.
  • All THRs used cemented micro/nano BioMedtrix implants; most common femoral stem was size #3, and most common acetabular cup was 12 mm.
  • Postoperative complication rate was 19.6% (11/56) with 9 major complications (luxation most common), and no intraoperative complications reported.
  • All luxations occurred in hips implanted with femoral neck +0 mm length implants.
  • Second luxations were more common when revision used same implant size; use of larger implants reduced reluxation rates.
  • FMPI-sf score improved significantly from median 2.111 pre-op to 0.111 post-op (P < .001), indicating reduced pain and improved function.
  • Very high owner satisfaction: 91% (30/33) reported outcome as "very good."
  • No significant associations found between complications and variables like weight, sex, implant size, or surgical indication.

Rodiño Tilve

Veterinary Surgery

5

2022

Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

2022-5-VS-rodino-2

Article Title: Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

Journal: Veterinary Surgery

In Johnson 2022 et al., on PET implant outcomes, what was a key limitation cited that precluded further investigation of this implant?

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Correct. With 8 out of 10 implants either partially torn or fully failed, survivability was deemed too low for continued study.
Incorrect. The correct answer is High rate of implant failure.
With 8 out of 10 implants either partially torn or fully failed, survivability was deemed too low for continued study.

🔍 Key Findings

  • Only 2 of 10 PET implants were fully intact and functional at 6 months post-op.
  • Owner-reported function (LOAD scores) improved by 51.7% (p = .008) over 6 months.
  • Gait asymmetry improved by 86% (p = .002) postoperatively.
  • Implant failure occurred in the midbody of the PET device, suggesting fatigue as a failure mechanism.
  • One dog (10%) developed implant infection, necessitating implant removal.
  • Implant fixation method (screws + washers + interference screw) was mechanically adequate and technically simple.
  • Partially intact implants (4/10) still showed improved clinical outcomes, despite structural compromise.
  • Midbody tearing and lack of long-term integrity prohibit continued use of this PET implant in CCL repair.

Johnson

Veterinary Surgery

8

2022

Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial

2022-8-VS-johnson-4

Article Title: Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial

Journal: Veterinary Surgery

In Ferreira 2025 et al., on heated pneumoperitoneum in dogs, what best describes the clinical outcome of all patients in the study?

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Correct. All 15 dogs recovered uneventfully and were discharged on the day of surgery.
Incorrect. The correct answer is All animals recovered and were discharged same day.
All 15 dogs recovered uneventfully and were discharged on the day of surgery.

🔍 Key Findings

  • Heated CO₂ insufflation reduced perioperative hypothermia during laparoscopic ovariectomy compared to nonheated CO₂.
  • Final body temperature was significantly higher in the heated group (36.03°C) than in the nonheated group (34.93°C).
  • Temperature reduction correlated with surgical duration only in the nonheated group (p < .05).
  • Heated CO₂ delayed temperature drop, occurring after 20 minutes vs. 5 minutes in nonheated cases.
  • No significant differences between groups in anesthetic, surgical, or insufflation times.
  • All dogs recovered uneventfully and were discharged the same day.
  • Heated CO₂ may offer greater benefit in longer procedures or in small-sized dogs prone to hypothermia.
  • No adverse effects were attributed to heated gas use in this clinical trial.

Ferreira

Veterinary Surgery

5

2025

Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

2025-5-VS-ferreira-5

Article Title: Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

Journal: Veterinary Surgery

In Klever 2024 et al., what factor helps visually identify a dorsoventral rather than ventrodorsal pelvic projection?

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Correct. Dorsoventral views project the patella more proximally on the femur
Incorrect. The correct answer is Patella more proximally projected.
Dorsoventral views project the patella more proximally on the femur

🔍 Key Findings

  • Dorsoventral radiographs artificially increase Norberg angle values by 3.2–5.8% and should be excluded.
  • Lateral pelvic tilt >2° causes asymmetric changes in Norberg angle; >3° results in significant side-specific changes.
  • Cranioventral-to-caudodorsal tilt >10° results in obvious radiographic tilt, but changes Norberg angle by only ~2%.
  • Tilted but subjectively acceptable images have minor impact and may still be usable for screening.
  • Norberg angle readings differed consistently between left/right hips — possibly due to operator handedness.

Klever

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements

2024-1-VCOT-klever-4

Article Title: Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Glenn 2024 et al., on questionnaire specificity, which algorithm had the highest specificity for SSI detection?

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Correct. Algorithm 2 had the highest specificity (97.9%) and is preferred when false positives must be minimized.
Incorrect. The correct answer is Algorithm 2.
Algorithm 2 had the highest specificity (97.9%) and is preferred when false positives must be minimized.

🔍 Key Findings Summary

  • Population: 754 soft tissue or orthopedic procedures in dogs and cats
  • SSI Rate: 62/754 (8.2%)
  • Algorithms Evaluated:
    • Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
    • Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
    • Algorithm 3: Highest overall accuracy (95.5%)
  • Active vs. Passive Surveillance:
    • Active surveillance detected 12 additional SSIs (19.4%) missed by passive
    • Active surveillance increased detection rate by 24%
  • Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
  • Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes

Glenn

Veterinary Surgery

1

2024

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

2024-1-VS-glenn-3

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

Journal: Veterinary Surgery

In Cola 2024 et al., on laparotomy-assisted endoscopy, what was the primary factor associated with the need to convert to enterotomy?

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Correct. Intestinal wall damage was significantly associated with surgical conversion (p = .043).
Incorrect. The correct answer is Intestinal wall damage.
Intestinal wall damage was significantly associated with surgical conversion (p = .043).

🔍 Key Findings

  • LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
  • Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
  • LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
  • Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
  • Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
  • No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
  • Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
  • Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.

Cola

Veterinary Surgery

7

2024

Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats

2024-7-VS-cola-1

Article Title: Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats

Journal: Veterinary Surgery

In Allaith 2023 et al., on THR outcomes, which implant types were associated with increased complications following femoral head and neck excision?

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Correct. Multivariable analysis showed significantly increased complications using BFX and Helica implants for revision after femoral head and neck excision.
Incorrect. The correct answer is BioMedtrix BFX and Helica.
Multivariable analysis showed significantly increased complications using BFX and Helica implants for revision after femoral head and neck excision.

🔍 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-2

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

Journal: Veterinary Surgery

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