Your Custom Quiz

In Jones 2024 et al., on LEAP plate design, what feature was specifically updated post-study to address a mode of implant failure?

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Correct. Design changes were made to reinforce the area between the third and fourth screw holes after one implant failure.
Incorrect. The correct answer is Increased width and depth at screw holes.
Design changes were made to reinforce the area between the third and fourth screw holes after one implant failure.

🔍 Key Findings Summary

  • 62 fractures in 61 dogs (44 lateral condylar, 18 intracondylar); mostly Spaniels
  • LEAP plate used in all cases; minimal intraoperative contouring needed (1 French Bulldog)
  • Overall complication rate: ~33%, mostly minor; 1 amputation due to catastrophic infection
  • Radiographic healing:
    • Lateral epicondylar part healed in 100%
    • Condylar part healed in ~61.5% LCF and ~57.1% ICF
  • Functional outcomes:
    • 87% returned to full limb use
    • Median LOAD score: 2 for LCF, 6.5 for ICF
  • Design adjustments made post-study to strengthen weak zones around 3rd–4th screw holes

Jones

Veterinary Surgery

4

2024

Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs

2024-4-VS-jones-4

Article Title: Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs

Journal: Veterinary Surgery

In Alvarez-Sanchez 2023 et al., on SLN mapping in canine MCT, what was the histologic metastasis rate (HN2 or HN3) in excised lymph nodes?

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Correct. 27 of 41 excised lymph nodes were histologically metastatic, a high rate even though most tumors were low-to-intermediate grade.
Incorrect. The correct answer is 65.8%.
27 of 41 excised lymph nodes were histologically metastatic, a high rate even though most tumors were low-to-intermediate grade.

🔍 Key Findings

  • Combined ICTL and NIRF detected the same SLN in 80% of cases; each method alone missed sentinel lymph nodes in some dogs.
  • ICLT failed in 5% of dogs, while NIRF failed in 20%; combined use resulted in only 5% failure in SLN detection.
  • Metastatic lymph nodes were detected in 95% of dogs, despite most tumors being low or intermediate grade (95%).
  • 27 of 41 nodes (65.8%) were histologically metastatic (HN2 or HN3), many of which would have been missed using ALN alone.
  • ALN matched the SLN in only 45% of cases with ICTL and 30% with NIRF, supporting the need for SLN mapping.
  • ICLT and NIRF were complementary, often identifying different SLN, with some only fluorescent or enhanced in one modality.
  • Subcutaneous MCT had higher metastatic rates (7/8 dogs) than previously reported, challenging older assumptions about benign behavior.
  • Removing both ALN and SLN (from both methods) improved detection of metastasis to 85–95%, reducing risk of understaging.

Alvarez-Sanchez

Veterinary Surgery

3

2023

Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

2023-3-VS-alvarez-sanchez-4

Article Title: Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

Journal: Veterinary Surgery

In Lotsikas 2025 et al., on stifle distraction portal, what was the effect of VSTL duration (5 vs. 10 minutes) on overall cartilage damage?

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Correct. There were no statistically significant differences in IACI between groups A (5-min) and B (10-min)【69†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is No significant difference in overall damage between durations.
There were no statistically significant differences in IACI between groups A (5-min) and B (10-min)【69†Veterinary Surgery†L1-L20】

🔍 Key Findings

Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:

  • No damage to the long digital extensor tendon (LDE) with this portal
  • VSTL could be placed without removing the arthroscope
  • Portal creation time ~37 seconds (faster than previously reported)

Cartilage impact:

  • Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
  • No difference in IACI between 5- and 10-minute lever durations
  • Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)

Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use

Lotsikas

Veterinary Surgery

3

2025

Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

2025-3-VS-lotsikas-4

Article Title: Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

Journal: Veterinary Surgery

In Buote 2023 et al., on 3D-printed cannulas in feline laparoscopy, what technical issue occurred with the 3DPC during live surgery case 1?

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Correct. This occurred in case 1 and was resolved by adding a luer lock in case 2.
Incorrect. The correct answer is Insufflation port broke during connection.
This occurred in case 1 and was resolved by adding a luer lock in case 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-4

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

Journal: Veterinary Surgery

In Evers 2023 et al., on medial meniscal tear detection, what was the reported sensitivity of needle arthroscopy (NA)?

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Correct. NA had a sensitivity of 95% compared to standard arthroscopy as the gold standard.
Incorrect. The correct answer is 95%.
NA had a sensitivity of 95% compared to standard arthroscopy as the gold standard.

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for diagnosing medial meniscal tears in dogs with CCLR.
  • NA missed 1 medial and 1 lateral meniscal tear, both nondisplaced and stable.
  • Visibility of all meniscal horns was significantly lower with NA compared to standard arthroscopy (SA) (P < .005 for all horns).
  • Probing the caudal horn of the lateral meniscus was significantly more difficult with NA (P = .0017), though medial horn probing was similar.
  • Mean NA procedure time was 8 ± 3 minutes, significantly shorter than SA (15 ± 9 min, P = .0041).
  • No increase in lameness observed after NA, indicating minimal procedural morbidity.
  • NA was performed under sedation in most dogs, though 10/26 required additional chemical restraint or short anesthesia.
  • NA was most accurate for displaced vertical longitudinal tears, with all 14 correctly identified; one stable tear and a lateral tear were missed.

Evers

Veterinary Surgery

6

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-6-vs-evers-1

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

In Gutbrod 2024 et al., on feline tibial stabilization, which construct demonstrated the highest axial stiffness?

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Correct. Group 2 (2.4 mm LCP + 1.6 mm pin) showed the greatest stiffness and yield point under axial loading.
Incorrect. The correct answer is 2.4 mm LCP + 1.6 mm pin.
Group 2 (2.4 mm LCP + 1.6 mm pin) showed the greatest stiffness and yield point under axial loading.

🔍 Key Findings

  • 2.4 mm LCP with a 1.6 mm IM pin had the highest axial stiffness and yield strength among the tested constructs.
  • Axial stiffness was significantly higher in the 2.4 mm LCP + 1.6 mm IM pin group compared to 2.7 mm LCP alone (p = .013).
  • No significant difference in torsional stiffness was found among groups.
  • 2.4 mm LCP + 1.0 mm pin had the lowest stiffness and failure load, underperforming both other constructs.
  • All constructs failed via valgus bending, consistent with clinical observations in feline tibial fractures.
  • A 1.6 mm pin (~50% canal fill) resulted in superior construct performance vs. 1.0 mm (~30% fill).
  • Group 2 (2.4 LCP + 1.6 mm pin) outperformed the 2.7 mm LCP alone in stiffness, despite using a smaller plate.
  • Plate–rod constructs may better preserve periosteal blood supply and support minimally invasive stabilization strategies.

Gutbrod

Veterinary Surgery

4

2024

Ex vivo biomechanical evaluation of 2.4 mm LCP plate rod constructs versus 2.7 mm LCP applied to the feline tibia

2024-4-VS-gutbrod-1

Article Title: Ex vivo biomechanical evaluation of 2.4 mm LCP plate rod constructs versus 2.7 mm LCP applied to the feline tibia

Journal: Veterinary Surgery

In Dalton 2023 et al., on acetabular fracture repair, how did the clinical case dog recover following minimally invasive acetabular fracture repair?

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Correct. The clinical case recovered rapidly, bearing weight within 1 day and showing full healing by 3 months.
Incorrect. The correct answer is Weight-bearing within 24 hours, full healing at 3 months.
The clinical case recovered rapidly, bearing weight within 1 day and showing full healing by 3 months.

🔍 Key Findings

  • Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
  • All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
  • Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
  • Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
  • Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
  • Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
  • Use of locking screws improved reduction fidelity, particularly across a broad plate span.
  • 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.

Dalton

Veterinary Surgery

6

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-6-VS-dalton-4

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

In Galliano 2022 et al., on vascular access ports, which factor did **not** correlate with the development of complications?

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Correct. No statistical correlation was found between catheter tip location and complications.
Incorrect. The correct answer is Catheter tip position.
No statistical correlation was found between catheter tip location and complications.

🔍 Key Findings

  • SVAPs placed in axillary (aSVAP) or femoral/external iliac veins (fSVAP) during limb amputation remained functional in 92.3% and 100% of cases, respectively.
  • Complication rates were lower in aSVAP (23.1%) and fSVAP (0%) compared to jSVAP (47.4%), although not statistically significant (P = .12).
  • No catastrophic complications occurred with aSVAP or fSVAP; 2 deaths occurred with jSVAP due to port-related issues.
  • Infection-related port removal was needed in 1 aSVAP (7.7%) and 2 jSVAPs (10.5%) — no removals were required in fSVAPs.
  • Tip placement of the catheter (e.g., right atrium vs. vena cava) did not correlate with complications (P = .66).
  • Shorter surgical time likely with aSVAP/fSVAP as they use the same surgical field as the limb amputation.
  • Survival time median was similar across groups (jSVAP: 177 days, aSVAP: 125 days, fSVAP: 122 days).
  • SVAP implantation during limb amputation offers a practical and safe alternative to separate jugular placement.

Galliano

Veterinary Surgery

7

2022

Subcutaneous vascular access port implantation in the axillary or femoral/external iliac vein at the time of full limb amputation in dogs

2022-7-VS-galliano-4

Article Title: Subcutaneous vascular access port implantation in the axillary or femoral/external iliac vein at the time of full limb amputation in dogs

Journal: Veterinary Surgery

In Low 2025 et al., on machine-learning outcomes in IVDE, what was the most important predictor of outcome according to SHAP value analysis?

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Correct. Lower T2W:L2 signal ratio was the strongest predictor of ambulation recovery.
Incorrect. The correct answer is T2W:L2 spinal cord signal ratio.
Lower T2W:L2 signal ratio was the strongest predictor of ambulation recovery.

🔍 Key Findings

The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).

Ambulatory recovery occurred in 53.1% of dogs (86/162).

The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.

Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.

Top predictive features (by SHAP analysis) included:

  1. T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
  2. Use of fenestration (presence associated with better recovery)
  3. Hospitalization duration
  4. Imaging modality used
  5. Duration of nonambulatory status

Machine learning provided better insight into prognostic factors than traditional statistical methods.

Low

Veterinary Surgery

4

2025

Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

2025-4-VS-low-3

Article Title: Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

Journal: Veterinary Surgery

In Lin 2025 et al., on surgical approaches to the radius, which approach provided significantly more surface exposure?

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Correct. The CLA exposed significantly more radial surface area than CMA.
Incorrect. The correct answer is Craniolateral approach.
The CLA exposed significantly more radial surface area than CMA.

🔍 Key Findings

  • Craniolateral approach (CLA) exposed significantly more radial surface area than craniomedial approach (CMA) (19.4 cm² vs. 13.8 cm²; p = 0.01).
  • Proximal width of exposure was greater in CLA, especially at 12.5% length (P2 level, p = 0.016), aiding plate placement.
  • No significant difference in exposed bone length between approaches.
  • CLA avoided major neurovascular structures, making dissection cleaner and safer proximally.
  • CMA consistently encountered median nerve/artery/vein, complicating proximal exposure.
  • CLA allowed better access to proximal radius for locking plate application, which may benefit MIPO techniques.
  • CLA also enables ulna fixation via the same incision, whereas CMA requires a separate skin incision.
  • Anatomical tilt of the proximal cranial surface favored CLA, requiring less plate contouring than CMA for proper fit.

Lin

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?

2025-3-VCOT-lin-1

Article Title: Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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