Your Custom Quiz

In Lin 2025 et al., on surgical approaches to the radius, how did the anatomical tilt of the radius affect approach selection?

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Correct. CLA matched lateral tilt of proximal radius, reducing need for proximal plate contouring.
Incorrect. The correct answer is CLA followed natural tilt, needed less plate twist.
CLA matched lateral tilt of proximal radius, reducing need for proximal plate contouring.

🔍 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-5

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

In Barrett 2023 et al., on complication grading systems, what is an example of a **Grade I complication** in the aCD system?

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Correct. Grade I complications require no intervention beyond supportive care (e.g., fever, mild skin irritation, or self-resolving issues).
Incorrect. The correct answer is Postoperative fever requiring no treatment.
Grade I complications require no intervention beyond supportive care (e.g., fever, mild skin irritation, or self-resolving issues).

🔍 Key Findings

  • Cook system had good reliability across all cases (ICC = 0.848), even when complications, sequelae, and failure-to-cure were included.
  • aCD system had excellent reliability when excluding sequelae/failure-to-cure cases (ICC = 0.975) but only moderate reliability when including them (ICC = 0.620).
  • Majority of complications (60–63%) were graded as Grade 3 in the aCD system, corresponding to surgical or anesthetic intervention.
  • Cook system classified most cases (78–81%) as major complications.
  • Assessors had difficulty distinguishing sequelae from Grade 1 complications, and failure-to-cure from Grades 1–2, reducing aCD reliability.
  • The aCD system offers more resolution (5 grades vs. 3) and less subjectivity through objective definitions.
  • Novel terminology (e.g., sequelae, failure to cure) in the aCD system may hinder its uptake without proper training.
  • Reclassifying expected events (e.g., swelling, bruising) as sequelae could significantly reduce reported complication rates in other studies.

Barrett

Veterinary Surgery

1

2023

Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs

2023-1-VS-barrett-5

Article Title: Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs

Journal: Veterinary Surgery

In Kwok 2023 et al., on BFX lateral bolt THR in dogs,what was the reported mean subsidence of the femoral stem at 1 month?

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Correct. Mean subsidence was 1.22 ± 0.16 mm at 1 month.
Incorrect. The correct answer is 1.22 mm.
Mean subsidence was 1.22 ± 0.16 mm at 1 month.

🔍 Key Findings

  • 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
  • Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
  • Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
  • Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
  • Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
  • Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
  • Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
  • Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.

Kwok

Veterinary Surgery

1

2023

Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

2023-1-VS-kwok-4

Article Title: Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

Journal: Veterinary Surgery

In Miller 2024 et al., on surgical comparison of staphylectomy vs. FFP, which breed most frequently underwent a folded flap palatoplasty?

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Correct. Among 54 French Bulldogs in the study, a slight majority received FFP (53.7%) compared to staphylectomy.
Incorrect. The correct answer is French Bulldog.
Among 54 French Bulldogs in the study, a slight majority received FFP (53.7%) compared to staphylectomy.

🔍 Key Findings

  • FFP resulted in longer median surgery (75 min) and anesthesia (111 min) durations than S (51 min and 80 min, respectively).
  • No significant difference in anesthetic complications, regurgitation, aspiration pneumonia, or hospitalization time between S and FFP.
  • Major complications were rare (4%) and equally distributed between procedures; included tracheostomy and euthanasia due to severe airway disease.
  • Postoperative oxygen use was common (52% of dogs) but not significantly different between procedures.
  • FFP dogs more often had laryngeal collapse (especially Grade 1: 68% vs. 32% in S dogs).
  • Most dogs (85%) had concurrent nares surgery, with caudal wedge resection more frequent in FFP dogs.
  • Few dogs needed revision soft palate surgery (7/124 total); similar between groups.
  • Postoperative clinical signs improved across both procedures; regurgitation was the most persistent sign post-op.

Miller

Veterinary Surgery

8

2024

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

2024-8-VS-miller-4

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

Journal: Veterinary Surgery

In Anderson 2025 et al., on wound drain configurations, how many wounds achieved ≥95% surface area coverage?

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Correct. Only 7 of 64 wounds achieved near-complete surface area coverage with the infused solution.
Incorrect. The correct answer is 7 out of 64.
Only 7 of 64 wounds achieved near-complete surface area coverage with the infused solution.

🔍 Key Findings

  • Study Design: Cadaveric model using four large-breed dogs with 10x10 cm full-thickness wounds at four locations (shoulder, thorax, flank, thigh).
  • Configurations Tested: Diagonal, opposite, parallel, and perpendicular placements of wound infusion catheter and JP drain.
  • Fluid Retrieval:
    • No significant difference by configuration (p = .92) or location (p = .32).
    • Perpendicular configuration had the highest mean retrieval (11.35 mL, 56.8% of instilled volume).
    • Flank location had the lowest retrieval (7.2 mL, 35.9%).
  • Surface Area Coverage:
    • Parallel configuration achieved the highest SA coverage (83.4% ± 11.6%, p < .01).
    • Perpendicular was lowest.
  • Leakage:
    • No difference in leakage between configurations (p = .74) or locations (p = .10).
    • Leakage commonly occurred at drain or catheter entry points (93.8% of wounds).
  • Conclusion: Parallel drain configuration optimized fluid dispersion. Infusion-retrieval systems may allow for topical therapy delivery in closed wounds.

Anderson

Veterinary Surgery

2

2025

Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

2025-2-VS-anderson2-5

Article Title: Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

Journal: Veterinary Surgery

In Maeta 2022 et al., on total cystectomy in cats, how long did the cat survive postoperatively before death at home?

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Correct. The cat lived for approximately 16 months after surgery despite urinary incontinence and later complications.
Incorrect. The correct answer is 16 months.
The cat lived for approximately 16 months after surgery despite urinary incontinence and later complications.

🔍 Key Findings

  • First reported case of total cystectomy and bilateral cutaneous ureterostomy in a cat using a modified Toyoda technique.
  • Histologically complete tumor resection was achieved, with tumor-free ureter and urethral margins >20 mm.
  • The modified Toyoda technique involved shaping the ureter into a fish-mouth aperture and anastomosing it to a rectangular skin defect for stomal formation.
  • Incontinence was managed using a diaper changed every 6–8 hours, with no dermatological complications.
  • Obstruction of the right ureter occurred 14 months post-op, associated with a subcutaneous nodule at the anastomosis site.
  • Despite incontinence, owner satisfaction and perceived quality of life were high, with the cat living ~16 months post-op.
  • The stents were removed on days 7 (left) and 28 (right) postoperatively, with initial patency maintained until 14 months.
  • This surgical approach may offer palliative or curative benefit for feline trigonal TCC where partial cystectomy is not feasible.

Maeta

Veterinary Surgery

8

2022

Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

2022-8-VS-maeta-2

Article Title: Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

Journal: Veterinary Surgery

In Duvieusart 2025 et al., on lung lobectomy approaches, what was a key advantage of the TDCM technique?

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Correct. TDCM approach enabled better access and visibility of the accessory lung lobe.
Incorrect. The correct answer is Superior exposure for stapling.
TDCM approach enabled better access and visibility of the accessory lung lobe.

🔍 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-5

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 Rodiño Tilve 2022 et al., on feline THR outcomes, which implant feature was associated with all luxation complications?

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Correct. All luxations occurred in implants using femoral neck +0 mm, though not all such implants luxated.
Incorrect. The correct answer is Femoral neck extension +0 mm.
All luxations occurred in implants using femoral neck +0 mm, though not all such implants luxated.

🔍 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-3

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 Nicolas 2024 et al., what spinal level was targeted using the lateral scapular osteotomy approach?

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Correct. The novel lateral approach was used for a foraminal disc extrusion at T1–T2:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is T1–T2.
The novel lateral approach was used for a foraminal disc extrusion at T1–T2:contentReference[oaicite:0]{index=0}

🔍 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-1

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 Forzisi 2025 et al., on femoral growth post-THR, what was the effect of THR on total femoral length?

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Correct. THR caused a 2.3% smaller increase in femoral length (p = .465), not clinically significant.
Incorrect. The correct answer is Total femoral length showed negligible change.
THR caused a 2.3% smaller increase in femoral length (p = .465), not clinically significant.

🔍 Key Findings

Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:

  • Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
  • No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).

Cortical Width:

  • Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).

Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:

  • Moderate negative for trochanteric growth.
  • Moderate positive for proximal femoral width.

Forzisi

Veterinary Surgery

1

2025

Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

2025-1-VS-forzisi-2

Article Title: Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

Journal: Veterinary Surgery

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