Your Custom Quiz

In McCagherty 2025 et al., on WID detection accuracy, which feature of the WID aided in guiding wound debridement?

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Correct. Red fluorescence indicated high bacterial load areas, aiding targeted debridement.
Incorrect. The correct answer is Red fluorescence from bacterial porphyrins.
Red fluorescence indicated high bacterial load areas, aiding targeted debridement.

🔍 Key Findings

  • Bacterial fluorescence was detected in all wounds (17 dogs, 4 cats) using the point-of-care wound imaging device (WID).
  • The WID confirmed the presence of clinically relevant wound infection in all evaluated cases at the time of imaging.
  • No significant difference was found in bacterial yield or burden between image-guided and non-guided swabs (QBC and PCR; p > 0.05).
  • The WID helped guide wound debridement in some cases by localizing areas of fluorescence, especially in necrotic tissue.
  • Most infections were polymicrobial and dominated by anaerobes, highlighting the need for anaerobic culture inclusion.
  • PCR analysis showed low bacterial DNA yields, often complicated by host DNA contamination, limiting its utility.
  • The study did not evaluate sensitivity/specificity of WID, as only fluorescence-positive wounds were included.
  • Clinical utility of WID lies in immediate visual confirmation of infection, supporting timely antimicrobial treatment decisions.

McCagherty

Veterinary Surgery

6

2025

Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats

2025-6-VS-mccagherty-3

Article Title: Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats

Journal: Veterinary Surgery

In Lhuillery 2022 et al., on GDV stabilization timing, which variable was significantly associated with increased in-hospital and 1-month mortality?

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Correct. Elevated lactate at 24h was the only variable significantly linked to worse survival outcomes.
Incorrect. The correct answer is Hyperlactatemia 24 hours post-fluid therapy.
Elevated lactate at 24h was the only variable significantly linked to worse survival outcomes.

🔍 Key Findings

  • Survival rates did not differ between immediate (90 min) and delayed (≥5 h) surgical stabilization groups at discharge or 1-month post-op (approx. 80% survival in both).
  • Hyperlactatemia at 24 hours post-fluid therapy was significantly associated with in-hospital and 1-month mortality (P = .01 and P = .02).
  • Persistent tachycardia during hospitalization was linked to increased 1-month mortality (P = .015).
  • Partial gastrectomy was required in ~6–10% of cases, with high associated mortality.
  • Preoperative stabilization protocols (trocarization, nasogastric tube) allowed safe surgical delays up to 13.7 hours without impacting survival.
  • Degree of gastric torsion differed between groups; more 0° torsions in delayed cases, potentially due to decompression-induced derotation.
  • No difference in post-op complications such as arrhythmias, hypotension, or AKI between groups.
  • More intra-anesthetic deaths occurred in immediate surgery group, highlighting importance of adequate pre-op stabilization.

Lhuillery

Veterinary Surgery

5

2022

Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

2022-5-VS-lhuillery-2

Article Title: Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

Journal: Veterinary Surgery

In Cortina 2023 et al., on modified TTT outcomes for MPL in dogs, how did the complication rate of the m-TTT compare to historical methods?

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Correct. The overall complication rate (19.6%) was lower than historical reports (up to 48%), with major complications at only 4.3%.
Incorrect. The correct answer is Markedly lower overall complications.
The overall complication rate (19.6%) was lower than historical reports (up to 48%), with major complications at only 4.3%.

🔍 Key Findings

  • m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
  • Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
  • Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
  • Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
  • Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
  • All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
  • Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
  • Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.

Cortina

Veterinary Surgery

5

2023

Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs

2023-5-VS-cortina-4

Article Title: Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs

Journal: Veterinary Surgery

In Farrell 2022 et al., on checklist reliability in OVH simulation, what was the main benefit of using digital recordings for student performance assessment?

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Correct. Digital recordings allowed multiple raters to evaluate performance without introducing bias.
Incorrect. The correct answer is Enabled blinded multi-rater evaluation.
Digital recordings allowed multiple raters to evaluate performance without introducing bias.

🔍 Key Findings

  • 39 of 40 checklist items for simulated OVH surgical assessment had good content validity (CVI = 0.81)
  • Only 1 of 6 items from the OSATS GRS (respect for tissue) met inclusion criteria (CVI = 0.80)
  • Checklist showed strong reliability (G-coefficient = 0.85) for moderate-stakes exams
  • Modified OSATS GRS showed acceptable reliability (G-coefficient = 0.79)
  • Two raters needed for acceptable reliability in high-stakes exams when using the checklist
  • Minimal interrater bias found; variance largely due to interaction among student, rater, and item
  • Digital recordings were a reliable method of evaluating surgical performance
  • Study supports using checklist over OSATS GRS for assessing preclinical students on simulated models

Farrell

Veterinary Surgery

5

2022

Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment

2022-5-VS-farrell-5

Article Title: Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment

Journal: Veterinary Surgery

In Korchek 2025 et al., on fracture gap risk, what was the incidence of implant failure among cases with a fracture gap?

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Correct. Among the 37 cases with a fracture gap, 10 experienced implant failure, corresponding to a 27% failure rate.
Incorrect. The correct answer is 27%.
Among the 37 cases with a fracture gap, 10 experienced implant failure, corresponding to a 27% failure rate.

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

  • 27% in cases with fracture gap
  • 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

  • OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

  • OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

  • OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

Korchek

Veterinary Surgery

2

2025

Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

2025-2-VS-korchek-5

Article Title: Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

Journal: Veterinary Surgery

In Farrugia 2025 et al., on BODPUO location effects, which of the following had **no significant association** with change in ulna angle?

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Correct. Osteotomy length did not influence postoperative change in ulna angle after adjusting for osteotomy location.
Incorrect. The correct answer is Osteotomy length.
Osteotomy length did not influence postoperative change in ulna angle after adjusting for osteotomy location.

🔍 Key Findings

  • Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
  • Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
  • Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
  • Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
  • Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
  • Osteotomy length had no significant effect on change in angle.
  • Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
  • No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

Farrugia

Veterinary Surgery

6

2025

Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

2025-6-VS-farrugia-4

Article Title: Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

Journal: Veterinary Surgery

In Low 2025 et al., on machine-learning outcomes in IVDE, what was the performance of the XGBoost model when using only preoperative variables?

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Correct. The preoperative-only XGBoost model had AUC 0.8271 and accuracy 71.9%.
Incorrect. The correct answer is AUC 0.8271, Accuracy 71.9%.
The preoperative-only XGBoost model had AUC 0.8271 and accuracy 71.9%.

🔍 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-5

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 Frapwell 2026 et al., on humeral condyle morphology, what was the observed effect of HIF on the A–B angle between axial surfaces?

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Correct. HIF-affected elbows had a more acute A–B angle (107.4° vs 114.2°), suggesting altered load distribution across the condyle.
Incorrect. The correct answer is It was significantly more acute.
HIF-affected elbows had a more acute A–B angle (107.4° vs 114.2°), suggesting altered load distribution across the condyle.

🔍 Key Findings

  • HIF-affected dogs had significantly greater angle A and B, indicating increased axial articular angulation of the medial and lateral humeral condyle (p < .001).
  • Vertical condylar height (lengths a and b) was significantly greater in HIF-affected dogs compared to controls (p = .007 and p < .001 respectively).
  • Angle G (dorsal plane medial condyle angle) was also significantly greater in HIF-affected dogs, suggesting altered medial humeral morphology (p < .001).
  • The angle between axial surfaces (A–B angle) was significantly more acute in HIF dogs (107.4° vs. 114.2°, p < .001), suggesting potential for increased shear force.
  • Springer Spaniels with HIF showed significantly greater angulation and vertical height than unaffected Springer controls (p < .001 to .007 across variables).
  • Morphological differences persisted across non-spaniel breeds, reinforcing that altered condylar geometry is not breed-restricted.
  • Authors propose that greater condylar angulation contributes to shear stress, orthogonal to the fissure, possibly contributing to HIF pathogenesis.
  • These morphologic alterations could inform future screening or preventive strategies, and may explain variable surgical outcomes and implant failure.

Frapwell

Veterinary Surgery

1

2026

Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure

2026-1-vs-frapwell-2

Article Title: Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure

Journal: Veterinary Surgery

In Bohin 2026 et al., on feline Achilles repair, where were all Achilles tendon lesions located?

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Correct. All 13 lesions involved the tendino-osseous insertion site on the calcaneus.
Incorrect. The correct answer is Tendino-osseous junction.
All 13 lesions involved the tendino-osseous insertion site on the calcaneus.

🔍 Key Findings

  • UHMWPE implant reconstruction resulted in successful long-term functional recovery in 11/12 limbs (91.7%) with complete follow-up, with restoration of normal tarsal motion in most cats.
  • All injuries occurred at the tendino-osseous junction, with 53.8% being complete Achilles tendon ruptures and 46.2% partial gastrocnemius avulsions (Type IIc).
  • No intraoperative complications occurred in any of the 13 repaired limbs.
  • Complication rate was low (15.4%), with only one calcaneal fracture from screw malposition and one surgical site infection causing implant failure.
  • External coaptation was not required in all cases, and outcomes did not differ between limbs with or without rigid coaptation.
  • Median long-term follow-up was 18.5 months, with a median FMPI score of 1.5 indicating excellent owner-reported limb function.
  • Calcaneal fracture risk was associated with distal interference screw malposition, emphasizing the importance of correct screw placement proximal and caudal to the talocalcaneal central joint.
  • The technique may reduce complications associated with transarticular fixation or external skeletal fixation, potentially improving short-term recovery while preserving tendon loading during healing.

Bohin

Veterinary Surgery

4

2026

Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)

2026-4-vs-bohin-2

Article Title: Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)

Journal: Veterinary Surgery

In Silveira 2022 et al., on GTO in canine THR, what was the cause of the one reported post-operative complication?

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Correct. Luxation occurred in one dog due to undersized cup/head and soft tissue laxity, not GTO failure.
Incorrect. The correct answer is Post-operative luxation related to soft tissue tension loss.
Luxation occurred in one dog due to undersized cup/head and soft tissue laxity, not GTO failure.

🔍 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-5

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

Journal: Veterinary Surgery

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