Your Custom Quiz

In Peycke 2022 et al., on CBLO in immature dogs, what was a **benefit of using K-wires** for tibial apophysis stabilization in CBLO?

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Correct. Unlike CCS, K-wires allowed continued growth of the tibial tuberosity apophysis.
Incorrect. The correct answer is Preserved apophyseal growth.
Unlike CCS, K-wires allowed continued growth of the tibial tuberosity apophysis.

🔍 Key Findings

  • CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
  • Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
  • Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
  • Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
  • One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
  • CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
  • In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
  • No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.

Peycke

Veterinary Surgery

3

2022

Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

2022-3-VS-peycke-4

Article Title: Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

Journal: Veterinary Surgery

In Gomes 2025 et al., on subdural shunting for TL-AD, what was the significant long-term outcome of SDS placement compared to durotomy alone?

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Correct. 85.7% of dogs with SDS improved long-term vs. 41.7% with durotomy alone (p = 0.04).
Incorrect. The correct answer is Significantly improved long-term neurological recovery.
85.7% of dogs with SDS improved long-term vs. 41.7% with durotomy alone (p = 0.04).

🔍 Key Findings

  • Modified subdural shunt (SDS) placement was adapted from prior techniques using a hemilaminectomy approach and no suturing of the dura or shunt.
  • Dogs receiving SDS had significantly better long-term outcomes (85.7% improved) compared to those with durotomy alone (41.7%).
  • Recurrence rate was lower in the SDS group (14.3%) than control (41.7%), though not statistically significant.
  • Most recurrences occurred in Pugs (5/7), suggesting a breed predisposition.
  • Shunt size was limited to 25% of spinal cord diameter, typically 3–3.5 Fr.
  • CSF flow through the shunt was confirmed intraoperatively, supporting the role of SDS in maintaining flow and possibly preventing recurrence.
  • Immediate postoperative outcomes were not different between groups (≈42% deteriorated), but long-term recovery was better with SDS.
  • Steroid use pre-surgery did not correlate with improved outcome; fewer SDS dogs received steroids pre-op.

Gomes

Veterinary Surgery

5

2025

Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

2025-5-VS-gomes-2

Article Title: Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

Journal: Veterinary Surgery

In Thibault 2023 et al., on DPO for THR luxation, which of the following statements is TRUE regarding the effectiveness of DPO in preventing reluxation?

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Correct. Reluxation occurred in 5 of 11 dogs, indicating that DPO alone was not reliably effective.
Incorrect. The correct answer is Reluxation occurred in nearly half of the dogs despite DPO.
Reluxation occurred in 5 of 11 dogs, indicating that DPO alone was not reliably effective.

2023-8-VS-thibault-4

Article Title:

Journal:

In Ramsey 2025 et al., on tibial alignment, which statement regarding complications is most accurate?

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Correct. Only one clinically relevant malalignment was reported and no increase in missed bolts or infection was identified.
Incorrect. The correct answer is Overall complication rates were very low.
Only one clinically relevant malalignment was reported and no increase in missed bolts or infection was identified.

🔍 Key Findings

  • Straight interlocking nails (sILN) resulted in a significantly higher postoperative TPA compared with the contralateral limb (+5°), whereas bent nails (bILN) increased TPA by only +1°.
  • Bent interlocking nails achieved closer-to-anatomic tibial plateau alignment than straight nails (p < .0001).
  • Both techniques resulted in mild valgus malalignment (~2°) compared with the contralateral limb, but this was not clinically significant.
  • No significant differences in medial mechanical proximal tibial angle (mMPTA) were detected between groups.
  • Medullary canal fill was higher with bent nails (by ~6.6%), suggesting improved coaxial nail placement.
  • Missed bolt hole frequency did not differ between straight and bent nail techniques.
  • Complication rates were very low, with only one clinically relevant malalignment reported in the bent nail group.
  • Despite higher TPA in the straight nail group, no increased incidence of CCL rupture was identified during follow-up.

Ramsey

Veterinary Surgery

8

2025

Comparison of tibial alignment following bent or straight interlocking nail fixation for dogs with diaphyseal tibial fractures

2025-8-vs-ramsey-5

Article Title: Comparison of tibial alignment following bent or straight interlocking nail fixation for dogs with diaphyseal tibial fractures

Journal: Veterinary Surgery

In Saylak 2026 et al., on feline ilium fixation, what technical feature of the M-CRIF construct facilitated stable fixation in the small feline ilium?

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Correct. The adjustable M-CRIF clamps permitted flexible positioning and increased screw density; the study describes placement of four locking screws cranially and two caudally to the fracture line.
Incorrect. The correct answer is The clamps could be positioned at required regions and angles, permitting multiple locking screws to be placed at 90 degrees and locked securely..
The adjustable M-CRIF clamps permitted flexible positioning and increased screw density; the study describes placement of four locking screws cranially and two caudally to the fracture line.

🔍 Key Findings

  • All 36 feline corpus ilium fractures achieved union after fixation with either M-CRIF (n = 18) or conventional locking plates (n = 18).
  • M-CRIF produced faster mid-term radiographic healing, with higher day-45 healing scores than locking plates (2.72 ± 0.46 vs 1.89 ± 0.83; p = .002); later healing scores were comparable.
  • M-CRIF better preserved pelvic canal dimensions, with significantly less sacral index narrowing than plate fixation (p = .005).
  • Screw loosening occurred in 22.2% (4/18) of plate cases but in none of the M-CRIF cases; one plate case required revision with an additional dorsal plate.
  • The modified implant increased screw-placement flexibility, permitting four locking screws cranial and two caudal to the fracture while allowing clamps to be positioned at the required location and angle.
  • M-CRIF required longer operative application, primarily because the rod had to be contoured intraoperatively, although application time decreased with surgeon experience.
  • Neurological deficits decreased from 22.2% preoperatively to 5.5% postoperatively, suggesting generally favorable neurological recovery in the selected population.
  • M-CRIF was considered a reliable alternative to conventional plating, offering greater fixation stability, fewer implant-related complications, and improved preservation of pelvic canal width.

Saylak

Veterinary Surgery

6

2026

Locked plate versus modified clamp-rod internal fixation for feline corpus ilium fractures: A comparative clinical study

2026-6-vs-saylak-3

Article Title: Locked plate versus modified clamp-rod internal fixation for feline corpus ilium fractures: A comparative clinical study

Journal: Veterinary Surgery

In Stoneburner 2024 et al., on MIS survey results, what was the most cited reason for performing MIS techniques?

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Correct. Respondents ranked reduced pain and faster recovery as top motivators (mean 4.0/5).
Incorrect. The correct answer is Patient benefit.
Respondents ranked reduced pain and faster recovery as top motivators (mean 4.0/5).

🔍 Key Findings

  • The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
  • In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
  • Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
  • Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
  • 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
  • MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
  • The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
  • Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.

Stoneburner

Veterinary Surgery

5

2024

Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

2024-5-VS-stoneburner-5

Article Title: Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

Journal: Veterinary Surgery

In Otero Balda 2025 et al., on Short-term outcomes after feline cPSS surgery, what was the survival rate in cats pretreated with levetiracetam following the LEV1 protocol?

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Correct. Cats in LEV1 group had a 100% 30-day survival rate, although the difference was not statistically significant.
Incorrect. The correct answer is 100.0%.
Cats in LEV1 group had a 100% 30-day survival rate, although the difference was not statistically significant.

🔍 Key Findings

  • 78% of cats that developed postattenuation neurologic signs (PANS) after congenital portosystemic shunt (cPSS) surgery survived to 30 days.
  • Postattenuation seizures (PAS) were associated with significantly decreased 30-day survival (50% vs. 78%; OR: 0.015, p = .005).
  • Treatment of PANS with propofol was a negative prognostic factor (OR: 0.112, p = .0008).
  • Generalized PAS accounted for most seizure cases and were more frequently fatal than focal or unknown-type seizures.
  • Pretreatment with levetiracetam (LEV1 protocol) showed a trend toward improved survival (100% vs. 60.6% in untreated cats), though not statistically significant (p = .06).
  • Shunt morphology, method of attenuation, and study period (early vs. late) were not significantly associated with 30-day survival.
  • Electrolyte, glucose, and ammonia abnormalities were not strongly linked to survival outcomes in this study.
  • Majority of PAS-related deaths were due to uncontrolled generalized seizures or euthanasia because of severity.

Otero Balda

Veterinary Surgery

5

2025

Prognostic factors for short‐term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts

2025-5-VS-otero-5

Article Title: Prognostic factors for short‐term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts

Journal: Veterinary Surgery

In Frapwell 2026 et al., on humeral condyle morphology, what hypothesis was proposed to explain HIF formation related to condylar shape?

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Correct. Authors propose that abnormal condylar angles may generate shear forces orthogonal to the fissure, contributing to HIF pathogenesis.
Incorrect. The correct answer is Shear force orthogonal to the fissure.
Authors propose that abnormal condylar angles may generate shear forces orthogonal to the fissure, contributing to HIF pathogenesis.

🔍 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-4

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

Journal: Veterinary Surgery

In Aertsens 2025 et al., on thoracic lift technique, which device was used to create the chest wall lift in the second cat?

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Correct. A bent 2 mm Steinmann pin was inserted at the 8th intercostal space and suspended to elevate the thoracic wall in Cat 2.
Incorrect. The correct answer is Bent Steinmann pin.
A bent 2 mm Steinmann pin was inserted at the 8th intercostal space and suspended to elevate the thoracic wall in Cat 2.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-2

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

In Parker 2023 et al., on Locoregional analgesia in TPLO, which variable was significantly associated with increased preference for lumbosacral epidural (LE) over PNB?

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Correct. LE was more common in diplomates >10 years post-certification, while newer diplomates preferred PNB (p < .001).
Incorrect. The correct answer is Time from board-certification.
LE was more common in diplomates >10 years post-certification, while newer diplomates preferred PNB (p < .001).

🔍 Key Findings

  • Peripheral nerve block (PNB) was preferred by 79% of anesthesiologists; lumbosacral epidural (LE) by 21%; PI <1%.
  • Time since board-certification significantly influenced preference: PNB favored by newer diplomates, LE favored by more senior ones (p < .001).
  • Employment sector mattered: PNB was preferred more in private practice, LE more in academia (p = .003).
  • PNB perceived as more effective, with 78% reporting 81–100% effectiveness; compared to 55% for LE.
  • PNB associated with fewer adverse effects (75%) than LE (4%) and PI (21%).
  • PNB required less rescue analgesia intraoperatively (57%) and postoperatively (54%) than LE or PI.
  • LE preferred for bilateral TPLOs and in smaller dogs; PNB for larger dogs, due to motor function preservation.
  • Dexmedetomidine was the most common additive to PNB; bupivacaine-only was most used for PNB.

Parker

Veterinary Surgery

4

2023

Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists

2023-4-VS-parker-2

Article Title: Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists

Journal: Veterinary Surgery

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