Your Custom Quiz

In Trefny 2025 et al., on plate length and stiffness, what was the measured effect of plate length on plate strain?

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Correct. Strain was significantly lower for 12-hole than 6-hole plates at all ROIs.
Incorrect. The correct answer is 12-hole plates had the lowest strain.
Strain was significantly lower for 12-hole than 6-hole plates at all ROIs.

🔍 Key Findings

  • 12-hole LCPs (80% plate–bone ratio) showed significantly higher construct stiffness than 6-, 8-, or 10-hole plates in both compression and tension bending.
  • Strain on the plate was significantly lower in 12-hole vs 6-hole plates at all regions of interest (ROIs), especially around the fracture gap.
  • No incremental increases in stiffness or decreases in strain were observed between 6-, 8-, and 10-hole plates—only when comparing to 12-hole plates.
  • Bone model strain adjacent to the plate end was significantly lower for 10- and 12-hole plates vs 6-hole plates under both loading conditions.
  • The threshold effect suggests biomechanical benefits only emerge beyond a plate–bone ratio of ~80%.
  • Working length increased from 9.4 mm (6-hole) to 13 mm (others), potentially influencing strain/stiffness differences.
  • Four-point bending was used, as it replicates the most biomechanically relevant force on plated long bones.
  • Clinical implication: Longer plates may reduce plate strain and peri-implant bone strain, potentially lowering risk of fatigue failure or stress risers.

Trefny

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate

2025-2-VCOT-trefny-2

Article Title: Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Wylie 2025 et al., on femoral implant accuracy, what was the effect of inaccurate isometric placement on postoperative stifle stability?

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Correct. Inaccurate femoral implant positioning was significantly associated with increased internal tibial rotation at follow-up (p = .009), indicating possible implant failure.
Incorrect. The correct answer is It was significantly associated with increased internal tibial rotation.
Inaccurate femoral implant positioning was significantly associated with increased internal tibial rotation at follow-up (p = .009), indicating possible implant failure.

🔍 Key Findings

  • Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
  • Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
  • Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
  • SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
  • Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
  • No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
  • Minor and major complications were low and not significantly different between implant types.
  • A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.

Wylie

Veterinary Surgery

7

2025

Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

2025-7-VS-wylie-1

Article Title: Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

Journal: Veterinary Surgery

In Aertsens 2025 et al., on thoracic lift technique, what outcome was reported for device-related complications in both feline cases?

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Correct. Both cases tolerated the lift technique without any observed complications from the devices.
Incorrect. The correct answer is No device-related complications.
Both cases tolerated the lift technique without any observed complications from the devices.

🔍 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-5

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

Journal: Veterinary Surgery

In Power 2022 et al., on liposomal bupivacaine use, which group had a significantly higher rate of incisional complications?

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Correct. Soft tissue surgeries showed a higher complication rate (26%) vs orthopedic (11.6%), which was statistically significant (P < 0.01).
Incorrect. The correct answer is Soft tissue procedures.
Soft tissue surgeries showed a higher complication rate (26%) vs orthopedic (11.6%), which was statistically significant (P < 0.01).

🔍 Key Findings

  • Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
  • Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
  • No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
  • No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
  • Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
  • Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
  • Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
  • Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.

Power

Veterinary Surgery

4

2022

Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

2022-4-VS-power-2

Article Title: Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

Journal: Veterinary Surgery

In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what was the median postoperative reduction immediately after surgery?

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Correct. The median sacroiliac reduction immediately after surgery was 94.1%, with 11 of 17 procedures achieving ≥90%.
Incorrect. The correct answer is 94.1%.
The median sacroiliac reduction immediately after surgery was 94.1%, with 11 of 17 procedures achieving ≥90%.

🔍 Key Findings

  • Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
  • Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
  • One screw exited caudally; no dorsal, ventral, or cranial exits reported.
  • At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
  • No screw loosening observed, even in suboptimal reductions or purchases.
  • Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
  • Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
  • Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.

Jourdain

Veterinary Surgery

4

2024

Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

2024-4-VS-jourdain-1

Article Title: Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic gastrectomy in cats, what technical refinement helped avoid iatrogenic stenosis at the incisura angularis?

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Correct. Using an orogastric tube guided the staple line and helped avoid narrowing near the lesser curvature, which caused stenosis in early cadavers.
Incorrect. The correct answer is Placement of an orogastric tube for spacing.
Using an orogastric tube guided the staple line and helped avoid narrowing near the lesser curvature, which caused stenosis in early cadavers.

🔍 Key Findings

  • LVSG was feasible in 9/10 feline cadavers with successful stapled gastrectomy and minimal technical complications.
  • Stenosis at the incisura angularis occurred in 2/10 cadavers, associated with staple placement too close to the lesser curvature.
  • Leak testing was negative in 8 cadavers and both live cats, indicating effective staple sealing.
  • Mean stomach resection was ~28%, though less than human standards (~75–80%) for metabolic effects.
  • Surgery was performed safely in two live feline subjects, with no intraoperative or postoperative complications over a 6-month follow-up.
  • Technique refinements included orogastric tube placement and custom 3D-printed cannulas to improve staple line accuracy and avoid stenosis.
  • Tri-Staple purple cartridges provided graduated compression suited for feline gastric tissue thickness (~2.5 mm).
  • No need for staple line oversew in live cats; staple-only closure proved safe in this short-term study.

Buote

Veterinary Surgery

6

2023

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

2023-6-buote2-1

Article Title: Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Journal: Veterinary Surgery

In Wood 2024 et al., on knot security and locking throws, what was the effect of a single locking throw on holding strength?

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Correct. Adding a single locking throw increased the holding strength for all five knots tested.
Incorrect. The correct answer is Increased in all knots.
Adding a single locking throw increased the holding strength for all five knots tested.

🔍 Key Findings

  • Adding a single locking throw significantly increased holding security for specific knots, including the surgeon's throw (p = .0001) and square throw (p = .0002).
  • For the Miller's throw (p = .166) and strangle throw (p = .808), no significant improvement was observed with a locking throw.
  • After locking throw addition, all five knots leaked at similar pressures (p = .5233), and these pressures exceeded physiologic arterial pressures.
  • Surgeon's throw without a locking throw had the lowest leak pressure (62.5 ± 46.2 mm Hg), below physiologic arterial values.
  • The square throw without locking also leaked below physiologic pressures (148.7 ± 109.4 mm Hg), though it outperformed the surgeon's throw.
  • Miller’s and strangle throws performed significantly better than square or surgeon’s throws without locking, achieving leak pressures >200 mm Hg.
  • All knots used 2-0 polyglyconate monofilament (Maxon); no comparisons across suture types or sizes were performed.
  • Authors concluded that correct tensioning and locking throw addition are key to safe vascular ligation. Miller’s, strangle, or slip knots are preferred for challenging surgical fields.

Wood

Veterinary Surgery

4

2024

Influence of a single locking throw on the in vitro holding security of five friction knots using two monofilament suture materials in a canine model

2024-4-VS-wood-3

Article Title: Influence of a single locking throw on the in vitro holding security of five friction knots using two monofilament suture materials in a canine model

Journal: Veterinary Surgery

In Alvarez 2024 et al., which method produced significantly more caudal compression than Kern forceps alone?

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Correct. The plate produced caudal compression, especially at the caudomedial quadrant, better than Kern:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Plate compression only.
The plate produced caudal compression, especially at the caudomedial quadrant, better than Kern:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • F + P (forceps + plate compression) achieved the most uniform, high-pressure distribution across all quadrants.
  • Kern forceps alone concentrated force in craniomedial quadrant, reducing caudal compression.
  • Combining Kern + F improved craniolateral compression but did not restore caudal compression.
  • Plate compression alone yielded caudal bias, not uniform pressure.
  • Significant inter-method variation in quadrant-specific compression confirmed via ANOVA (p < 0.001 for all quadrants).

Alvarez

Veterinary and Comparative Orthopedics and Traumatology

2

2024

In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

2024-2-VCOT-alvarez-5

Article Title: In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Bush 2023 et al., on canine salivary gland carcinoma, which factor was associated with significantly shorter survival and disease-free interval (DFI)?

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Correct. Dogs with nodal metastasis had an MST of 248 days versus 2340 days without, and shorter DFI.
Incorrect. The correct answer is Lymph node metastasis.
Dogs with nodal metastasis had an MST of 248 days versus 2340 days without, and shorter DFI.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

  • Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
  • Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
  • Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
  • Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
  • Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
  • Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
  • Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
  • Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

Bush

Veterinary Surgery

3

2023

Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

2023-3-VS-bush-2

Article Title: Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

Journal: Veterinary Surgery

In Huels 2025 et al., on second-generation screw cup THA, what was the most common major complication encountered in this THA case series?

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Correct. Three stem fractures occurred in a single dog, making it the most frequent major complication.
Incorrect. The correct answer is Stem fracture.
Three stem fractures occurred in a single dog, making it the most frequent major complication.

🔍 Key Findings

  • Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
  • Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
  • No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
  • Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
  • Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
  • Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
  • Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
  • Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.

Huels

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

2025-2-VCOT-huels-4

Article Title: Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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