Your Custom Quiz

In Dalton 2023 et al., In Minimally invasive acetabular fracture repair in dogs, which intraoperative complication was observed in cadaveric specimens?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. One cadaver had mild sciatic nerve indentation; others had no gross nerve injury.
Incorrect. The correct answer is Sciatic nerve indentation.
One cadaver had mild sciatic nerve indentation; others had no gross nerve injury.

🔍 Key Findings

  • Feasibility study in 5 canine cadavers plus 1 clinical case (Chihuahua, 5.5 kg).
  • Technique used two small approaches (caudal and craniolateral) connected with an epiperiosteal tunnel.
  • Plates were precontoured on mirrored 3D-printed hemipelves to improve fit and reduce intraoperative bending.
  • Cadaver outcomes: fracture gap <2 mm, step defect <1 mm, pelvic angulation <5°.
  • Sciatic nerve injury was minimal: 1/5 cadavers had a mild indentation; others had no gross injury.
  • Median total surgical time: ~46 minutes in cadavers; incisions ~5 cm.
  • Clinical Chihuahua case: weight-bearing within 24 hrs, radiographic union at 3 months; one screw fractured but no adverse effect.
  • Authors conclude: MIAF with 3D printing is feasible and accurate, but requires further evaluation before routine use.

Dalton

Veterinary Surgery

7

2023

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

2023-7-VS-dalton-3

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

Journal: Veterinary Surgery

In Ritson 2025 et al., on feline hilar lobectomy sealants, how were devices evaluated for seal integrity?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Bronchial stumps were tested with increasing pressures in submerged cyclic ventilation simulation.
Incorrect. The correct answer is Leakage under cyclical positive pressure ventilation.
Bronchial stumps were tested with increasing pressures in submerged cyclic ventilation simulation.

🔍 Key Findings

  • No leakage occurred using pretied ligature loops (PLL) or double-shank (DS) titanium clips up to 40 cm H₂O airway pressure.
  • 1/10 stapled lobes leaked at supraphysiologic pressure (40 cm H₂O), but this was not statistically significant (p = .33).
  • All techniques sealed effectively under physiologic and supraphysiologic pressures in cadaveric feline lungs.
  • PLL and DS clips required less working space than staplers, making them more practical for small thoracic cavities.
  • DS titanium clips offer enhanced security due to dual shanks and tissue-gripping design, reducing clip slippage.
  • Leak testing was cyclic and submerged, simulating physiologic ventilation and allowing robust evaluation.
  • Stapling failure occurred along the staple line, highlighting risks of air leakage due to staple misalignment or poor hilar access.
  • PLL and DS clips may be cost-effective and efficient alternatives for open or minimally invasive feline lung lobectomy.

Ritson

Veterinary Surgery

7

2025

Ex vivo comparative evaluation of feline hilar lung lobectomy using linear stapler, pretied ligature loop, and double-shank titanium clips

2025-7-VS-ritson-4

Article Title: Ex vivo comparative evaluation of feline hilar lung lobectomy using linear stapler, pretied ligature loop, and double-shank titanium clips

Journal: Veterinary Surgery

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

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
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 Paulick 2022 et al., on feline ilial plating, what factor most contributed to the **poor performance** of the ALPS-5 system despite it being a locking plate?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. ALPS-5 failed more often due to its reduced moment of inertia, despite angular stability.
Incorrect. The correct answer is Small cross-section of the plate.
ALPS-5 failed more often due to its reduced moment of inertia, despite angular stability.

🔍 Key Findings

  • Locking plates (except ALPS-5) withstood significantly more cycles before failure than nonlocking DCP constructs.
  • ALPS-6.5, LCP, and FIXIN plates endured higher loads and resisted displacement better than DCP and ALPS-5.
  • ALPS-5 plates showed lower bending stiffness than all other constructs (P < .05).
  • DCP constructs failed due to screw loosening, seen in all specimens.
  • Locking constructs failed by bone slicing, affecting 100% of specimens.
  • Catastrophic implant failure (fracture or plastic deformation) occurred only in ALPS-5 group.
  • Plate size and screw-plate interface both influence resistance to cyclic loading in feline ilial fracture repair.
  • Locking plates are preferable for reducing screw pullout, but plate strength (e.g., cross-section) must match loading forces.

Paulick

Veterinary Surgery

1

2022

Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats

2022-1-VS-paulick-5

Article Title: Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats

Journal: Veterinary Surgery

In Huerta 2025 et al., on leakage in canine lung lobectomy, what was the leakage pressure threshold exceeded by most total lobectomy (TL-30) stapled specimens?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. All but one TL-30 sample resisted pressures greater than 50 cm H₂O.
Incorrect. The correct answer is 50 cm H₂O.
All but one TL-30 sample resisted pressures greater than 50 cm H₂O.

🔍 Key Findings

PL-30 group (partial, TA30-V3 wedge):

  • 100% leaked
  • Median leakage pressure: 10 cm H₂O
  • Most failures from periphery of staple line

PL-60 group (partial, TA60-3.5):

  • 100% leaked
  • Median leakage pressure: 18 cm H₂O
  • Better than PL-30 (p = .006)

TL-30 group (total, TA30-V3):

  • Only 1 of 11 leaked (at 22 cm H₂O)
  • All others resisted pressures >50–65 cm H₂O
  • Significantly higher leakage pressure than both PL groups (p < .001)

Odds ratios (leakage vs TL-30):

  • PL-30: OR 437 at both 20 and 30 cm H₂O (p = .003)
  • PL-60: OR 437 at 20 cm H₂O and 133 at 30 cm H₂O (p = .003)

Recommendation: Prefer TL-30 when possible. If partial needed, PL-60 superior to PL-30, but all partials leaked at physiologic pressures.

Huerta

Veterinary Surgery

4

2025

Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

2025-4-VS-huerta-1

Article Title: Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

Journal: Veterinary Surgery

In Renaud 2025 et al., on biliary peritonitis surgery, what procedure was performed in 94% of dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Cholecystectomy was performed in 94% of dogs, making it the most common surgical intervention.
Incorrect. The correct answer is Cholecystectomy.
Cholecystectomy was performed in 94% of dogs, making it the most common surgical intervention.

🔍 Key Findings

Mortality rate: 36% (12/33)
Cholecystectomy performed: 94% of dogs (31/33)
New significant prognostic factors for survival:

  • Hyperbilirubinemia (p = .049) — threshold = 60.5 μmol/L
  • Use of vasopressors (p = .002)
  • Renal dysfunction postoperatively (p = .008)
  • Number of postoperative complications (p = .005)

Multivariate model: Total bilirubin and number of complications best predicted survival
Septic vs nonseptic effusion: No significant difference in survival
Diagnostic imaging: Ultrasound sensitivity for extrahepatic biliary rupture = 38%
Most cultured pathogen: E. coli (80% of septic cases)

Renaud

Veterinary Surgery

2

2025

Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

2025-2-VS-renaud-5

Article Title: Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

Journal: Veterinary Surgery

In McNamara 2022 et al., on transoral endoscopic arytenopexy, what limitation of the cadaver model was specifically mentioned regarding functional outcomes?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The study notes cadaver models can't assess dynamic processes like swallowing or breathing, limiting real-world outcome prediction.
Incorrect. The correct answer is No data on swallowing and respiratory motion.
The study notes cadaver models can't assess dynamic processes like swallowing or breathing, limiting real-world outcome prediction.

🔍 Key Findings

  • TEA significantly increased the rima glottis area (RGA) from a mean of 0.52 cm³ to 0.78 cm³ (p < .0001)
  • Mean RGA increased by 157%, equivalent to an 84% estimated decrease in airway resistance
  • LEGS (laryngeal epiglottic-glottic seal) remained intact in all cadavers post-procedure, indicating maintained airway protection
  • TEA was technically feasible in all 15 cadaveric dogs using a custom endoscopic gag port (EGP)
  • TEA avoids cervical dissection, potentially reducing surgical trauma and risks compared to UAL (unilateral arytenoid lateralization)
  • Compared to UAL, TEA showed slightly less RGA increase, but greater LEGS preservation, potentially reducing aspiration risk
  • No cartilage was included in sutures; arytenopexy involved soft tissue fixation to pharyngeal wall across the piriform recess
  • Cadaver model limitations include inability to assess functional outcomes like swallowing and respiratory motion impact

McNamara

Veterinary Surgery

7

2022

Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers

2022-7-VS-mcnamara-4

Article Title: Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers

Journal: Veterinary Surgery

In Muroi 2024 et al., on radius plate stress effects, how did the 1 mm and 3 mm elevated locking plate groups differ in equivalent stress versus intact controls?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. FEA with solid elements revealed higher equivalent stress in LP groups vs. intact, p < 0.05.
Incorrect. The correct answer is Both LP groups showed significantly higher equivalent stress.
FEA with solid elements revealed higher equivalent stress in LP groups vs. intact, p < 0.05.

🔍 Key Findings Summary

  • Finite element analysis compared intact radii vs. locking plates placed 1 mm or 3 mm above the bone
  • LP placement significantly reduced tensile (maximum principal) stress on cranial cortex, potentially causing implant-induced osteoporosis
  • Shell element findings:
    • Max principal stress significantly lower in both LP groups vs. intact (p < 0.05)
  • Solid element findings:
    • Equivalent stress higher and max principal stress lower in LP groups
  • Implication: Tension reduction may impair bone remodeling; implant design and placement height affect stress environment

Muroi

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

2024-3-VCOT-muroi-3

Article Title: Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Anderson 2024 et al., which clinical sign was consistently observed in all affected dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. All dogs exhibited absent hock flexion and paw knuckling due to fibular nerve dysfunction:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Knuckling and lack of hock flexion.
All dogs exhibited absent hock flexion and paw knuckling due to fibular nerve dysfunction:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 3 dogs developed permanent fibular nerve dysfunction following TPLO
  • Common findings:
    • Drill hole or screw in caudal tibial cortex just distal to osteotomy
    • Caudal malpositioning of TPLO plate (esp. right limb of case 3)
    • Post-op signs: cranial tibial atrophy, knuckling, exaggerated gait, no hock flexion
  • One case had confirmed deep/superficial fibular neuropathy via electrodiagnostics
  • Recommended prevention: avoid overly caudal drill paths; careful gait assessment at follow-up is key

Anderson

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

2024-3-VCOT-anderson-2

Article Title: Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Dalton 2023 et al., In Minimally invasive acetabular fracture repair in dogs, what was the median total surgical time for the cadaveric minimally invasive acetabular fracture repairs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Median surgical time was approximately 46 minutes, with incisions around 5 cm.
Incorrect. The correct answer is 46 minutes.
Median surgical time was approximately 46 minutes, with incisions around 5 cm.

🔍 Key Findings

  • Feasibility study in 5 canine cadavers plus 1 clinical case (Chihuahua, 5.5 kg).
  • Technique used two small approaches (caudal and craniolateral) connected with an epiperiosteal tunnel.
  • Plates were precontoured on mirrored 3D-printed hemipelves to improve fit and reduce intraoperative bending.
  • Cadaver outcomes: fracture gap <2 mm, step defect <1 mm, pelvic angulation <5°.
  • Sciatic nerve injury was minimal: 1/5 cadavers had a mild indentation; others had no gross injury.
  • Median total surgical time: ~46 minutes in cadavers; incisions ~5 cm.
  • Clinical Chihuahua case: weight-bearing within 24 hrs, radiographic union at 3 months; one screw fractured but no adverse effect.
  • Authors conclude: MIAF with 3D printing is feasible and accurate, but requires further evaluation before routine use.

Dalton

Veterinary Surgery

7

2023

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

2023-7-VS-dalton-2

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

Journal: Veterinary Surgery

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.