Your Custom Quiz

In Almeida 2025 et al., on TPLO and partial CCL rupture, which factor was positively correlated with increased ligament thickness?

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Correct. Higher degree of tibial rotation correlated with more thickening (PLT).
Incorrect. The correct answer is Tibial plateau rotation.
Higher degree of tibial rotation correlated with more thickening (PLT).

🔍 Key Findings

  • Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
  • Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
  • Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
  • Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
  • No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
  • Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
  • Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
  • Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.

Almeida

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

2025-4-VCOT-almeida-3

Article Title: Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Rodiño Tilve 2022 et al., on feline THR outcomes, what percentage of owners reported a “very good” outcome?

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Correct. 30 of 33 owners (91%) reported the outcome as "very good."
Incorrect. The correct answer is 90.9%.
30 of 33 owners (91%) reported the outcome as "very good."

🔍 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-5

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 Larose 2024 et al., on fluorescence cholangiography, what ICG dose and timing produced the highest cystic duct-to-liver contrast during laparoscopic imaging?

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Correct. Low-dose ICG at 3 h pre-op yielded the best target-to-background contrast (up to 4:1).
Incorrect. The correct answer is 0.05 mg/kg at 3 hours pre-op.
Low-dose ICG at 3 h pre-op yielded the best target-to-background contrast (up to 4:1).

🔍 Key Findings

  • Near-infrared fluorescence cholangiography (NIRFC) was feasible and safe in all healthy dogs studied, with no major adverse effects noted.
  • Low-dose ICG (0.05 mg/kg) at 3 h pre-op achieved the highest target-to-background (cystic duct-to-liver) contrast ratio, reaching nearly 4:1 at 280 minutes.
  • Early imaging (time 0) favored low-dose ICG for optimal cystic duct visualization; high-dose ICG led to excessive liver fluorescence and reduced contrast.
  • Visualization of biliary tree occurred within 10–20 min post-injection regardless of dose, but longer delays improved background clearance and contrast.
  • No significant cardiovascular or histamine-related side effects were observed with either dose of ICG.
  • Repeated ICG injections showed minimal residual fluorescence when using a >72 h washout period; shorter intervals caused mild carryover in high-dose groups.
  • Surgeon scoring matched contrast ratios, confirming clinical relevance of imaging outcomes.
  • Recommended dose for laparoscopic imaging: 0.05 mg/kg ICG given 3–5 h before surgery, or at premedication for urgent cases.

Larose

Veterinary Surgery

4

2024

Near-infrared fluorescence cholangiography in dogs: A pilot study

2024-4-VS-larose2-1

Article Title: Near-infrared fluorescence cholangiography in dogs: A pilot study

Journal: Veterinary Surgery

In Miller 2024 et al., on leak testing in cooled feline intestine, what was a key implication of the intraluminal diameter findings?

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Correct. Ileum was widest and data may assist in future stapler selection.
Incorrect. The correct answer is Ileum had the largest diameter, helpful for device planning.
Ileum was widest and data may assist in future stapler selection.

🔍 Key Findings

  • No difference in initial leak pressure (ILP) or maximum intraluminal pressure (MIP) between cooled (17–29 h) and fresh enterotomy constructs.
  • Wall thickness of duodenum and jejunum did not differ between fresh and cooled samples.
  • Leak locations (suture holes vs clamp sites) were similar between groups; not statistically different.
  • Volume of infusion did not influence ILP or MIP outcomes.
  • Mean ILP values: Control = 600 mmHg (maxed), Fresh = 200 mmHg, Cooled = 131 mmHg; CE vs FE difference was not significant.
  • Intraluminal diameter was largest in the ileum, followed by jejunum and duodenum.
  • Cadaveric intestine cooled ≤29h may be reliably used in ex vivo feline leak pressure studies.
  • First report of gross small intestinal lengths by region in cats—useful for resection planning.

Miller

Veterinary Surgery

5

2024

Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement

2024-5-VS-miller-3

Article Title: Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement

Journal: Veterinary Surgery

In Morgera 2022 et al., on stifle surgery draping methods, which of the following was true regarding anesthesia duration between groups?

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Correct. Both groups had a mean duration of ~73.8 minutes; there was no significant difference.
Incorrect. The correct answer is Anesthesia time was not significantly different.
Both groups had a mean duration of ~73.8 minutes; there was no significant difference.

🔍 Key Findings

  • No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
  • Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
  • Tibial tuberosity advancement (TTA) was the most common procedure (61%).
  • Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
  • Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
  • Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
  • Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
  • Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.

Morgera

Veterinary Surgery

3

2022

Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

2022-3-VS-morgera-5

Article Title: Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

Journal: Veterinary Surgery

In Takagi 2022 et al., on hepatic venous anatomy, how frequently did the papillary process drain into the caudal vena cava rather than the left hepatic vein?

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Correct. In 5 out of 77 dogs (6.5%), the papillary process drained directly into the CVC instead of the LHV.
Incorrect. The correct answer is 6.5%.
In 5 out of 77 dogs (6.5%), the papillary process drained directly into the CVC instead of the LHV.

🔍 Key Findings

  • Hepatic venous drainage patterns vary widely across all lobes, especially the left lateral lobe.
  • Right lateral lobe had a median of 2 vessels draining directly into the caudal vena cava (CVC); range: 1–4.
  • Caudate process of caudate lobe had the most variability: 1–5 vessels draining into the CVC; 2 vessels was most common (54.5%).
  • Left lateral lobe drained via 2–8 veins into the left hepatic vein (LHV), with 3 veins most common (31.2%).
  • Left medial lobe typically had 1 vein draining into the LHV (61% of dogs).
  • Papillary process drained into the LHV in 93.5% of cases; 6.5% drained directly to the CVC.
  • Quadrate lobe always had 1 vessel draining either directly to the CVC or via the LHV.
  • CTA revealed more variations than previously described in plastinated or cadaveric studies, highlighting its superior value in surgical planning.

Takagi

Veterinary Surgery

4

2022

Computed angiographic variations in hepatic venous vasculature in dogs

2022-4-VS-takagi-4

Article Title: Computed angiographic variations in hepatic venous vasculature in dogs

Journal: Veterinary Surgery

In Isono 2025 et al., on tibial malalignment in MPL, which statistical trend was observed in toy poodles with grade 3 MPL?

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Correct. Toy poodles with grade 3 MPL had higher PTMTA than normals, indicating breed-specific severity.
Incorrect. The correct answer is Significantly higher PTMTA compared to normals.
Toy poodles with grade 3 MPL had higher PTMTA than normals, indicating breed-specific severity.

🔍 Key Findings

  • Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
  • PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
  • Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
  • DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
  • PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
  • Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
  • Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
  • Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.

Isono

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

2025-4-VCOT-isono-4

Article Title: Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Israel 2022 et al., on cerclage wire in THR, which of the following statements about cerclage wire outcomes is CORRECT?

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Correct. No wire-related complications or failures occurred in the study's 184 THRs.
Incorrect. The correct answer is No complications were reported from cerclage wire use.
No wire-related complications or failures occurred in the study's 184 THRs.

🔍 Key Findings

  • No proximal femoral fractures occurred in any of the 184 hips with cerclage wire placement
  • Cerclage wire was well tolerated, with no failures or complications related to the wire
  • Application of a single cerclage wire took <10 minutes, was cost-effective, and required minimal instrumentation
  • 3 postoperative complications (1 fissure, 2 fractures) occurred distal to the cerclage site, near the stem tip, requiring plate/screw fixation
  • All dogs returned to normal activity, and all owners were satisfied with the outcome
  • Cerclage placement location is critical—must be proximal to the lesser trochanter and close to the calcar to resist hoop strain
  • Biomechanical evidence supports that cerclage wires improve resistance to hoop strain and subsidence of cementless stems
  • Press-fit cementless stems may settle, but when supported by cerclage, this does not result in fractures even in undersized implants

Israel

Veterinary Surgery

2

2022

Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

2022-2-VS-israel-3

Article Title: Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

Journal: Veterinary Surgery

In Duffy 2022 et al., on barbed suture oversew, which of the following statements is TRUE regarding **initial leakage pressure (ILP)** and **maximum leakage pressure (MLP)** among FEESA groups?

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Correct. ILP and MLP did not differ significantly between monofilament and barbed suture groups.
Incorrect. The correct answer is No differences in ILP or MLP among FEESA groups.
ILP and MLP did not differ significantly between monofilament and barbed suture groups.

🔍 Key Findings

  • Oversewing the transverse staple line using barbed suture showed no difference in initial (ILP) or maximum leakage pressure (MLP) compared to monofilament suture (p = .439 and .644).
  • Barbed suture repairs were ~18% faster (25 seconds faster; p < .001) than monofilament suture.
  • No difference was found between unidirectional and bidirectional barbed sutures in leakage resistance or repair time (p = .697).
  • Mean ILP and MLP were significantly higher in control jejunal segments (6.6x and 5.1x greater respectively; p < .001).
  • Leakage consistently occurred at the crotch of the FEESA in all oversew groups (>80%), not the staple line.
  • All oversewn techniques leaked at supraphysiologic pressures, indicating clinical safety against in vivo leakage.
  • No leakage was observed from barbed suture holes, addressing concerns of tissue trauma due to barb design.
  • The study supports barbed suture as a viable alternative to conventional monofilament suture for FEESA oversew in dogs.

Duffy

Veterinary Surgery

5

2022

Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

2022-5-VS-duffy-3

Article Title: Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

Journal: Veterinary Surgery

In Neal 2023 et al., on transcondylar screw placement, which method had lower screw eccentricity on the humeral condyle?

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Correct. Fluoroscopy achieved significantly better screw centering on the condyle (3.1 mm vs 4.2 mm, p = .0017).
Incorrect. The correct answer is Fluoroscopy.
Fluoroscopy achieved significantly better screw centering on the condyle (3.1 mm vs 4.2 mm, p = .0017).

🔍 Key Findings

  • Aiming device provided comparable trajectory accuracy to fluoroscopy, especially in right limbs (1.9° vs. 3.4°, p = .0128).
  • Eccentricity (deviation from condylar center) was lower with fluoroscopy (3.1 mm vs 4.2 mm, p = .0017), making fluoroscopy more precise.
  • Odds of joint infringement were 8× higher with the aiming device, though not statistically significant (p = .0575).
  • Residents had greater screw trajectory deviation than diplomates (p = .0366), highlighting impact of experience.
  • Aiming device procedures took less time than fluoroscopy in some scenarios, particularly for right limbs with right-handed surgeons.
  • Fluoroscopic procedures had more pin/drill attempts, increasing risk of glove puncture and potential aseptic breaks.
  • Mean deviation angles in both groups (<3.5°) were within acceptable range to avoid intracondylar fracture gap.
  • Cadaver model used large-breed, healthy adult dogs, not small-breed immature dogs, limiting generalizability.

Neal

Veterinary Surgery

4

2023

The effect of an aiming device on the accuracy of humeral transcondylar screw placement

2023-4-VS-neal-2

Article Title: The effect of an aiming device on the accuracy of humeral transcondylar screw placement

Journal: Veterinary Surgery

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