Your Custom Quiz

In Vodnarek 2024 et al., on nasopharyngeal fluoroscopy, what was the **main limitation** of grading using ΔL thresholds?

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Correct. Using cutoffs to categorize continuous data increases variability and may misclassify similar clinical states.
Incorrect. The correct answer is It introduces arbitrary cutoffs.
Using cutoffs to categorize continuous data increases variability and may misclassify similar clinical states.

🔍 Key Findings

  • Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
  • Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
    • Functional method
    • Anatomically adjusted method
  • Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
  • Outcomes:
    • Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
    • Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
    • Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
    • ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.

Vodnarek

Veterinary Surgery

1

2024

Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

2024-1-VS-vodnarek-4

Article Title: Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

Journal: Veterinary Surgery

In Deveci 2025 et al., on 3D drill guides, what was the median screw trajectory deviation in the transverse plane?

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Correct. The median angular deviation from plan was 0.88° transverse and 0.72° dorsal.
Incorrect. The correct answer is 0.88 degrees.
The median angular deviation from plan was 0.88° transverse and 0.72° dorsal.

🔍 Key Findings

  • Objective: Evaluate feasibility and accuracy of 3D-printed patient-specific drill guides for iliosacral screw placement in cadaver dogs.
  • N = 10 canine cadavers (20 hemipelves); screw placement done using fluoroscopic-assisted patient-specific guides (PSG).
  • Median cortical breach grade: 0 (IQR 0–1) for all screws.
    19/20 screws breached sacral canal wall (all ≤ grade 2), but no screws breached canal contents (grade 3).
  • Median trajectory deviation: 0.88° transverse, 0.72° dorsal.
  • Procedure time: Median 7.2 minutes for guide placement and drilling.
  • Conclusions: PSG-assisted screw placement was safe, accurate, and fast, offering clinical potential in pelvic trauma.

Deveci

Veterinary Surgery

2

2025

Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

2025-2-VS-deveci-3

Article Title: Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

Journal: Veterinary Surgery

In Kimura 2025 et al., on mini-THA in <4 kg dogs, what complication led to the discontinuation of a THA procedure in one case?

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Correct. In one case, cup impaction led to a rim fracture preventing stem placement:contentReference[oaicite:3]{index=3}.
Incorrect. The correct answer is Dorsal acetabular rim fracture.
In one case, cup impaction led to a rim fracture preventing stem placement:contentReference[oaicite:3]{index=3}.

🔍 Key Findings

  • Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
  • Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
  • Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
  • Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
  • Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
  • Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
  • No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
  • CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.

Kimura

Veterinary Surgery

6

2025

Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

2025-6-VS-kimura-4

Article Title: Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

Journal: Veterinary Surgery

In Aly 2024 et al., on simulator training for feline OHE, how did simulator training affect postoperative pain scores?

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Correct. Cats in the SIM group had significantly lower rates of high pain scores triggering intervention (p < .01).
Incorrect. The correct answer is Lower in trained group.
Cats in the SIM group had significantly lower rates of high pain scores triggering intervention (p < .01).

🔍 Key Findings

  • This study evaluated whether high-fidelity surgical simulator training improved live animal and student outcomes in a feline OHE teaching lab involving 186 cats and 146 students.
  • Simulator training significantly improved surgical performance and outcomes:
    • Live surgery was 6 minutes shorter on average in the SIM group vs. NO-SIM (115 ± 21 min vs. 121 ± 16 min, p = .04).
    • Pain scores ≥5/20 occurred in 1% of SIM group cats vs. 15% of NO-SIM group cats (p < .01).
    • Rescue analgesia was needed less frequently in the SIM group (5% vs. 15%, p = .03).
    • Student confidence was significantly higher in the SIM group (median 7/10 vs. 6/10, p < .01).
  • The simulator used a realistic abdominal model with friable tissues and required performance of a full OHE procedure.
  • The study design was nonrandomized, grouped by class year, with limitations including lack of blinding during pain assessment in year two.
  • Authors concluded that pre-lab simulator competency improves both animal welfare and student confidence, recommending it as a prerequisite for live surgical training.

Aly

Veterinary Surgery

6

2024

Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory

2024-6-VS-aly-3

Article Title: Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory

Journal: Veterinary Surgery

In Allaith 2023 et al., on THR outcomes, what statistically significant change was observed in postoperative LOAD scores?

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Correct. Postoperative LOAD scores improved significantly from 21 to 11 (P < .0001), showing better mobility.
Incorrect. The correct answer is They decreased from 21 to 11.
Postoperative LOAD scores improved significantly from 21 to 11 (P < .0001), showing better mobility.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

  • 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
  • Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
  • Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
  • Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
  • Most common complications: Luxation, femoral fracture, and aseptic loosening.
  • BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
  • Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
  • Owner satisfaction was high, with 88% rating outcome as very good or good.

Allaith

Veterinary Surgery

2

2023

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

2023-2-VS-allaith-4

Article Title: Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

Journal: Veterinary Surgery

In Espinel Rupérez 2023 et al., in Arthroscopic-assisted hip toggle stabilization in cats, what proportion of deviations from the intended technique were major?

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Correct. Major deviations occurred in 8/13 cases, all related to femoral tunnel placement accuracy.
Incorrect. The correct answer is 8 out of 13.
Major deviations occurred in 8/13 cases, all related to femoral tunnel placement accuracy.

🔍 Key Findings

  • 14 joints from 7 cat cadavers underwent AA-HTS successfully.
  • Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
  • Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
  • Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
  • Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
  • 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
  • No neurovascular, intrapelvic, or major periarticular injuries occurred.
  • Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.

Espinel Rupérez

Veterinary Surgery

7

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-7-VS-espinel-4

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

In Curuci 2024 et al., what was a reported benefit of the wedge resection used in DCTPLO?

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Correct. Removing the semicircular wedge reduced the amount of TPLO rotation required to level the plateau:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Reduced need for TPLO rotation.
Removing the semicircular wedge reduced the amount of TPLO rotation required to level the plateau:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
  • Mean TPA correction: from 39.4° to 6.3°
  • Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
  • Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
  • Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
  • The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO

Curuci

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

2024-6-VCOT-curuci-4

Article Title: Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Adams 2024 et al., on canine tibial plateau fractures, which approach was used for lateral TPFs?

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Correct. The lateral approach included caudolateral arthrotomy with elevation of the lateral meniscus for visualization.
Incorrect. The correct answer is Lateral approach with lateral meniscus elevation.
The lateral approach included caudolateral arthrotomy with elevation of the lateral meniscus for visualization.

🔍 Key Findings

  • Tibial plateau fractures (TPF) are rare in dogs, but can be surgically stabilized with good outcomes even in complex trauma cases.
  • Lateral TPFs (Unger type 41-B1) were approached via caudolateral arthrotomy, with elevation of the lateral meniscus for visualization and use of lag screws and K-wires for fixation.
  • Medial TPF (Unger type 41-B2) was addressed via medial parapatellar approach using K-wires and a figure-of-eight tension band.
  • One minor complication occurred: implant yield at 2 weeks in a case with a concurrent fibular fracture, resulting in a 0.8 mm step defect.
  • No major complications were recorded, and all dogs achieved clinical union with full function by 8–10 weeks.
  • Long-term owner-reported outcomes (LOAD scores) were excellent (5/52), indicating minimal osteoarthritis or chronic pain.
  • Concurrent fibular fractures may increase risk of implant failure and should influence implant selection (e.g., considering buttress plating).
  • Arthroscopic-assisted techniques may be applicable in select cases, but open reduction was preferred due to fragment displacement or concurrent injuries.

Adams

Veterinary Surgery

6

2024

Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases

2024-6-VS-adams-3

Article Title: Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases

Journal: Veterinary Surgery

In Sandoval 2024 et al., on lung lobectomy technique outcomes, what percentage of self-ligating loop (SLL) procedures had intra- or postoperative complications?

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Correct. All intra- and postoperative complications occurred in stapled cases; no SLL complications were reported.
Incorrect. The correct answer is 0%.
All intra- and postoperative complications occurred in stapled cases; no SLL complications were reported.

🔍 Key Findings

  • Intra- and postoperative complications occurred only in stapled lobectomies, but the difference was not statistically significant (intra: p = .069, post: p = .112).
  • Intraoperative hemorrhage was the most common complication (11.8%), followed by air leakage (2%).
  • All self-ligating loop (SLL) lobectomies had zero complications (n=18), though the sample was small.
  • Postoperative complications included 4 catastrophic events (cardiopulmonary arrest), all in stapled cases.
  • Lung lobectomy technique was not associated with duration of chest tube use, hospitalization, or survival (p > .05).
  • 94.3% of patients survived to discharge (82/87).
  • SLLs are lower-cost and may be more feasible for thoracoscopic/minimally invasive approaches due to smaller port size (5mm vs. 12mm for staplers).
  • A future superiority study would need ≥103 lobectomies per group to assess differences in complication rates.

Sandoval

Veterinary Surgery

7

2024

Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

2024-7-VS-sandoval-1

Article Title: Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

Journal: Veterinary Surgery

In Miyagi 2025 et al., on endoscopic laser sphincterotomy, what was concluded regarding ICBD length and body weight?

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Correct. Statistical analysis showed no significant correlation (r = 0.06, p = .79).
Incorrect. The correct answer is No correlation was found.
Statistical analysis showed no significant correlation (r = 0.06, p = .79).

🔍 Key Findings

  • Endoscopic-assisted retrograde catheterization (EARC) and laser sphincterotomy were successful in 18/18 cadavers, demonstrating technical feasibility.
  • Intramural common bile duct (ICBD) length ranged from 10 to 21 mm (mean 15.8 mm), with no correlation to body weight (r = 0.06, p = .79).
  • Transition from ICBD to extramural duct was accurately identified endoscopically in 88% (16/18); transition was heralded by separation of the submucosal layer.
  • Partial lateral perforations occurred in 2/18 dogs, only during early learning phase; no leakage was found on open dissection.
  • Laser sphincterotomy preserved the pancreatic duct orifice, aided by protective catheter positioning.
  • Compared to open duodenotomy, this technique allows for a smaller incision and less manipulation of the pancreas, which may reduce morbidity.
  • No adverse events such as intra-abdominal saline egress or full-thickness perforation occurred, and the technique allowed safe access up to 10 mm from the MDP.
  • Cadaveric limitations included absence of biliary pathology and inability to evaluate live complications, but the technique shows promise for future live animal trials.

Miyagi

Veterinary Surgery

5

2025

Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

2025-5-VS-miyagi-5

Article Title: Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

Journal: Veterinary Surgery

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