Your Custom Quiz

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?

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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 McCagherty 2025 et al., on WID detection accuracy, what was the main type of bacterial population detected in most wound infections?

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Correct. Most wounds were polymicrobial and dominated by anaerobic species.
Incorrect. The correct answer is Polymicrobial with anaerobic predominance.
Most wounds were polymicrobial and dominated by anaerobic species.

🔍 Key Findings

  • Bacterial fluorescence was detected in all wounds (17 dogs, 4 cats) using the point-of-care wound imaging device (WID).
  • The WID confirmed the presence of clinically relevant wound infection in all evaluated cases at the time of imaging.
  • No significant difference was found in bacterial yield or burden between image-guided and non-guided swabs (QBC and PCR; p > 0.05).
  • The WID helped guide wound debridement in some cases by localizing areas of fluorescence, especially in necrotic tissue.
  • Most infections were polymicrobial and dominated by anaerobes, highlighting the need for anaerobic culture inclusion.
  • PCR analysis showed low bacterial DNA yields, often complicated by host DNA contamination, limiting its utility.
  • The study did not evaluate sensitivity/specificity of WID, as only fluorescence-positive wounds were included.
  • Clinical utility of WID lies in immediate visual confirmation of infection, supporting timely antimicrobial treatment decisions.

McCagherty

Veterinary Surgery

6

2025

Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats

2025-6-VS-mccagherty-5

Article Title: Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats

Journal: Veterinary Surgery

In Jeon 2025 et al., on distal femoral shortening, what was the **main indication** for performing DFSO during THR in dogs with luxoid hips?

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Correct. Intraoperative inability to reduce the prosthesis using conventional methods triggered the need for DFSO.
Incorrect. The correct answer is To manage irreducible prostheses when standard tension-relieving techniques failed.
Intraoperative inability to reduce the prosthesis using conventional methods triggered the need for DFSO.

🔍 Key Findings

  • Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
  • Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
  • Bone union was achieved in all cases post-DFSO, indicating good healing potential.
  • Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
  • One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
  • DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
  • Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
  • DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.

Jeon

Veterinary Surgery

6

2025

Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

2025-6-VS-jeon-1

Article Title: Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

Journal: Veterinary Surgery

In David 2024 et al., on single-port cryptorchidectomy, why was a 6 mmHg capnoperitoneum preferred?

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Correct. 6 mmHg was found sufficient for caudal visualization without compromising space.
Incorrect. The correct answer is It maintained adequate workspace with minimal pressure.
6 mmHg was found sufficient for caudal visualization without compromising space.

🔍 Key Findings

  • Single-port laparoscopic-assisted cryptorchidectomy (SP-LAC) was feasible in 13/14 dogs with abdominal cryptorchidism.
  • Median surgical time was 17 min for unilateral and 27 min for bilateral cryptorchidectomy.
  • All testes were successfully exteriorized through a 15-mm mini-celiotomy in most dogs; only 2 needed slight enlargement.
  • One major complication occurred (testicular artery hemorrhage, requiring conversion to open surgery).
  • Two minor complications involved trocar-related issues (splenic capsule laceration, capnoretroperitoneum).
  • No incisional complications were reported postoperatively; some dogs had mild dermatitis at the clipped site.
  • The technique requires only one surgeon and no advanced tools beyond a single-port endoscope.
  • Low-pressure capnoperitoneum (6 mmHg) was adequate for visualization in most cases.

David

Veterinary Surgery

3

2024

Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

2024-3-VS-david-5

Article Title: Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

Journal: Veterinary Surgery

In Guevara 2024 et al., on implant placement accuracy, which vertebra had the lowest odds of acceptable pin placement?

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Correct. T10 had the lowest OR for success (0.10), likely due to anatomical and guide design complexity.
Incorrect. The correct answer is T10.
T10 had the lowest OR for success (0.10), likely due to anatomical and guide design complexity.

🔍 Key Findings:

  • Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
  • Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
  • Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
  • Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
  • Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
  • Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
  • Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
  • Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.

Guevara

Veterinary Surgery

2

2024

Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

2024-2-VS-guevara-3

Article Title: Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

Journal: Veterinary Surgery

In Cruciani 2022 et al., on feline pancreaticoduodenostomy, which postoperative finding was observed and monitored without clinical consequence?

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Correct. Ampulla-like dilation near the anastomosis was seen on ultrasound but was not clinically significant.
Incorrect. The correct answer is Progressive dilation of the pancreatic duct.
Ampulla-like dilation near the anastomosis was seen on ultrasound but was not clinically significant.

🔍 Key Findings

  • Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
  • No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
  • Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
  • No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
  • Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
  • The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
  • Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
  • Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.

Cruciani

Veterinary Surgery

8

2022

Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

2022-8-VS-cruciani-2

Article Title: Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

Journal: Veterinary Surgery

In Hanlon 2022 et al., on short screw sacroiliac fixation, how did screw positioning affect neurovascular safety?

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Correct. All short screws were located lateral to the spinal canal, avoiding this risk entirely.
Incorrect. The correct answer is Short screws terminated lateral to the spinal canal.
All short screws were located lateral to the spinal canal, avoiding this risk entirely.

🔍 Key Findings

  • Two short screws (SLS or SPS) provided >2× peak load, yield load, and stiffness vs a single long screw (LLS) for SI joint stabilization.
  • No mechanical advantage was seen between the two short screw types (lag vs positional).
  • All short screws terminated lateral to the spinal canal, avoiding spinal impingement.
  • Ventral sacral foraminal impingement occurred in 3 short-screw cases (1 SPS, 2 SLS), all involving the caudal screw.
  • LLS group showed more abaxial displacement at osteotomy sites, suggesting inferior stabilization for concurrent pelvic fractures.
  • Short screw constructs had longer total screw length (48 mm) than LLS (40 mm), contributing to increased stiffness.
  • Positioning of caudal screw in a cranial/craniodorsal trajectory may help avoid nerve foraminal injury.
  • No significant difference in displacement at peak load among groups; stiffness and load capacity were the primary benefits.

Hanlon

Veterinary Surgery

7

2022

Mechanical evaluation of canine sacroiliac joint stabilization using two short screws

2022-7-VS-hanlon-3

Article Title: Mechanical evaluation of canine sacroiliac joint stabilization using two short screws

Journal: Veterinary Surgery

In Scortea 2025 et al., on sacroiliac fixation accuracy, which statement regarding sacral bone purchase is correct?

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Correct. >60% sacral bone purchase was achieved in 92.9% of 3D-DGT screws versus 64.3% with MIO.
Incorrect. The correct answer is 3D-DGT achieved >60% purchase more consistently than MIO.
>60% sacral bone purchase was achieved in 92.9% of 3D-DGT screws versus 64.3% with MIO.

🔍 Key Findings

  • 3D-printed drill guide technique (3D-DGT) resulted in fewer suboptimal screw placements than minimally invasive osteosynthesis (MIO) (7.14% vs 42.85%), though not statistically significant.
  • Entry point translation (EPT) in the dorsoventral direction was significantly lower with 3D-DGT compared with MIO (p = .009).
  • Maximum angular screw deviation (MASD) did not differ significantly between 3D-DGT and MIO in dorsal or transverse planes.
  • Ventral cortical breach was the most common error with both techniques, more frequent with MIO.
  • Achievement of >60% sacral bone purchase was more consistent with 3D-DGT (92.9%) than with MIO (64.3%).
  • Modified Gras grade distribution was similar between techniques, with most screws graded as secure (“a” or “b”).
  • 3D-DGT required substantially longer preoperative planning time than MIO (median 34 vs 8.5 minutes).
  • Both techniques demonstrated overall acceptable accuracy, emphasizing the importance of CT-based planning and assessment.

Scortea

Veterinary and Comparative Orthopaedics and Traumatology

6

2025

Comparative analysis of 3D-printed drill guides and minimally invasive osteosynthesis in feline sacroiliac luxation: A cadaveric study

2025-6-VCOT-scortea-4

Article Title: Comparative analysis of 3D-printed drill guides and minimally invasive osteosynthesis in feline sacroiliac luxation: A cadaveric study

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Payne 2024 et al., on HIF propagation pattern, which variable showed a linear increase with percentage of HIF (%HIF)?

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Correct. %DHIF increased linearly with %HIF (r = 0.989, p < 0.001), suggesting vertical propagation of the fissure with size.
Incorrect. The correct answer is Depth of HIF from articular surface (%DHIF).
%DHIF increased linearly with %HIF (r = 0.989, p < 0.001), suggesting vertical propagation of the fissure with size.

🔍 Key Findings Summary

  • HIF typically originates 57° caudal to the supratrochlear foramen and propagates cranially in a segmental pattern.
  • %HIF correlated significantly with both fissure depth and length:
    • %DHIF increased linearly (r = 0.989, p < 0.001)
    • %LHIF followed a sigmoidal relationship with %HIF (p < 0.001)
  • Higher %HIF was significantly associated with:
    • Clinical lameness (p = 0.004)
    • Distal shift in the fissure center (CHIF)
  • Implant complications in 5/17 elbows treated with transcondylar screws
  • Isthmus diameter increased with weight (p = 0.002), relevant for screw sizing

Payne

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Computed Tomography Topographical Analysis of Incomplete Humeral Intracondylar Fissures in English Springer Spaniel Dogs

2024-2-VCOT-payne-2

Article Title: Computed Tomography Topographical Analysis of Incomplete Humeral Intracondylar Fissures in English Springer Spaniel Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Clough 2022 et al., on CBLO-TTT construct testing, why might the CBLO-TTT not suffer the same load-to-failure weakness seen in TPLO-TTT constructs?

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Correct. The cranial rotation of the proximal segment in CBLO preserves contact and support that is lost in TPLO-TTT.
Incorrect. The correct answer is It maintains the buttress effect between tibial crest and plateau..
The cranial rotation of the proximal segment in CBLO preserves contact and support that is lost in TPLO-TTT.

🔍 Key Findings

  • Combined CBLO-TTT did not reduce load to failure compared to CBLO or TTT alone (P = .81 and P = .12, respectively).
  • CBLO-TTT maintains construct strength without significant compromise compared to individual procedures.
  • Most common failure mode in CBLO-TTT was displacement of the tibial crest segment with k-wire pullout and tension band untwisting.
  • No fulcrum effect was seen in CBLO-TTT, unlike TPLO-TTT combinations, likely due to preservation of buttress effect.
  • Patellar ligament avulsion occurred in both CBLO and CBLO-TTT, but not as a clinical concern — possibly artifact from cadaver model.
  • Load-to-failure testing was static and unidirectional, not accounting for cyclic fatigue or in vivo healing.
  • Plate size and saw blade variation were based on clinical realism, introducing potential variability but not affecting outcomes.
  • Study suggests feasibility of simultaneous surgical correction of CCL rupture and MPL using CBLO-TTT in dogs.

Clough

Veterinary Surgery

3

2022

Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

2022-3-VS-clough-3

Article Title: Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

Journal: Veterinary Surgery

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