Your Custom Quiz

In Miller 2024 et al., on leak testing in cooled feline intestine, what explanation was given for higher leak pressures compared to canine data?

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Correct. Infusion at 100 mL/h allowed slower distension and higher pressures than previous canine studies.
Incorrect. The correct answer is Lower infusion rate allowed higher pressure before leak.
Infusion at 100 mL/h allowed slower distension and higher pressures than previous canine studies.

🔍 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-4

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 Moreira 2024 et al., what TPA was targeted across all models?

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Correct. The study used 5° as the standard target for postoperative TPA in all wedge plans.
Incorrect. The correct answer is .
The study used 5° as the standard target for postoperative TPA in all wedge plans.

2024-1-VS-moreira-3

Article Title:

Journal:

In Smith 2025 et al., on bacterial cultures in TECA dehiscence what was the conclusion about using intraoperative cultures to guide treatment of dehiscence?

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Correct. Cultures during TECA were not reliable predictors of pathogens at dehiscence and repeat cultures were recommended.
Incorrect. The correct answer is They were not predictive and new cultures should be performed.
Cultures during TECA were not reliable predictors of pathogens at dehiscence and repeat cultures were recommended.

🔍 Key Findings

  • Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
  • In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
  • Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
  • Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
  • Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
  • TECA cultures were not predictive of bacteria at incisional dehiscence.
  • 75% of dogs healed with either medical or surgical management.

Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.

Smith

Veterinary Surgery

3

2025

Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

2025-3-VS-smith-2

Article Title: Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

Journal: Veterinary Surgery

In Farrugia 2025 et al., on BODPUO location effects, which of the following had **no significant association** with change in ulna angle?

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Correct. Osteotomy length did not influence postoperative change in ulna angle after adjusting for osteotomy location.
Incorrect. The correct answer is Osteotomy length.
Osteotomy length did not influence postoperative change in ulna angle after adjusting for osteotomy location.

🔍 Key Findings

  • Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
  • Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
  • Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
  • Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
  • Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
  • Osteotomy length had no significant effect on change in angle.
  • Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
  • No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

Farrugia

Veterinary Surgery

6

2025

Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

2025-6-VS-farrugia-4

Article Title: Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

Journal: Veterinary Surgery

In Fidelis 2025 et al., on suture eyelet geometry, which anchor showed the **least reduction in suture strength** compared to a smooth eyebolt reference?

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Correct. The Anika anchor had significantly lower adverse impact on suture strength compared to others.
Incorrect. The correct answer is Anika.
The Anika anchor had significantly lower adverse impact on suture strength compared to others.

🔍 Key Findings

  • Raised eyelets caused more suture mid-section failures than embedded eyelets, suggesting wear or cutting against the anchor.
  • No significant effect of cyclic loading on failure load (Fmax) was found for any anchor group.
  • Anika anchor showed the least reduction in suture strength relative to the reference (eyebolt screw), indicating a favorable design.
  • All sutures failed via suture breakage, not anchor pullout, indicating suture fatigue was the primary failure mode.
  • Sutures in raised eyelets more often failed at the mid-section, while those in embedded eyelets failed at the knot.
  • IMEX and Jorvet anchors showed significantly reduced Fmax compared to eyebolt screws.
  • Loading direction and anchor design likely affect wear and ultimate failure, particularly in dynamic in vivo conditions.
  • Future designs should aim for embedded, smooth eyelets that can accommodate larger suture sizes without increasing wear.

Fidelis

Veterinary Surgery

6

2025

Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

2025-6-VS-fidelis-1

Article Title: Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

Journal: Veterinary Surgery

In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what was the most common clinical outcome?

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Correct. All dogs achieved acceptable (7) or full (4) functional grading post-op.
Incorrect. The correct answer is Acceptable or full function in all dogs.
All dogs achieved acceptable (7) or full (4) functional grading post-op.

🔍 Key Findings

  • All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
  • Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
  • Median lameness score improved from 2/4 to 1/4 by final follow-up.
  • Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
  • No major complications; minor issues included 1 screw loosening and 1 superficial infection.
  • Subjective function was graded full in 4 dogs, acceptable in 7.
  • Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
  • Use of both orthopedic wire and plating provided secure fixation and improved outcomes.

Von Pfeil

Veterinary Surgery

3

2024

Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

2024-3-VS-pfeil-3

Article Title: Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

Journal: Veterinary Surgery

In Radke 2022 et al., on outcome measure validation, which of the following OROMs demonstrated the **most rigorous development process** according to COSMIN criteria?

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Correct. COI was rated as “adequate” for overall development, the highest rating among the instruments evaluated.
Incorrect. The correct answer is Canine Orthopedic Index (COI).
COI was rated as “adequate” for overall development, the highest rating among the instruments evaluated.

🔍 Key Findings

  • CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
  • COI scored highest in development rigor and evidence quality among evaluated OROMs.
  • Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
  • LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
  • CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
  • All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
  • Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
  • Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).

Radke

Veterinary Surgery

2

2022

Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

2022-2-VS-radke-1

Article Title: Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

Journal: Veterinary Surgery

In Miller 2025 et al., on spinal drill guide accuracy, what was a reported technical benefit of the SOP plate when used with the 3D-printed guides?

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Correct. The plate helped realign vertebrae during screw placement, effectively serving as a reduction aid.
Incorrect. The correct answer is Acted as a reduction guide.
The plate helped realign vertebrae during screw placement, effectively serving as a reduction aid.

🔍 Key Findings

  • 3D-printed, SOP plate-specific guides enabled safe screw placement from T12–L5 in canine cadavers and models.
  • All 140 screw trajectories were classified as Zdichavski Grade 1, indicating optimal placement without vertebral canal breach.
  • Screw angles (cranial-caudal and transverse) matched preoperative planning, with no significant deviation.
  • Entry/exit point deviations were <1 mm on average, deemed clinically negligible.
  • Drill guides were quick to place (<30 sec per vertebra) and improved ease of surgery.
  • Plates acted as effective reduction tools, guiding alignment during screw placement in mobile spines.
  • Minor technical challenges arose from cadaveric spine mobility, mitigated by sequential screw insertion.
  • Technique may enable future use in fracture/luxation reduction, pending further cadaveric and clinical trials.

Miller

Veterinary Surgery

6

2025

Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization

2025-6-VS-miller-3

Article Title: Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization

Journal: Veterinary Surgery

In Tobias 2022 et al., on perineal hernia repair positioning, which technique was used in 22 out of 23 dogs?

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Correct. IOMT was used in 22/23 dogs; it was the primary technique in this cohort.
Incorrect. The correct answer is Internal obturator muscle transposition.
IOMT was used in 22/23 dogs; it was the primary technique in this cohort.

🔍 Key Findings

  • Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
  • Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
  • Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
  • Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
  • Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
  • Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
  • Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
  • Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.

Tobias

Veterinary Surgery

5

2022

Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

2022-5-VS-tobias-3

Article Title: Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

Journal: Veterinary Surgery

In Wang 2025 et al., on TPLO osteotomy alignment, what was a potential **advantage of using intraoperative fluoroscopy** in challenging cases?

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Correct. Intraoperative fluoroscopy allowed dynamic limb repositioning and real-time targeting of the intercondylar eminence to improve alignment.
Incorrect. The correct answer is Provides real-time adjustment for precise osteotomy alignment.
Intraoperative fluoroscopy allowed dynamic limb repositioning and real-time targeting of the intercondylar eminence to improve alignment.

🔍 Key Findings

  • Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of (range: 0–4.5°), showing excellent accuracy.
  • The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
  • Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
  • Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
  • Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
  • Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
  • Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
  • Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.

Wang

Veterinary Surgery

7

2025

Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

2025-7-VS-wang-4

Article Title: Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

Journal: Veterinary Surgery

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