Your Custom Quiz

In Miller 2024 et al., on SOP-LC mechanical testing, what complication was associated with torsional loading?

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Correct. Clamp slippage occurred in torsion tests but not in bending, suggesting fixation instability.
Incorrect. The correct answer is Clamp slippage.
Clamp slippage occurred in torsion tests but not in bending, suggesting fixation instability.

🔍 Key Findings Summary

  • No significant difference in mechanical properties between contoured vs non-contoured SOP-LC rods
  • Clamp configuration significantly influenced mechanical performance:
    • Single-side clamps → ↑ yield load, ↑ displacement, ↑ bending strength (p < 0.05)
    • Alternating-side clamps → ↑ initial torsional stiffness (p = 0.029)
  • Clamp slippage was evident only in torsional tests; screw loosening may be torque-dependent
  • Mild screw bending and construct offset suggest subtle instability
  • Recommends clamp configuration choice based on loading scenario
  • Suggests 3.0 Nm torque may be more effective than 2.5 Nm to prevent clamp slippage

Miller

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

2024-4-VCOT-miller-4

Article Title: Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Kwok 2023 et al., on BFX lateral bolt THR in dogs,what was the most common intraoperative complication with the BFX lateral bolt stem?

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Correct. 10.3% of femurs developed medial calcar fissures during broaching.
Incorrect. The correct answer is Femoral fissure.
10.3% of femurs developed medial calcar fissures during broaching.

🔍 Key Findings

  • 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
  • Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
  • Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
  • Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
  • Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
  • Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
  • Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
  • Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.

Kwok

Veterinary Surgery

1

2023

Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

2023-1-VS-kwok-2

Article Title: Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

Journal: Veterinary Surgery

In Gant 2025 et al., on skin prep and SSI, what was associated with a significantly increased risk of surgical site infection?

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Correct. Lift >10 mm of the iodophor-impregnated incise drape was significantly associated with a higher SSI risk (p = .026).
Incorrect. The correct answer is Significant lift of iodophor-impregnated incise drape.
Lift >10 mm of the iodophor-impregnated incise drape was significantly associated with a higher SSI risk (p = .026).

🔍 Key Findings

  • No statistically significant difference in overall SSI rates: 9.2% (chlorhexidine) vs. 7.38% (iodophor) (p = .25).
  • Significant drape lift occurred in 13.2% of cases; those with lift had 2.72× increased risk of SSI (p = .026).
  • Increased body weight was a statistically significant risk factor for SSI (p = .008): each 1 kg increased SSI risk by 3%.
  • Use of glutaraldehyde was associated with a 2.38× increased risk of SSI (p = .055, approaching significance).
  • No difference in SSI rates based on surgeon training level or surgical classification (clean, clean-contaminated, contaminated).

Gant

Veterinary Surgery

3

2025

Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes

2025-3-VS-gant-1

Article Title: Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes

Journal: Veterinary Surgery

In Peterson 2022 et al., on crescent guide in TPLO, how did participants perceive the crescent guide compared to the standard jig and radial guide?

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Correct. 5 of 6 novice participants preferred the crescent guide method over both the radial saw guide and standard jig.
Incorrect. The correct answer is Most preferred the crescent guide.
5 of 6 novice participants preferred the crescent guide method over both the radial saw guide and standard jig.

🔍 Key Findings

  • Crescent guide use resulted in significantly less medial cortical damage (mean 3.8 mm²) than the radial saw guide (35.7 mm²) and standard jig (51.3 mm²) in bone models.
  • No significant difference in osteotomy accuracy (distance of eccentricity, coronal or axial angulation) among crescent guide, radial guide, or standard jig in either bone models or cadavers.
  • Device application time was shortest with the crescent guide and longest for the radial saw guide.
  • Osteotomy time was fastest with the crescent guide compared to the radial saw guide (P = .015).
  • Participants rated the crescent guide easier to apply than both the radial saw guide (P < .005) and the standard jig (P = .015).
  • 5 of 6 novice participants preferred the crescent guide over the other devices for performing TPLO.
  • Subjective ease of osteotomy performance was higher with the crescent guide vs. radial guide (P < .001).
  • Crescent guide does not assist in fragment stabilization or plateau rotation unlike a standard TPLO jig.

Peterson

Veterinary Surgery

3

2022

Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

2022-3-VS-peterson-4

Article Title: Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

In Peterson 2022 et al., on crescent guide in TPLO, which device took the longest time to apply in bone models?

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Correct. The radial saw guide took the longest to apply (median 243s), while the crescent guide was the fastest (median 111s).
Incorrect. The correct answer is Radial saw guide.
The radial saw guide took the longest to apply (median 243s), while the crescent guide was the fastest (median 111s).

🔍 Key Findings

  • Crescent guide use resulted in significantly less medial cortical damage (mean 3.8 mm²) than the radial saw guide (35.7 mm²) and standard jig (51.3 mm²) in bone models.
  • No significant difference in osteotomy accuracy (distance of eccentricity, coronal or axial angulation) among crescent guide, radial guide, or standard jig in either bone models or cadavers.
  • Device application time was shortest with the crescent guide and longest for the radial saw guide.
  • Osteotomy time was fastest with the crescent guide compared to the radial saw guide (P = .015).
  • Participants rated the crescent guide easier to apply than both the radial saw guide (P < .005) and the standard jig (P = .015).
  • 5 of 6 novice participants preferred the crescent guide over the other devices for performing TPLO.
  • Subjective ease of osteotomy performance was higher with the crescent guide vs. radial guide (P < .001).
  • Crescent guide does not assist in fragment stabilization or plateau rotation unlike a standard TPLO jig.

Peterson

Veterinary Surgery

3

2022

Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

2022-3-VS-peterson-3

Article Title: Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

In Zann 2023 et al., In Long-term outcomes after proximal humeral OC debridement in dogs, what was a consistent finding in all shoulders treated surgically for proximal humeral osteochondrosis?

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Correct. All surgically treated shoulders developed OA and synovitis, with incomplete cartilage infilling.
Incorrect. The correct answer is Moderate-to-severe synovitis.
All surgically treated shoulders developed OA and synovitis, with incomplete cartilage infilling.

🔍 Key Findings

  • 20 dogs (26 shoulders) evaluated at mean 3.5 years post-surgery after arthroscopic or open debridement.
  • Ipsilateral muscle atrophy and decreased range of motion (↓ extension, ↓ flexion) in affected limbs compared to contralateral healthy shoulders.
  • All treated shoulders developed osteoarthritis, confirmed radiographically, by CT, and arthroscopically.
  • Moderate to severe synovitis was present in all shoulders; lesions showed patchy, incomplete cartilage infilling even up to 8.9 years post-op.
  • Kinetic gait analysis showed no significant differences in PVF/VI between affected and unaffected limbs, despite mild lameness clinically.
  • Owners reported good to very good mobility (median LOAD = 6), often underestimating clinical lameness.
  • CT detected larger lesion dimensions than radiographs (wider, deeper defects).
  • Despite progression of OA, surgical debridement was associated with satisfactory long-term function, though not prevention of degenerative changes.

Zann

Veterinary Surgery

7

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-7-VS-zann-1

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

In Lederer 2025 et al., on MIPO vs ORPS, what factor was significantly associated with explantation?

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Correct. Fracture comminution was significantly associated with implant explantation (p < .001).
Incorrect. The correct answer is Comminution of fracture.
Fracture comminution was significantly associated with implant explantation (p < .001).

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

  • Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
  • Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
  • Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
  • Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
  • Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

Lederer

Veterinary Surgery

4

2025

Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

2025-4-VS-lederer-4

Article Title: Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

Journal: Veterinary Surgery

In Katz 2022 et al., on meniscal flounce sign, what percent of menisci with absent flounce sign were found to be torn?

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Correct. Absence of flounce sign strongly correlated with meniscal tears (92.7%).
Incorrect. The correct answer is 92.7%.
Absence of flounce sign strongly correlated with meniscal tears (92.7%).

🔍 Key Findings

  • A positive meniscal flounce sign was associated with normal menisci in 95.5% of cases, demonstrating strong predictive value.
  • Absence of the meniscal flounce sign was associated with meniscal tears in 92.7% of cases.
  • Overall diagnostic accuracy of the flounce sign was 94.6%, with 96.6% sensitivity and 90.5% specificity.
  • Most tears in flounce-negative stifles were bucket-handle tears (73.8%), while radial tears were present in some flounce-positive stifles.
  • Radial tears did not consistently eliminate the flounce sign, suggesting they may not disrupt meniscal fiber tension sufficiently.
  • All procedures were arthroscopically performed, with probing and visualization of the medial meniscus' caudal pole.
  • Flounce sign should complement, not replace, probing—especially as some tear types (e.g., radial) may not abolish the sign.
  • Limb positioning and joint distraction may affect flounce visibility, introducing minor observer variability.

Katz

Veterinary Surgery

2

2022

The significance of the meniscal flounce sign in canine stifle arthroscopy

2022-2-VS-katz-4

Article Title: The significance of the meniscal flounce sign in canine stifle arthroscopy

Journal: Veterinary Surgery

In Hildebrandt 2023 et al., on Buccal Transposition Flap for Maxillary Lip Reconstruction in Dogs, what aspect of the buccal transposition flap allowed improved mobility compared to a rotation flap?

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Correct. Releasing this margin allowed tension-free repositioning and improved flap mobility.
Incorrect. The correct answer is Release of ventrocaudal commissure.
Releasing this margin allowed tension-free repositioning and improved flap mobility.

🔍 Key Findings

  • Buccal transposition flap provided successful closure of large maxillary lip defects in all 5 dogs
  • All flaps survived, with 3 dogs experiencing minor complications (e.g., fistulas, dehiscence) that resolved
  • Flap vascularization originated from the angularis oris and superior labial arteries, as confirmed via CT angiography
  • Excellent cosmetic and functional outcomes were achieved in all cases
  • Ex vivo cadaver study validated flap perfusion, showing consistent contrast filling of key arteries
  • Oronasal fistulas occurred in 2 dogs at the palatal incision site, likely due to contact with the mandibular canine tooth
  • Mandibular canine coronectomy was performed in 2/5 dogs to prevent flap trauma
  • Flap design and commissure positioning were customizable, aiding tension relief and improving outcomes

Hildebrandt

Veterinary Surgery

2

2023

Buccal transposition flap for closure of maxillary lip defects in 5 dogs

2023-2-VS-hildebrandt-4

Article Title: Buccal transposition flap for closure of maxillary lip defects in 5 dogs

Journal: Veterinary Surgery

In Low 2025 et al., on gonadectomy and CrCLD, what was the quality of evidence rated using the GRADE framework?

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Correct. The authors rated the overall certainty in the evidence as "moderate" due to risks of bias and inconsistency, despite large sample size and robust statistics.
Incorrect. The correct answer is Moderate.
The authors rated the overall certainty in the evidence as "moderate" due to risks of bias and inconsistency, despite large sample size and robust statistics.

🔍 Key Findings

Increased risk with gonadectomy:

  • Pooled OR for CrCLD:
    • Females: 2.29 (95% CI: 1.77–2.95)
    • Males: 2.12 (95% CI: 1.67–2.69)

Early gonadectomy (≤1 year) further increased risk:

  • OR vs >1 year:
    • Females: 3.39
    • Males: 3.13

Late gonadectomy (>1 year) had no significant difference vs intact dogs.

Breed-specific findings:

  • Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
  • Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)

Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)

Low

Veterinary Surgery

2

2025

The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

2025-2-VS-low-4

Article Title: The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

Journal: Veterinary Surgery

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