Your Custom Quiz

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 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 Kang 2022 et al., on 3D scaffold reconstruction, what was the primary diagnosis confirmed after tumor excision?

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Correct. Histopathology confirmed a well-differentiated variant of parosteal osteosarcoma.
Incorrect. The correct answer is Parosteal osteosarcoma.
Histopathology confirmed a well-differentiated variant of parosteal osteosarcoma.

🔍 Key Findings

  • Patient-specific 3D-printed PCL/β-TCP scaffold enabled successful zygomatic arch reconstruction in a dog.
  • Complete surgical resection of a zygomatic parosteal osteosarcoma was achieved, with a 0.3 mm histologically clean margin.
  • Post-op imaging showed progressive tissue ingrowth into the scaffold, with Hounsfield Units increasing from 20.4 to 97.8 over 10 months.
  • No complications (e.g., infection, displacement) or tumor recurrence were noted at 16-month follow-up.
  • Use of a patient-specific osteotomy guide improved anatomical fit and facilitated precise excision and implant placement.
  • Facial symmetry and orbital stability were maintained throughout follow-up.
  • The scaffold remained structurally stable despite limited bone regeneration, suggesting connective tissue filled the defect.
  • Topical mitomycin C was applied intraoperatively for possible anti-neoplastic effect, but efficacy remains unclear.

Kang

Veterinary Surgery

8

2022

Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog

2022-8-VS-kang-2

Article Title: Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog

Journal: Veterinary Surgery

In Lemmon 2025 et al., on synovitis severity scoring, what clinical implication was proposed based on the findings?

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Correct. Higher synovitis scores were tied to worse cartilage lesions, supporting early treatment.
Incorrect. The correct answer is Earlier intervention may help reduce synovitis.
Higher synovitis scores were tied to worse cartilage lesions, supporting early treatment.

🔍 Key Findings

Synovitis was present in 100% of canine stifles with CCL disease (n = 163).

The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).

Higher synovitis scores were significantly associated with:

  • Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
  • Longer duration of clinical signs (p < .001, OR = 1.27 per month)

Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.

Bucket handle meniscal tears were not associated with synovitis severity.

Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.

Lemmon

Veterinary Surgery

3

2025

Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

2025-3-VS-lemmon-5

Article Title: Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

Journal: Veterinary Surgery

In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), despite reduced suturing time, what is a clinical limitation of using unidirectional barbed suture for VUA?

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Correct. Despite shorter suturing time, UBS had lower leakage pressure (some as low as 5 mmHg), necessitating catheter use post-op.
Incorrect. The correct answer is Leakage pressure remains low.
Despite shorter suturing time, UBS had lower leakage pressure (some as low as 5 mmHg), necessitating catheter use post-op.

🔍 Key Findings

  • Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
  • UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
  • UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
  • Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
  • No suture breakage or urethral narrowing occurred in either group.
  • Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
  • Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
  • UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.

Monnet

Veterinary Surgery

5

2023

Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

2023-5-VS-monnet-5

Article Title: Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

Journal: Veterinary Surgery

In Hawker 2024 et al., on checklist attitudes, which implementation strategy was most commonly associated with SSC success?

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Correct. Ongoing SSC modification was reported by 67.9% as a key strategy to improve uptake.
Incorrect. The correct answer is Modification based on staff feedback.
Ongoing SSC modification was reported by 67.9% as a key strategy to improve uptake.

🔍 Key Findings

  • 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
  • 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
  • Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
  • Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
  • Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
  • Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
  • Surgeons and OR staff were most commonly identified as noncompliant team members.
  • SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.

Hawker

Veterinary Surgery

5

2024

Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

2024-5-VS-hawker-3

Article Title: Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

Journal: Veterinary Surgery

In Lomas 2025 et al., on DPO and dorsolateral subluxation, what percentage of hips had a post-DPO DLS score <55%, indicating higher OA risk?

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Correct. Only 5 of 45 hips had a post-op DLS <55%, suggesting the majority were low risk for OA development.
Incorrect. The correct answer is 11%.
Only 5 of 45 hips had a post-op DLS <55%, suggesting the majority were low risk for OA development.

🔍 Key Findings

  • DPO significantly improved femoral head coverage, increasing mean DLS from 36.1% to 71.4% postoperatively (p < 0.001).
  • No significant change in DLS between immediate postoperative and follow-up scans, suggesting stable surgical outcomes over time.
  • Greater plate angle (30°) yielded larger DLS improvement (mean increase: 39.8%) compared to 25° and 20° plates.
  • Only 3 hips had post-op DLS scores <55%, indicating most patients had lower risk of osteoarthritis progression.
  • No correlation found between DLS improvement and age, body weight, or side of surgery, suggesting broad applicability.
  • CT was used for DLS measurement in simulated weight-bearing, improving precision over radiographic methods.
  • Major limitations included small sample size, multiple surgeons, and variable sedation vs anesthesia during imaging.
  • DPO confirmed as effective for reducing dorsolateral subluxation, improving coxofemoral joint congruency in dysplastic dogs.

Lomas

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

2025-2-VCOT-lomas-4

Article Title: The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Bresciani 2022 et al., on modified urethrostomy outcomes, what surgical modification aimed to improve urinary continence?

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Correct. The urethra was tunneled through rectus abdominis muscle to increase resistance and reduce incontinence.
Incorrect. The correct answer is Tunneling through rectus abdominis muscle.
The urethra was tunneled through rectus abdominis muscle to increase resistance and reduce incontinence.

🔍 Key Findings

  • Modified prepubic urethrostomy (mPPU) was effective for managing proximal urethral obstructions in male cats.
  • All 8 cats regained voluntary urination within 24 hours postoperatively.
  • Early urinary incontinence and peristomal dermatitis occurred in all cats but were self-limiting.
  • Two cats (25%) required surgical revision due to stomal obstruction from weight gain and abdominal fat.
  • No intraoperative complications were reported in any of the 8 cats.
  • Follow-up (13–84 months) showed sustained urinary continence and owner satisfaction in all cases.
  • The rectus abdominis muscle tunnel likely increased outflow resistance, minimizing persistent incontinence.
  • Recurrent hematuria and dysuria occurred in 3 cats but were managed conservatively.

Bresciani

Veterinary Surgery

2

2022

Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats

2022-2-VS-bresciani-2

Article Title: Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats

Journal: Veterinary Surgery

In Kershaw 2025 et al., on PSG vs AD, which directional deviation was more common in screws placed using the aiming device?

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Correct. Screws placed with ADs deviated more cranially and distally than those placed with PSGs.
Incorrect. The correct answer is Cranial and distal.
Screws placed with ADs deviated more cranially and distally than those placed with PSGs.

🔍 Key Findings

  • 3D-printed patient-specific guides (PSGs) significantly improved accuracy of drill hole entry (p < 0.001) and exit (p = 0.044) compared to commercial aiming devices (AD).
  • Zero joint penetrations occurred with PSGs, whereas 3 of 7 AD-guided screws were predicted to penetrate the joint (p = 0.19).
  • Variance in exit point and drill angle was significantly lower in PSG group, suggesting more consistent results.
  • One PSG case failed due to improper guide seating, but this was corrected with improved soft tissue clearance.
  • PSGs enabled safer trajectories despite use by novice surgeons, emphasizing their value in less experienced hands.
  • Drill holes placed with ADs deviated more cranially and distally, increasing the risk of articular violation.
  • Use of PSGs allowed for tighter clustering of drill trajectories, especially in the cranial–caudal axis.
  • Subjective feedback favored PSGs for ease of use and ergonomic design, despite requiring slightly larger incisions.

Kershaw

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus

2025-5-VCOT-kershaw-4

Article Title: Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, which **surgical device** was associated with **shorter median surgery time**?

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Correct. Median surgery time was shorter for procedures using linear staplers (57.5 min) compared to endoscopic staplers (80 min).
Incorrect. The correct answer is Linear stapler (DST series).
Median surgery time was shorter for procedures using linear staplers (57.5 min) compared to endoscopic staplers (80 min).

🔍 Key Findings

  • TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
  • 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
  • Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
  • Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
  • One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
  • Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
  • Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
  • TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.

Scott

Veterinary Surgery

1

2023

Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs

2023-1-VS-scott-3

Article Title: Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs

Journal: Veterinary Surgery

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