Your Custom Quiz

In Mcclean 2026 et al., on stifle arthrocentesis techniques, where were cartilage injuries caused by the POUCH technique primarily located?

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Correct. In the POUCH group, cartilage injuries occurred in 3/8 limbs and were exclusively located on non-weightbearing cartilage surfaces.
Incorrect. The correct answer is Non-weightbearing articular cartilage.
In the POUCH group, cartilage injuries occurred in 3/8 limbs and were exclusively located on non-weightbearing cartilage surfaces.

🔍 Key Findings

  • All four arthrocentesis techniques achieved 100% intra-articular accuracy, confirming that each landmark-guided method could successfully access the canine stifle joint.
  • Lateral intercondylar notch (LINC) was the most commonly used technique clinically, reported by 87.5% (35/40) of surveyed surgeons.
  • INFRA and SUPRA required significantly more needle repositions (median 3 and 2) compared with LINC and POUCH (median 1) (p = .001).
  • No iatrogenic articular cartilage injury (IACI) occurred with LINC or SUPRA techniques, suggesting favorable safety profiles.
  • INFRA produced the highest IACI rate (75%), with 6/8 limbs affected, indicating substantial risk with this approach.
  • More than half of INFRA injuries exceeded 10 mm² and involved weight-bearing cartilage, raising concern for clinically significant joint damage.
  • POUCH technique caused IACI in 37.5% of cases, but injuries occurred exclusively on non-weight-bearing cartilage.
  • SUPRA (suprapatellar) approach demonstrated accuracy with zero cartilage injury, making it a promising safer alternative for stifle arthrocentesis pending clinical validation.

Mcclean

Veterinary Surgery

2

2026

Accuracy and safety of stifle arthrocentesis and injection based on two established and two new landmarks: Ex vivo study in dogs

2026-2-vs-mcclean-5

Article Title: Accuracy and safety of stifle arthrocentesis and injection based on two established and two new landmarks: Ex vivo study in dogs

Journal: Veterinary Surgery

In Tani 2022 et al., on FCU tendon reconstruction, what was the main reason for using a fascia lata autograft in Case 1?

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Correct. Primary repair was not possible due to a 24 mm tendon gap; fascia lata was used as a bridging graft.
Incorrect. The correct answer is To bridge a complete tendon rupture.
Primary repair was not possible due to a 24 mm tendon gap; fascia lata was used as a bridging graft.

🔍 Key Findings

  • Fascia lata autograft reconstruction of the FCU tendon successfully treated carpal hyperextension in both dogs.
  • Primary repair was not possible in one dog due to complete rupture; a fascia lata graft bridged the tendon gap.
  • In the second case, elongated tendon was corrected and reinforced with fascia lata to prevent recurrence.
  • Type I external skeletal fixation was used for 6 weeks to support tendon healing in both dogs.
  • Postoperative gait and range of motion returned to normal, with no recurrence at 36-month follow-up.
  • Ultrasonography aided diagnosis, revealing thinning and echogenic changes in the FCU tendon.
  • Histologic findings showed mild, nonspecific muscle changes, suggesting injury rather than a systemic disease.
  • No complications occurred, and fascia lata showed potential for biological integration and remodeling into tendon-like structure.

Tani

Veterinary Surgery

8

2022

Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

2022-8-VS-tani-1

Article Title: Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

Journal: Veterinary Surgery

In Sadowitz 2023 et al., on screw angle & speed, which group served as the control group with 0% TCF rate?

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Correct. Group A served as the control and had zero TCFs, highlighting the safety of coaxial low-speed screw insertion.
Incorrect. The correct answer is Group A (0° at 650 rpm).
Group A served as the control and had zero TCFs, highlighting the safety of coaxial low-speed screw insertion.

2023-8-VS-sadowitz-2

Article Title:

Journal:

In Carvajal 2025 et al., on femoral stem breakage, which patient factor was frequently present in failed cases?

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Correct. 10 of 13 dogs were heavier than manufacturer guidelines for the implanted stem size.
Incorrect. The correct answer is Dogs exceeding weight guidelines for stem size.
10 of 13 dogs were heavier than manufacturer guidelines for the implanted stem size.

🔍 Key Findings

Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)

Implant factors:

  • 13/14 were BFX lateral bolt stems (sizes #5–7)
  • +9 necks used in 5/11 of 17 mm heads
  • 10/14 stems undersized based on radiographs
  • 10/13 dogs exceeded weight limits for implanted stem size

Malalignment:

  • 10/14 had varus alignment (median 3.9°)
  • 8/14 had insufficient proximodistal seating

Breakage site: Proximolateral shoulder in all cases

Revision outcomes:

  • 11 revised (7 CFX, 3 larger BFX, 1 collared)
  • 9/10 revised dogs regained full function
  • Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure

Histopathology:

  • Electron microscopy showed fatigue striations and incomplete bead fusion

Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.

Carvajal

Veterinary Surgery

3

2025

Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

2025-3-VS-carvajal-3

Article Title: Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

Journal: Veterinary Surgery

In Planchamp 2022 et al., on imaging-based AAI diagnosis, what was the reported specificity of VCI ≥0.16 in extension for diagnosing AAI?

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Correct. VCI ≥0.16 in extension had 100% sensitivity and 94.54% specificity.
Incorrect. The correct answer is 94.5%.
VCI ≥0.16 in extension had 100% sensitivity and 94.54% specificity.

🔍 Key Findings

  • Ventral Compression Index (VCI) ≥0.16 (extension) or ≥0.2 (flexion) was diagnostic for AAI with 100% sensitivity and >94% specificity
  • VCI had the highest diagnostic accuracy among all measured variables (AUC > 0.99)
  • C1-C2 overlap ≤2.7 mm (extension) or ≤1.8 mm (flexion) also diagnostic for AAI (sensitivity 84–96%, specificity 81–90%)
  • C1-C2 angle ≥176.9° (extension) or ≥187.4° (flexion) had high sensitivity and specificity (~95%)
  • Basion-dens interval ≥5.9 mm (extension) or ≥3.0 mm (flexion) provided moderate diagnostic accuracy
  • Cranial translation ratio (CTR) ≥0.18 classified dogs as potentially unstable (sensitivity 90%, specificity 78%)
  • VCI ≥0.23 reliably differentiated AAI from potentially unstable cases (sensitivity 94%, specificity 94%)
  • DALR ≤0.24 had high specificity (100%) but low sensitivity for AAI diagnosis

Planchamp

Veterinary Surgery

4

2022

Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs

2022-4-VS-planchamp-5

Article Title: Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs

Journal: Veterinary Surgery

In Hawker 2025 et al., on locking head inserts, what did the authors conclude regarding high-strain construct scenarios?

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Correct. LHI did not reduce strain in this model; authors recommend considering other methods for high load conditions.
Incorrect. The correct answer is Consider alternate strain-reduction strategies.
LHI did not reduce strain in this model; authors recommend considering other methods for high load conditions.

🔍 Key Findings

  • Adding Locking Head Inserts (LHI) to a 3.5-mm LCP had no effect on plate strain, stiffness, or deformation in an open fracture gap model.
  • Peak strain consistently occurred at the Combi-hole over the fracture gap, with values up to ~1837 µε.
  • No significant difference in strain was found across configurations with 0, 3, or 9 LHI (p = 0.847).
  • Construct stiffness and compressive displacement also remained unchanged regardless of LHI count (p = 0.311 and 0.069 respectively).
  • Study contradicted the hypothesis that LHI would reduce strain and increase stiffness under biologic loading.
  • Combi-hole design may limit the efficacy of LHI, as LHI only fill the locking portion, not the compression side where strain peaks.
  • Implant fatigue risk remains highest over unfilled screw holes, especially over fracture sites—confirming previous failure patterns.
  • Surgeons should consider alternative methods to reduce strain when facing high implant load scenarios.

Hawker

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model

2025-4-VCOT-hawker-5

Article Title: The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Maeta 2022 et al., on total cystectomy in cats, what describes the surgical modification to the ureter for the stomal anastomosis?

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Correct. This fish-mouth design allowed the ureter to match the rectangular skin defect for secure stoma creation.
Incorrect. The correct answer is Two longitudinal incisions forming a fish-mouth aperture.
This fish-mouth design allowed the ureter to match the rectangular skin defect for secure stoma creation.

🔍 Key Findings

  • First reported case of total cystectomy and bilateral cutaneous ureterostomy in a cat using a modified Toyoda technique.
  • Histologically complete tumor resection was achieved, with tumor-free ureter and urethral margins >20 mm.
  • The modified Toyoda technique involved shaping the ureter into a fish-mouth aperture and anastomosing it to a rectangular skin defect for stomal formation.
  • Incontinence was managed using a diaper changed every 6–8 hours, with no dermatological complications.
  • Obstruction of the right ureter occurred 14 months post-op, associated with a subcutaneous nodule at the anastomosis site.
  • Despite incontinence, owner satisfaction and perceived quality of life were high, with the cat living ~16 months post-op.
  • The stents were removed on days 7 (left) and 28 (right) postoperatively, with initial patency maintained until 14 months.
  • This surgical approach may offer palliative or curative benefit for feline trigonal TCC where partial cystectomy is not feasible.

Maeta

Veterinary Surgery

8

2022

Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

2022-8-VS-maeta-4

Article Title: Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

Journal: Veterinary Surgery

In Welsh 2025 et al., on orthogonal plating, what change was consistently noted in all 3.5 mm plates?

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Correct. All 3.5 mm plates showed deformation; OP plates remained intact post-testing.
Incorrect. The correct answer is Permanent bending or plastic deformation.
All 3.5 mm plates showed deformation; OP plates remained intact post-testing.

🔍 Key Findings

  • Compared unilateral plating (UP) vs orthogonal plating (OP) with 2.0, 2.4, and 3.0 mm plates (OP2.0, OP2.4, OP3.0).
  • Model: acetal homopolymer (Delrin) rod with 29 mm fixed fracture gap, loaded axially (4–196 N, 90,000 cycles).
  • OP constructs had 2.5–4.1x higher strength and 3.0–4.2x higher stiffness than UP constructs (p < .0002).
  • UP had 3.5–4.1x higher gap strain than OP groups (p < .0075).
  • All OP groups exceeded 1000 N max load before failure (vs 424 N for UP).
  • Greater implant size in OP groups further increased performance.
  • All constructs survived fatigue loading; 3.5 mm plates showed deformation, especially UP; OP plates remained intact.

Welsh

Veterinary Surgery

4

2025

Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

2025-4-VS-welsh-5

Article Title: Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

Journal: Veterinary Surgery

In Monti 2025 et al., on lymph node fluorescence imaging, what was the most common intraoperative complication encountered during NIRF-ICG guided laparoscopic ISLN excision?

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Correct. Capsular rupture with ICG dye dispersion was reported in one of the two dogs requiring conversion to open surgery.
Incorrect. The correct answer is Capsular disruption with dye leakage.
Capsular rupture with ICG dye dispersion was reported in one of the two dogs requiring conversion to open surgery.

🔍 Key Findings

  • Laparoscopic ISLN removal using NIRF-ICG was feasible in 89% of dogs (16/18), demonstrating high procedural success with minimal invasiveness.
  • Median laparoscopic dissection time was only 12 minutes, suggesting efficiency of the NIRF-guided approach.
  • No postoperative complications were observed, and intraoperative complications occurred in only 2 dogs (11.1%), both requiring conversion to open surgery.
  • Metastatic disease was confirmed in 48% of patients (12/25 nodes), including cases where LNs appeared normal in size, highlighting the value of histologic evaluation.
  • NIRF-ICG enabled precise identification of small and mildly enlarged nodes, which are often missed during traditional imaging or palpation.
  • Fluorescent dye leakage following LN capsule rupture limited visibility and required surgical conversion, indicating a key limitation of the technique.
  • ICG signal was occasionally absent in metastatic LNs, likely due to lymphatic rerouting or obstruction, underscoring limitations in SLN identification.
  • The lateral approach allowed consistent access to ipsilateral MILN, IILN, and sacral LNs, though contralateral nodes were inaccessible with this method.

Monti

Veterinary Surgery

6

2025

Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

2025-6-VS-monti-1

Article Title: Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

Journal: Veterinary Surgery

In Barrett 2026 et al., on scapula plating biomechanics, where was the secondary plate placed to maximize biomechanical advantage?

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Correct. The second plate was placed on the caudolateral scapula to increase moment arm and resist tensile forces.
Incorrect. The correct answer is Caudolateral border of scapula.
The second plate was placed on the caudolateral scapula to increase moment arm and resist tensile forces.

🔍 Key Findings

  • Double plate fixation significantly increased construct stiffness (563.7 vs 392.8 N/mm; p < .0001), supporting superior biomechanical stability
  • Displacement was significantly reduced with double plating (−0.48 mm vs −0.81 mm; p < .0001), indicating improved resistance to cyclic loading
  • No difference in primary plate strain between single and double constructs, suggesting load-sharing did not reduce plate stress
  • Caudolateral placement of the second plate enhances biomechanical advantage by increasing moment arm and resisting tensile forces
  • Cyclic loading model (7200 cycles) simulated 1 hour of walking, making findings clinically relevant to early postoperative activity
  • Strain across fracture gap was lower in double plate constructs (~4.3% vs ~6.9%), supporting improved conditions for fracture healing
  • No construct failures occurred, but actuator slippage occurred only in double plate group, highlighting potential testing/artifact considerations
  • Clinical implication: double plating may allow earlier weightbearing and reduce need for external coaptation, improving recovery outcomes

Barrett

Veterinary Surgery

3

2026

Double plate fixation improves stiffness in a comminuted canine scapula fracture gap model compared to single plate fixation

2026-3-vs-barrett-4

Article Title: Double plate fixation improves stiffness in a comminuted canine scapula fracture gap model compared to single plate fixation

Journal: Veterinary Surgery

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