Your Custom Quiz

In Ramsey 2025 et al., on tibial alignment, what effect did bent interlocking nails have on medullary canal fill?

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Correct. The bILN group demonstrated significantly greater medullary canal fill compared with the sILN group.
Incorrect. The correct answer is It was higher by approximately 6.6%.
The bILN group demonstrated significantly greater medullary canal fill compared with the sILN group.

🔍 Key Findings

  • Straight interlocking nails (sILN) resulted in a significantly higher postoperative TPA compared with the contralateral limb (+5°), whereas bent nails (bILN) increased TPA by only +1°.
  • Bent interlocking nails achieved closer-to-anatomic tibial plateau alignment than straight nails (p < .0001).
  • Both techniques resulted in mild valgus malalignment (~2°) compared with the contralateral limb, but this was not clinically significant.
  • No significant differences in medial mechanical proximal tibial angle (mMPTA) were detected between groups.
  • Medullary canal fill was higher with bent nails (by ~6.6%), suggesting improved coaxial nail placement.
  • Missed bolt hole frequency did not differ between straight and bent nail techniques.
  • Complication rates were very low, with only one clinically relevant malalignment reported in the bent nail group.
  • Despite higher TPA in the straight nail group, no increased incidence of CCL rupture was identified during follow-up.

Ramsey

Veterinary Surgery

8

2025

Comparison of tibial alignment following bent or straight interlocking nail fixation for dogs with diaphyseal tibial fractures

2025-8-VS-ramsey-4

Article Title: Comparison of tibial alignment following bent or straight interlocking nail fixation for dogs with diaphyseal tibial fractures

Journal: Veterinary Surgery

In Kimura 2025 et al., on mini-THA in <4 kg dogs, what was the observed outcome at the 52-week mark in successfully completed cases?

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Correct. All completed THA cases had no lameness at 52 weeks:contentReference[oaicite:0]{index=0}.
Incorrect. The correct answer is All dogs showed complete resolution of lameness.
All completed THA cases had no lameness at 52 weeks:contentReference[oaicite:0]{index=0}.

🔍 Key Findings

  • Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
  • Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
  • Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
  • Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
  • Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
  • Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
  • No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
  • CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.

Kimura

Veterinary Surgery

6

2025

Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

2025-6-VS-kimura-1

Article Title: Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

Journal: Veterinary Surgery

In Vodnarek 2024 et al., on nasopharyngeal collapse grading, what ΔL value range defined **partial collapse**?

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Correct. Partial collapse was defined as a dynamic change ratio (ΔL) between 0.5 and less than 1.
Incorrect. The correct answer is ΔL ≥ 0.5 and < 1.
Partial collapse was defined as a dynamic change ratio (ΔL) between 0.5 and less than 1.

🔍 Key Findings

  • Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
  • Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
    • Functional method
    • Anatomically adjusted method
  • Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
  • Outcomes:
    • Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
    • Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
    • Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
    • ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.

Vodnarek

Veterinary Surgery

1

2024

Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

2024-1-VS-vodnarek-1

Article Title: Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

Journal: Veterinary Surgery

In Longo 2022 et al., on CT-guided osteotomies, what was associated with a significantly increased risk of postoperative complications?

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Correct. 80% of complications occurred in cases receiving both FDO and TDO in the same limb.
Incorrect. The correct answer is Concurrent femoral and tibial osteotomies.
80% of complications occurred in cases receiving both FDO and TDO in the same limb.

🔍 Key Findings

  • 3D CT volume rendering and CAL measurement successfully guided correction of femoral and tibial torsion in dogs with patellar luxation (PL).
  • Physiological patellar tracking was restored in 100% (22/22) of cases after detorsional osteotomy.
  • 94% of dogs (17/18) had either full or acceptable functional outcomes post-surgery.
  • CAL-based correction was accurate in 19/22 cases, confirming reliability of the measurement technique.
  • Complication rate was 45%, with major complications in 2/22 cases—both involved combined femoral and tibial osteotomies.
  • Combined femoral and tibial osteotomies in the same limb were linked to a higher risk of complications and poorer outcomes.
  • Diaphyseal osteotomies offered more implant space, but metaphyseal locations were associated with faster bone healing.
  • Use of a TPLO jig or goniometer was not essential—CAL-based bone marking was sufficient in most cases.

Longo

Veterinary Surgery

7

2022

Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

2022-7-VS-longo-3

Article Title: Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

Journal: Veterinary Surgery

In Bilmont 2025 et al., on cup version comparison, what was the typical degree of underestimation when using truncated face version to infer open face version?

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Correct. Open face version consistently exceeded truncated face version by 14–22°, depending on inclination and pelvic extension.
Incorrect. The correct answer is 14–22 degrees.
Open face version consistently exceeded truncated face version by 14–22°, depending on inclination and pelvic extension.

🔍 Key Findings

  • Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
  • Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
  • Truncated face version is an unreliable surrogate for open face version.
  • Accurate interpretation of cup version should include both truncated face version and inclination.
  • Canine 3D pelvic model and CT-based simulation used for all measurements.

Bilmont

Veterinary Surgery

1

2025

Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

2025-1-VS-bilmont-1

Article Title: Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

Journal: Veterinary Surgery

In Horwood 2024 et al., on complications in luxoid hip dysplasia, what proportion of LH dogs had satisfactory outcomes following revision of major complications?

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Correct. 17 out of 18 LH dogs had satisfactory outcomes post-revision.
Incorrect. The correct answer is 94%.
17 out of 18 LH dogs had satisfactory outcomes post-revision.

🔍 Key Findings

  • Luxoid hip dysplasia (LH) was present in 8% of THA cases and significantly increased risk of major complications (p < .001).
  • Intraoperative fissures/fractures were 3x more likely in LH dogs vs non-LH (39% vs 16%, p = .001).
  • Dorsal luxation was more frequent in LH dogs (28% vs 4%, p = .019).
  • Acetabular cup placement with ALO >35° was associated with luxation in LH dogs.
  • Morphologic abnormalities (e.g., femoral valgus, lateralization/medialization of cortices) were common in LH and may complicate implantation.
  • Despite higher risk, 94% of LH dogs achieved satisfactory outcomes after appropriate revisions.
  • Younger age and lighter weight characterized LH dogs (mean age 14.7 months vs 40.9 months, p < .001).
  • All LH dogs were treated with cementless stems; prophylactic cerclage was rarely used.

Horwood

Veterinary Surgery

4

2024

Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

2024-4-VS-horwood-5

Article Title: Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

Journal: Veterinary Surgery

In Kuvaldina 2023 et al., on axillary lymph node excision, what was the average surgical time to remove axillary lymph nodes using the minimally invasive technique in cadavers?

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Correct. The mean time reported for excision of axillary lymph nodes in cadaver specimens was 33 minutes.
Incorrect. The correct answer is 33 minutes.
The mean time reported for excision of axillary lymph nodes in cadaver specimens was 33 minutes.

🔍 Key Findings

  • Endoscopic excisional biopsy of axillary lymph nodes was successfully performed in cadavers and clinical dogs with minimal complications.
  • The technique used a SILS port and CO₂ insufflation through a small incision between the latissimus dorsi and superficial pectorals.
  • In 4 cadavers (6 limbs), mean time to remove axillary nodes was 33 minutes, and single nodes were found in 5/6 limbs.
  • In 3 clinical dogs, the procedure was successful in 2 cases; 1 required conversion to open surgery due to difficulty manipulating the node.
  • Accessory axillary nodes were successfully excised when present, located adherent to deep latissimus dorsi.
  • No cases developed lymphedema, pneumothorax, or major complications postoperatively.
  • Subjective benefits included better visualization, reduced dissection, and less postoperative morbidity than open techniques.
  • Study suggests MIS lymphadenectomy may improve staging accuracy and reduce complications, though larger studies are needed.

Kuvaldina

Veterinary Surgery

6

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-6-VS-kuvaldina-2

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

In Chitty 2025 et al., on tibial fracture fixation in immature dogs, what was the odds ratio for complication reduction with internal fixation versus external fixation?

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Correct. Internal fixation significantly reduced odds of complications (OR 0.23, p = .004).
Incorrect. The correct answer is 0.23.
Internal fixation significantly reduced odds of complications (OR 0.23, p = .004).

🔍 Key Findings

Internal fixation (IF) group (n=59):

  • Complication rate: 20.3%
  • Major complications: 15.3%
  • Longer time to discharge if complications occurred (median: 12.5 weeks)

External skeletal fixation (ESF) group (n=36):

  • Complication rate: 55.6% (p < .001 vs IF)
  • Major complications: 52.8%
  • Most common issue: pin tract morbidity

Multivariable analysis:

  • Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
  • Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)

Fixation choice influenced by age:

  • Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)

Breed & fracture distribution:

  • Common breeds: Labrador, Border Collie, Whippet
  • Common fracture sites: middle and proximal third of tibia

Chitty

Veterinary Surgery

4

2025

Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

2025-4-VS-chitty-3

Article Title: Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

Journal: Veterinary Surgery

In Lampart 2023 et al., on manual laxity testing, which test elicited the highest cranial tibial translation (CTT) in CCL-deficient stifles?

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Correct. TPCT produced the greatest tibial translation, likely due to added rotational and valgus stress.
Incorrect. The correct answer is Tibial pivot compression test.
TPCT produced the greatest tibial translation, likely due to added rotational and valgus stress.

🔍 Key Findings

  • Cranial drawer (CD), tibial compression (TCT), and tibial pivot compression test (TPCT) showed 100% sensitivity and specificity in differentiating intact from CCL-deficient stifles in this ex vivo model.
  • TPCT elicited the highest cranial tibial translation (CTT) and internal tibial rotation, though differences in rotation did not reach statistical significance.
  • Inter- and intraobserver agreement for CTT was excellent across all tests (ICC >0.9).
  • Rotation and force application had greater variability, particularly with less experienced observers and during CD.
  • Forces applied during CD were significantly higher in intact limbs and correlated with observer experience.
  • Subjective CTT estimates strongly correlated with objective kinematic measurements (r = 0.895), with a median absolute error of 1.31 mm.
  • TPCT may be particularly useful for assessing rotational instability, mimicking the pivot-shift test used in human ACL exams.
  • Study supports development of a grading system for manual laxity testing, especially in acute CCLR cases.

Lampart

Veterinary Surgery

5

2023

Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study

2023-5-VS-lampart-1

Article Title: Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study

Journal: Veterinary Surgery

In Buote 2023 et al., on 3D-printed cannulas in feline laparoscopy, what was the effect on mean surgical time?

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Correct. Use of 3DPCs reduced mean surgical time from 125.6 to 95.2 minutes (*p* = 0.03).
Incorrect. The correct answer is Decreased by 30 minutes.
Use of 3DPCs reduced mean surgical time from 125.6 to 95.2 minutes (*p* = 0.03).

🔍 Key Findings

  • 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
  • Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
  • Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
  • Live patients experienced no postoperative complications, including no incision site infections or discomfort.
  • Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
  • Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
  • Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
  • Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.

Buote

Veterinary Surgery

6

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-6-VS-buote-1

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

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