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In Perez Neto 2025 et al., on hip resurfacing arthroplasty, what was the most common site of failure in both groups?

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Correct. 92% of both prosthetic and control femurs failed at the femoral neck.
Incorrect. The correct answer is Femoral neck.
92% of both prosthetic and control femurs failed at the femoral neck.

🔍 Key Findings

  • In an ex vivo study of 20 canine femur pairs, implantation of a novel hip resurfacing arthroplasty (HRA) prosthesis reduced maximum load (ML) by 22% and load at collapse (LC) by 27% vs. intact controls (p ≤ 0.05).
  • Displacement at maximum load (DML), displacement at collapse (DC), and stiffness (k) were not significantly different between prosthesis and control groups.
  • Both groups showed similar failure patterns, with 92% failing at the femoral neck.
  • All prosthetic femurs still withstood ~6.2× body weight — exceeding estimated in vivo peak loads (~1.64× BW).
  • Prosthesis positioning (neutral vs valgus) had no significant effect on biomechanical outcomes.
  • Implant design preserved more metaphyseal bone stock than total hip replacement, possibly explaining the smaller load reduction compared to other short-stem prostheses.
  • The press-fit cobalt–chromium design with conical stem allowed full contact and stress distribution over the femoral head/neck.
  • Authors conclude the device has adequate immediate biomechanical strength for clinical use, though long-term in vivo studies are needed.

Perez Neto

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study

2025-4-VCOT-perezneto-3

Article Title: Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Jenkins 2022 et al., on medial epicondylar fissure fracture, which of the following is true regarding MEFF identification?

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Correct. 60% of MEFF cases were not recognized intraoperatively and were only identified on follow-up or retrospective review.
Incorrect. The correct answer is Many cases were only detected on follow-up or retrospective radiograph review.
60% of MEFF cases were not recognized intraoperatively and were only identified on follow-up or retrospective review.

🔍 Key Findings

  • MEFF occurred in 11.4% (10/88 elbows) following medial-to-lateral transcondylar screw placement in dogs with HIF.
  • Screw size to condylar height ratio >41% significantly increased MEFF risk (P = .004, OR 1.52).
  • MEFF was not recognized intraoperatively in 60% of cases and was only seen on follow-up or retrospective imaging review.
  • Screw loosening was the most common complication (11.2%), observed both with and without MEFF.
  • MEFF tended to increase the risk of screw loosening (P = .06), but was not statistically significant.
  • Most MEFFs did not require treatment and healed radiographically by 14–17 weeks in monitored cases.
  • Shaft screws were used in all MEFF cases, but shaft vs cortical design was not significantly associated with MEFF.
  • The clinical impact of MEFF was minor in most cases, although long-term significance is unknown.

Jenkins

Veterinary Surgery

4

2022

Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure

2022-4-VS-jenkins-4

Article Title: Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure

Journal: Veterinary Surgery

In Parker 2023 et al., on Locoregional analgesia in TPLO, which locoregional technique was rated as having the fewest adverse effects?

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Correct. PNB was selected by 75% of respondents as having the lowest rate of adverse effects compared to LE and PI.
Incorrect. The correct answer is Peripheral nerve block.
PNB was selected by 75% of respondents as having the lowest rate of adverse effects compared to LE and PI.

🔍 Key Findings

  • Peripheral nerve block (PNB) was preferred by 79% of anesthesiologists; lumbosacral epidural (LE) by 21%; PI <1%.
  • Time since board-certification significantly influenced preference: PNB favored by newer diplomates, LE favored by more senior ones (p < .001).
  • Employment sector mattered: PNB was preferred more in private practice, LE more in academia (p = .003).
  • PNB perceived as more effective, with 78% reporting 81–100% effectiveness; compared to 55% for LE.
  • PNB associated with fewer adverse effects (75%) than LE (4%) and PI (21%).
  • PNB required less rescue analgesia intraoperatively (57%) and postoperatively (54%) than LE or PI.
  • LE preferred for bilateral TPLOs and in smaller dogs; PNB for larger dogs, due to motor function preservation.
  • Dexmedetomidine was the most common additive to PNB; bupivacaine-only was most used for PNB.

Parker

Veterinary Surgery

4

2023

Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists

2023-4-VS-parker-5

Article Title: Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists

Journal: Veterinary Surgery

In Story 2024 et al., on eTPA osteotomy comparison, which two techniques showed the **highest accuracy** in TPA correction relative to their target?

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Correct. Groups A and D had mean TPA accuracy scores closest to 1.00: 1.02 and 0.98 respectively, indicating high precision.
Incorrect. The correct answer is CBLO + CCWO and PTNWO.
Groups A and D had mean TPA accuracy scores closest to 1.00: 1.02 and 0.98 respectively, indicating high precision.

🔍 Key Findings

  • Population: 16 dogs (27 tibias), TPA >34°
  • Techniques analyzed:
    • Group A: CBLO + CCWO
    • Group B: TPLO + CCWO
    • Group C: mCCWO
    • Group D: PTNWO
  • Outcomes:
    • All groups achieved post-correction TPA < 14°.
    • Group A: Slight over-correction (mean TPA 10.47°); greatest mechanical axis shift.
    • Group B: Tibial shortening (~0.58%); least mechanical axis shift.
    • Group C: Lowest post-correction TPA (mean 4.76°); under-correction.
    • Group D: High accuracy, minimal shortening (mean 7.09° post).
  • Statistical Significance:
    • Significant differences in tibial length change and mCrDTA (mechanical axis shift) between groups (p <.05).
    • TPA correction accuracy: Group A (1.02), B (0.95), C (0.89), D (0.98).

Story

Veterinary Surgery

1

2024

Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

2024-1-VS-story-4

Article Title: Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

Journal: Veterinary Surgery

In Smith 2024 et al., on ergonomics and preferences in veterinary laparoscopy, what type of instrument handles were most associated with increased difficulty in laparoscopic procedures?

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Correct. Articulating handles were linked to more difficulty, especially with scissors and biopsy tools.
Incorrect. The correct answer is Articulating.
Articulating handles were linked to more difficulty, especially with scissors and biopsy tools.

🔍 Key Findings

  • Surgeons with smaller glove sizes experienced more difficulty using laparoscopic instruments, especially endoscopic staplers, cup biopsy forceps, and vessel sealing devices.
  • Endoscopic stapler was rated the most difficult instrument, with a median difficulty score of 4/10 and 25% usage difficulty.
  • Female surgeons reported significantly more difficulty with several instruments due to smaller glove size.
  • Reusable instruments were preferred over disposable ones for all tasks.
  • Pistol grips were preferred for grasping/retracting and fine dissection, while axial grips were preferred for suturing/knot tying.
  • Articulating handles were consistently associated with increased reported difficulty, especially with scissors and cup biopsy forceps.
  • Left-handed surgeons had more difficulty operating endoscopic staplers, suggesting limited design inclusivity.
  • Surgeons in academic settings reported more difficulty with laparoscopic maneuvers than those in private practice.

Smith

Veterinary Surgery

3

2024

Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy

2024-3-VS-smith-4

Article Title: Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy

Journal: Veterinary Surgery

In Levine 2025 et al., on thoracoscopic pericardiectomy, what was the main efficiency advantage of the ILR approach?

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Correct. ILR had a significantly shorter pericardiectomy time than PDR (p = .045).
Incorrect. The correct answer is Shorter operative time.
ILR had a significantly shorter pericardiectomy time than PDR (p = .045).

🔍 Key Findings

Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)

Approaches:

  • ILR = Intercostal in Left Lateral Recumbency (no OLV required)
  • PDR = Paraxiphoid in Dorsal Recumbency (traditional)

Outcomes:

  • Pericardiectomy time was shorter for ILR (p = .045)
  • Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
  • Visibility and cardiac exposure were superior in PDR group

Feasibility:

  • ILR approach was consistently successful in achieving partial pericardiectomy
  • Bilateral ventilation was adequate; no need for OLV

Clinical relevance:

  • ILR may improve efficiency when paired with TDL
  • PDR remains preferable for cases requiring maximal pericardial resection

Levine

Veterinary Surgery

1

2025

Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

2025-1-VS-levine-3

Article Title: Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

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 Saitoh 2025 et al., on CTS stabilization, what was the major complication observed?

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Correct. A single major complication occurred: breakage of the CTS.
Incorrect. The correct answer is CTS breakage.
A single major complication occurred: breakage of the CTS.

🔍 Key Findings

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

  • 3 dogs = primary ligamentous repair
  • 8 dogs = synthetic ligament reconstruction
  • 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

  • All 10 dogs had improved or resolved lameness.
  • All 5 farm dogs returned to work (most at full or substantial capacity).
  • Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

Saitoh

Veterinary Surgery

1

2025

Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

2025-1-VS-saitoh-2

Article Title: Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

Journal: Veterinary Surgery

In Guénégo 2025 et al., on AMA-based CCWO, which subgroup had the most consistent axis alignment postoperatively?

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Correct. Realignment of AA and MA was achieved more consistently in dogs with higher pre-op AMA.
Incorrect. The correct answer is Dogs with AMA > 2.4°.
Realignment of AA and MA was achieved more consistently in dogs with higher pre-op AMA.

🔍 Key Findings

  • AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
  • Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
  • All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
  • AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
  • Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
  • Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
  • Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
  • Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.

Guénégo

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

2025-3-VCOT-guenego-5

Article Title: Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Mullen 2023 et al., on microvascular perfusion, what was the main advantage of sidestream dark field (SDF) videomicroscopy in assessing intestinal viability?

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Correct. SDF videomicroscopy allowed direct intraoperative assessment of perfusion using vessel density and PBR measurements.
Incorrect. The correct answer is It objectively quantified microvascular perfusion and endothelial glycocalyx.
SDF videomicroscopy allowed direct intraoperative assessment of perfusion using vessel density and PBR measurements.

🔍 Key Findings

  • Microvascular density at the site of foreign body obstruction was significantly lower in obstructed dogs compared to healthy controls.
  • PBR (perfused boundary region) was paradoxically lower in obstructed dogs, indicating that PBR may not reliably correlate with tissue viability in this context.
  • No significant difference in microvascular perfusion between subjectively viable vs nonviable intestines, suggesting subjective assessment is unreliable.
  • No difference in perfusion parameters between handsewn and stapled enterectomies, indicating both techniques preserve vascular health equally.
  • Stapled enterectomy using green TA staples is safe and did not impair intestinal perfusion at the anastomosis site.
  • SDF videomicroscopy is feasible intraoperatively and can differentiate healthy from diseased intestine in dogs.
  • Surgeons' subjective evaluations led to potentially unnecessary enterectomies, as microvascular parameters did not differ.
  • No cases of dehiscence or mortality, suggesting both surgical approaches are effective when applied properly.

Mullen

Veterinary Surgery

4

2023

A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health

2023-4-VS-mullen-1

Article Title: A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health

Journal: Veterinary Surgery

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