Your Custom Quiz

In Swieton 2025 et al., on portocaval shunts, what proportion of dogs achieved a good to excellent long-term clinical outcome?

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Correct. 81% of dogs had good to excellent long-term outcomes after surgical treatment, despite shunt persistence in some.
Incorrect. The correct answer is 81%.
81% of dogs had good to excellent long-term outcomes after surgical treatment, despite shunt persistence in some.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

  • Good to excellent outcome: 81% (17/21)
  • Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

2025-2-VS-swieton-1

Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

Journal: Veterinary Surgery

In Davis 2025 et al., on modified anal sacculectomy, what was the resolution rate of minor postoperative complications?

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Correct. 13 of 14 dogs with grade 1 complications resolved by 2-week follow-up (93%).
Incorrect. The correct answer is 93%.
13 of 14 dogs with grade 1 complications resolved by 2-week follow-up (93%).

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-2

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

In Aly 2024 et al., on simulator training for feline OHE, what recommendation do the authors make regarding simulator training?

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Correct. Authors recommend simulator competency as a prerequisite for live animal labs.
Incorrect. The correct answer is Should precede live animal surgery.
Authors recommend simulator competency as a prerequisite for live animal labs.

🔍 Key Findings

  • This study evaluated whether high-fidelity surgical simulator training improved live animal and student outcomes in a feline OHE teaching lab involving 186 cats and 146 students.
  • Simulator training significantly improved surgical performance and outcomes:
    • Live surgery was 6 minutes shorter on average in the SIM group vs. NO-SIM (115 ± 21 min vs. 121 ± 16 min, p = .04).
    • Pain scores ≥5/20 occurred in 1% of SIM group cats vs. 15% of NO-SIM group cats (p < .01).
    • Rescue analgesia was needed less frequently in the SIM group (5% vs. 15%, p = .03).
    • Student confidence was significantly higher in the SIM group (median 7/10 vs. 6/10, p < .01).
  • The simulator used a realistic abdominal model with friable tissues and required performance of a full OHE procedure.
  • The study design was nonrandomized, grouped by class year, with limitations including lack of blinding during pain assessment in year two.
  • Authors concluded that pre-lab simulator competency improves both animal welfare and student confidence, recommending it as a prerequisite for live surgical training.

Aly

Veterinary Surgery

6

2024

Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory

2024-6-VS-aly-5

Article Title: Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory

Journal: Veterinary Surgery

In Bondonny 2024 et al., what was the mid-term functional outcome rate after using the modified IM pin technique?

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Correct. Mid-term full functional outcome was achieved in 96.9% of cats (32/33 fractures):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is 96.9%.
Mid-term full functional outcome was achieved in 96.9% of cats (32/33 fractures):contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • Retrospective study of 33 fractures in 31 cats with Salter–Harris I or II distal femoral fractures
  • Used 1 intramedullary Steinmann pin + 1 laterally placed antirotational pin
  • 96.9% achieved full functional outcome at mid-term follow-up
  • No implant migration or removal required
  • Minor complications: 2 seromas; Major: 3 (patellar luxation [2], osteomyelitis [1])
  • Growth plate remained open in 27.3% of cases at 6–8 weeks post-op

Bondonny

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management

2024-2-VCOT-bondonny-1

Article Title: Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Canever 2022 et al., on labial flap vascular anatomy, what did angiographic evaluation of feline cadavers reveal about the blood supply to the upper and lower lips?

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Correct. Angiography confirmed robust angiosomes in the musculomucosal layer for both superior and inferior labial arteries.
Incorrect. The correct answer is Each labium had a distinct angiosome supplied by either the superior or inferior labial artery..
Angiography confirmed robust angiosomes in the musculomucosal layer for both superior and inferior labial arteries.

🔍 Key Findings

  • Superior and inferior labial arteries in cats perfuse robust angiosomes, which support musculomucosal axial pattern flaps.
  • Cadaver angiography confirmed vascular anatomy, with consistent patterns between sides and among specimens.
  • The vascular supply is located primarily in the musculomucosal layer, not the skin, critical for flap viability.
  • Flap harvest requires inclusion of the orbicularis oris (± buccinator) muscle to ensure vascular integrity and flap survival.
  • Two clinical cases demonstrated successful use of superior and inferior labial musculomucosal flaps for palatal reconstruction with complete flap survival and resolution of clinical signs.
  • Intraoperative transillumination aided vessel localization, facilitating surgical planning and flap design.
  • No cases of distal flap necrosis or dehiscence occurred, although mild donor site morbidity (lip retraction, mucosal denuding) was noted.
  • These flaps offer a valuable option when local tissues are compromised, especially after failed previous repairs or radiation therapy.

Canever

Veterinary Surgery

4

2022

Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series

2022-4-VS-canever-1

Article Title: Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic vertical sleeve gastrectomy (LVSG), on LVSG, what percentage of the stomach was resected by weight in cadaveric specimens?

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Correct. The mean resected stomach weight was 27.6% of total weight in cadaveric procedures.
Incorrect. The correct answer is 27.6%.
The mean resected stomach weight was 27.6% of total weight in cadaveric procedures.

🔍 Key Findings

  • LVSG was successfully performed in 9/10 cadavers and both live cats, demonstrating procedural feasibility.
  • Mean stomach resected was 27.6% of total weight in cadavers, with no leaks in 8/8 tested or either live patient.
  • Mean surgical time: 110.4 min (cadavers) and 115 min (live cats); no intra- or postoperative complications observed.
  • Stenosis near the incisura occurred in 2 cadavers; attributed to staple placement too close to the lesser curvature.
  • 3D printed cannulas (3DPCs) improved ergonomics and were used in 6/10 cadavers and both live procedures.
  • Live cats lost 21–24% body weight over 3 months, with full return to pre-surgical BCS and no GI complications.
  • Orogastric tube and proper tensioning were critical in preventing gastric stenosis during staple placement.
  • No reinforcement or oversew was used on the staple line; TriStaple cartridges provided reliable closure.

Buote

Veterinary Surgery

7

2023

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

2023-7-VS-buote2-2

Article Title: Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Journal: Veterinary Surgery

In Huels 2025 et al., on second-generation screw cup THA, what was the observed rate of late aseptic loosening?

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Correct. No cases of late aseptic loosening were observed during a median 17.5-month follow-up.
Incorrect. The correct answer is None of the hips.
No cases of late aseptic loosening were observed during a median 17.5-month follow-up.

🔍 Key Findings

  • Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
  • Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
  • No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
  • Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
  • Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
  • Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
  • Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
  • Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.

Huels

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

2025-2-VCOT-huels-1

Article Title: Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Zann 2023 et al., on proximal humeral OC surgery, what was the most common arthroscopic finding in previously treated shoulders?

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Correct. All joints had incomplete cartilage infilling and moderate to severe synovitis on arthroscopic evaluation.
Incorrect. The correct answer is Partial infilling with patchy cartilage tissue and synovitis.
All joints had incomplete cartilage infilling and moderate to severe synovitis on arthroscopic evaluation.

🔍 Key Findings

  • All dogs developed progressive osteoarthritis (OA) after surgical debridement of proximal humeral OC.
  • Ipsilateral muscle atrophy and reduced shoulder range of motion were common, particularly in unilaterally affected dogs.
  • Arthroscopically, lesions showed incomplete cartilage infilling even years after surgery, averaging only ~37% infilling.
  • Synovitis was present in all joints, with moderate-to-severe hypertrophy and vascularity scores.
  • CT identified OC lesions as deeper and wider than radiography, and all affected joints had more advanced OA than contralateral limbs (P = .001 radiograph, P = .005 CT).
  • Kinetic gait analysis showed no significant differences in peak vertical force or impulse, but a subtle 4.4% asymmetric load reduction on the operated limb.
  • Median LOAD score was 6, indicating mild owner-perceived disability despite measurable clinical and imaging abnormalities.
  • Cartilage infilling was incomplete in all cases, with no lesion exceeding 60% restoration, raising questions about the healing potential of debridement alone.

Zann

Veterinary Surgery

6

2023

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

2023-6-VS-zann-1

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

Journal: Veterinary Surgery

In Anderson 2024 et al., what recommendation did authors give to help detect this complication early?

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Correct. Only routine in-person gait assessments identified this nerve injury, not owner observation:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Routine post-op gait assessments.
Only routine in-person gait assessments identified this nerve injury, not owner observation:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 3 dogs developed permanent fibular nerve dysfunction following TPLO
  • Common findings:
    • Drill hole or screw in caudal tibial cortex just distal to osteotomy
    • Caudal malpositioning of TPLO plate (esp. right limb of case 3)
    • Post-op signs: cranial tibial atrophy, knuckling, exaggerated gait, no hock flexion
  • One case had confirmed deep/superficial fibular neuropathy via electrodiagnostics
  • Recommended prevention: avoid overly caudal drill paths; careful gait assessment at follow-up is key

Anderson

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

2024-3-VCOT-anderson-5

Article Title: Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Korchek 2025 et al., on fracture gap risk, which postoperative finding was most strongly associated with implant failure in toy breed dogs with radius/ulna fractures?

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Correct. Implant failure was significantly associated with a postoperative fracture gap in the caudal cortex, with an OR of 23.0 and p = .004.
Incorrect. The correct answer is Presence of a fracture gap in the caudal cortex.
Implant failure was significantly associated with a postoperative fracture gap in the caudal cortex, with an OR of 23.0 and p = .004.

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

  • 27% in cases with fracture gap
  • 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

  • OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

  • OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

  • OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

Korchek

Veterinary Surgery

2

2025

Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

2025-2-VS-korchek-1

Article Title: Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

Journal: Veterinary Surgery

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