Your Custom Quiz

In You 2025 et al., on barbed sutures for lung lobectomy, what conclusion was made regarding their clinical use?

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Correct. The authors conclude that barbed sutures may offer a viable alternative to staplers when cost or anatomy limits stapler use.
Incorrect. The correct answer is They may be a practical alternative to staplers.
The authors conclude that barbed sutures may offer a viable alternative to staplers when cost or anatomy limits stapler use.

🔍 Key Findings

  • Barbed sutures showed comparable leakage pressure to traditional sutures and stapling devices (p = .36).
  • No bronchial leaks occurred at physiological pressure (<20 cmH₂O) in any group.
  • Leakage at supraphysiologic pressure (20–80 cmH₂O) occurred in 90% of stapler, 80% of traditional, and 60% of barbed suture closures.
  • Barbed sutures reduced ligation time significantly compared to traditional sutures (10.7 vs. 14.1 minutes, p < .01).
  • Staplers remained fastest, with mean ligation time of 2.4 minutes.
  • No knot failure or suture breakage was observed in barbed or traditional suture groups.
  • Leakage in barbed sutures occurred mostly at the loop effector zone, but remained within acceptable limits.
  • Barbed sutures may offer an effective alternative when staplers are unavailable, impractical, or cost-prohibitive.

You

Veterinary Surgery

7

2025

Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

2025-7-VS-you-5

Article Title: Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

Journal: Veterinary Surgery

In Williams 2024 et al., on local anesthetic protocol, what was the standard volume used per side for the maxillary nerve block?

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Correct. Each side received 0.5 mL regardless of patient size; this standardization was applied to both groups.
Incorrect. The correct answer is 0.5 mL.
Each side received 0.5 mL regardless of patient size; this standardization was applied to both groups.

🔍 Key Findings Summary

  • Design: Prospective, randomized, double-blinded controlled trial
  • Population: 32 brachycephalic dogs undergoing cut-and-sew sharp staphylectomy
  • Groups: Adrenaline + lidocaine (Group A) vs. Lidocaine only (Group NA)
  • Main Findings:
    • Total hemorrhage significantly lower in Group A (median 1.82 g) vs Group NA (7.95 g); p = .013
    • Normalized hemorrhage significantly lower in Group A; p = .021
    • Surgeon-assigned hemorrhage scores significantly lower in Group A; p = .029
    • No adverse effects (tachycardia, hypertension, arrhythmia, etc.) noted from adrenaline use
    • Breed effect: English Bulldogs bled more overall even after normalization
  • Clinical Implication: Adrenaline in nerve blocks reduces hemorrhage without added risk

Williams

Veterinary Surgery

1

2024

Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

2024-1-VS-williams-5

Article Title: Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

Journal: Veterinary Surgery

In Vannini 2026 et al., on gastrocnemius tendinopathy, which ultrasonographic feature defined a moderate tendon lesion?

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Correct. The study classified moderate lesions as multiple hypoechoic abnormalities and/or larger mineralizations associated with abnormal tendon fiber architecture.
Incorrect. The correct answer is Two to three hypoechoic lesions or larger mineralizations with abnormal fiber pattern.
The study classified moderate lesions as multiple hypoechoic abnormalities and/or larger mineralizations associated with abnormal tendon fiber architecture.

🔍 Key Findings

  • TGMO was common despite absence of overt lameness, with 18/34 dogs showing abnormal clinical examination findings.
  • Ultrasonographic abnormalities were highly prevalent, with only 5/34 dogs classified as bilaterally normal and 29/34 showing mild or moderate lesions.
  • Only four dogs had normal clinical, radiographic, and ultrasonographic findings, supporting a high prevalence of subclinical pathology.
  • Pain on palpation over the fabella was considered the most clinically meaningful indicator of TGMO, whereas imaging abnormalities alone did not reliably indicate clinical disease.
  • Gait analysis was sensitive but nonspecific, with asymmetry detected in 17 dogs, including some with otherwise normal findings.
  • Radiographic mineralization or enthesiophytes were identified in 7/34 dogs (~20%), indicating chronic tendon pathology but not necessarily clinical symptoms.
  • Moderate ultrasonographic lesions were present in 10 dogs, often associated with irregular supracondylar bone contours and occasionally pain or gait abnormalities.
  • TGMO appears substantially underrecognized in agility Border Collies, supporting routine clinical and imaging assessment when hindlimb performance issues occur.

Vannini

Veterinary and Comparative Orthopaedics and Traumatology

3

2026

Prevalence of Tendinopathy of the Gastrocnemius Muscle Origin in a Cohort of Sound Border Collies

2026-3-vcot-vannini-4

Article Title: Prevalence of Tendinopathy of the Gastrocnemius Muscle Origin in a Cohort of Sound Border Collies

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Caiazzo 2025 et al., on suture material comparison, what was the study’s conclusion regarding PDS versus Monocryl use?

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Correct. The study found no statistically significant difference in dehiscence rates between groups using PDS or Monocryl for skin closure.
Incorrect. The correct answer is PDS and Monocryl had equivalent outcomes.
The study found no statistically significant difference in dehiscence rates between groups using PDS or Monocryl for skin closure.

🔍 Key Findings

  • No significant difference in non-infected incisional dehiscence rates among groups using PDS vs. Monocryl for subcutaneous and skin closure.
  • Overall dehiscence rate: 9.48% (22/232 dogs).
  • Postoperative antibiotic use and signs of inflammation were significantly associated with dehiscence (p = .023 and p < .001, respectively).
  • Dogs not receiving postoperative antibiotics had a higher dehiscence rate (14.74%) than those that did (5.84%).
  • Most dehiscence cases were superficial (85.7%), and the average length of dehiscence was 1.71 cm.
  • No statistically significant impact of weight, BCS, incision length, procedure type, surgeon experience, closure direction, or barrier use on dehiscence rate.

Caiazzo

Veterinary Surgery

3

2025

Impact of suture materials polydioxanone and poliglecaprone 25 on non-infected clean orthopedic stifle procedure incisional dehiscence rates

2025-3-VS-caiazzo-3

Article Title: Impact of suture materials polydioxanone and poliglecaprone 25 on non-infected clean orthopedic stifle procedure incisional dehiscence rates

Journal: Veterinary Surgery

In Burkhardt 2024 et al., on coagulation testing in liver lobectomy, dogs with both PT and aPTT prolongation were how much more likely to undergo emergency surgery?

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Correct. Dogs with both PT and aPTT prolonged were 6.5 times more likely to require emergency surgery.
Incorrect. The correct answer is 6.5 times.
Dogs with both PT and aPTT prolonged were 6.5 times more likely to require emergency surgery.

🔍 Key Findings

  • 20.6% of dogs had a preoperative prolongation in PT or aPTT, but only 5.6% had both prolonged.
  • Hemangiosarcoma was the only tumor type significantly associated with both PT and aPTT prolongation (37.5% of hemangiosarcoma cases, p < .001).
  • Dogs with both PT and aPTT prolongations were 6.5× more likely to have emergency surgery (p < .001) and 2.5× more likely to have hemoabdomen (p = .0022).
  • 60% of dogs with both PT and aPTT prolongation required blood transfusion (p < .001).
  • Only 1.9% of all dogs had both PT and aPTT prolonged by >25%, suggesting limited clinical utility of routine PT/aPTT testing.
  • Platelet count <50,000/μL was rare (1.5%) and not associated with PT/aPTT changes or transfusions.
  • Routine PT/aPTT testing offers low diagnostic yield in elective liver lobectomy cases.
  • Authors recommend case-by-case PT/aPTT screening, especially when hemangiosarcoma or bleeding tendencies are suspected.

Burkhardt

Veterinary Surgery

7

2024

Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study

2024-7-VS-burkhardt-3

Article Title: Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study

Journal: Veterinary Surgery

In Caldeira 2025 et al., on femoral neck fixation, which group demonstrated the highest construct stiffness?

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Correct. The intact bones (Group 1) had the highest stiffness (674 N/mm), significantly higher than both fixation groups
Incorrect. The correct answer is Control (no osteotomy).
The intact bones (Group 1) had the highest stiffness (674 N/mm), significantly higher than both fixation groups

🔍 Key Findings

Design: In vitro study on cadaveric femurs (n=21) with basilar femoral neck fractures stabilized using 2 vs 3 titanium cannulated screws.

Stiffness: Control > 3-screw > 2-screw (674 > 120 > 90 N/mm).

Yield Load: 3-screw (586 N) > 2-screw (303 N); both < intact femur (2692 N).

Displacement: No difference across groups.

Complication: 3-screw technique more demanding; higher risk of cortical perforation, especially with narrow femoral necks.

Failure Mode: Dislodgement of femoral head + screw shaft bending.

Conclusion: 3 screws = stronger construct than 2 screws. Clinical implications need further study.

Caldeira

Veterinary and Comparative Orthopedics and Traumatology

1

2025

In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs

2025-1-VC-Caldeira-2

Article Title: In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Kennedy 2024 et al., which muscle group was most frequently damaged by the caudal portal?

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Correct. Deltoideus was damaged in 90% of shoulders by the caudal portal:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Deltoideus.
Deltoideus was damaged in 90% of shoulders by the caudal portal:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • 20 shoulders from 11 medium-to-large breed dogs evaluated
  • Lateral portals used: middle arthroscopic, caudal instrument, cranial egress
  • Musculotendinous lesions unavoidable, but small (18G needle); seen in deltoideus (90%), infraspinatus, teres minor, etc.
  • Neurovascular safety:
    • Caudal portal was closest to axillary artery/nerve branches (as close as 7 mm)
    • Only 2/20 shoulders (10%) had omobrachial vein penetrated
  • Cartilage injuries (IACI) occurred in 65%, primarily minor linear defects; use of guarded cannulas and distractors suggested for minimization
  • Supports overall safety of lateral shoulder arthroscopy with portal placement awareness

Kennedy

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations

2024-4-VCOT-kennedy-4

Article Title: Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Hildebrandt 2023 et al., on Buccal Transposition Flap for Maxillary Lip Reconstruction in Dogs, what was a recommended intraoperative consideration to reduce postoperative flap trauma?

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Correct. Coronectomy was used in 2 dogs to prevent trauma and oronasal fistula from mandibular canine contact.
Incorrect. The correct answer is Perform mandibular canine coronectomy.
Coronectomy was used in 2 dogs to prevent trauma and oronasal fistula from mandibular canine contact.

🔍 Key Findings

  • Buccal transposition flap provided successful closure of large maxillary lip defects in all 5 dogs
  • All flaps survived, with 3 dogs experiencing minor complications (e.g., fistulas, dehiscence) that resolved
  • Flap vascularization originated from the angularis oris and superior labial arteries, as confirmed via CT angiography
  • Excellent cosmetic and functional outcomes were achieved in all cases
  • Ex vivo cadaver study validated flap perfusion, showing consistent contrast filling of key arteries
  • Oronasal fistulas occurred in 2 dogs at the palatal incision site, likely due to contact with the mandibular canine tooth
  • Mandibular canine coronectomy was performed in 2/5 dogs to prevent flap trauma
  • Flap design and commissure positioning were customizable, aiding tension relief and improving outcomes

Hildebrandt

Veterinary Surgery

2

2023

Buccal transposition flap for closure of maxillary lip defects in 5 dogs

2023-2-VS-hildebrandt-3

Article Title: Buccal transposition flap for closure of maxillary lip defects in 5 dogs

Journal: Veterinary Surgery

In Wylie 2026 et al., on CCT surgical outcomes, what was the median follow-up time at the referral center after surgery?

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Correct. The reported median follow-up time was 10 weeks, with a range of 6–256 weeks.
Incorrect. The correct answer is 10 weeks.
The reported median follow-up time was 10 weeks, with a range of 6–256 weeks.

🔍 Key Findings

  • CCT surgery was performed in 80 dogs (89 limbs) across five referral centers in a retrospective cohort study evaluating surgical treatment outcomes.
  • Tendon repair with tarsocrural immobilization was the most common treatment (51.7%), followed by pantarsal arthrodesis (36%) and immobilization without repair (12.3%).
  • The three-loop pulley was the most frequently used tendon repair suture pattern (41.3%) among repaired tendons.
  • Overall complication rates did not differ significantly between tendon repair (56.5%) and pantarsal arthrodesis (42.8%) (p = .543).
  • Catastrophic complications were significantly higher after tendon repair with immobilization (26.1%) compared with pantarsal arthrodesis (0%) (p = .005).
  • Temporary tarsocrural immobilization (with or without tendon repair) was associated with higher revision surgery risk than pantarsal arthrodesis.
  • Median referral follow-up time was 10 weeks (range 6–256 weeks).
  • Long-term owner outcomes (LOAD questionnaire) showed no difference in mildly affected dogs among surgical groups (p = .493).

Wylie

Veterinary Surgery

2

2026

Complications and outcomes following surgical management of common calcaneal tendon pathology in 80 dogs

2026-2-vs-wylie-5

Article Title: Complications and outcomes following surgical management of common calcaneal tendon pathology in 80 dogs

Journal: Veterinary Surgery

In Knudsen 2024 et al., on clinical application, what was the negative predictive value of CTA during second reading for experienced observers?

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Correct. NPV was reported as ≥91% in the second reading for all observers, indicating strong ability to rule out meniscal injury.
Incorrect. The correct answer is 91–100%.
NPV was reported as ≥91% in the second reading for all observers, indicating strong ability to rule out meniscal injury.

🔍 Key Findings Summary

  • Study Design: Prospective case series of 52 scans from 44 dogs with CCL injury.
  • Main Technique: 16-slice CTA; evaluated by 3 observers with varying experience; validated against surgical mini-medial arthrotomy findings.
  • Diagnostic Metrics (Reading 2):
    • Sensitivity: 1.00 (Observers 1 & 2), 0.93 (Observer 3)
    • Specificity: 0.78–0.91
    • Positive Likelihood Ratio: Up to 10.71
    • Negative Likelihood Ratio: As low as 0.08
    • Accuracy: 90%+ for all in Reading 2
  • Observer Effect: Significant improvement between first and second reading for less experienced observers (p < 0.05); learning curve evident.
  • Meniscal lesions found:
    • 9/12 in suspected late meniscal injury cases
    • 19/40 in newly diagnosed CCL cases
    • Most common = bucket handle tears
  • Conclusion: Multidetector CTA is a clinically useful, non-invasive tool for identifying medial meniscal lesions in dogs with CCL disease.

Knudsen

Veterinary Surgery

1

2024

Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

2024-1-VS-knudsen-4

Article Title: Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

Journal: Veterinary Surgery

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