Your Custom Quiz

In Zann 2023 et al., on proximal humeral OC surgery, what was the average owner-reported LOAD score indicating?

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Correct. The median LOAD score was 6, which falls into the mild category despite measurable orthopedic and imaging abnormalities.
Incorrect. The correct answer is Mild disability with good perceived function.
The median LOAD score was 6, which falls into the mild category despite measurable orthopedic and imaging abnormalities.

🔍 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-2

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

Journal: Veterinary Surgery

In Marti 2024 et al., on surgical outcomes in feline sialoceles, what was the most common clinical sign on presentation?

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Correct. Over half the cats presented with cervical swelling, making it the most common clinical sign.
Incorrect. The correct answer is Cervical swelling.
Over half the cats presented with cervical swelling, making it the most common clinical sign.

🔍 Key Findings

  • Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
  • Left-sided lesions were more prevalent (71%) among affected cats.
  • Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
  • Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
  • Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
  • Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
  • One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
  • Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.

Marti

Veterinary Surgery

7

2024

Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)

2024-7-VS-marti-4

Article Title: Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)

Journal: Veterinary Surgery

In Duffy 2022 et al., on barbed suture oversew, which of the following statements is TRUE regarding **initial leakage pressure (ILP)** and **maximum leakage pressure (MLP)** among FEESA groups?

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Correct. ILP and MLP did not differ significantly between monofilament and barbed suture groups.
Incorrect. The correct answer is No differences in ILP or MLP among FEESA groups.
ILP and MLP did not differ significantly between monofilament and barbed suture groups.

🔍 Key Findings

  • Oversewing the transverse staple line using barbed suture showed no difference in initial (ILP) or maximum leakage pressure (MLP) compared to monofilament suture (p = .439 and .644).
  • Barbed suture repairs were ~18% faster (25 seconds faster; p < .001) than monofilament suture.
  • No difference was found between unidirectional and bidirectional barbed sutures in leakage resistance or repair time (p = .697).
  • Mean ILP and MLP were significantly higher in control jejunal segments (6.6x and 5.1x greater respectively; p < .001).
  • Leakage consistently occurred at the crotch of the FEESA in all oversew groups (>80%), not the staple line.
  • All oversewn techniques leaked at supraphysiologic pressures, indicating clinical safety against in vivo leakage.
  • No leakage was observed from barbed suture holes, addressing concerns of tissue trauma due to barb design.
  • The study supports barbed suture as a viable alternative to conventional monofilament suture for FEESA oversew in dogs.

Duffy

Veterinary Surgery

5

2022

Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

2022-5-VS-duffy-3

Article Title: Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

Journal: Veterinary Surgery

In Condon 2024 et al., what was the reported complication rate across all elbows treated surgically?

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Correct. Complications occurred in 30 of 136 elbows (22%), including 10 major and 20 minor:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is 22%.
Complications occurred in 30 of 136 elbows (22%), including 10 major and 20 minor:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • Lateral humeral condylar fractures = 69.8% of cases; medial = 16.2%; Y/T = 14.0%
  • Falls/stairs were the inciting trauma in 45.6% of cases; significantly younger dogs were more likely to fracture after major trauma (p = 0.01)
  • Complication rate = 22% (10 major, 20 minor); implant migration and seroma most common
  • Fixation method had no significant impact on complication rates (p = 0.87)
  • Epicondylar comminution was significantly associated with complications (p = 0.02, OR = 3.27)
  • Contralateral intracondylar fissure found in 9.8%, none progressed to fracture during study
  • Wide inter-center variation in complication rate (5–62%, p = 0.002)

Condon

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Humeral Condylar Fractures in French Bulldogs—Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs

2024-2-VCOT-condon-4

Article Title: Humeral Condylar Fractures in French Bulldogs—Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Bilmont 2025 et al., on cup version comparison, which variable most affected open face version without significantly changing truncated face version?

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Correct. Cup inclination caused open face version to increase linearly, while truncated face version remained relatively stable.
Incorrect. The correct answer is Cup inclination.
Cup inclination caused open face version to increase linearly, while truncated face version remained relatively stable.

🔍 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-2

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

Journal: Veterinary Surgery

In Heald 2022 et al., on PED wound therapy, which of the following statements best describes the cat's outcome after PED treatment?

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Correct. Culture on day 17 showed no infection, and the wound healed fully by day 47.
Incorrect. The correct answer is PED resolved infection and wound healed by day 47.
Culture on day 17 showed no infection, and the wound healed fully by day 47.

🔍 Key Findings

  • Electroceutical dressing (PED) promoted complete healing of chronic wounds in both a dog and a cat previously unresponsive to standard therapies.
  • Infection clearance occurred in both animals by the end of PED therapy, as shown by negative culture results.
  • In the dog, wound area reduced by ~4.2× over 10 days; healing completed by day 67 with no further antibiotic therapy.
  • In the cat, wound area reduced by ~2.5× over 17 days; healing completed by day 47 without systemic antibiotics.
  • PEDs function via direct current (DC) stimulation, believed to generate hypochlorous acid (HOCl) with antibacterial properties.
  • No side effects or adverse tissue reactions were observed in either case, supporting biocompatibility.
  • Multidrug-resistant organisms (e.g., S. pseudintermedius, S. canis, S. epidermidis) were eradicated by PED treatment.
  • PED therapy may reduce reliance on antibiotics and surgery, offering a novel adjunct for chronic, infected wounds.

Heald

Veterinary Surgery

3

2022

Electroceutical treatment of infected chronic wounds in a dog and a cat

2022-3-VS-heald-4

Article Title: Electroceutical treatment of infected chronic wounds in a dog and a cat

Journal: Veterinary Surgery

In Brockman 2025 et al., on canine mitral valve repair outcomes, how did survival change from the first to the last quartile of surgical experience?

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Correct. Survival improved from 67% in Q1 to 91% in Q4 as experience increased.
Incorrect. The correct answer is Increased from 67% to 91%.
Survival improved from 67% in Q1 to 91% in Q4 as experience increased.

🔍 Key Findings

  • Overall survival to discharge: 107 of 132 dogs (81%)
  • Quartile improvement: Survival increased steadily from 67% in Q1 to 91% in Q4
    • Q1: 22/33 survived
    • Q2: 27/33
    • Q3: 28/33
    • Q4: 30/33
  • Statistical significance: Higher operative rank significantly associated with improved survival (p < .05)
  • Median cross clamp time (XCT): 73 min (range 40–165), but increased again in Q4
  • Fatalities (n=25) were often due to:
    • Failure to wean from CPB
    • Intracranial vascular events (stroke)
    • Intrathoracic hemorrhage
  • Breed representation: CKCS (23.5%), Chihuahua (22%), Crossbreeds (21%)
  • Stages of MMVD: Stage C (67%), Stage D (27%), Stage B2 (6%)
  • Emphasis on deliberate multidisciplinary teamwork for outcome improvement
  • Highlights importance of technical and non-technical team skills, procedural standardization, and consistent personnel

Brockman

Veterinary Surgery

4

2025

Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach

2025-4-VS-brockman-2

Article Title: Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach

Journal: Veterinary Surgery

In Parker 2023 et al., on Locoregional analgesia in TPLO, what was the most frequently cited additive to bupivacaine in peripheral nerve blocks?

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Correct. Dexmedetomidine was the most commonly selected additive for PNB, used by 85% of those adding any agent.
Incorrect. The correct answer is Dexmedetomidine.
Dexmedetomidine was the most commonly selected additive for PNB, used by 85% of those adding any agent.

🔍 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-3

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 Scheuermann 2023 et al., on MIPO with 3D-printed bone models, what postoperative alignment difference was noted in the FRS group compared to the virtual surgical plan?

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Correct. FRS use caused a small but significant increase in recurvatum (median 2.9°, *P = .03*).
Incorrect. The correct answer is Increased recurvatum.
FRS use caused a small but significant increase in recurvatum (median 2.9°, *P = .03*).

🔍 Key Findings

  • Precontoured plates based on 3D-printed femurs produced accurate femoral alignment (median deviations <3 mm or <3° in all planes).
  • Both fracture reduction system (FRS) and intramedullary pin (IMP) methods achieved near-anatomic alignment in cadaveric femoral fractures.
  • FRS required fewer fluoroscopic images (median 7 vs. 26, P = .001), but longer surgical time (median 43 vs. 29 min, P = .011).
  • Sagittal plane alignment: FRS led to mild increased recurvatum (median 2.9°), but still within near-anatomic limits (<5°).
  • Axial alignment: Both groups achieved near-anatomic torsion (<10°), though one IMP case had acceptable (not near-anatomic) alignment.
  • Custom drill guides and FRS improved fluoroscopy efficiency but were cumbersome and time-consuming to use. Authors do not recommend current prototype for clinical use.
  • Clinical significance: 3D printed models allow accurate precontouring, reducing intra-op plate adjustment; custom guides may reduce radiation exposure for the surgical team.

Scheuermann

Veterinary Surgery

7

2023

Minimally invasive plate osteosynthesis of femoral fractures with 3D-printed bone models and custom surgical guides: A cadaveric study in dogs

2023-7-VS-scheuermann-3

Article Title: Minimally invasive plate osteosynthesis of femoral fractures with 3D-printed bone models and custom surgical guides: A cadaveric study in dogs

Journal: Veterinary Surgery

In Lomas 2025 et al., on hybrid THR in cats, what was the reported mean sf-FMPI (feline musculoskeletal pain index) score at medium-term follow-up?

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Correct. The mean sf-FMPI score was 2/36, indicating low owner-perceived pain.
Incorrect. The correct answer is 2/36.
The mean sf-FMPI score was 2/36, indicating low owner-perceived pain.

🔍 Key Findings

  • Hybrid THR in cats showed no major complications across 17 hips in 15 cats, including 2 bilateral cases.
  • Postoperative radiographs confirmed stable implant positioning with no loosening, migration, or dislocation in follow-up imaging.
  • Mean owner satisfaction was high, with a mean short-form feline musculoskeletal pain index (sf-FMPI) score of 2/36 at a mean follow-up of 438 days.
  • SCFE (slipped capital femoral epiphysis) was the most common indication, seen in 13/17 hips.
  • Partial tenotomy of rectus femoris origin resolved intraoperative medial patella luxation in 3 cases—no cats required surgical correction later.
  • A micro BFX cup allowed for increased acetabular offset, possibly reducing luxation risk even when using a +0 femoral head offset.
  • Hybrid THR was successfully used as a revision for failed CFX THR due to recurrent luxation—implants remained stable post-revision.
  • Use of oversized cups (12 mm) with shallow seating or medial breach still resulted in stable outcomes, suggesting good implant fixation even with reduced bone stock.

Lomas

Veterinary Surgery

6

2025

Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

2025-6-VS-lomas-3

Article Title: Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

Journal: Veterinary Surgery

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