Your Custom Quiz

In Beer 2026 et al., on synovial CRP biomarkers, what was the median synovial CRP concentration reported in dogs with osteoarthritis?

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Correct. Dogs with osteoarthritis had markedly lower synovial CRP concentrations than inflammatory arthropathy groups.
Incorrect. The correct answer is 0.2 mg/L.
Dogs with osteoarthritis had markedly lower synovial CRP concentrations than inflammatory arthropathy groups.

🔍 Key Findings

  • Synovial CRP was significantly lower in osteoarthritis than both IMPA and bacterial infective arthritis (p=0.001 for both comparisons).
  • Synovial CRP could not differentiate IMPA from bacterial infective arthritis (p=0.721), limiting its value as a stand-alone diagnostic test.
  • Median synovial CRP concentrations were 0.2 mg/L (OA), 65.79 mg/L (IMPA), and 60.8 mg/L (infective arthritis).
  • Synovial CRP is useful for distinguishing inflammatory from non-inflammatory arthropathies, but not infectious from sterile inflammatory disease.
  • Synovial neutrophil count positively correlated with synovial CRP in IMPA and infective arthritis, supporting CRP as a marker of joint inflammation.
  • Serum and synovial CRP showed a moderate positive correlation in IMPA cases (r=0.52), although not statistically significant.
  • Higher synovial CRP was associated with increased lameness severity in osteoarthritis (r=0.91, p=0.004).
  • Diagnosis of bacterial infective arthritis remains multifactorial, requiring integration of history, cytology, culture, and treatment response rather than CRP alone.

Beer

Veterinary and Comparative Orthopaedics and Traumatology

3

2026

Synovial Fluid C-Reactive Protein as a Biomarker in Osteoarthritis, Immune-Mediated Polyarthritis and Bacterial Infective Arthritis

2026-3-vcot-beer-3

Article Title: Synovial Fluid C-Reactive Protein as a Biomarker in Osteoarthritis, Immune-Mediated Polyarthritis and Bacterial Infective Arthritis

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Bohin 2026 et al., on feline Achilles repair, which Achilles tendon injury type represented the most common partial rupture pattern?

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Correct. All partial ruptures in the study were classified as Type IIc lesions.
Incorrect. The correct answer is Type IIc gastrocnemius tendon avulsion with intact superficial digital flexor tendon.
All partial ruptures in the study were classified as Type IIc lesions.

🔍 Key Findings

  • UHMWPE implant reconstruction resulted in successful long-term functional recovery in 11/12 limbs (91.7%) with complete follow-up, with restoration of normal tarsal motion in most cats.
  • All injuries occurred at the tendino-osseous junction, with 53.8% being complete Achilles tendon ruptures and 46.2% partial gastrocnemius avulsions (Type IIc).
  • No intraoperative complications occurred in any of the 13 repaired limbs.
  • Complication rate was low (15.4%), with only one calcaneal fracture from screw malposition and one surgical site infection causing implant failure.
  • External coaptation was not required in all cases, and outcomes did not differ between limbs with or without rigid coaptation.
  • Median long-term follow-up was 18.5 months, with a median FMPI score of 1.5 indicating excellent owner-reported limb function.
  • Calcaneal fracture risk was associated with distal interference screw malposition, emphasizing the importance of correct screw placement proximal and caudal to the talocalcaneal central joint.
  • The technique may reduce complications associated with transarticular fixation or external skeletal fixation, potentially improving short-term recovery while preserving tendon loading during healing.

Bohin

Veterinary Surgery

4

2026

Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)

2026-4-vs-bohin-5

Article Title: Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)

Journal: Veterinary Surgery

In Song 2024 et al., on CT vs cystoscopy for ectopic ureters in dogs, what did the authors conclude regarding CT's role in surgical planning?

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Correct. CT misclassified too many dogs to serve as the sole diagnostic tool; cystoscopy is recommended for confirmation.
Incorrect. The correct answer is CT should be confirmed with cystoscopy.
CT misclassified too many dogs to serve as the sole diagnostic tool; cystoscopy is recommended for confirmation.

🔍 Key Findings

  • CT correctly identified ectopic ureters in 91% of dogs, but missed 50% of normal ureters, limiting its negative predictive value.
  • Sensitivity for intramural ectopic ureters was 65%, while specificity was 71%, indicating moderate diagnostic performance.
  • Sensitivity for extramural ectopic ureters was only 29%, despite a high specificity of 97%.
  • CT was inaccurate in predicting ureteral orifice location, with sensitivity ranging from 0% to 76% depending on the site.
  • 26% of dogs were misclassified for cystoscopic laser ablation (CLA) eligibility based on CT findings alone.
  • Overall CT accuracy for CLA candidacy was 74%, but a significant minority would have been inappropriately treated.
  • Multivariate analysis found no predictive factors (e.g., colon distension, body weight) for when CT would be incorrect.
  • Authors recommend confirmatory cystoscopy to verify CT findings prior to treatment planning.

Song

Veterinary Surgery

3

2024

Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases

2024-3-VS-song-5

Article Title: Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases

Journal: Veterinary Surgery

In Huerta 2025 et al., on leakage in canine lung lobectomy, how did PL-60 perform compared to PL-30 in terms of leakage pressure?

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Correct. PL-60 group had significantly higher median leakage pressure than PL-30 (18 vs 10 cm H₂O, p = .006).
Incorrect. The correct answer is PL-60 had higher pressure resistance.
PL-60 group had significantly higher median leakage pressure than PL-30 (18 vs 10 cm H₂O, p = .006).

🔍 Key Findings

PL-30 group (partial, TA30-V3 wedge):

  • 100% leaked
  • Median leakage pressure: 10 cm H₂O
  • Most failures from periphery of staple line

PL-60 group (partial, TA60-3.5):

  • 100% leaked
  • Median leakage pressure: 18 cm H₂O
  • Better than PL-30 (p = .006)

TL-30 group (total, TA30-V3):

  • Only 1 of 11 leaked (at 22 cm H₂O)
  • All others resisted pressures >50–65 cm H₂O
  • Significantly higher leakage pressure than both PL groups (p < .001)

Odds ratios (leakage vs TL-30):

  • PL-30: OR 437 at both 20 and 30 cm H₂O (p = .003)
  • PL-60: OR 437 at 20 cm H₂O and 133 at 30 cm H₂O (p = .003)

Recommendation: Prefer TL-30 when possible. If partial needed, PL-60 superior to PL-30, but all partials leaked at physiologic pressures.

Huerta

Veterinary Surgery

4

2025

Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

2025-4-VS-huerta-4

Article Title: Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

Journal: Veterinary Surgery

In Boone 2026 et al., on feline urolith surgery, what was the authors' overall conclusion regarding modified percutaneous cystolithotomy?

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Correct. The authors concluded PCCLm is a viable minimally invasive alternative, although it did not reduce SSI or incomplete stone removal rates.
Incorrect. The correct answer is It is an acceptable alternative to open cystotomy.
The authors concluded PCCLm is a viable minimally invasive alternative, although it did not reduce SSI or incomplete stone removal rates.

🔍 Key Findings

  • Modified percutaneous cystolithotomy (PCCLm) resulted in significantly shorter skin incisions and hospitalization duration compared with open cystotomy (OC) (p=.002 and p=.031, respectively).
  • PCCLm cats had fewer immediate postoperative lower urinary tract signs and were more often asymptomatic postoperatively than OC cats (p=.046 and p=.006).
  • Rates of incomplete urolith removal were similar between PCCLm and OC, indicating no clear advantage in stone clearance for either technique.
  • No PCCLm procedures required conversion to open surgery, demonstrating technical feasibility in cats.
  • Clinical urolith recurrence rates were low and similar between PCCLm (10.5%) and OC (8.6%).
  • In PCCLm, incomplete stone removal was associated with longer anesthesia time, longer hospitalization, larger incision length, and postoperative LUTS.
  • In OC, incomplete stone removal was associated with longer surgery time and obstructed/distended bladders at presentation.
  • PCCLm is an acceptable minimally invasive alternative to OC, although it did not reduce surgical site infection rates or incomplete stone removal.

Boone

Veterinary Surgery

4

2026

Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 cats

2026-4-vs-boone-5

Article Title: Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 cats

Journal: Veterinary Surgery

In Parlier 2024 et al., on insufflation effects on portal pressure in dogs, what was the observed change in portal pressure at 14 mmHg insufflation?

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Correct. Portal pressure increased by 175% at 14 mmHg compared to baseline.
Incorrect. The correct answer is 175% increase.
Portal pressure increased by 175% at 14 mmHg compared to baseline.

🔍 Key Findings

  • Portal pressure increased proportionally with insufflation pressure: 38% at 6 mmHg, 95% at 10 mmHg, and 175% at 14 mmHg.
  • Exponential model: average increase of 7.45% per mmHg of insufflation pressure (CI: 4.7–10.2%).
  • No systemic hemodynamic adverse effects were observed; MAP remained >60 mmHg throughout.
  • Portal hypertension threshold (15 mmHg) predicted at ~6.4 mmHg insufflation pressure.
  • No statistical impact from patient weight, pressure-to-weight ratio, or order of insufflation rounds.
  • Measurement technique was feasible and safe, with only minor challenges (e.g., catheter kinking).
  • The study supports use of the lowest insufflation pressure needed for visualization to avoid portal hypertension.
  • Baseline portal pressures returned after desufflation, supporting comparison pre- and post-attenuation.

Parlier

Veterinary Surgery

4

2024

Prospective, randomized, clinical trial on the effects of laparoscopic insufflation pressures on portal pressures in dogs

2024-4-VS-parlier-3

Article Title: Prospective, randomized, clinical trial on the effects of laparoscopic insufflation pressures on portal pressures in dogs

Journal: Veterinary Surgery

In Hawker 2025 et al., on locking head inserts, why might LHI fail to reduce strain in LCP Combi-holes?

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Correct. Because LHI only fill the locking portion of the Combi-hole, strain at the compression side remains unaffected.
Incorrect. The correct answer is They do not engage the compression side.
Because LHI only fill the locking portion of the Combi-hole, strain at the compression side remains unaffected.

🔍 Key Findings

  • Adding Locking Head Inserts (LHI) to a 3.5-mm LCP had no effect on plate strain, stiffness, or deformation in an open fracture gap model.
  • Peak strain consistently occurred at the Combi-hole over the fracture gap, with values up to ~1837 µε.
  • No significant difference in strain was found across configurations with 0, 3, or 9 LHI (p = 0.847).
  • Construct stiffness and compressive displacement also remained unchanged regardless of LHI count (p = 0.311 and 0.069 respectively).
  • Study contradicted the hypothesis that LHI would reduce strain and increase stiffness under biologic loading.
  • Combi-hole design may limit the efficacy of LHI, as LHI only fill the locking portion, not the compression side where strain peaks.
  • Implant fatigue risk remains highest over unfilled screw holes, especially over fracture sites—confirming previous failure patterns.
  • Surgeons should consider alternative methods to reduce strain when facing high implant load scenarios.

Hawker

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model

2025-4-VCOT-hawker-4

Article Title: The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Guevara 2024 et al., on implant placement accuracy, what was considered an acceptable placement grade using the modified Zdichavsky classification?

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Correct. Grades I and IIa were deemed acceptable; grades IIb, IIIa, and IIIb were unacceptable.
Incorrect. The correct answer is I and IIa.
Grades I and IIa were deemed acceptable; grades IIb, IIIa, and IIIb were unacceptable.

🔍 Key Findings:

  • Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
  • Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
  • Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
  • Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
  • Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
  • Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
  • Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
  • Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.

Guevara

Veterinary Surgery

2

2024

Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

2024-2-VS-guevara-4

Article Title: Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

Journal: Veterinary Surgery

In Fidelis 2025 et al., on suture eyelet geometry, which two anchors most frequently showed **suture failure at the mid-section**?

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Correct. Sutures in raised eyelet anchors (Jorvet and IMEX) commonly failed at the mid-section, indicating cutting or abrasion.
Incorrect. The correct answer is Jorvet and IMEX.
Sutures in raised eyelet anchors (Jorvet and IMEX) commonly failed at the mid-section, indicating cutting or abrasion.

🔍 Key Findings

  • Raised eyelets caused more suture mid-section failures than embedded eyelets, suggesting wear or cutting against the anchor.
  • No significant effect of cyclic loading on failure load (Fmax) was found for any anchor group.
  • Anika anchor showed the least reduction in suture strength relative to the reference (eyebolt screw), indicating a favorable design.
  • All sutures failed via suture breakage, not anchor pullout, indicating suture fatigue was the primary failure mode.
  • Sutures in raised eyelets more often failed at the mid-section, while those in embedded eyelets failed at the knot.
  • IMEX and Jorvet anchors showed significantly reduced Fmax compared to eyebolt screws.
  • Loading direction and anchor design likely affect wear and ultimate failure, particularly in dynamic in vivo conditions.
  • Future designs should aim for embedded, smooth eyelets that can accommodate larger suture sizes without increasing wear.

Fidelis

Veterinary Surgery

6

2025

Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

2025-6-VS-fidelis-3

Article Title: Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

Journal: Veterinary Surgery

In Fidelis 2025 et al., on suture eyelet geometry, what effect did **cyclic loading** have on maximum failure load (Fmax)?

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Correct. Cyclic loading did not significantly alter failure load in any anchor-suture group.
Incorrect. The correct answer is No effect of cyclic loading on Fmax.
Cyclic loading did not significantly alter failure load in any anchor-suture group.

🔍 Key Findings

  • Raised eyelets caused more suture mid-section failures than embedded eyelets, suggesting wear or cutting against the anchor.
  • No significant effect of cyclic loading on failure load (Fmax) was found for any anchor group.
  • Anika anchor showed the least reduction in suture strength relative to the reference (eyebolt screw), indicating a favorable design.
  • All sutures failed via suture breakage, not anchor pullout, indicating suture fatigue was the primary failure mode.
  • Sutures in raised eyelets more often failed at the mid-section, while those in embedded eyelets failed at the knot.
  • IMEX and Jorvet anchors showed significantly reduced Fmax compared to eyebolt screws.
  • Loading direction and anchor design likely affect wear and ultimate failure, particularly in dynamic in vivo conditions.
  • Future designs should aim for embedded, smooth eyelets that can accommodate larger suture sizes without increasing wear.

Fidelis

Veterinary Surgery

6

2025

Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

2025-6-VS-fidelis-4

Article Title: Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

Journal: Veterinary Surgery

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