Your Custom Quiz

In Muroi 2025 et al., on refracture risk, what bone quality indicator was significantly lower in dogs that refractured **after plate removal**?

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Correct. Lower PVR was significantly associated with refracture risk after plate removal, suggesting reduced bone mineral density.
Incorrect. The correct answer is Pixel value ratio (PVR).
Lower PVR was significantly associated with refracture risk after plate removal, suggesting reduced bone mineral density.

🔍 Key Findings

  • Refracture occurred in 5.5% of limbs, with higher incidence in the plate removal group (12.5%) vs. non-removal (3.5%).
  • In the non-plate removal group, refractures occurred at the most distal screw site, linked to greater screw position change during growth (OR 1.79, p=0.04).
  • Screw-to-bone diameter ratio (SBDR) >0.4 was a significant risk factor for refracture in the plate retention group.
  • In the plate removal group, refractures occurred at the original fracture site, associated with lower pixel value ratio (bone mineral density) and reduced radial thickness.
  • Implant-induced osteoporosis (IIO) beneath the plate likely contributed to refracture risk after plate removal.
  • Younger age at fracture (<6 months) was associated with higher refracture risk due to ongoing radial growth and shifting screw position.
  • No significant association was found between refracture and plate type (locking vs conventional), fixation method, or ulnar union.
  • Recommendations include careful SBDR sizing, motion restriction, and cautious plate removal decisions in growing dogs.

Muroi

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs

2025-2-VCOT-muroi-4

Article Title: A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Dobberstein 2022 et al., on NSAID ulcer repair, what clinical parameter was associated with a trend toward increased risk of death?

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Correct. Each 1 mmol/L increase in serum lactate doubled the risk of postoperative mortality.
Incorrect. The correct answer is Hyperlactatemia.
Each 1 mmol/L increase in serum lactate doubled the risk of postoperative mortality.

🔍 Key Findings

  • Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
  • NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
  • All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
  • No significant association between ulcer size or location and postoperative survival.
  • Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
  • Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
  • Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
  • Median follow-up of 444 days showed long-term survival was achievable post-primary repair.

Dobberstein

Veterinary Surgery

7

2022

Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

2022-7-VS-dobberstein-5

Article Title: Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

Journal: Veterinary Surgery

In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, which intraoperative factor did NOT differ significantly between LFBO and DFBO groups?

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Correct. Intraoperative hypotension was not statistically different between LFBO and DFBO groups (p = .4756).
Incorrect. The correct answer is Intraoperative hypotension.
Intraoperative hypotension was not statistically different between LFBO and DFBO groups (p = .4756).

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-4

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Journal: Veterinary Surgery

In Espinel Rupérez 2023 et al., on feline hip stabilization, what was the most frequent intraoperative complication during AA-HTS?

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Correct. This complication occurred in 1 of the 5 reported intraoperative events and was the only step rated as "most difficult".
Incorrect. The correct answer is Toggle lodging in the femoral tunnel.
This complication occurred in 1 of the 5 reported intraoperative events and was the only step rated as "most difficult".

🔍 Key Findings

  • Arthroscopic-assisted hip toggle stabilization (AA-HTS) was successfully completed in all 14 feline cadaver joints.
  • Femoral and acetabular tunnel creation was feasible in all cases, though femoral tunnel placement had a higher rate of deviations.
  • Intraoperative complications occurred in 5/14 joints, mostly related to femoral tunnel creation and toggle lodging.
  • Minor articular cartilage injury (<10% total cartilage area) occurred in 10/14 joints, but no injury to neurovascular or intrapelvic structures.
  • Thirteen surgical technique deviations (8 major, 5 minor) were identified in 7 joints, all involving the femoral tunnel.
  • Toggle passage through the femoral tunnel was the most challenging step, being mildly difficult in 6 joints.
  • Postoperative CT and gross dissection confirmed all toggles and buttons were in correct position, without damage to major surrounding structures.
  • No deviations, complications, or cartilage injuries occurred in the last 4 joints, suggesting a learning curve effect.

Espinel Rupérez

Veterinary Surgery

6

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-6-vs-espinel-2

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

In Deprey 2022 et al., on gap fracture implants, which material was the NAS-ILN made of?

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Correct. The NAS-ILN was made from titanium alloy (Ti6Al-4V ELI), offering favorable biomechanics and biocompatibility.
Incorrect. The correct answer is Titanium alloy.
The NAS-ILN was made from titanium alloy (Ti6Al-4V ELI), offering favorable biomechanics and biocompatibility.

🔍 Key Findings

  • NAS-ILN had significantly greater stiffness in both axial compression and 4-point bending compared to LCP constructs.
  • Ultimate load to failure was significantly higher for NAS-ILN in compression (804 N vs 328 N) and bending (25.7 Nm vs 16.3 Nm).
  • Torsional stiffness and angular deformation were similar, but NAS-ILN resisted higher torque to failure than LCP (22.5 Nm vs 19.1 Nm).
  • No slack was observed with the NAS-ILN construct, unlike older nail designs.
  • Failure modes differed: LCPs failed via plate bending; NAS-ILNs failed at the implant or bone near screw holes.
  • Titanium alloy and curved design of NAS-ILN provides better anatomic fit and more uniform stress distribution.
  • A third, perpendicular locking hole in NAS-ILN may enhance torsional stability but was not utilized in this study.
  • The curved, angle-stable design of NAS-ILN is a novel advancement in veterinary orthopedics.

Deprey

Veterinary Surgery

8

2022

Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

2022-8-VS-deprey-4

Article Title: Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

Journal: Veterinary Surgery

In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, what was the overall success rate of the red rubber catheter technique (RRCT) for removing linear foreign bodies?

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Correct. The RRCT successfully removed LFBOs in 20 out of 24 cases, representing 83% success.
Incorrect. The correct answer is 83%.
The RRCT successfully removed LFBOs in 20 out of 24 cases, representing 83% success.

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-1

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Journal: Veterinary Surgery

In Mullen 2024 et al., on NIRF for GDV, what best describes the NIRF findings in stapled partial gastrectomy sites?

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Correct. The stapled edge showed fluorescence intensity comparable to viable tissue, suggesting preserved perfusion.
Incorrect. The correct answer is Fluorescence similar to viable tissue.
The stapled edge showed fluorescence intensity comparable to viable tissue, suggesting preserved perfusion.

🔍 Key Findings

  • NIRF altered surgical strategy in 3 of 20 GDV dogs, identifying necrosis not appreciated subjectively.
  • Fundic fluorescence <10% indicated histologically confirmed gastric necrosis.
  • In 1 dog, NIRF revealed nonviability despite the surgeon’s impression of viability.
  • Staple line fluorescence resembled viable tissue in the only stapled gastrectomy, suggesting preservation of perfusion.
  • GDV dogs (even “viable”) showed lower fluorescence vs. healthy controls, indicating subclinical vascular compromise.
  • Histology confirmed full-thickness necrosis in all 4 dogs with NIRF-defined nonviability.
  • Pre-op lactate was significantly higher in nonviable GDV dogs (8.55 vs 4.89 mmol/L, p=0.03).
  • No complications were reported from ICG use; imaging was safe and repeatable.

Mullen

Veterinary Surgery

4

2024

Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

2024-4-VS-mullen-4

Article Title: Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

Journal: Veterinary Surgery

In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, which of the following was TRUE regarding intestinal dehiscence?

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Correct. Only two dehiscence cases were reported, both in cats with DFBOs, and were not statistically different across FBO types.
Incorrect. The correct answer is Occurred in only 2 cats, both with DFBO.
Only two dehiscence cases were reported, both in cats with DFBOs, and were not statistically different across FBO types.

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-3

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Journal: Veterinary Surgery

In Kang 2022 et al., on 3D scaffold reconstruction, what was the histological status of the surgical margins after resection?

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Correct. A 0.3 mm clear margin was achieved; in human literature, such margins are considered adequate for this tumor type.
Incorrect. The correct answer is Complete excision with 0.3 mm clean margin.
A 0.3 mm clear margin was achieved; in human literature, such margins are considered adequate for this tumor type.

🔍 Key Findings

  • Patient-specific 3D-printed PCL/β-TCP scaffold enabled successful zygomatic arch reconstruction in a dog.
  • Complete surgical resection of a zygomatic parosteal osteosarcoma was achieved, with a 0.3 mm histologically clean margin.
  • Post-op imaging showed progressive tissue ingrowth into the scaffold, with Hounsfield Units increasing from 20.4 to 97.8 over 10 months.
  • No complications (e.g., infection, displacement) or tumor recurrence were noted at 16-month follow-up.
  • Use of a patient-specific osteotomy guide improved anatomical fit and facilitated precise excision and implant placement.
  • Facial symmetry and orbital stability were maintained throughout follow-up.
  • The scaffold remained structurally stable despite limited bone regeneration, suggesting connective tissue filled the defect.
  • Topical mitomycin C was applied intraoperatively for possible anti-neoplastic effect, but efficacy remains unclear.

Kang

Veterinary Surgery

8

2022

Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog

2022-8-VS-kang-3

Article Title: Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog

Journal: Veterinary Surgery

In Longo 2022 et al., on CT-guided osteotomies, what was the primary method used to intraoperatively determine the amount of rotational correction needed for torsional deformities?

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Correct. CAL was computed from CT-based radius and torsion angle to quantify how much to rotate the bone.
Incorrect. The correct answer is Measurement of cortical arch length (CAL) via CT.
CAL was computed from CT-based radius and torsion angle to quantify how much to rotate the bone.

🔍 Key Findings

  • 3D CT volume rendering and CAL measurement successfully guided correction of femoral and tibial torsion in dogs with patellar luxation (PL).
  • Physiological patellar tracking was restored in 100% (22/22) of cases after detorsional osteotomy.
  • 94% of dogs (17/18) had either full or acceptable functional outcomes post-surgery.
  • CAL-based correction was accurate in 19/22 cases, confirming reliability of the measurement technique.
  • Complication rate was 45%, with major complications in 2/22 cases—both involved combined femoral and tibial osteotomies.
  • Combined femoral and tibial osteotomies in the same limb were linked to a higher risk of complications and poorer outcomes.
  • Diaphyseal osteotomies offered more implant space, but metaphyseal locations were associated with faster bone healing.
  • Use of a TPLO jig or goniometer was not essential—CAL-based bone marking was sufficient in most cases.

Longo

Veterinary Surgery

7

2022

Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

2022-7-VS-longo-1

Article Title: Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

Journal: Veterinary Surgery

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