Your Custom Quiz

In Baldo Clemot 2026 et al., on dynamic MRI in DLSS, what did the authors find regarding the relationship between spondylosis and MRI findings?

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Correct. No statistical correlation was found between spondylosis and either LSJ flexion or response in IVD protrusion.
Incorrect. The correct answer is Spondylosis did not affect flexion or protrusion changes.
No statistical correlation was found between spondylosis and either LSJ flexion or response in IVD protrusion.

🔍 Key Findings

  • Flexed MRI reduced IVD protrusion, foraminal stenosis, and VBLF significantly compared to neutral position.
  • No dogs had persistent cauda equina compression or foraminal occlusion in the flexed position.
  • Protrusion decreased by ~50% in flexion (PRCR and PACR reductions of 49.3% and 53.1%, respectively).
  • Degree of IVD protrusion correlated with IVD degeneration but not spondylosis.
  • Spondylosis did not limit flexion or affect decompression response.
  • Complete vertebral canal occlusion resolved in all cases when LSJ was flexed.
  • Indirect decompression via distraction may negate the need for laminectomy/discectomy, unless placing an IVD spacer.
  • Findings question the routine use of decompressive surgery with distraction-stabilization in DLSS when good flexion is achieved.

Baldo Clemot

Veterinary Surgery

1

2026

Dynamic magnetic resonance imaging of the lumbosacral spine in neutral and flexed position for presurgical assessment of clinically affected dogs with degenerative lumbosacral stenosis

2026-1-vs-baldo-clemot-3

Article Title: Dynamic magnetic resonance imaging of the lumbosacral spine in neutral and flexed position for presurgical assessment of clinically affected dogs with degenerative lumbosacral stenosis

Journal: Veterinary Surgery

In Kimura 2025 et al., on mini-THA in <4 kg dogs, what statistically significant change was observed in HCPI scores from baseline to 1 year?

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Correct. Statistical analysis showed HCPI dropped from 19.8 to 2.3 (p = 0.0141), with all domains improving except vocalization:contentReference[oaicite:1]{index=1}.
Incorrect. The correct answer is Significant improvement in all but vocalization.
Statistical analysis showed HCPI dropped from 19.8 to 2.3 (p = 0.0141), with all domains improving except vocalization:contentReference[oaicite:1]{index=1}.

🔍 Key Findings

  • Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
  • Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
  • Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
  • Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
  • Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
  • Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
  • No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
  • CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.

Kimura

Veterinary Surgery

6

2025

Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

2025-6-VS-kimura-2

Article Title: Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

Journal: Veterinary Surgery

In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what was the median time to radiographic bone healing?

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Correct. Median bone healing time was 8 weeks, with a range of 4–14 weeks.
Incorrect. The correct answer is 8 weeks.
Median bone healing time was 8 weeks, with a range of 4–14 weeks.

🔍 Key Findings

  • All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
  • Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
  • Median lameness score improved from 2/4 to 1/4 by final follow-up.
  • Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
  • No major complications; minor issues included 1 screw loosening and 1 superficial infection.
  • Subjective function was graded full in 4 dogs, acceptable in 7.
  • Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
  • Use of both orthopedic wire and plating provided secure fixation and improved outcomes.

Von Pfeil

Veterinary Surgery

3

2024

Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

2024-3-VS-pfeil-1

Article Title: Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

Journal: Veterinary Surgery

In Chen 2024 et al., on pressure-measurement tools, what was the largest mean error observed among the tested devices?

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Correct. The Compass CT showed the greatest deviation from set pressure, with a mean difference of −1.267 cm H2O.
Incorrect. The correct answer is −1.267 cm H2O.
The Compass CT showed the greatest deviation from set pressure, with a mean difference of −1.267 cm H2O.

🔍 Key Findings

  • WMg (water manometer with gauge) was the most accurate and precise pressure measurement device.
  • APT (arterial pressure transducer) was less accurate than WMg but still precise; it differed significantly from the gold standard (WMr).
  • CCT (Compass CT) was the least accurate and precise and differed significantly from the set pressure.
  • Mean differences from set pressure were smallest for WMg (−0.020 cm H2O), moderate for APT (−0.390 cm H2O), and largest for CCT (−1.267 cm H2O).
  • All devices showed excellent interobserver (ICC = 1.000) and intraobserver agreement (ICC range 0.985–0.998).
  • Even though the CCT performed least well, all devices had mean errors ≤1.3 cm H2O, indicating potential clinical utility.
  • WMg or WMr should be preferred in surgical settings due to superior accuracy and precision.
  • Measurement precision is more critical than accuracy during PSS surgery, as a 1 mm Hg (~1.3 cm H2O) increase in portal pressure raises odds of poor outcomes by 9%.

Chen

Veterinary Surgery

4

2024

Accuracy, precision, and interobserver and intraobserver agreements related to pressure-measurement devices

2024-4-VS-chen-2

Article Title: Accuracy, precision, and interobserver and intraobserver agreements related to pressure-measurement devices

Journal: Veterinary Surgery

In Cinti 2026 et al., on feline caudal axial flaps, what proportion of cats experienced postoperative complications?

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Correct. Seven of fourteen cats developed postoperative complications, representing a complication rate of 50%.
Incorrect. The correct answer is 50%.
Seven of fourteen cats developed postoperative complications, representing a complication rate of 50%.

🔍 Key Findings

  • The lateral caudal axial pattern flap was successfully used to reconstruct caudodorsal trunk defects in cats, most commonly following tumor excision (85.7%).
  • Mean flap length was 61.3% of tail length, aligning with canine recommendations of ~60–78% to reduce distal necrosis risk.
  • Postoperative complications occurred in 50% of cats, although many experienced more than one minor complication.
  • Most common complications were partial flap dehiscence, seroma, and edema (each 14.2%).
  • Uncomplicated healing occurred in 57.1% of cats, while the remaining 42.8% had only minor complications not requiring surgical revision.
  • No cats required revision surgery for complications, indicating acceptable clinical outcomes despite the moderate complication rate.
  • Seromas resolved spontaneously despite the routine use of active drains, suggesting they may be a relatively common but minor complication.
  • Local tumor control was achieved in 83.3% of cats undergoing tumor excision, with a median follow-up of 135 days.

Cinti

Veterinary Surgery

2

2026

Outcome and complications of lateral caudal axial pattern flap in 14 cats

2026-2-vs-cinti-4

Article Title: Outcome and complications of lateral caudal axial pattern flap in 14 cats

Journal: Veterinary Surgery

In Wylie 2025 et al., on femoral implant accuracy, what was the effect of inaccurate isometric placement on postoperative stifle stability?

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Correct. Inaccurate femoral implant positioning was significantly associated with increased internal tibial rotation at follow-up (p = .009), indicating possible implant failure.
Incorrect. The correct answer is It was significantly associated with increased internal tibial rotation.
Inaccurate femoral implant positioning was significantly associated with increased internal tibial rotation at follow-up (p = .009), indicating possible implant failure.

🔍 Key Findings

  • Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
  • Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
  • Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
  • SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
  • Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
  • No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
  • Minor and major complications were low and not significantly different between implant types.
  • A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.

Wylie

Veterinary Surgery

7

2025

Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

2025-7-VS-wylie-1

Article Title: Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

Journal: Veterinary Surgery

In Jeon 2025 et al., on distal femoral shortening, which **advantage of DFSO over subtrochanteric osteotomy** is highlighted in dogs?

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Correct. DFSO avoids disrupting critical proximal structures needed for stem fixation.
Incorrect. The correct answer is Preservation of proximal femoral anatomy for stable fixation.
DFSO avoids disrupting critical proximal structures needed for stem fixation.

🔍 Key Findings

  • Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
  • Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
  • Bone union was achieved in all cases post-DFSO, indicating good healing potential.
  • Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
  • One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
  • DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
  • Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
  • DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.

Jeon

Veterinary Surgery

6

2025

Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

2025-6-VS-jeon-5

Article Title: Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

Journal: Veterinary Surgery

In Latifi 2022 et al., on forelimb fascial mapping, which fascial type was most frequently observed in the antebrachium of dogs?

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Correct. Type I fascia predominated in the antebrachium, although it thinned distally and became less reliable.
Incorrect. The correct answer is Type I fascia (discrete fascial sheet).
Type I fascia predominated in the antebrachium, although it thinned distally and became less reliable.

🔍 Key Findings

  • Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
  • Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
  • Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
  • Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
  • Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
  • Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
  • Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
  • Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.

Latifi

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

2022-1-VS-latifi-1

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

Journal: Veterinary Surgery

In Smith 2025 et al., on ergonomic injury risk, which factor was most significantly associated with reporting a work-related musculoskeletal disorder (WRMD)?

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Correct. Women had 2.59 times greater odds of reporting WRMDs than men (p = .011).
Incorrect. The correct answer is Being female.
Women had 2.59 times greater odds of reporting WRMDs than men (p = .011).

🔍 Key Findings

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

  • Rotating cup biopsy forceps (p < .001)
  • Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

Smith

Veterinary Surgery

2

2025

Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

2025-2-VS-smith-1

Article Title: Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

Journal: Veterinary Surgery

In Scharpf 2024 et al., which statement best reflects the authors' conclusion on subtotal coronoidectomy?

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Correct. Authors concluded that despite improvement in vertical and propulsive forces, braking forces and SIs remained impaired at 26 weeks:contentReference[oaicite:5]{index=5}
Incorrect. The correct answer is It improves force metrics but braking deficits persist.
Authors concluded that despite improvement in vertical and propulsive forces, braking forces and SIs remained impaired at 26 weeks:contentReference[oaicite:5]{index=5}

🔍 Key Findings Summary

  • Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
  • No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
  • Force plate analysis was more sensitive than visual lameness scoring.
  • Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
  • Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.

Scharpf

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

2024-2-VCOT-scharpf-5

Article Title: Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

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