Your Custom Quiz

In Logothetou 2024 et al., on SPF complications, which flap type had the lowest complication rate on univariable analysis?

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Correct. Advancement flaps were associated with a significantly lower complication rate on univariable analysis.
Incorrect. The correct answer is Advancement flap.
Advancement flaps were associated with a significantly lower complication rate on univariable analysis.

🔍 Key Findings

  • Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
  • Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
  • Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
  • Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
  • Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
  • Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
  • Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
  • Closure technique did not significantly influence complication severity, though staple use was numerically worse.

Logothetou

Veterinary Surgery

3

2024

Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

2024-3-VS-logothetou-4

Article Title: Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

Journal: Veterinary Surgery

In Swieton 2025 et al., on portocaval shunts, how many dogs were confirmed to have persistent shunting on imaging follow-up?

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Correct. 56% (9 of 16 dogs evaluated) had persistent shunting on follow-up CT or ultrasound imaging.
Incorrect. The correct answer is 9 of 16.
56% (9 of 16 dogs evaluated) had persistent shunting on follow-up CT or ultrasound imaging.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

  • Good to excellent outcome: 81% (17/21)
  • Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

2025-2-VS-swieton-4

Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

Journal: Veterinary Surgery

In Rehnblom 2025 et al., on OrthoLine fracture fixation, which fracture location had the shortest median plate span?

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Correct. Ulnar constructs had the lowest plate span at approximately 33%.
Incorrect. The correct answer is Ulna.
Ulnar constructs had the lowest plate span at approximately 33%.

🔍 Key Findings

  • High clinical union rate (93.4%) was achieved across 75 fractures treated with the OrthoLine™ system.
  • Owner-assessed outcomes were universally acceptable or full, with no unacceptable outcomes reported.
  • Overall major complication rate was 12.2%, including implant failure (1.1%) and implant infection (2 cases).
  • Shorter plate spans in radial (46.6%) and ulnar (33.0%) fractures were well tolerated without increased nonunion.
  • Femoral constructs used longer plate spans (73.3%) compared with radius/ulna, reflecting differing biomechanical demands.
  • Use of postoperative external coaptation was common (46.7%) and associated with higher minor bandage-related complications.
  • Titanium alloy and stainless-steel plates both produced acceptable healing, with no delayed unions attributable to material choice.
  • The OrthoLine™ system was deemed a promising alternative locking plate system for small animal fracture repair.

Rehnblom

Veterinary Surgery

8

2025

Open reduction and internal fixation of 75 small animal fractures treated with the OrthoLine™ fracture system

2025-8-vs-rehnblom-3

Article Title: Open reduction and internal fixation of 75 small animal fractures treated with the OrthoLine™ fracture system

Journal: Veterinary Surgery

In Anderson 2025 et al., on wound drain configurations, which configuration had the highest mean volume of fluid retrieved?

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Correct. Perpendicular configuration achieved the highest fluid retrieval (11.35 ± 6.1 mL), though differences were not statistically significant.
Incorrect. The correct answer is Perpendicular configuration.
Perpendicular configuration achieved the highest fluid retrieval (11.35 ± 6.1 mL), though differences were not statistically significant.

🔍 Key Findings

  • Study Design: Cadaveric model using four large-breed dogs with 10x10 cm full-thickness wounds at four locations (shoulder, thorax, flank, thigh).
  • Configurations Tested: Diagonal, opposite, parallel, and perpendicular placements of wound infusion catheter and JP drain.
  • Fluid Retrieval:
    • No significant difference by configuration (p = .92) or location (p = .32).
    • Perpendicular configuration had the highest mean retrieval (11.35 mL, 56.8% of instilled volume).
    • Flank location had the lowest retrieval (7.2 mL, 35.9%).
  • Surface Area Coverage:
    • Parallel configuration achieved the highest SA coverage (83.4% ± 11.6%, p < .01).
    • Perpendicular was lowest.
  • Leakage:
    • No difference in leakage between configurations (p = .74) or locations (p = .10).
    • Leakage commonly occurred at drain or catheter entry points (93.8% of wounds).
  • Conclusion: Parallel drain configuration optimized fluid dispersion. Infusion-retrieval systems may allow for topical therapy delivery in closed wounds.

Anderson

Veterinary Surgery

2

2025

Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

2025-2-VS-anderson2-2

Article Title: Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, what percentage of injections using the subacromial (SA) approach were completely accurate?

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Correct. SA injections were completely accurate in 50% of shoulders.
Incorrect. The correct answer is 50%.
SA injections were completely accurate in 50% of shoulders.

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-1

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

In Grimes 2022 et al., on PDA rupture risks, which factor was **not** found to be significantly associated with rupture risk?

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Correct. The study found no statistical association between rupture and any of these variables.
Incorrect. The correct answer is All of the above.
The study found no statistical association between rupture and any of these variables.

🔍 Key Findings

  • Rupture occurred in 7.0% of dogs undergoing surgical PDA ligation (20/285).
  • Overall mortality was low (0.4%), with only one death occurring post-rupture.
  • Residual flow occurred in 9.4% of dogs; significantly more common in dogs with rupture.
  • Residual flow odds were not increased when ligation was successfully performed despite rupture.
  • No significant associations between rupture and age, weight, suture size, or dissection technique.
  • Jackson-Henderson and intrapericardial techniques were helpful in managing rupture or fibrosis.
  • Major complications (non-rupture) were rare (1.4%), including pulmonary artery ligation and cardiac arrest.
  • Surgeon preparedness (e.g., hemostatic tools, alternate techniques) was key to successful outcomes.

Grimes

Veterinary Surgery

4

2022

Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

2022-4-VS-grimes-5

Article Title: Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, what recommendation did the authors make based on safety and accuracy data?

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Correct. Less than 50% accuracy and significant cartilage injury prompted authors to recommend image-guided injections.
Incorrect. The correct answer is Prefer image guidance to improve safety and accuracy.
Less than 50% accuracy and significant cartilage injury prompted authors to recommend image-guided injections.

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-5

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

In Wolfe 2025 et al., on endoscopic corpectomy feasibility, which intraoperative structure did NOT require resection to achieve target dimensions?

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Correct. Target corpectomy dimensions were achieved without rib head resection in all procedures.
Incorrect. The correct answer is Rib head.
Target corpectomy dimensions were achieved without rib head resection in all procedures.

🔍 Key Findings

  • Integrated endoscopic mini-hemilaminectomy and lateral corpectomy was feasible at all targeted sites from T11–12 through L3–4.
  • Target corpectomy dimensions were achieved or exceeded at every included intervertebral disc space.
  • Median corpectomy dimensions were ~23% vertebral body length, ~47% body height, and ~74% vertebral canal diameter.
  • Thoracic sites required a steeper learning curve, with early failures related to cannula positioning rather than drilling limitations.
  • Angled positioning (30°–60° away from the surgeon) subjectively improved drill trajectory and facilitated horizontal corpectomy access.
  • No rib head resection or rhizotomy was required to achieve target dimensions using the endoscopic system.
  • Excellent visualization of nerve roots and spinal cord was achieved through the 23-mm endoscopic cannula.
  • Incorrect intervertebral disc localization was the most common technical error, highlighting the value of intraoperative fluoroscopy.

Wolfe

Veterinary Surgery

8

2025

Integrated endoscopic thoracolumbar mini-hemilaminectomy and lateral corpectomy in cadaver dogs

2025-8-vs-wolfe-4

Article Title: Integrated endoscopic thoracolumbar mini-hemilaminectomy and lateral corpectomy in cadaver dogs

Journal: Veterinary Surgery

In Power 2022 et al., on liposomal bupivacaine use, which group had a significantly higher rate of incisional complications?

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Correct. Soft tissue surgeries showed a higher complication rate (26%) vs orthopedic (11.6%), which was statistically significant (P < 0.01).
Incorrect. The correct answer is Soft tissue procedures.
Soft tissue surgeries showed a higher complication rate (26%) vs orthopedic (11.6%), which was statistically significant (P < 0.01).

🔍 Key Findings

  • Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
  • Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
  • No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
  • No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
  • Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
  • Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
  • Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
  • Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.

Power

Veterinary Surgery

4

2022

Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

2022-4-VS-power-2

Article Title: Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

Journal: Veterinary Surgery

In Vandekerckhove 2026 et al., on hip laxity forces, what minimum measured force allowed 90% of hip joints to achieve at least 90% of their maximal laxity?

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Correct. The study determined that 80.45 N allowed 90% of hips to reach ≥90% of LImax.
Incorrect. The correct answer is 80.45 N.
The study determined that 80.45 N allowed 90% of hips to reach ≥90% of LImax.

🔍 Key Findings

  • Applied force and hip laxity showed a predictable force–laxity relationship, validating previous cadaver findings in live sedated dogs.
  • 90% of hip joints achieved ≥90% of maximal laxity at 80.45 N, establishing a practical minimum force target during stress radiography.
  • LImax was not significantly affected by osteoarthritis, sex, age, or side, supporting robustness of the technique.
  • Body weight significantly influenced both LImax and force–laxity curves, although this may reflect study population bias.
  • Median LImax was 0.48 (range 0.32–0.78), with maximal laxity reached at forces ranging from 66–123 N.
  • The force–laxity curve demonstrated a rapid rise followed by a plateau, indicating a threshold beyond which additional force yields minimal additional subluxation.
  • Sedated dogs required approximately 15 N less force than cadavers to reach adequate laxity, likely due to muscle relaxation and absence of postmortem stiffness.
  • The VMBDmD stress radiography technique demonstrated clinical practicality and reproducibility, supporting its use for canine hip dysplasia screening.

Vandekerckhove

Veterinary and Comparative Orthopaedics and Traumatology

3

2026

Quantifying the Stress in Stress Radiography to Determine Sufficient Laxity of the Coxofemoral Joint in Sedated Dogs

2026-3-vcot-vandekerckhove-1

Article Title: Quantifying the Stress in Stress Radiography to Determine Sufficient Laxity of the Coxofemoral Joint in Sedated Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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