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In Evers 2023 et al., on needle arthroscopy, what was observed about morbidity following needle arthroscopy?

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Correct. Lameness scores did not change post-procedure (*P = .25*), indicating excellent tolerance.
Incorrect. The correct answer is No measurable morbidity.
Lameness scores did not change post-procedure (*P = .25*), indicating excellent tolerance.

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for detecting medial meniscal tears using standard arthroscopy (SA) as the reference.
  • NA correctly identified meniscal status in 25/26 dogs, missing only one stable nondisplaced tear.
  • NA took less time than SA: 8 ± 3 min vs. 15 ± 9 min (P = .0041).
  • Visibility scores were significantly lower with NA than SA for all meniscal horns (medial and lateral) .
  • Probing difficulty was greater with NA, especially for the lateral meniscus (P = .0017).
  • NA caused no measurable morbidity: lameness scores were unchanged before and after the procedure (P = .25).
  • NA was possible in sedated dogs, though 10/26 required additional anesthesia due to delays.
  • NA missed 1 lateral tear, likely due to reduced access and lack of shaving compared to SA.

Evers

Veterinary Surgery

7

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-7-VS-evers-5

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

In Burkhardt 2024 et al., on coagulation testing in liver lobectomy, which statement best reflects the relationship between platelet count <50,000/μL and surgical outcomes?

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Correct. Low platelet counts were rare and not associated with PT/aPTT prolongation or transfusions.
Incorrect. The correct answer is No correlation with outcomes.
Low platelet counts were rare and not associated with PT/aPTT prolongation or transfusions.

🔍 Key Findings

  • 20.6% of dogs had a preoperative prolongation in PT or aPTT, but only 5.6% had both prolonged.
  • Hemangiosarcoma was the only tumor type significantly associated with both PT and aPTT prolongation (37.5% of hemangiosarcoma cases, p < .001).
  • Dogs with both PT and aPTT prolongations were 6.5× more likely to have emergency surgery (p < .001) and 2.5× more likely to have hemoabdomen (p = .0022).
  • 60% of dogs with both PT and aPTT prolongation required blood transfusion (p < .001).
  • Only 1.9% of all dogs had both PT and aPTT prolonged by >25%, suggesting limited clinical utility of routine PT/aPTT testing.
  • Platelet count <50,000/μL was rare (1.5%) and not associated with PT/aPTT changes or transfusions.
  • Routine PT/aPTT testing offers low diagnostic yield in elective liver lobectomy cases.
  • Authors recommend case-by-case PT/aPTT screening, especially when hemangiosarcoma or bleeding tendencies are suspected.

Burkhardt

Veterinary Surgery

7

2024

Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study

2024-7-VS-burkhardt-5

Article Title: Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study

Journal: Veterinary Surgery

In Whitney 2022 et al., on CBLO fixation strength, what conclusion can be drawn about the **use of HCS alone** for CBLO fixation based on biomechanical results?

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Correct. HCS alone did not significantly outperform Plate or TB in yield or ultimate load.
Incorrect. The correct answer is It performs similarly to TB and Plate alone.
HCS alone did not significantly outperform Plate or TB in yield or ultimate load.

🔍 Key Findings

  • CBLO fixation with both a headless compression screw (HCS) and tension band (TB) showed the highest yield and ultimate loads compared to other configurations
  • HCSTB constructs had significantly higher yield load (1212 N) and ultimate load (1388 N) than Plate alone (788 N, 774 N), HCS alone (907 N, 927 N), or TB alone (1016 N, 1076 N)
  • No difference in construct stiffness was detected among the four fixation methods tested
  • All constructs ultimately failed by bone fracture—location of failure differed by construct type (e.g., through HCS hole or cranial screw hole)
  • TB and HCSTB groups showed failure via progressive TB stretching and cranial osteotomy widening, while Plate and HCS failed more abruptly
  • All constructs withstood forces exceeding expected quadriceps load in vivo (170–325 N), suggesting all methods can resist physiological loading, but HCSTB provides greater safety margin
  • HCS alone was not significantly stronger than Plate or TB alone, questioning its standalone superiority
  • Study supports using TB and HCS together for optimal construct strength, but clinical studies are needed to validate implant fatigue, healing, and failure rates

Whitney

Veterinary Surgery

1

2022

Ex vivo biomechanical comparison of four Center of Rotation Angulation Based Leveling Osteotomy fixation methods

2022-1-VS-whitney-4

Article Title: Ex vivo biomechanical comparison of four Center of Rotation Angulation Based Leveling Osteotomy fixation methods

Journal: Veterinary Surgery

In Fracka 2025 et al., on cementless knee replacement, which implant-related finding was noted at necropsy?

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Correct. The post-mortem exam found mild polyethylene wear but no loosening, metallosis, or migration【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is Mild polyethylene wear at the tibial insert caudal edge.
The post-mortem exam found mild polyethylene wear but no loosening, metallosis, or migration【57†Veterinary Surgery†L1-L20】

🔍 Key Findings

Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.

Clinical function:

  • Improved ROM from 90° pre-op to 120° post-op.
  • Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
  • No visible lameness by 14 weeks.

Implant performance:

  • No complications at any follow-up points.
  • No osteolysis, loosening, or metallosis at 6-year necropsy.

Wear evaluation:

  • Mild UHMWPE insert wear, localized to caudal edges.

Histologic findings:

  • Robust osseointegration at implant-bone interface.
  • Fibrous tissue only in areas lacking porous coating.

Conclusion:

  • Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
  • Support for considering early surgical intervention in severe stifle OA.

Fracka

Veterinary Surgery

3

2025

Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

2025-3-VS-fracka-3

Article Title: Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

Journal: Veterinary Surgery

In Banks 2024 et al., on preoperative planning, what was the mean planned TPA in the in silico analysis?

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Correct. Mean planned TPA based on virtual planning was 7.6°, which did not meet the target of 5° (p < .01).
Incorrect. The correct answer is 7.6°.
Mean planned TPA based on virtual planning was 7.6°, which did not meet the target of 5° (p < .01).

🔍 Key Findings Summary

  • Study Design: Retrospective study of 100 radiographs using in silico and clinical data
  • Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
  • Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
  • Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
  • Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
  • Increased distalizationgreater under-correction of TPA (p = .01)
  • Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
  • Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA

Banks

Veterinary Surgery

1

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-1-VS-banks-2

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

In McKay 2023 et al., on patellar tendon augmentation, which of the following was **only observed** in the combined TBW augmentation group?

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Correct. Patellar fractures were only reported in the combined group (11%), likely due to dual transosseous tunnels.
Incorrect. The correct answer is Patellar fracture.
Patellar fractures were only reported in the combined group (11%), likely due to dual transosseous tunnels.

2023-8-VS-mckay-4

Article Title:

Journal:

In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), which management strategy was used in the majority of TPP cases?

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Correct. Most (7/10) cases were managed conservatively with full recovery.
Incorrect. The correct answer is Conservative management with monitoring.
Most (7/10) cases were managed conservatively with full recovery.

🔍 Key Findings

  • Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
  • TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
  • Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
  • Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
  • All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
  • Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
  • One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
  • Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.

González Montaño

Veterinary Surgery

4

2023

Traumatic pulmonary pseudocysts in nine dogs and two cats

2023-4-VS-gonzalezmontano-3

Article Title: Traumatic pulmonary pseudocysts in nine dogs and two cats

Journal: Veterinary Surgery

In Katz 2022 et al., on meniscal flounce sign, what percent of menisci with absent flounce sign were found to be torn?

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Correct. Absence of flounce sign strongly correlated with meniscal tears (92.7%).
Incorrect. The correct answer is 92.7%.
Absence of flounce sign strongly correlated with meniscal tears (92.7%).

🔍 Key Findings

  • A positive meniscal flounce sign was associated with normal menisci in 95.5% of cases, demonstrating strong predictive value.
  • Absence of the meniscal flounce sign was associated with meniscal tears in 92.7% of cases.
  • Overall diagnostic accuracy of the flounce sign was 94.6%, with 96.6% sensitivity and 90.5% specificity.
  • Most tears in flounce-negative stifles were bucket-handle tears (73.8%), while radial tears were present in some flounce-positive stifles.
  • Radial tears did not consistently eliminate the flounce sign, suggesting they may not disrupt meniscal fiber tension sufficiently.
  • All procedures were arthroscopically performed, with probing and visualization of the medial meniscus' caudal pole.
  • Flounce sign should complement, not replace, probing—especially as some tear types (e.g., radial) may not abolish the sign.
  • Limb positioning and joint distraction may affect flounce visibility, introducing minor observer variability.

Katz

Veterinary Surgery

2

2022

The significance of the meniscal flounce sign in canine stifle arthroscopy

2022-2-VS-katz-4

Article Title: The significance of the meniscal flounce sign in canine stifle arthroscopy

Journal: Veterinary Surgery

In Peng 2025 et al., on topical amikacin gel, what maximum topical dose per kg was administered?

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Correct. The highest dose applied to any dog was 24.9 mg/kg, nearing the systemic recommended maximum【90†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is 24.9 mg/kg.
The highest dose applied to any dog was 24.9 mg/kg, nearing the systemic recommended maximum【90†Veterinary Surgery†L1-L20】

🔍 Key Findings

Objective: Determine if topical 45 mg/mL amikacin in CMC gel leads to systemic absorption in dogs with wounds.

Dogs enrolled: 11 client-owned dogs, with 31 applications of the gel.

Serum findings:

  • Only 5 of 153 samples were above the 2.5 µg/mL quantification limit
  • All values remained <5 µg/mL, the presumed toxicity threshold
  • No correlation was found between dose-related parameters (mg, mg/kg, mg/cm²) and serum amikacin levels

Peak concentrations were observed at ~2 hours post-application, declining rapidly thereafter

No nephrotoxicity observed, and most values were below detection

Conclusion: Topical amikacin gel appears safe at doses up to 24.9 mg/kg, with minimal systemic absorption

Peng

Veterinary Surgery

3

2025

Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

2025-3-VS-peng2-4

Article Title: Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

Journal: Veterinary Surgery

In Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, how many dogs were withdrawn due to poor helmet tolerance?

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Correct. 13 dogs were withdrawn due to poor tolerance, with more from the CPAP group.
Incorrect. The correct answer is 13.
13 dogs were withdrawn due to poor tolerance, with more from the CPAP group.

🔍 Key Findings

  • CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
  • CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
  • Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
  • CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
  • Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
  • The study found no cases of hyperthermia; temperatures normalized over time in both groups.
  • Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
  • Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.

Araos

Veterinary Surgery

5

2024

Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

2024-5-VS-araos-4

Article Title: Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

Journal: Veterinary Surgery

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