Your Custom Quiz

In Loh 2024 et al., on treatment outcomes for CvHL in dogs, which surgical technique had an 88.2% success rate?

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Correct. Toggle rod stabilization had the highest surgical success rate and was most frequently used.
Incorrect. The correct answer is Toggle rod stabilization.
Toggle rod stabilization had the highest surgical success rate and was most frequently used.

🔍 Key Findings

  • Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
  • Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
  • Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
  • Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
  • Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
  • Ehmer sling is not recommended due to high failure and complication rates (60.6%).
  • Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
  • No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).

Loh

Veterinary Surgery

4

2024

Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

2024-4-VS-loh-5

Article Title: Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

Journal: Veterinary Surgery

In Pfeil 2024 et al., on fluoroscopic pinning, what was the median time to radiographic bone union?

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Correct. Median healing time was 6 weeks, with a range of 4–12 weeks.
Incorrect. The correct answer is 6 weeks.
Median healing time was 6 weeks, with a range of 4–12 weeks.

🔍 Key Findings

  • Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
  • All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
  • Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
  • Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
  • No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
  • Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
  • Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
  • The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.

Pfeil

Veterinary Surgery

5

2024

Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

2024-5-VS-pfeil-2

Article Title: Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

Journal: Veterinary Surgery

In Janas 2024 et al., on ARC outcomes in cats, what percentage of cats with long-term follow-up had a good or excellent outcome?

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Correct. 16 of 18 cats with long-term follow-up had good or excellent outcomes.
Incorrect. The correct answer is 89%.
16 of 18 cats with long-term follow-up had good or excellent outcomes.

🔍 Key Findings:

  • Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
  • Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
  • Short-term outcomes (18 cats):
    • Excellent: 14
    • Good: 2
    • Poor: 2
  • Long-term outcomes (18 cats):
    • Excellent: 15
    • Good: 1
    • Poor: 2
  • Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
  • Preoperative blindness resolved in most cats.
  • Mean follow-up duration: Median 8 years.

Janas

Veterinary Surgery

2

2024

Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

2024-2-VS-janas-4

Article Title: Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

Journal: Veterinary Surgery

In Hanlon 2022 et al., on short screw sacroiliac fixation, how did screw positioning affect neurovascular safety?

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Correct. All short screws were located lateral to the spinal canal, avoiding this risk entirely.
Incorrect. The correct answer is Short screws terminated lateral to the spinal canal.
All short screws were located lateral to the spinal canal, avoiding this risk entirely.

🔍 Key Findings

  • Two short screws (SLS or SPS) provided >2× peak load, yield load, and stiffness vs a single long screw (LLS) for SI joint stabilization.
  • No mechanical advantage was seen between the two short screw types (lag vs positional).
  • All short screws terminated lateral to the spinal canal, avoiding spinal impingement.
  • Ventral sacral foraminal impingement occurred in 3 short-screw cases (1 SPS, 2 SLS), all involving the caudal screw.
  • LLS group showed more abaxial displacement at osteotomy sites, suggesting inferior stabilization for concurrent pelvic fractures.
  • Short screw constructs had longer total screw length (48 mm) than LLS (40 mm), contributing to increased stiffness.
  • Positioning of caudal screw in a cranial/craniodorsal trajectory may help avoid nerve foraminal injury.
  • No significant difference in displacement at peak load among groups; stiffness and load capacity were the primary benefits.

Hanlon

Veterinary Surgery

7

2022

Mechanical evaluation of canine sacroiliac joint stabilization using two short screws

2022-7-VS-hanlon-3

Article Title: Mechanical evaluation of canine sacroiliac joint stabilization using two short screws

Journal: Veterinary Surgery

In Whitney 2022 et al., on CBLO fixation strength, which variable was found to have **no significant effect** on construct stiffness, yield load, or ultimate load in CBLO testing?

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Correct. Body weight did not influence any of the biomechanical outcomes measured.
Incorrect. The correct answer is Body weight of the dog.
Body weight did not influence any of the biomechanical outcomes measured.

🔍 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-5

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

Journal: Veterinary Surgery

In Tani 2022 et al., on FCU tendon reconstruction, what diagnostic modality helped identify FCU involvement preoperatively?

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Correct. Ultrasonography revealed a thinner FCU tendon and echogenic changes in the affected limb, aiding diagnosis.
Incorrect. The correct answer is Ultrasonography.
Ultrasonography revealed a thinner FCU tendon and echogenic changes in the affected limb, aiding diagnosis.

🔍 Key Findings

  • Fascia lata autograft reconstruction of the FCU tendon successfully treated carpal hyperextension in both dogs.
  • Primary repair was not possible in one dog due to complete rupture; a fascia lata graft bridged the tendon gap.
  • In the second case, elongated tendon was corrected and reinforced with fascia lata to prevent recurrence.
  • Type I external skeletal fixation was used for 6 weeks to support tendon healing in both dogs.
  • Postoperative gait and range of motion returned to normal, with no recurrence at 36-month follow-up.
  • Ultrasonography aided diagnosis, revealing thinning and echogenic changes in the FCU tendon.
  • Histologic findings showed mild, nonspecific muscle changes, suggesting injury rather than a systemic disease.
  • No complications occurred, and fascia lata showed potential for biological integration and remodeling into tendon-like structure.

Tani

Veterinary Surgery

8

2022

Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

2022-8-VS-tani-3

Article Title: Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

Journal: Veterinary Surgery

In Grimes 2022 et al., on PDA rupture risks, what best describes the utility of the Jackson-Henderson technique?

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Correct. Jackson-Henderson eliminates medial dissection, which is beneficial after rupture.
Incorrect. The correct answer is Used to avoid dissecting medial to PDA in rupture cases.
Jackson-Henderson eliminates medial dissection, which is beneficial after rupture.

🔍 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-4

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

Journal: Veterinary Surgery

In Anderson 2025 et al., on wound drain configurations, which configuration achieved the greatest surface area coverage of the wound bed?

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Correct. Parallel drain configuration had significantly higher mean surface area coverage compared to others (p < .01).
Incorrect. The correct answer is Parallel configuration.
Parallel drain configuration had significantly higher mean surface area coverage compared to others (p < .01).

🔍 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-anderson2-1

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 Griffin 2025 et al., on sentinel lymph mapping, which method provided surgical planning advantages before dissection?

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Correct. CTL allowed for non-invasive identification of SLNs and their location relative to vital structures.
Incorrect. The correct answer is Preoperative indirect CT-lymphography (CTL).
CTL allowed for non-invasive identification of SLNs and their location relative to vital structures.

🔍 Key Findings

  • Six dogs with thyroid carcinoma underwent preoperative CT lymphography (CTL) and intraoperative sentinel lymph node (SLN) mapping using methylene blue (MB) and indocyanine green (ICG) with near-infrared (NIR) imaging.
  • SLNs were successfully identified in all dogs (6/6).
  • SLNs included medial retropharyngeal, cranial deep cervical, and superficial cervical nodes.
  • Metastatic carcinoma was found in 3/12 SLNs, in 2/6 dogs.
  • Some discordance occurred between CTL and intraoperative SLN findings (partial match in 3/6).
  • Protocol modifications (e.g., reduced dye volume, post-exposure injection) improved localization and minimized dye diffusion.
  • No intraoperative complications or adverse events occurred.
  • Study supports further investigation of combined SLN mapping techniques in canine thyroid cancer.

Griffin

Veterinary Surgery

4

2025

A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

2025-4-VS-griffin-5

Article Title: A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

Journal: Veterinary Surgery

In Karydas 2025 et al., on follow-up radiography, which factor had the highest odds ratio for triggering a postoperative plan change?

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Correct. Radiographic abnormalities had an OR of 51.9, but were never sole triggers for plan changes.
Incorrect. The correct answer is Radiographic abnormalities.
Radiographic abnormalities had an OR of 51.9, but were never sole triggers for plan changes.

🔍 Key Findings

139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:

  • Owner concerns (OR: 7.6)
  • Analgesic use at follow-up (OR: 7.9)
  • Lameness (OR: 5.9)
  • Abnormal clinical exam (OR: 44.8)
  • Radiographic abnormalities (OR: 51.9)

No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.

Karydas

Veterinary Surgery

2

2025

Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

2025-2-VS-karydas-2

Article Title: Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

Journal: Veterinary Surgery

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