Your Custom Quiz

In Rocheleau 2025 et al., on infected total hip replacements, what was the sensitivity of arthroscopic cultures in the curative intent (CI) group?

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Correct. Arthroscopic cultures yielded positive results in 80% of dogs in the CI group.
Incorrect. The correct answer is 80%.
Arthroscopic cultures yielded positive results in 80% of dogs in the CI group.

🔍 Key Findings

Study Design: Case series of 8 dogs with confirmed or suspected PJI after total hip replacement (THR)
Dogs were categorized into:

  • Curative intent (CI) group (n=5): short-duration infections, implant retention attempted
  • Non-curative intent (NCI) group (n=3): chronic infections, implants scheduled for removal or revision

Success Rate: 7 of 8 dogs had infection resolution, including 4 of 5 in the CI group
Sampling sensitivity:

  • Arthroscopic culture success was 80% in the CI group but only 33% in the NCI group
  • All explanted implants from NCI group yielded positive cultures

Common isolates: Staphylococcus pseudointermedius (including MRSP), S. epidermidis, Stenotrophomonas maltophilia, and E. coli
Ancillary treatments included:

  • Partial synovectomy, high-volume lavage (5–10 L), biofilm-depleting lavage, and/or amikacin-impregnated calcium sulfate beads

Mean follow-up: >1 year (mean 812 days); no signs of recurrence in successfully treated cases
Conclusions: Arthroscopic management of THR infections is feasible and effective in appropriately selected dogs. Success aligns with human literature when infection type is favorable (Type 1, 3, 4). Sensitivity of arthroscopic culture is higher in early/acute infections.

Rocheleau

Veterinary Surgery

4

2025

Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases

2025-4-VS-rocheleau-2

Article Title: Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases

Journal: Veterinary Surgery

In Huerta 2025 et al., on TPLO healing assessment, what was concluded about the use of 5- vs 10-point scoring systems?

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Correct. There was no statistical difference in scoring reliability between the two systems
Incorrect. The correct answer is No significant difference between systems.
There was no statistical difference in scoring reliability between the two systems

🔍 Key Findings

Population: 29 Boxer dogs and 29 age-matched Labrador Retrievers undergoing TPLO.
Scoring Systems Compared: 5-point vs. 10-point radiographic healing systems.
Healing Scores (Week 8):

  • Boxers: 5-point mean = 3.3; 10-point mean = 6.9
  • Labradors: 5-point mean = 3.6; 10-point mean = 7.5
  • → Statistically significant difference (p = 0.0003 and p < 0.0001)

Osteotomy Gap ≥1 mm (present in 16.4%): Associated with significantly lower healing scores and increased recommendations for additional radiographic follow-up (p < 0.0001).
Observer Reliability:

  • Both systems = good interobserver consistency.
  • Slightly better intraobserver consistency with the 10-point scale.

Clinical Implication: Boxer dogs may need extended healing time or altered follow-up strategy after TPLO.

Huerta

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

2025-1-VC-Huerta-5

Article Title: Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Beamon 2022 et al., on calcanean tunnel orientation, which failure mode was most commonly observed across all groups?

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Correct. Suture pull-through occurred in 67% of cases, with no statistical difference among groups.
Incorrect. The correct answer is Suture pull-through.
Suture pull-through occurred in 67% of cases, with no statistical difference among groups.

🔍 Key Findings

  • No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
  • Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
  • Most common failure mode was suture pull-through (67%), with no significant difference between groups.
  • Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
  • All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
  • The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
  • TT constructs showed more tendon distortion at the repair interface during loading.
  • Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.

Beamon

Veterinary Surgery

4

2022

Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

2022-4-VS-beamon-2

Article Title: Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

Journal: Veterinary Surgery

In Beamon 2022 et al., on calcanean tunnel orientation, what repair pattern was used in all constructs?

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Correct. All constructs used a 3LP pattern, chosen for its strong biomechanical performance.
Incorrect. The correct answer is Three-loop pulley (3LP).
All constructs used a 3LP pattern, chosen for its strong biomechanical performance.

🔍 Key Findings

  • No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
  • Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
  • Most common failure mode was suture pull-through (67%), with no significant difference between groups.
  • Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
  • All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
  • The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
  • TT constructs showed more tendon distortion at the repair interface during loading.
  • Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.

Beamon

Veterinary Surgery

4

2022

Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

2022-4-VS-beamon-4

Article Title: Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

Journal: Veterinary Surgery

In Pilot 2022 et al., on closure methods in sternotomy, what was the observed difference in complication rates between wire and suture groups?

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Correct. Treatment effect analysis showed a mean 2.3% lower complication rate with suture, though not statistically significant.
Incorrect. The correct answer is Suture was associated with a 2.3% lower complication rate.
Treatment effect analysis showed a mean 2.3% lower complication rate with suture, though not statistically significant.

🔍 Key Findings

  • Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
  • No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
  • Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
  • Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
  • Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
  • Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
  • Infection rate was low (2.7%), and not significantly different between wire and suture.
  • Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.

Pilot

Veterinary Surgery

6

2022

Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

2022-6-VS-pilot-3

Article Title: Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

Journal: Veterinary Surgery

In Jones 2024 et al., on elbow OA cysts, how was SBC prevalence related to osteoarthritis severity?

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Correct. SBC number and size increased with radiographic OA severity (p < .001 and p = .041 respectively).
Incorrect. The correct answer is Proportional to OA severity.
SBC number and size increased with radiographic OA severity (p < .001 and p = .041 respectively).

🔍 Key Findings Summary

  • Sample: 38 Labrador Retrievers (76 elbows)
  • SBCs (subchondral bone cysts):
    • Not found in elbows without OA
  • Increased number and size with OA severity:
    • Grade 1: median 3 SBCs
    • Grade 2: 9 SBCs
    • Grade 3: 20 SBCs (p < .001)
    • Larger SBCs in more severe OA (OR = 1.056, p = .012)
  • Locations: 62% humerus, 28% ulna, 10% radius
  • Sex and Age Effects:
    • Older dogs had larger SBCs (p = .013)
    • Female dogs had smaller SBCs (p = .002)
    • SBC number unrelated to age or sex

Jones

Veterinary Surgery

2

2024

Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

2024-2-VS-jones-1

Article Title: Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

Journal: Veterinary Surgery

In Kimura 2025 et al., on mini-THA in <4 kg dogs, what was the observed outcome at the 52-week mark in successfully completed cases?

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Correct. All completed THA cases had no lameness at 52 weeks:contentReference[oaicite:0]{index=0}.
Incorrect. The correct answer is All dogs showed complete resolution of lameness.
All completed THA cases had no lameness at 52 weeks:contentReference[oaicite:0]{index=0}.

🔍 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-1

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

Journal: Veterinary Surgery

In Cortez 2024 et al., on feline ectopic ureters, which surgical technique was used most frequently?

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Correct. Eight of twelve cats underwent UNC, making it the most commonly used surgical technique.
Incorrect. The correct answer is Ureteroneocystostomy (UNC).
Eight of twelve cats underwent UNC, making it the most commonly used surgical technique.

🔍 Key Findings

  • Ectopic ureters in cats are rare, but most are extramural and bilateral.
  • Surgical techniques used included ureteroneocystostomy (UNC), neoureterostomy (NU), nephroureterectomy, and cystoscopic laser ablation (CLA).
  • All cats showed improvement in urinary continence postoperatively, with 11/12 achieving complete resolution.
  • Major complications were rare; one cat developed uroabdomen requiring revision surgery.
  • Diagnostic imaging was effective, with abdominal ultrasound diagnosing 8/10 and CT 3/3 cases.
  • Short- and long-term complications included urethral spasms, UTIs, stranguria, and rectal prolapse; all were manageable.
  • CLA was successful in 2 cats and is noted as a first-time described technique in feline ectopic ureter cases.
  • Median postoperative follow-up was 340 days, supporting good long-term outcomes.

Cortez

Veterinary Surgery

6

2024

Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

2024-6-VS-cortez-1

Article Title: Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

Journal: Veterinary Surgery

In Lhuillery 2022 et al., on GDV stabilization timing, which preoperative intervention was key to enabling delayed surgery without compromising outcomes?

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Correct. These methods effectively decompressed the stomach and prevented redilatation during delay.
Incorrect. The correct answer is Trocarization and nasogastric tube placement.
These methods effectively decompressed the stomach and prevented redilatation during delay.

🔍 Key Findings

  • Survival rates did not differ between immediate (90 min) and delayed (≥5 h) surgical stabilization groups at discharge or 1-month post-op (approx. 80% survival in both).
  • Hyperlactatemia at 24 hours post-fluid therapy was significantly associated with in-hospital and 1-month mortality (P = .01 and P = .02).
  • Persistent tachycardia during hospitalization was linked to increased 1-month mortality (P = .015).
  • Partial gastrectomy was required in ~6–10% of cases, with high associated mortality.
  • Preoperative stabilization protocols (trocarization, nasogastric tube) allowed safe surgical delays up to 13.7 hours without impacting survival.
  • Degree of gastric torsion differed between groups; more 0° torsions in delayed cases, potentially due to decompression-induced derotation.
  • No difference in post-op complications such as arrhythmias, hypotension, or AKI between groups.
  • More intra-anesthetic deaths occurred in immediate surgery group, highlighting importance of adequate pre-op stabilization.

Lhuillery

Veterinary Surgery

5

2022

Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

2022-5-VS-lhuillery-3

Article Title: Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

Journal: Veterinary Surgery

In Buote 2023 et al., on 3D printed cannulas, what issue occurred during live case 1 involving insufflation?

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Correct. The insufflation connection broke in case 1 but was resolved in case 2 by using a male luer lock connector.
Incorrect. The correct answer is Breakage of the insufflation port.
The insufflation connection broke in case 1 but was resolved in case 2 by using a male luer lock connector.

🔍 Key Findings

  • Customized 3D printed cannulas (3DPCs) significantly reduced surgical time in feline cadaver models (125.6 vs. 95.2 min, p = 0.03).
  • Use of 3DPCs resulted in a reduction in instrument collisions (6.8 vs. 2.6, p = 0.03).
  • Cannula pullout complications decreased with 3DPCs (10 vs. 2.2 per procedure, p = 0.03).
  • 3DPCs were designed at shorter lengths (3 cm), improving intra-abdominal working space in cats.
  • No incisional or postoperative complications occurred in the two live feline cases.
  • One 3DPC insufflation port broke intraoperatively; resolved by using a male luer lock connector in the next case.
  • CO₂ leakage occurred from re-used silicone valves in 2 ports; emphasizing the need for durable valve design.
  • Estimated cost per 3DPC was <$5.00, suggesting cost-effective customization for feline laparoscopy.

Buote

Veterinary Surgery

7

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-7-VS-buote-3

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

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