Your Custom Quiz

In Griffin 2025 et al., on SLN mapping with ICG, what imaging modality was used to visualize lymphatic drainage?

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Correct. NIR overlay was used intraoperatively to track lymphatic flow and identify the SLN.
Incorrect. The correct answer is Near-infrared (NIR) imaging.
NIR overlay was used intraoperatively to track lymphatic flow and identify the SLN.

🔍 Key Findings

  • Case: 9-year-old Labrador with a right caudal pulmonary adenocarcinoma.
  • Technique: Peritumoral injection of indocyanine green (ICG) under VATS guidance, followed by near-infrared (NIR) imaging.
  • SLN identified: Right tracheobronchial lymph node fluoresced and was safely extirpated.
  • Histology: Grade 1 adenocarcinoma, pneumonia, reactive node.
  • Outcome: Patient deteriorated and died on postoperative day 3 due to systemic complications (not linked to surgical technique).
  • Clinical relevance: First clinical application of SLN mapping for canine pulmonary neoplasia; method feasible with open or minimally invasive approaches.

Griffin

Veterinary Surgery

1

2025

Intraoperative sentinel lymph node mapping with indocyanine green via video‐assisted thoracoscopic surgery for primary pulmonary neoplasia in a dog

2025-1-VS-griffin-3

Article Title: Intraoperative sentinel lymph node mapping with indocyanine green via video‐assisted thoracoscopic surgery for primary pulmonary neoplasia in a dog

Journal: Veterinary Surgery

In Wylie 2025 et al., on femoral implant accuracy, what is true regarding the simplified pivot shift grading system introduced in the study?

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Correct. The simplified system uses 2 grades: grade 1 = glide, grade 2 = clunk, aiding intraoperative assessment of rotational instability.
Incorrect. The correct answer is It differentiates between “glide” and “clunk” types of instability.
The simplified system uses 2 grades: grade 1 = glide, grade 2 = clunk, aiding intraoperative assessment of rotational instability.

🔍 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-5

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 Miller 2024 et al., on SOP-LC mechanical testing, what complication was associated with torsional loading?

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Correct. Clamp slippage occurred in torsion tests but not in bending, suggesting fixation instability.
Incorrect. The correct answer is Clamp slippage.
Clamp slippage occurred in torsion tests but not in bending, suggesting fixation instability.

🔍 Key Findings Summary

  • No significant difference in mechanical properties between contoured vs non-contoured SOP-LC rods
  • Clamp configuration significantly influenced mechanical performance:
    • Single-side clamps → ↑ yield load, ↑ displacement, ↑ bending strength (p < 0.05)
    • Alternating-side clamps → ↑ initial torsional stiffness (p = 0.029)
  • Clamp slippage was evident only in torsional tests; screw loosening may be torque-dependent
  • Mild screw bending and construct offset suggest subtle instability
  • Recommends clamp configuration choice based on loading scenario
  • Suggests 3.0 Nm torque may be more effective than 2.5 Nm to prevent clamp slippage

Miller

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

2024-4-VCOT-miller-4

Article Title: Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Carvajal 2025 et al., on femoral stem breakage, what implant feature was shared by the majority of failed stems?

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Correct. 13 of 14 failed implants were BFX lateral bolt stems, highlighting a common feature among breakages.
Incorrect. The correct answer is Use of BFX lateral bolt stem.
13 of 14 failed implants were BFX lateral bolt stems, highlighting a common feature among breakages.

🔍 Key Findings

Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)

Implant factors:

  • 13/14 were BFX lateral bolt stems (sizes #5–7)
  • +9 necks used in 5/11 of 17 mm heads
  • 10/14 stems undersized based on radiographs
  • 10/13 dogs exceeded weight limits for implanted stem size

Malalignment:

  • 10/14 had varus alignment (median 3.9°)
  • 8/14 had insufficient proximodistal seating

Breakage site: Proximolateral shoulder in all cases

Revision outcomes:

  • 11 revised (7 CFX, 3 larger BFX, 1 collared)
  • 9/10 revised dogs regained full function
  • Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure

Histopathology:

  • Electron microscopy showed fatigue striations and incomplete bead fusion

Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.

Carvajal

Veterinary Surgery

3

2025

Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

2025-3-VS-carvajal-2

Article Title: Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

Journal: Veterinary Surgery

In Latifi 2022 et al., on forelimb fascial mapping, why is complete fascial excision often not feasible in the manus region?

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Correct. Fascia in the manus is thin, adherent, and blends with joint structures, limiting clean dissection.
Incorrect. The correct answer is Fascial planes blend into ligaments and joint capsule.
Fascia in the manus is thin, adherent, and blends with joint structures, limiting clean dissection.

🔍 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-5

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

Journal: Veterinary Surgery

In Husi 2023 et al., on TPLO vs TPLO-IB biomechanics, what was the intraobserver reliability for the eTPT and iTPT tests after TPLO and TPLO-IB?

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Correct. Intraobserver reliability was excellent with ICCs of 0.93 (eTPT) and 0.91 (iTPT).
Incorrect. The correct answer is Excellent.
Intraobserver reliability was excellent with ICCs of 0.93 (eTPT) and 0.91 (iTPT).

🔍 Key Findings

  • TPLO alone failed to neutralize rotational instability under tibial pivot compression (TPT), despite a negative TCT.
  • TPLO combined with lateral augmentation (TPLO-IB) restored both craniocaudal and rotational stability to near-intact levels.
  • Cranial tibial translation was 6× greater after TPLO vs intact stifles when tested with TPT (p < .001).
  • No significant difference in cranial tibial translation or internal rotation between intact stifles and TPLO-IB group during TCT, eTPT, or iTPT.
  • TPLO-IB did not overconstrain the stifle, avoiding excessive external rotation.
  • External tibial rotation (eTPT) was more sensitive than TCT in detecting persistent instability after TPLO.
  • Excellent intraobserver reliability for both eTPT and iTPT (ICC > 0.9).
  • Study supports intraoperative use of TPT to identify cases needing additional rotational stabilization.

Husi

Veterinary Surgery

5

2023

Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study

2023-5-VS-husi-5

Article Title: Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study

Journal: Veterinary Surgery

In Chik 2024 et al., on cholangioscopy feasibility, what was one major advantage of disposable flexible endoscopes noted by the authors?

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Correct. The disposable endoscope setup cost (~$6,100) was far lower than traditional systems (~$75,000–100,000).
Incorrect. The correct answer is Significantly lower startup cost than standard systems.
The disposable endoscope setup cost (~$6,100) was far lower than traditional systems (~$75,000–100,000).

🔍 Key Findings

  • Open transcholecystic cholangioscopy was feasible using a 3.8 mm disposable flexible endoscope in all 8 canine cadavers.
  • Visualization was consistently achieved up to the junction of the hepatic ducts, common bile duct, and cystic duct.
  • Advancement past the junction was limited by the endoscope diameter (3.8 mm) and anatomical flexure.
  • The 1.9 mm flexible ureteroscope could visualize the entire biliary tree, including the major duodenal papilla, in a large dog (43.8 kg).
  • Endoscopic tools (e.g., 3 Fr grasping forceps) could be passed through the working channel only after removing the irrigation line.
  • Standard biopsy forceps were incompatible with the disposable endoscope's 1.2 mm working channel.
  • Cadaver study showed no rupture, but clinical extrapolation is limited due to lack of diseased tissue.
  • Disposable endoscope setup cost (~$6,100) was significantly lower than traditional endoscopy systems (~$75,000–100,000), improving accessibility.

Chik

Veterinary Surgery

7

2024

Feasibility of open cholangioscopy with disposable flexible endoscopes

2024-7-VS-chik-5

Article Title: Feasibility of open cholangioscopy with disposable flexible endoscopes

Journal: Veterinary Surgery

In Gollnick 2024 et al., on TCTF risk with Arthrex STS in TPLO, which screw location was most commonly associated with TCTFs?

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Correct. 50% of TCTFs occurred at middle screws in the distal part of the TPLO plate.
Incorrect. The correct answer is Middle screws distal to osteotomy.
50% of TCTFs occurred at middle screws in the distal part of the TPLO plate.

🔍 Key Findings

  • 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
  • TCTFs occurred exclusively distal to the osteotomy
  • 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
  • 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
  • Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
  • Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
  • Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
  • Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS

Gollnick

Veterinary Surgery

6

2024

Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

2024-6-VS-gollnick-2

Article Title: Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

Journal: Veterinary Surgery

In Condon 2024 et al., what percentage of fractures were classified as lateral humeral condylar fractures?

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Correct. Lateral fractures made up 69.8% of the 136 elbows in the study:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is 70%.
Lateral fractures made up 69.8% of the 136 elbows in the study:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • Lateral humeral condylar fractures = 69.8% of cases; medial = 16.2%; Y/T = 14.0%
  • Falls/stairs were the inciting trauma in 45.6% of cases; significantly younger dogs were more likely to fracture after major trauma (p = 0.01)
  • Complication rate = 22% (10 major, 20 minor); implant migration and seroma most common
  • Fixation method had no significant impact on complication rates (p = 0.87)
  • Epicondylar comminution was significantly associated with complications (p = 0.02, OR = 3.27)
  • Contralateral intracondylar fissure found in 9.8%, none progressed to fracture during study
  • Wide inter-center variation in complication rate (5–62%, p = 0.002)

Condon

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Humeral Condylar Fractures in French Bulldogs—Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs

2024-2-VCOT-condon-2

Article Title: Humeral Condylar Fractures in French Bulldogs—Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Davis 2025 et al., on modified anal sacculectomy, what proportion of grade 3B complications resolved with revision surgery?

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Correct. Both grade 3B cases (5%) resolved fully after revision surgery within 2 weeks.
Incorrect. The correct answer is 100%.
Both grade 3B cases (5%) resolved fully after revision surgery within 2 weeks.

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-5

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

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