Your Custom Quiz

In Almeida 2025 et al., on TPLO and partial CCL rupture, what impact did partial CCL rupture have on postoperative patellar ligament shortening?

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Correct. Partial ruptures were not significantly protective against PLL shortening.
Incorrect. The correct answer is No significant effect.
Partial ruptures were not significantly protective against PLL shortening.

🔍 Key Findings

  • Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
  • Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
  • Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
  • Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
  • No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
  • Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
  • Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
  • Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.

Almeida

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

2025-4-VCOT-almeida-5

Article Title: Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Radke 2022 et al., on outcome measure validation, which of the following OROMs demonstrated the **most rigorous development process** according to COSMIN criteria?

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Correct. COI was rated as “adequate” for overall development, the highest rating among the instruments evaluated.
Incorrect. The correct answer is Canine Orthopedic Index (COI).
COI was rated as “adequate” for overall development, the highest rating among the instruments evaluated.

🔍 Key Findings

  • CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
  • COI scored highest in development rigor and evidence quality among evaluated OROMs.
  • Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
  • LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
  • CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
  • All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
  • Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
  • Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).

Radke

Veterinary Surgery

2

2022

Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

2022-2-VS-radke-1

Article Title: Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

Journal: Veterinary Surgery

In Hawker 2024 et al., on checklist attitudes, what was a leading barrier cited for noncompletion of SSCs?

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Correct. Forgetfulness (39.6%) was the most frequently cited reason for SSC noncompletion.
Incorrect. The correct answer is Forgetfulness.
Forgetfulness (39.6%) was the most frequently cited reason for SSC noncompletion.

🔍 Key Findings

  • 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
  • 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
  • Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
  • Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
  • Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
  • Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
  • Surgeons and OR staff were most commonly identified as noncompliant team members.
  • SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.

Hawker

Veterinary Surgery

5

2024

Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

2024-5-VS-hawker-2

Article Title: Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

Journal: Veterinary Surgery

In Saitoh 2025 et al., on CTS stabilization, which group of dogs all returned to work after CTS stabilization?

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Correct. All 5 working farm dogs returned to work postoperatively.
Incorrect. The correct answer is Farm dogs with instability.
All 5 working farm dogs returned to work postoperatively.

🔍 Key Findings

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

  • 3 dogs = primary ligamentous repair
  • 8 dogs = synthetic ligament reconstruction
  • 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

  • All 10 dogs had improved or resolved lameness.
  • All 5 farm dogs returned to work (most at full or substantial capacity).
  • Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

Saitoh

Veterinary Surgery

1

2025

Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

2025-1-VS-saitoh-4

Article Title: Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

Journal: Veterinary Surgery

In Zann 2023 et al., on proximal humeral OC surgery, what was the most common arthroscopic finding in previously treated shoulders?

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Correct. All joints had incomplete cartilage infilling and moderate to severe synovitis on arthroscopic evaluation.
Incorrect. The correct answer is Partial infilling with patchy cartilage tissue and synovitis.
All joints had incomplete cartilage infilling and moderate to severe synovitis on arthroscopic evaluation.

🔍 Key Findings

  • All dogs developed progressive osteoarthritis (OA) after surgical debridement of proximal humeral OC.
  • Ipsilateral muscle atrophy and reduced shoulder range of motion were common, particularly in unilaterally affected dogs.
  • Arthroscopically, lesions showed incomplete cartilage infilling even years after surgery, averaging only ~37% infilling.
  • Synovitis was present in all joints, with moderate-to-severe hypertrophy and vascularity scores.
  • CT identified OC lesions as deeper and wider than radiography, and all affected joints had more advanced OA than contralateral limbs (P = .001 radiograph, P = .005 CT).
  • Kinetic gait analysis showed no significant differences in peak vertical force or impulse, but a subtle 4.4% asymmetric load reduction on the operated limb.
  • Median LOAD score was 6, indicating mild owner-perceived disability despite measurable clinical and imaging abnormalities.
  • Cartilage infilling was incomplete in all cases, with no lesion exceeding 60% restoration, raising questions about the healing potential of debridement alone.

Zann

Veterinary Surgery

6

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-6-VS-zann-1

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

In Enright 2022 et al., on adrenalectomy outcomes, which of the following best describes the association between alpha-blocker use and intraoperative hypertension?

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Correct. Dogs receiving alpha-blockers had significantly higher systolic BP intraoperatively (median 170 mmHg vs. 142 mmHg; P = .01).
Incorrect. The correct answer is Alpha-blocker therapy was associated with higher intraoperative systolic BP.
Dogs receiving alpha-blockers had significantly higher systolic BP intraoperatively (median 170 mmHg vs. 142 mmHg; P = .01).

🔍 Key Findings

  • 83% of dogs survived to discharge after adrenalectomy for pheochromocytoma.
  • Median survival time post-discharge was 1169 days (3.2 years).
  • Preoperative alpha-blocker therapy (e.g., phenoxybenzamine) was not associated with improved survival.
  • Dogs receiving alpha-blockers had higher intraoperative systolic BP, with median values 170 mmHg vs. 142 mmHg in non-treated dogs (P = .01).
  • Intraoperative arrhythmias occurred in 30% of cases, with no difference between dogs receiving alpha-blockers and those not.
  • Histologic vascular invasion occurred in ~70% of tumors.
  • Tumor recurrence was suspected in 3 dogs, and metastasis in 8 dogs, though not histologically confirmed in most cases.
  • Postoperative complications included refractory hypotension, acute kidney injury, and hypertension persisting >48 hours in 10 dogs.

Enright

Veterinary Surgery

3

2022

Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy

2022-3-VS-enright-3

Article Title: Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy

Journal: Veterinary Surgery

In Bohin 2026 et al., on feline Achilles repair, which major complication was directly attributed to interference screw malposition?

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Correct. A calcaneal fracture occurred because the interference screw was positioned too distally within a thinner portion of the calcaneus.
Incorrect. The correct answer is Calcaneal fracture.
A calcaneal fracture occurred because the interference screw was positioned too distally within a thinner portion of the calcaneus.

🔍 Key Findings

  • UHMWPE implant reconstruction resulted in successful long-term functional recovery in 11/12 limbs (91.7%) with complete follow-up, with restoration of normal tarsal motion in most cats.
  • All injuries occurred at the tendino-osseous junction, with 53.8% being complete Achilles tendon ruptures and 46.2% partial gastrocnemius avulsions (Type IIc).
  • No intraoperative complications occurred in any of the 13 repaired limbs.
  • Complication rate was low (15.4%), with only one calcaneal fracture from screw malposition and one surgical site infection causing implant failure.
  • External coaptation was not required in all cases, and outcomes did not differ between limbs with or without rigid coaptation.
  • Median long-term follow-up was 18.5 months, with a median FMPI score of 1.5 indicating excellent owner-reported limb function.
  • Calcaneal fracture risk was associated with distal interference screw malposition, emphasizing the importance of correct screw placement proximal and caudal to the talocalcaneal central joint.
  • The technique may reduce complications associated with transarticular fixation or external skeletal fixation, potentially improving short-term recovery while preserving tendon loading during healing.

Bohin

Veterinary Surgery

4

2026

Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)

2026-4-vs-bohin-3

Article Title: Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)

Journal: Veterinary Surgery

In Isono 2025 et al., on tibial malalignment in MPL, which of the following parameters was newly introduced and found to correlate with both TTA and CRA?

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Correct. The PTMTA was a new angle introduced in this study that showed strong correlation with both TTA and CRA.
Incorrect. The correct answer is Proximal Tibia Metatarsal Angle (PTMTA).
The PTMTA was a new angle introduced in this study that showed strong correlation with both TTA and CRA.

🔍 Key Findings

  • Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
  • PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
  • Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
  • DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
  • PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
  • Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
  • Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
  • Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.

Isono

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

2025-4-VCOT-isono-1

Article Title: Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Fitzpatrick 2024 et al., on ESF for pelvic fractures in cats, what was reported regarding the need for revision surgery?

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Correct. No revision surgeries (e.g., hip replacement or FHO) were required in this series.
Incorrect. The correct answer is No cases required revision surgery.
No revision surgeries (e.g., hip replacement or FHO) were required in this series.

🔍 Key Findings

  • External skeletal fixation (ESF) was successfully applied to a variety of pelvic fracture types in cats, including sacroiliac luxations and ilial body fractures.
  • All fractures achieved radiographic union within 9 weeks, even in comminuted or complex configurations.
  • No intraoperative or long-term complications were reported during the study period.
  • Implant loosening was observed radiographically in 13% of cases, with 8% of pins found to be loose at frame removal.
  • ESF enabled indirect fracture reduction using components as handles, with a limited open approach minimizing soft tissue disruption.
  • No iatrogenic neurological deficits were observed, supporting safe pin placement near neurovascular structures, although some cats presented with pre-existing neurologic signs.
  • No cases required revision surgery, and all cats underwent stabilization solely with ESF as per study inclusion criteria.
  • Postoperative hospitalization ranged from 2 to 5 days, though no comparison to other fixation types was evaluated.

Fitzpatrick

Veterinary Surgery

7

2024

External skeletal fixation for the treatment of pelvic fractures in cats

2024-7-VS-fitzpatrick-5

Article Title: External skeletal fixation for the treatment of pelvic fractures in cats

Journal: Veterinary Surgery

In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what was the median time to radiographic bone healing?

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Correct. Median bone healing time was 8 weeks, with a range of 4–14 weeks.
Incorrect. The correct answer is 8 weeks.
Median bone healing time was 8 weeks, with a range of 4–14 weeks.

🔍 Key Findings

  • All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
  • Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
  • Median lameness score improved from 2/4 to 1/4 by final follow-up.
  • Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
  • No major complications; minor issues included 1 screw loosening and 1 superficial infection.
  • Subjective function was graded full in 4 dogs, acceptable in 7.
  • Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
  • Use of both orthopedic wire and plating provided secure fixation and improved outcomes.

Von Pfeil

Veterinary Surgery

3

2024

Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

2024-3-VS-pfeil-1

Article Title: Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

Journal: Veterinary Surgery

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