Your Custom Quiz

In Korchek 2025 et al., on fracture gap risk, which postoperative finding was most strongly associated with implant failure in toy breed dogs with radius/ulna fractures?

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Correct. Implant failure was significantly associated with a postoperative fracture gap in the caudal cortex, with an OR of 23.0 and p = .004.
Incorrect. The correct answer is Presence of a fracture gap in the caudal cortex.
Implant failure was significantly associated with a postoperative fracture gap in the caudal cortex, with an OR of 23.0 and p = .004.

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

  • 27% in cases with fracture gap
  • 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

  • OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

  • OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

  • OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

Korchek

Veterinary Surgery

2

2025

Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

2025-2-VS-korchek-1

Article Title: Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

Journal: Veterinary Surgery

In Husi 2023 et al., on TPLO vs TPLO-IB biomechanics, what was the key limitation of the tibial compression test (TCT) after TPLO?

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Correct. The study showed that although TCT appeared negative post-TPLO, rotational instability remained, revealed by TPT.
Incorrect. The correct answer is It did not detect residual rotational instability.
The study showed that although TCT appeared negative post-TPLO, rotational instability remained, revealed by TPT.

🔍 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-1

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

Journal: Veterinary Surgery

In Guénégo 2025 et al., on AMA-based CCWO, which combination was key to minimizing SSIs in AMA-based CCWO?

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Correct. Use of RJB and postop antibiotics was associated with a low SSI rate.
Incorrect. The correct answer is Robert Jones bandage and antibiotics.
Use of RJB and postop antibiotics was associated with a low SSI rate.

🔍 Key Findings

  • AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
  • Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
  • All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
  • AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
  • Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
  • Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
  • Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
  • Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.

Guénégo

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

2025-3-VCOT-guenego-3

Article Title: Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Chik 2025 et al., on abdominal wall prestretching, what was the observed effect on working space when PS was applied at 10 mmHg for 3 minutes and then reduced to 6 mmHg IAP?

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Correct. Prestretching at 10 mmHg for 3 minutes resulted in a 6.9% increase in IWS when pressure was reduced back to 6 mmHg.
Incorrect. The correct answer is Working space increased by 6.9% compared to baseline.
Prestretching at 10 mmHg for 3 minutes resulted in a 6.9% increase in IWS when pressure was reduced back to 6 mmHg.

🔍 Key Findings

  • Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
  • PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
  • All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
  • Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
  • Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
  • No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
  • Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
  • Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.

Chik

Veterinary Surgery

5

2025

Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

2025-5-VS-chik-1

Article Title: Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

Journal: Veterinary Surgery

In Chan 2025 et al., on partial cuneiformectomy in BOAS dogs, what was the typical impact on rima glottidis after the procedure?

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Correct. Cuneiformectomy widened the rima glottidis by approximately 70–80%, reducing airway resistance.
Incorrect. The correct answer is It widened the rima glottidis by ~70–80%.
Cuneiformectomy widened the rima glottidis by approximately 70–80%, reducing airway resistance.

🔍 Key Findings

  • Partial cuneiformectomy (PC) did not increase complication rates compared to multilevel surgery alone (overall complications: PC = 16.3%, non-PC = 19.4%; p = .758).
  • Major complication rates were not significantly different (PC = 11.6%, non-PC = 7.4%; p = .482).
  • Significant improvement in BOAS grade was observed in dogs undergoing PC (p < .0001).
  • BOAS index improved significantly in both groups, with greater median reduction in the PC group (28.5%) than non-PC (20.7%) (p < .0001).
  • Low body condition score (BCS <4) was significantly associated with higher complication rates (odds ratio = 0.452; p = .004).
  • Hospitalization duration did not differ between groups (median = 1 day; p = .743).
  • Mortality was low (3.5%) in the PC group despite more severe airway disease, suggesting the technique is safe even in advanced collapse.
  • The technique widened the rima glottidis without damaging surrounding structures, reducing airflow resistance and preserving laryngeal function.

Chan

Veterinary Surgery

6

2025

Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse

2025-6-VS-chan-4

Article Title: Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse

Journal: Veterinary Surgery

In Takagi 2022 et al., on hepatic venous anatomy, what major advantage does computed tomography angiography (CTA) offer compared to plastination or cadaveric methods?

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Correct. CTA with contrast identifies small vessels not visualized using plastination or cadaveric studies.
Incorrect. The correct answer is Identification of small intrahepatic venous variations.
CTA with contrast identifies small vessels not visualized using plastination or cadaveric studies.

🔍 Key Findings

  • Hepatic venous drainage patterns vary widely across all lobes, especially the left lateral lobe.
  • Right lateral lobe had a median of 2 vessels draining directly into the caudal vena cava (CVC); range: 1–4.
  • Caudate process of caudate lobe had the most variability: 1–5 vessels draining into the CVC; 2 vessels was most common (54.5%).
  • Left lateral lobe drained via 2–8 veins into the left hepatic vein (LHV), with 3 veins most common (31.2%).
  • Left medial lobe typically had 1 vein draining into the LHV (61% of dogs).
  • Papillary process drained into the LHV in 93.5% of cases; 6.5% drained directly to the CVC.
  • Quadrate lobe always had 1 vessel draining either directly to the CVC or via the LHV.
  • CTA revealed more variations than previously described in plastinated or cadaveric studies, highlighting its superior value in surgical planning.

Takagi

Veterinary Surgery

4

2022

Computed angiographic variations in hepatic venous vasculature in dogs

2022-4-VS-takagi-5

Article Title: Computed angiographic variations in hepatic venous vasculature in dogs

Journal: Veterinary Surgery

In Cronin 2026 et al., on hilar ligature outcomes, what postoperative complication required revision surgery in one dog?

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Correct. One dog required revision surgery eight days postoperatively due to pneumothorax, representing a rare postoperative complication in the study.
Incorrect. The correct answer is Persistent pneumothorax.
One dog required revision surgery eight days postoperatively due to pneumothorax, representing a rare postoperative complication in the study.

🔍 Key Findings

  • Hilar circumferential ligature (HCL) techniques resulted in a low overall complication rate during total lung lobectomy in dogs and cats undergoing surgery for clinical disease.
  • 80 animals (65 dogs, 15 cats) underwent removal of 94 lung lobes, with 59 lobectomies performed using a commercial pre-tied ligature loop (CPLL) and 35 using hand-tied circumferential ligatures (HTCL).
  • Intraoperative hemorrhage occurred in 4.3% of lobectomies (4/94) and was not significantly associated with ligature type (CPLL vs HTCL), knot type, or number of sutures per pedicle.
  • Sliding knots had a notably higher hemorrhage proportion (28.6%), suggesting potential safety concerns with this knot configuration.
  • Modified Miller’s knots (n=25) and Roeder knots (n=3) performed without reported hemorrhage complications, supporting their use in hilar ligation.
  • One intraoperative mortality occurred due to tumor extrusion into the bronchus, rather than failure of the ligation technique.
  • One postoperative complication required revision surgery for pneumothorax 8 days after surgery, indicating a low postoperative complication incidence.
  • The technique offers a cost-effective and technically straightforward alternative to stapling devices, supporting broader clinical use of hilar ligature approaches.

Cronin

Veterinary Surgery

2

2026

Perioperative outcomes of 65 dogs and 15 cats undergoing lung lobectomies with a hilar circumferential ligature

2026-2-vs-cronin-5

Article Title: Perioperative outcomes of 65 dogs and 15 cats undergoing lung lobectomies with a hilar circumferential ligature

Journal: Veterinary Surgery

In Nicetto 2024 et al., what was the success rate of patellar luxation correction using TRP?

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Correct. TRP corrected patellar luxation in 59 out of 60 treated stifles, a 98.3% success rate.
Incorrect. The correct answer is 98.3%.
TRP corrected patellar luxation in 59 out of 60 treated stifles, a 98.3% success rate.

🔍 Key Findings Summary

  • 48 dogs (60 stifles) underwent custom 3D-printed TRP implantation for patellar luxation
  • 24 treated with TRP alone; 36 with additional procedures (e.g., DFO, TTT)
  • Success rate: 59/60 corrected patellar tracking
  • Functional outcome: 57/60 full function, 2 acceptable, 1 unacceptable
  • Complication rate: 3 total (2 minor, 1 major recurrence)
  • TRP spares cartilage unlike trochleoplasty, offering implant-based ridge augmentation
  • No implant loosening or infection observed

Nicetto

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

2024-2-VCOT-nicetto-1

Article Title: Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Vandekerckhove 2024 et al., which factor **did not** significantly affect LImax?

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Correct. None of these factors significantly affected LImax in the study.
Incorrect. The correct answer is All of the above.
None of these factors significantly affected LImax in the study.

🔍 Key Findings Summary

  • Used VMBDmD to quantify hip laxity under increasing force in cadaveric dogs (n=34).
  • 90% of hips reached ≥90% of LImax at 95.32 N, defining this force as sufficient for subluxation.
  • LImax was not significantly influenced by osteoarthritis, weight, sex, or limb side.
  • Position of device (lever length) influenced rate of laxity acquisition, not final LImax.
  • LI curves were repeatable across 5 sessions, indicating elastic—not plastic—deformation.

Vandekerckhove

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint

2024-1-VCOT-vandekerckhove-2

Article Title: Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Maeta 2022 et al., on total cystectomy in cats, what describes the surgical modification to the ureter for the stomal anastomosis?

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Correct. This fish-mouth design allowed the ureter to match the rectangular skin defect for secure stoma creation.
Incorrect. The correct answer is Two longitudinal incisions forming a fish-mouth aperture.
This fish-mouth design allowed the ureter to match the rectangular skin defect for secure stoma creation.

🔍 Key Findings

  • First reported case of total cystectomy and bilateral cutaneous ureterostomy in a cat using a modified Toyoda technique.
  • Histologically complete tumor resection was achieved, with tumor-free ureter and urethral margins >20 mm.
  • The modified Toyoda technique involved shaping the ureter into a fish-mouth aperture and anastomosing it to a rectangular skin defect for stomal formation.
  • Incontinence was managed using a diaper changed every 6–8 hours, with no dermatological complications.
  • Obstruction of the right ureter occurred 14 months post-op, associated with a subcutaneous nodule at the anastomosis site.
  • Despite incontinence, owner satisfaction and perceived quality of life were high, with the cat living ~16 months post-op.
  • The stents were removed on days 7 (left) and 28 (right) postoperatively, with initial patency maintained until 14 months.
  • This surgical approach may offer palliative or curative benefit for feline trigonal TCC where partial cystectomy is not feasible.

Maeta

Veterinary Surgery

8

2022

Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

2022-8-VS-maeta-4

Article Title: Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

Journal: Veterinary Surgery

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