Your Custom Quiz

In Alvarez 2022 et al., on rehabilitation modalities, what was a major limitation noted across many studies included in the systematic review?

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Correct. Many studies suffered from small cohorts, high RoB, lack of blinding, and poorly standardized rehab protocols.
Incorrect. The correct answer is Small sample sizes and high RoB.
Many studies suffered from small cohorts, high RoB, lack of blinding, and poorly standardized rehab protocols.

🔍 Key Findings

  • Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
  • Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
  • Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
  • Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
  • Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
  • Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
  • No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
  • The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.

Alvarez

Veterinary Surgery

2

2022

Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

2022-2-VS-alvarez-3

Article Title: Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

Journal: Veterinary Surgery

In Fracka 2024 et al., on perioperative risk factors, what factor was present only in dogs with complications but excluded from the final model due to statistical instability?

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Correct. All dogs with prior aspiration pneumonia had complications, but it was not in the model due to instability.
Incorrect. The correct answer is History of aspiration pneumonia.
All dogs with prior aspiration pneumonia had complications, but it was not in the model due to instability.

🔍 Key Findings

  • Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
  • Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
  • Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
  • Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
  • History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
  • Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
  • FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
  • Bulldogs comprised 80% of population, with French Bulldogs most common (63%).

Fracka

Veterinary Surgery

4

2024

Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

2024-4-VS-fracka-5

Article Title: Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

Journal: Veterinary Surgery

In Lotsikas 2025 et al., on stifle distraction portal, what was the most frequently affected cartilage zone in terms of iatrogenic damage?

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Correct. Zone 4 had significantly more IACI compared to zones 1–3 in both groups (p < .05).
Incorrect. The correct answer is Zone 4: Lateral femoral condyle.
Zone 4 had significantly more IACI compared to zones 1–3 in both groups (p < .05).

🔍 Key Findings

Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:

  • No damage to the long digital extensor tendon (LDE) with this portal
  • VSTL could be placed without removing the arthroscope
  • Portal creation time ~37 seconds (faster than previously reported)

Cartilage impact:

  • Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
  • No difference in IACI between 5- and 10-minute lever durations
  • Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)

Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use

Lotsikas

Veterinary Surgery

3

2025

Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

2025-3-VS-lotsikas-2

Article Title: Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

Journal: Veterinary Surgery

In Longo 2023 et al., on CT trochlear measurements, what was the most reliable parameter for determining the need for trochleoplasty in dogs with MPL?

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Correct. FTGA had the highest sensitivity, specificity, and inter-rater agreement (ICC > 0.9).
Incorrect. The correct answer is Femoral trochlear groove angle (FTGA).
FTGA had the highest sensitivity, specificity, and inter-rater agreement (ICC > 0.9).

🔍 Key Findings

  • Dogs with MPL had significantly shallower femoral trochlear grooves compared to controls, based on CT-measured femoral trochlear groove angle (FTGA).
  • FTGA >134° in small breeds (SB) and >128° in medium/large breeds (MLB) were associated with MPL and can serve as surgical thresholds for considering trochleoplasty.
  • FTA and FTRIA measurements were less reliable, showing lower sensitivity/specificity than FTGA.
  • Inter-rater reliability for FTGA was excellent (ICC > 0.9), supporting its use in clinical decision-making.
  • FTGA differed significantly between SB and MLB dogs, suggesting anatomical variation influences MPL predisposition.
  • Dogs with MPL but with FTGA below threshold may not benefit from trochleoplasty, supporting individualized surgical planning.
  • CT provides more precise and reproducible evaluation of trochlear morphology than radiography or ultrasound.
  • The study introduces a CT protocol using P25 and P50 reference points for consistent FTGA measurement.

Longo

Veterinary Surgery

3

2023

Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation

2023-3-VS-longo-1

Article Title: Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation

Journal: Veterinary Surgery

In Mullen 2024 et al., on NIRF for GDV, what intraoperative variable was significantly different between viable and nonviable groups?

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Correct. Nonviable dogs had significantly higher pre-op lactate (8.55 vs 4.89 mmol/L, p=0.03).
Incorrect. The correct answer is Preoperative lactate.
Nonviable dogs had significantly higher pre-op lactate (8.55 vs 4.89 mmol/L, p=0.03).

🔍 Key Findings

  • NIRF altered surgical strategy in 3 of 20 GDV dogs, identifying necrosis not appreciated subjectively.
  • Fundic fluorescence <10% indicated histologically confirmed gastric necrosis.
  • In 1 dog, NIRF revealed nonviability despite the surgeon’s impression of viability.
  • Staple line fluorescence resembled viable tissue in the only stapled gastrectomy, suggesting preservation of perfusion.
  • GDV dogs (even “viable”) showed lower fluorescence vs. healthy controls, indicating subclinical vascular compromise.
  • Histology confirmed full-thickness necrosis in all 4 dogs with NIRF-defined nonviability.
  • Pre-op lactate was significantly higher in nonviable GDV dogs (8.55 vs 4.89 mmol/L, p=0.03).
  • No complications were reported from ICG use; imaging was safe and repeatable.

Mullen

Veterinary Surgery

4

2024

Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

2024-4-VS-mullen-5

Article Title: Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

Journal: Veterinary Surgery

In Gibson 2024 et al., on mediastinoscopy in dogs, what lymph node was **most consistently retrieved** using the SILS-port technique?

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Correct. The left tracheobronchial lymph node was retrieved in all 7 cadavers.
Incorrect. The correct answer is Left tracheobronchial.
The left tracheobronchial lymph node was retrieved in all 7 cadavers.

🔍 Key Findings

  • Mediastinoscopy was technically feasible in large-breed canine cadavers using a SILS port and standard laparoscopic instruments.
  • The left tracheobronchial lymph node (LTBLN) was successfully retrieved in all cadavers (7/7), while cranial mediastinal lymph nodes were retrieved in only 1/7.
  • Postprocedural pleural gas was observed in 4/7 cadavers, likely due to CO₂ insufflation.
  • Instrument limitations with a human-designed mediastinoscope led to preference for laparoscopic instruments and SILS port for improved access and visualization.
  • Complication rates were low, with only two minor (Grade 1) adverse events (pleural tear and LN rupture).
  • Obesity and mediastinal fat were cited as potential challenges to visualization and node retrieval.
  • NASA-TLX workload scores were lowest for tracheobronchial nodes, indicating these were the easiest to access.
  • The authors concluded this approach may facilitate minimally invasive biopsy or resection of cranial mediastinal masses in live dogs, but clinical trials are needed to validate safety and efficacy.

Gibson

Veterinary Surgery

5

2024

Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

2024-5-VS-gibson-1

Article Title: Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

Journal: Veterinary Surgery

In McLean 2024 et al., what was the average increase in TPA among dogs with rock-back?

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Correct. Dogs with rock-back had an average TPA increase of 3.2° ± 2.6°:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is 3.2° ± 2.6°.
Dogs with rock-back had an average TPA increase of 3.2° ± 2.6°:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 95 TPLO procedures reviewed retrospectively with follow-up radiographs
  • Rock-back defined as increase in tibial plateau angle (TPA) ≥2° from immediate post-op to recheck
  • 21% of stifles (20/95) experienced rock-back
  • Mean ΔTPA among rock-back cases = 3.2° ± 2.6°
  • No implant failures or tibial tuberosity fractures were reported in these cases
  • Plate inclination and exit cut angle (ECA) were not associated with increased risk of rock-back (p = 0.4 and 0.2)
  • Authors hypothesize that compression across osteotomy in vivo may mitigate torsional effects from ECA, unlike in gap-model studies
  • Emphasizes that rock-back is relatively common, even with well-placed implants

Mclean

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

2024-6-VCOT-mclean-3

Article Title: Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Lee 2022 et al., on TPLO accuracy, what was the main benefit of using the 3D-printed saw guide in bone models?

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Correct. The 3D-printed guide significantly reduced medial cortical damage in bone models (P < .001).
Incorrect. The correct answer is Reduced medial cortex damage.
The 3D-printed guide significantly reduced medial cortical damage in bone models (P < .001).

🔍 Key Findings

  • 3D-printed TPLO guides significantly reduced osteotomy inclination angle in both bone models and cadaver limbs compared to jig alone (P < .001).
  • Torsional deformities were lower when the 3D-printed guide was used in bone models (P < .001), but not significantly different in cadavers.
  • Angular deformities were significantly reduced in cadavers using 3D-printed guides (P < .001).
  • Proximal jig pin angulation was more accurate with the guide in cadavers (P < .001); not significant in bone models.
  • Medial cortex damage was substantially reduced in bone models when the 3D-printed guide was used (P < .001).
  • Postoperative tibial plateau angle (TPA) did not differ significantly between groups, suggesting that clinical alignment can still be achieved without the guide.
  • Clinical significance of improved metrics is uncertain, but improved precision may reduce surgical complications.
  • 3D guide design allowed direct placement of jig and bone plate, potentially improving workflow and safety.

Lee

Veterinary Surgery

6

2022

Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study

2022-6-VS-lee-1

Article Title: Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

In Clarke 2022 et al., on nasopharyngeal collapse severity, what was the statistical outcome of comparing pre- and postoperative collapse measurements?

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Correct. The comparison yielded a p-value of .0505, suggesting a trend but not statistical significance.
Incorrect. The correct answer is Mild improvement, not statistically significant (p = .0505).
The comparison yielded a p-value of .0505, suggesting a trend but not statistical significance.

🔍 Key Findings

  • Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
  • Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
  • 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
  • All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
  • Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
  • Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
  • Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
  • Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.

Clarke

Veterinary Surgery

6

2022

Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

2022-6-VS-clarke-3

Article Title: Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

Journal: Veterinary Surgery

In Dalton 2023 et al., In Minimally invasive acetabular fracture repair in dogs, what reduction quality was reported in cadaveric cases?

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Correct. Cadavers achieved near-anatomic reductions with minimal gap and step defect.
Incorrect. The correct answer is Fracture gap <2 mm and step defect <1 mm.
Cadavers achieved near-anatomic reductions with minimal gap and step defect.

🔍 Key Findings

  • Feasibility study in 5 canine cadavers plus 1 clinical case (Chihuahua, 5.5 kg).
  • Technique used two small approaches (caudal and craniolateral) connected with an epiperiosteal tunnel.
  • Plates were precontoured on mirrored 3D-printed hemipelves to improve fit and reduce intraoperative bending.
  • Cadaver outcomes: fracture gap <2 mm, step defect <1 mm, pelvic angulation <5°.
  • Sciatic nerve injury was minimal: 1/5 cadavers had a mild indentation; others had no gross injury.
  • Median total surgical time: ~46 minutes in cadavers; incisions ~5 cm.
  • Clinical Chihuahua case: weight-bearing within 24 hrs, radiographic union at 3 months; one screw fractured but no adverse effect.
  • Authors conclude: MIAF with 3D printing is feasible and accurate, but requires further evaluation before routine use.

Dalton

Veterinary Surgery

7

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-7-VS-dalton-4

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

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