Your Custom Quiz

In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what was the median postoperative reduction immediately after surgery?

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Correct. The median sacroiliac reduction immediately after surgery was 94.1%, with 11 of 17 procedures achieving ≥90%.
Incorrect. The correct answer is 94.1%.
The median sacroiliac reduction immediately after surgery was 94.1%, with 11 of 17 procedures achieving ≥90%.

🔍 Key Findings

  • Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
  • Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
  • One screw exited caudally; no dorsal, ventral, or cranial exits reported.
  • At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
  • No screw loosening observed, even in suboptimal reductions or purchases.
  • Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
  • Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
  • Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.

Jourdain

Veterinary Surgery

4

2024

Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

2024-4-VS-jourdain-1

Article Title: Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

Journal: Veterinary Surgery

In Vandekerckhove 2026 et al., on hip laxity forces, which sedation protocol was used during radiographic acquisition?

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Correct. This protocol had previously been identified by the authors as providing optimal laxity and ease of use.
Incorrect. The correct answer is Dexmedetomidine, butorphanol, and midazolam.
This protocol had previously been identified by the authors as providing optimal laxity and ease of use.

🔍 Key Findings

  • Applied force and hip laxity showed a predictable force–laxity relationship, validating previous cadaver findings in live sedated dogs.
  • 90% of hip joints achieved ≥90% of maximal laxity at 80.45 N, establishing a practical minimum force target during stress radiography.
  • LImax was not significantly affected by osteoarthritis, sex, age, or side, supporting robustness of the technique.
  • Body weight significantly influenced both LImax and force–laxity curves, although this may reflect study population bias.
  • Median LImax was 0.48 (range 0.32–0.78), with maximal laxity reached at forces ranging from 66–123 N.
  • The force–laxity curve demonstrated a rapid rise followed by a plateau, indicating a threshold beyond which additional force yields minimal additional subluxation.
  • Sedated dogs required approximately 15 N less force than cadavers to reach adequate laxity, likely due to muscle relaxation and absence of postmortem stiffness.
  • The VMBDmD stress radiography technique demonstrated clinical practicality and reproducibility, supporting its use for canine hip dysplasia screening.

Vandekerckhove

Veterinary and Comparative Orthopaedics and Traumatology

3

2026

Quantifying the Stress in Stress Radiography to Determine Sufficient Laxity of the Coxofemoral Joint in Sedated Dogs

2026-3-vcot-vandekerckhove-4

Article Title: Quantifying the Stress in Stress Radiography to Determine Sufficient Laxity of the Coxofemoral Joint in Sedated Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Shetler 2022 et al., on radial head OCD, which of the following was reported at the 5-month postoperative follow-up?

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Correct. The patient returned to normal activity and showed no pain on exam.
Incorrect. The correct answer is Complete resolution of lameness and elbow pain.
The patient returned to normal activity and showed no pain on exam.

🔍 Key Findings

  • Bilateral radial head OCD lesions were identified in a 6-month-old English Bulldog with elbow lameness.
  • Medial arthroscopic portals allowed only partial visualization of radial head lesions, insufficient for treatment.
  • Lateral arthroscopy portals provided excellent access for fragment removal and abrasion arthroplasty.
  • Histopathology confirmed OCD, showing cartilage degeneration and retained cartilaginous cores.
  • Dog showed complete resolution of lameness and no elbow pain at 5 months post-op.
  • Lesions were caudolateral on the radial head, with discoid elevation of cartilage and clefts.
  • Lateral approach avoids major neurovascular structures, reducing iatrogenic risk.
  • The authors suggest lateral elbow arthroscopy may have broader indications, including for medial compartment disease or synovial biopsies.

Shetler

Veterinary Surgery

8

2022

The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog

2022-8-VS-shetler-5

Article Title: The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog

Journal: Veterinary Surgery

In Karlin 2026 et al., on acetabular cup radiography, which measurement showed significant inaccuracy when calculated using the CPAD?

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Correct. The calculated open-face version differed significantly from the known value (p < 0.0001) and had only moderate correlation (Rc = 0.424).
Incorrect. The correct answer is Open-face version.
The calculated open-face version differed significantly from the known value (p < 0.0001) and had only moderate correlation (Rc = 0.424).

🔍 Key Findings

  • CPAD accurately measured angle of lateral opening (ALO) on sagittal radiographs with near-perfect agreement (Lin’s Rc = 0.994) compared with known angles.
  • No significant difference between measured and true ALO values was detected (p = 0.655), supporting accuracy of the device for this parameter.
  • Mean ALO measurement error was only 0.14° ± 1.18°, indicating high precision of the CPAD method.
  • Open-face version measurements were significantly inaccurate compared with known values (p < 0.0001).
  • Mean error in version measurement was 9.5° ± 6.31°, showing only moderate agreement (Rc = 0.424).
  • Measurement error in version likely resulted from radiographic superimposition of the V-axis bar with the cup edge, making bar endpoints difficult to identify.
  • CPAD accuracy for ALO (~1.18°) is nearly five times better than previous radiographic techniques, which typically achieve ~5° accuracy.
  • Intraoperative fluoroscopic use of CPAD may allow real-time adjustment of cup orientation, potentially reducing luxation risk after canine THA.

Karlin

Veterinary and Comparative Orthopaedics and Traumatology

2

2026

In Vitro Evaluation of a Device to Assess Acetabular Cup Position by Sagittal Plane Radiography

2026-2-vcot-karlin-3

Article Title: In Vitro Evaluation of a Device to Assess Acetabular Cup Position by Sagittal Plane Radiography

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In O'Marra 2026 et al., on perioperative septic peritonitis, what was the most commonly reported cause of recurrent septic peritonitis in dogs?

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Correct. Gastrointestinal dehiscence was the most common cause of recurrent septic peritonitis, which carried a poor survival rate.
Incorrect. The correct answer is Dehiscence of gastrointestinal surgical site.
Gastrointestinal dehiscence was the most common cause of recurrent septic peritonitis, which carried a poor survival rate.

🔍 Key Findings

  • Early enteral nutrition (<24–48 hrs) is associated with improved survival and reduced hospitalization in dogs with septic peritonitis.
  • Appropriate empirical antimicrobials improve survival in cats, but data are mixed in dogs.
  • Recurrent septic peritonitis (RecSP) has poor survival (0%–43.9%); most common cause is gastrointestinal dehiscence.
  • Intraoperative hypotension and preoperative hypoalbuminemia may increase dehiscence risk, though findings are inconsistent.
  • Lidocaine CRI during surgery improves survival over opioids alone in dogs.
  • Hydroxyethyl starch (HES) is not recommended due to risks of coagulopathy and kidney injury; albumin use is controversial.
  • Intra-abdominal hypertension (IAH) is under-recognized but contributes to mortality; IAP monitoring should be considered.
  • Diagnostic tests (effusion lactate, glucose, cytology) are unreliable for detecting RecSP; clinical judgment and ultrasound are advised.

O'Marra

Veterinary Surgery

1

2026

Perioperative management of septic peritonitis in small animals: A review

2026-1-VS-omarra-3

Article Title: Perioperative management of septic peritonitis in small animals: A review

Journal: Veterinary Surgery

In Forzisi 2026 et al., on stifle locking plate immobilization, what was the typical planned time for implant removal after surgery?

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Correct. The authors planned implant removal at approximately 6 weeks to allow healing while minimizing cartilage degeneration associated with prolonged immobilization.
Incorrect. The correct answer is 6 weeks postoperatively.
The authors planned implant removal at approximately 6 weeks to allow healing while minimizing cartilage degeneration associated with prolonged immobilization.

🔍 Key Findings

  • Temporary transarticular locking plates successfully immobilized the stifle joint for protection of primary repairs (e.g., ligament reconstruction or articular fracture fixation) in dogs and cats.
  • 15 stifle joints in 13 patients met inclusion criteria (9 dogs, 4 cats) treated for injuries such as patellar fracture, patellar ligament rupture, stifle luxation, and femoral condylar fractures.
  • The plate was contoured along the medial distal femur and proximal tibia, immobilizing the joint at 135–145° extension with at least three screws in each bone segment.
  • Implant removal occurred at a median of 58 days (range 27–96), aligning with the planned ~6-week immobilization period intended to protect repair while limiting cartilage damage.
  • No intraoperative complications were reported, and all animals were able to ambulate comfortably postoperatively.
  • One major complication (plate breakage at 19 days) required early removal and temporary orthotic support.
  • Four minor complications involved plate breakage occurring after the recommended removal time, often related to delayed follow-up appointments.
  • Respecting the planned 6-week implant removal is important to prevent implant failure, and dedicated anatomically designed plates may further improve technique reliability.

Forzisi

Veterinary and Comparative Orthopaedics and Traumatology

2

2026

Temporary Transarticular Immobilization of the Stifle Joint Using a Locking Plate

2026-2-vcot-forzisi-2

Article Title: Temporary Transarticular Immobilization of the Stifle Joint Using a Locking Plate

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Tobias 2022 et al., on perineal hernia repair positioning, what postoperative complication occurred most frequently during hospitalization?

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Correct. Perineal swelling was the most common in-hospital complication (5 cases).
Incorrect. The correct answer is Perineal swelling.
Perineal swelling was the most common in-hospital complication (5 cases).

🔍 Key Findings

  • Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
  • Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
  • Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
  • Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
  • Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
  • Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
  • Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
  • Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.

Tobias

Veterinary Surgery

5

2022

Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

2022-5-VS-tobias-4

Article Title: Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

Journal: Veterinary Surgery

In Walker 2025 et al., on ventral slot guides, which of the following was NOT significantly improved with guide use?

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Correct. Slot divergence variability was only modestly reduced (54% to 50%, p = .463).
Incorrect. The correct answer is Slot divergence from midline.
Slot divergence variability was only modestly reduced (54% to 50%, p = .463).

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

  • GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
  • FHVS produced significantly shorter slots than intended (p < .01)
  • No difference in surgical time (p = .071)
  • Shape ratio and slot divergence from midline were similar between groups (p > .4)
  • Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

Walker

Veterinary Surgery

3

2025

Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

2025-3-VS-walker-5

Article Title: Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

Journal: Veterinary Surgery

In Mihara 2024 et al., on mitral valve repair in dogs, which technique was used during MVP?

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Correct. Cleft closure and leaflet suturing were not used; artificial chordae and annuloplasty were.
Incorrect. The correct answer is Artificial chordae and annuloplasty.
Cleft closure and leaflet suturing were not used; artificial chordae and annuloplasty were.

🔍 Key Findings

  • Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
  • MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
  • Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
  • Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
  • Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
  • The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
  • Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.

Mihara

Veterinary Surgery

3

2024

Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

2024-3-VS-mihara-3

Article Title: Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

Journal: Veterinary Surgery

In McCarthy 2022 et al., on 3D drill guide accuracy, what was the primary proposed benefit of using a 3D-printed guide?

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Correct. 3D-GDT minimized angular deviation and eliminated drill exits in this study.
Incorrect. The correct answer is It enhances drilling accuracy with reduced exit risk.
3D-GDT minimized angular deviation and eliminated drill exits in this study.

🔍 Key Findings

  • 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
  • No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
  • 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
  • Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
  • 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
  • 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
  • Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
  • The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.

McCarthy

Veterinary Surgery

1

2022

Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

2022-1-VS-mccarthy-5

Article Title: Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

Journal: Veterinary Surgery

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