Your Custom Quiz

In Mancusi 2026 et al., on cup impactor accuracy, what is the ideal angle of lateral opening (ALO) recommended for Zurich cementless total hip replacement cups in dogs?

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Correct. The literature and this study identify approximately 45° as the ideal ALO to minimize luxation risk after canine THR.
Incorrect. The correct answer is 45 degrees.
The literature and this study identify approximately 45° as the ideal ALO to minimize luxation risk after canine THR.

🔍 Key Findings

  • Cup positioning accuracy for the angle of lateral opening (ALO) was significantly influenced by impactor design for beginner surgeons.
  • The prototype impactor reduced ALO mean error for the beginner surgeon (1.8°) compared with the standard impactor (3.9°).
  • Senior surgeons achieved similar ALO accuracy regardless of impactor type, suggesting experience mitigates instrument limitations.
  • Beginner surgeons using the standard impactor tended to place cups with excessive ALO (~48.9°), deviating from the ideal 45°.
  • Cup retroversion accuracy was not significantly affected by the impactor type, indicating it depends more on surgeon experience and anatomical landmark recognition.
  • Typical acceptable retroversion range for Zurich THR cups is approximately 15–25°, matched to the patient’s acetabular anatomy.
  • Prototype impactor design improvements included ergonomic handle, wider hammering surface, shorter aiming bar, and cup-size–specific holders, improving instrument stability and alignment.
  • Improved instrument ergonomics may facilitate safer learning curves for surgeons performing canine total hip replacement.

Mancusi

Veterinary and Comparative Orthopaedics and Traumatology

2

2026

Comparison between Two Zurich Cementless Total Hip Replacement Cup Impactor Types in the Accuracy of Cup Positioning: An In Vitro Study

2026-2-vcot-mancusi-1

Article Title: Comparison between Two Zurich Cementless Total Hip Replacement Cup Impactor Types in the Accuracy of Cup Positioning: An In Vitro Study

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Rocheleau 2024 et al., on arthroscopic meniscal suturing, which group had the highest meniscal repair success rate?

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Correct. TPLO + IB had a 93.3% success rate vs 71.4% for TPLO-only.
Incorrect. The correct answer is TPLO with internal brace.
TPLO + IB had a 93.3% success rate vs 71.4% for TPLO-only.

🔍 Key Findings

  • Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
  • All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
  • The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
  • No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
  • Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
  • Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
  • The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
  • The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.

Rocheleau

Veterinary Surgery

5

2024

Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

2024-5-VS-rocheleau-3

Article Title: Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

Journal: Veterinary Surgery

In Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, which of the following best describes the utility of 3D-printed drill guides?

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Correct. 3D-PSGs enabled accurate pedicle screw placement in small deformed vertebrae of brachycephalic dogs:contentReference[oaicite:4]{index=4}.
Incorrect. The correct answer is Enabled screw placement in deformed vertebrae.
3D-PSGs enabled accurate pedicle screw placement in small deformed vertebrae of brachycephalic dogs:contentReference[oaicite:4]{index=4}.

🔍 Key Findings

  • Spinal stabilization with 3D-printed patient-specific drill guides (3D-PSGs) was safe, with no immediate perioperative complications reported.
  • 84% of pedicle screws were optimally placed, and only 0.5% breached the spinal canal, reflecting high placement accuracy.
  • 80% of dogs experienced no neurologic deterioration postoperatively, indicating reliable short-term safety.
  • 3D-PSGs were accurate and reproducible, even across multiple institutions and surgeons.
  • Mid-term outcomes were favorable: all dogs were ambulatory, and 90% had static or improved neurologic signs.
  • 7 of 10 mid-term follow-ups showed abnormal gait, though owners rated lifestyle ≥3/5, suggesting acceptable function.
  • 3D-printed guides enabled precise pedicle screw placement in deformed vertebrae, expanding options in small breeds.
  • One dog suffered a T4 spinous process fracture due to overextension of PMMA cement, emphasizing the need for cement placement caution.

Violini

Veterinary Surgery

4

2024

Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

2024-4-VS-violini-5

Article Title: Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

Journal: Veterinary Surgery

In Leu 2026 et al., on cadaver training outcomes, which component was NOT part of the structured training program?

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Correct. Training was cadaver-based only and did not include live surgical cases.
Incorrect. The correct answer is Live patient surgical procedures.
Training was cadaver-based only and did not include live surgical cases.

🔍 Key Findings

  • Structured cadaveric training significantly improved surgical technical skills with expert OSATS scores increasing from 17/35 to 23/35 (p = .001)
  • Self-assessment scores also improved significantly from 17/35 to 25/35 (p = .018), indicating perceived skill progression
  • Inter-assessor agreement was variable (κ = 0.04–0.65), with only moderate–substantial agreement between two of three experts
  • Agreement between self-assessment and expert assessment was poor (κ ≈ 0), highlighting inaccurate self-perception
  • Residents demonstrated better self-assessment accuracy than interns, suggesting experience improves insight into performance
  • Training program included multimodal structure (supervised sessions, self-directed practice, and one-on-one feedback), totaling ~45.8 hours over 3 months
  • OSATS GRS effectively detected skill improvement but has limitations in reliability, particularly due to subjective categories and lack of procedural specificity
  • Structured cadaver training is feasible and beneficial for residency programs, supporting integration into surgical curricula

Leu

Veterinary Surgery

3

2026

Structured assessment of a cadaveric orthopedic surgical training program of small animal surgeons in training: A prospective observational pilot study

2026-3-vs-leu-3

Article Title: Structured assessment of a cadaveric orthopedic surgical training program of small animal surgeons in training: A prospective observational pilot study

Journal: Veterinary Surgery

In Carvajal 2023 et al., on serum biomarkers post-THA, what was the observed trend in CRP levels from preoperative to 6-month follow-up?

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Correct. The study found no significant change across time points, with CRP levels staying within normal limits.
Incorrect. The correct answer is They remained low and stable.
The study found no significant change across time points, with CRP levels staying within normal limits.

🔍 Key Findings

  • C-reactive protein (CRP) and serum amyloid A (SAA) levels remained low at 3 and 6 months after uncomplicated THA in dogs.
  • No significant differences were observed in CRP or SAA between preoperative, 3-month, and 6-month time points.
  • Mean CRP values were 3.8 mg/L pre-op, 0.8 mg/L at 3 months, and 1.4 mg/L at 6 months.
  • Mean SAA values were 13.9 mg/L pre-op, 14.1 mg/L at 3 months, and 18.4 mg/L at 6 months.
  • All dogs recovered normally with no complications or persistent signs of inflammation at follow-up.
  • Study establishes baseline CRP and SAA levels for dogs post-THA, useful for comparison in suspected PJI.
  • These markers may help differentiate periprosthetic joint infection (PJI) if values deviate from baseline post-THA.
  • NSAID therapy was discontinued by 6 months in all dogs, possibly reflecting decreased inflammation.

Carvajal

Veterinary Surgery

1

2023

Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

2023-1-VS-carvajal-1

Article Title: Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

Journal: Veterinary Surgery

In Adair 2023 et al., on PCCLm vs. open cystotomy, what was the most common reason for converting PCCLm to OC?

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Correct. Most PCCLm to OC conversions (4/5) were due to difficulty retrieving numerous stones.
Incorrect. The correct answer is Too numerous stones to retrieve with cystoscope.
Most PCCLm to OC conversions (4/5) were due to difficulty retrieving numerous stones.

🔍 Key Findings

  • PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
  • Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
  • PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
  • Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
  • Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
  • PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
  • Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
  • Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.

Adair

Veterinary Surgery

6

2023

Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

2023-7-VS-adair-2

Article Title: Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

Journal: Veterinary Surgery

In Neal 2023 et al., on transcondylar screw placement, which technique had more drill/pin attempts, increasing risk of glove puncture and contamination?

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Correct. Fluoroscopy resulted in significantly more pin/drill attempts and increased glove punctures.
Incorrect. The correct answer is Fluoroscopy.
Fluoroscopy resulted in significantly more pin/drill attempts and increased glove punctures.

🔍 Key Findings

  • Aiming device provided comparable trajectory accuracy to fluoroscopy, especially in right limbs (1.9° vs. 3.4°, p = .0128).
  • Eccentricity (deviation from condylar center) was lower with fluoroscopy (3.1 mm vs 4.2 mm, p = .0017), making fluoroscopy more precise.
  • Odds of joint infringement were 8× higher with the aiming device, though not statistically significant (p = .0575).
  • Residents had greater screw trajectory deviation than diplomates (p = .0366), highlighting impact of experience.
  • Aiming device procedures took less time than fluoroscopy in some scenarios, particularly for right limbs with right-handed surgeons.
  • Fluoroscopic procedures had more pin/drill attempts, increasing risk of glove puncture and potential aseptic breaks.
  • Mean deviation angles in both groups (<3.5°) were within acceptable range to avoid intracondylar fracture gap.
  • Cadaver model used large-breed, healthy adult dogs, not small-breed immature dogs, limiting generalizability.

Neal

Veterinary Surgery

4

2023

The effect of an aiming device on the accuracy of humeral transcondylar screw placement

2023-4-VS-neal-5

Article Title: The effect of an aiming device on the accuracy of humeral transcondylar screw placement

Journal: Veterinary Surgery

In Moreira 2024 et al., on predictive equations for TPA correction, which CCWO technique produced the **greatest** tibial shortening at high wedge angles?

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Correct. Slocum and Devine CCWO had up to 40.9% mTL reduction, the highest among all.
Incorrect. The correct answer is Slocum and Devine.
Slocum and Devine CCWO had up to 40.9% mTL reduction, the highest among all.

🔍 Key Findings

  • A linear relationship was observed between wedge angle and tibial plateau angle (TPA) correction across all four CCWO techniques.
  • All techniques produced predictable TPA corrections using linear regression-derived equations, allowing wedge angle extrapolation to achieve a target postoperative TPA of 5°.
  • TLA shift (tibial long axis) increased with wedge angle and influenced final TPA; greatest in Frederick & Cross method.
  • Tibial shortening (mTL%) varied by technique, being most severe (up to 40.9%) in traditional Slocum & Devine CCWO and least in newer techniques (7.5–12%).
  • The Oxley mCCWO technique showed lower TLA shift compared to the Frederick & Cross and Christ techniques, though similar to Slocum & Devine; tibial shortening was more pronounced than other modified techniques at wedge angles ≤40°.
  • Techniques varied in craniocaudal translation and wedge apex positioning, influencing planning accuracy and mechanical axis alignment.
  • The corrective wedge angle equations reliably predicted TPA within 4–6° across varied tibial conformations.
  • The study supports equation-based planning over static TPA–5° subtraction to reduce risk of under- or over-correction.

Moreira

Veterinary Surgery

8

2024

Predicting tibial plateau angles following four different types of cranial closing wedge ostectomy

2024-8-VS-moreira-2

Article Title: Predicting tibial plateau angles following four different types of cranial closing wedge ostectomy

Journal: Veterinary Surgery

In Healy 2025 et al., on incidental PBBs, what was the observed rate of spontaneous pneumothorax in dogs during follow-up?

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Correct. None of the 30 dogs with incidental PBBs developed clinical SP during a median 1255-day follow-up.
Incorrect. The correct answer is 0%.
None of the 30 dogs with incidental PBBs developed clinical SP during a median 1255-day follow-up.

🔍 Key Findings

Population: 2,178 canine CTs reviewed retrospectively.
Prevalence: Incidental PBBs found in 1.37% (30/2178).
Outcome: None of the dogs with incidental PBBs developed clinical spontaneous pneumothorax (SP) over a median follow-up of 1255 days.
Significant Associations:

  • Age: Dogs with PBBs were significantly older (median 10.5 yrs vs. 8.2 yrs, p = .001).
  • CT indication: PBBs more likely during neoplastic staging (p = .006).

PBB Characteristics:

  • Total = 60 PBBs (median 1/dog; range 1–7).
  • Location: 35% in left caudal, 31.6% right caudal, only 13.3% in right cranial lobe.
  • Size-based: 25 bullae (>10 mm), 35 blebs (≤10 mm).

Conclusion: Prophylactic resection of incidental PBBs not justified given no observed SP risk in this population.

Healy

Veterinary Surgery

1

2025

Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

2025-1-VS-healy-2

Article Title: Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

Journal: Veterinary Surgery

In García 2025 et al., on TIAS shunt confirmation, what was the outcome in dogs with microbubbles still visible after initial occlusion?

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Correct. Two dogs had microbubbles after occlusion due to secondary vessels and required additional ligation.
Incorrect. The correct answer is Required ligation of second vessel.
Two dogs had microbubbles after occlusion due to secondary vessels and required additional ligation.

🔍 Key Findings

  • 40 dogs with congenital EHPSS were surgically treated using intraoperative transsplenic injection of agitated saline (TIAS) to assess full temporary occlusion.
  • TIAS was successful in 38/40 dogs; the remaining 2 had additional shunting vessels not originally seen and required further identification/ligation.
  • No intraoperative or postoperative complications occurred.
  • TIAS allowed real-time confirmation of attenuation success using ultrasound-visible microbubbles.
  • Median postoperative bile acids were 5 μmol/L (preprandial) and 25 μmol/L (postprandial).
  • Long-term outcomes: 29/39 dogs had excellent, 10/39 had good outcomes; 3 dogs died unrelated to EHPSS.
  • Technique is presented as a safe, quick, low-cost, accessible intraoperative assessment alternative to IOMP or SP.

Garcia

Veterinary Surgery

2

2025

Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

2025-2-VS-garcia-2

Article Title: Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

Journal: Veterinary Surgery

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