Your Custom Quiz

In Kimura 2025 et al., on mini-THA in <4 kg dogs, what complication led to the discontinuation of a THA procedure in one case?

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Correct. In one case, cup impaction led to a rim fracture preventing stem placement:contentReference[oaicite:3]{index=3}.
Incorrect. The correct answer is Dorsal acetabular rim fracture.
In one case, cup impaction led to a rim fracture preventing stem placement:contentReference[oaicite:3]{index=3}.

🔍 Key Findings

  • Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
  • Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
  • Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
  • Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
  • Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
  • Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
  • No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
  • CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.

Kimura

Veterinary Surgery

6

2025

Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

2025-6-VS-kimura-4

Article Title: Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

Journal: Veterinary Surgery

In Paulick 2022 et al., on feline ilial plating, which implant groups endured **more cycles** and **greater load** before displacement compared to DCP?

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Correct. Only FIXIN and LCP showed statistically superior performance over DCP in load cycles before displacement.
Incorrect. The correct answer is FIXIN and LCP.
Only FIXIN and LCP showed statistically superior performance over DCP in load cycles before displacement.

🔍 Key Findings

  • Locking plates (except ALPS-5) withstood significantly more cycles before failure than nonlocking DCP constructs.
  • ALPS-6.5, LCP, and FIXIN plates endured higher loads and resisted displacement better than DCP and ALPS-5.
  • ALPS-5 plates showed lower bending stiffness than all other constructs (P < .05).
  • DCP constructs failed due to screw loosening, seen in all specimens.
  • Locking constructs failed by bone slicing, affecting 100% of specimens.
  • Catastrophic implant failure (fracture or plastic deformation) occurred only in ALPS-5 group.
  • Plate size and screw-plate interface both influence resistance to cyclic loading in feline ilial fracture repair.
  • Locking plates are preferable for reducing screw pullout, but plate strength (e.g., cross-section) must match loading forces.

Paulick

Veterinary Surgery

1

2022

Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats

2022-1-VS-paulick-3

Article Title: Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats

Journal: Veterinary Surgery

In Renaud 2025 et al., on biliary peritonitis surgery, what procedure was performed in 94% of dogs?

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Correct. Cholecystectomy was performed in 94% of dogs, making it the most common surgical intervention.
Incorrect. The correct answer is Cholecystectomy.
Cholecystectomy was performed in 94% of dogs, making it the most common surgical intervention.

🔍 Key Findings

Mortality rate: 36% (12/33)
Cholecystectomy performed: 94% of dogs (31/33)
New significant prognostic factors for survival:

  • Hyperbilirubinemia (p = .049) — threshold = 60.5 μmol/L
  • Use of vasopressors (p = .002)
  • Renal dysfunction postoperatively (p = .008)
  • Number of postoperative complications (p = .005)

Multivariate model: Total bilirubin and number of complications best predicted survival
Septic vs nonseptic effusion: No significant difference in survival
Diagnostic imaging: Ultrasound sensitivity for extrahepatic biliary rupture = 38%
Most cultured pathogen: E. coli (80% of septic cases)

Renaud

Veterinary Surgery

2

2025

Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

2025-2-VS-renaud-5

Article Title: Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

Journal: Veterinary Surgery

In Paul 2024 et al., on postoperative analgesia with BLIS vs fentanyl in amputation, at which time point did BLIS show significantly lower pain scores?

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Correct. BLIS pain scores were significantly lower at 6 h; equivalence was not shown at this time point.
Incorrect. The correct answer is 6 hours.
BLIS pain scores were significantly lower at 6 h; equivalence was not shown at this time point.

🔍 Key Findings

  • BLIS (bupivacaine liposome injectable solution) provided equivalent analgesia to fentanyl CRI based on CMPS-SF scores at all time points except 6h, where BLIS was superior
  • Fewer adverse effects (nausea, vomiting, sedation) were noted in the BLIS group
  • BLIS dogs ate sooner postoperatively (median 6h vs 9h in control)
  • Sedation occurred in 2/20 dogs in BLIS group vs 10/20 in fentanyl group
  • Vomiting occurred in 0/20 BLIS dogs vs 4/20 in fentanyl group
  • Rescue analgesia rates were similar (5 BLIS vs 4 fentanyl group), confirming noninferiority
  • Owner-reported VAS scores were lower for BLIS on day 1 a.m. and p.m. despite variability
  • Results suggest BLIS could reduce opioid reliance post-amputation

Paul

Veterinary Surgery

6

2024

Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

2024-6-VS-paul-1

Article Title: Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

Journal: Veterinary Surgery

In Trefny 2025 et al., on plate length and stiffness, strain in the bone model adjacent to the plate end was significantly lower in which configurations?

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Correct. ROI7 strain in the bone model was lower in 10- and 12-hole vs 6-hole constructs.
Incorrect. The correct answer is 10-hole and 12-hole.
ROI7 strain in the bone model was lower in 10- and 12-hole vs 6-hole constructs.

🔍 Key Findings

  • 12-hole LCPs (80% plate–bone ratio) showed significantly higher construct stiffness than 6-, 8-, or 10-hole plates in both compression and tension bending.
  • Strain on the plate was significantly lower in 12-hole vs 6-hole plates at all regions of interest (ROIs), especially around the fracture gap.
  • No incremental increases in stiffness or decreases in strain were observed between 6-, 8-, and 10-hole plates—only when comparing to 12-hole plates.
  • Bone model strain adjacent to the plate end was significantly lower for 10- and 12-hole plates vs 6-hole plates under both loading conditions.
  • The threshold effect suggests biomechanical benefits only emerge beyond a plate–bone ratio of ~80%.
  • Working length increased from 9.4 mm (6-hole) to 13 mm (others), potentially influencing strain/stiffness differences.
  • Four-point bending was used, as it replicates the most biomechanically relevant force on plated long bones.
  • Clinical implication: Longer plates may reduce plate strain and peri-implant bone strain, potentially lowering risk of fatigue failure or stress risers.

Trefny

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate

2025-2-VCOT-trefny-3

Article Title: Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Cherzan 2023 et al., on subcutaneous mast cell tumors, which histologic feature was most strongly associated with shorter disease-free interval and survival time?

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Correct. Mitotic index >7 was associated with higher recurrence, shorter DFI, and shorter survival.
Incorrect. The correct answer is Mitotic index >7.
Mitotic index >7 was associated with higher recurrence, shorter DFI, and shorter survival.

🔍 Key Findings

  • Local recurrence occurred in 17.8% of dogs, and was associated with significantly decreased survival (551 vs 1722 days, p = .0038).
  • Lymph node metastasis occurred in 26.7% of dogs and was significantly associated with shorter disease-free interval (194 vs not reached, p = .0012) and lower survival (551 vs 1722 days, p = .043).
  • Mitotic index >7 was significantly associated with higher recurrence (80% vs 22.5%, p = .02), shorter DFI (139 vs not reached days, p < .001), and shorter survival (247 vs 1722 days, p = .05).
  • Infiltrative growth pattern was associated with shorter DFI (268 vs 1864 days, p = .011), but not with survival or recurrence.
  • Incomplete margins (≤1 mm) were not significantly associated with recurrence (p = .085), but did correlate with shorter DFI (p = .043).
  • Chemotherapy or radiation therapy was associated with shorter DFI and survival, likely due to selection bias for more aggressive disease.
  • Tumor size >3 cm was associated with decreased survival (p = .031), but not with recurrence or DFI.
  • Multinucleation and necrosis were not associated with prognosis outcomes.

Cherzan

Veterinary Surgery

4

2023

Factors affecting prognosis in canine subcutaneous mast cell tumors: 45 cases

2023-4-VS-cherzan-1

Article Title: Factors affecting prognosis in canine subcutaneous mast cell tumors: 45 cases

Journal: Veterinary Surgery

In de Moya 2023 et al., on FGPP of femoral capital physeal/neck fractures, which factor was most associated with poor outcomes requiring salvage procedures?

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Correct. Dogs presenting >15 days post-injury with remodeling had higher risk of implant failure and malunion.
Incorrect. The correct answer is Chronicity with radiographic remodeling.
Dogs presenting >15 days post-injury with remodeling had higher risk of implant failure and malunion.

🔍 Key Findings

  • 11 dogs, 13 fractures (mostly Salter-Harris type I) were repaired with FGPP using Kirschner wires.
  • 10/13 fractures achieved satisfactory healing with good limb function at ~43 days median follow-up.
  • Major complications occurred in 5 dogs: intra-articular pin placement, implant migration (2), implant failure with nonunion, and malunion.
  • 2 dogs presenting >15 days post-injury with radiographic remodeling were poor candidates → higher risk of nonunion/malunion.
  • Preoperative displacement was mostly mild (10/13 fractures); these had better outcomes than chronic or severely displaced cases.
  • Median surgical time: 60 minutes (range 45–75), all performed percutaneously without conversion to open.
  • Elective pin removal was performed in 5 cases; migration occurred with both short and long cut wires.
  • Femoral neck resorption (“apple-coring”) was rare (2/10 healed cases) and thought to be less frequent than after ORIF due to reduced vascular disruption.

de Moya

Veterinary Surgery

7

2023

Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-7-VS-demoya-2

Article Title: Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

In Monti 2025 et al., on lymph node fluorescence imaging, what was the most common intraoperative complication encountered during NIRF-ICG guided laparoscopic ISLN excision?

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Correct. Capsular rupture with ICG dye dispersion was reported in one of the two dogs requiring conversion to open surgery.
Incorrect. The correct answer is Capsular disruption with dye leakage.
Capsular rupture with ICG dye dispersion was reported in one of the two dogs requiring conversion to open surgery.

🔍 Key Findings

  • Laparoscopic ISLN removal using NIRF-ICG was feasible in 89% of dogs (16/18), demonstrating high procedural success with minimal invasiveness.
  • Median laparoscopic dissection time was only 12 minutes, suggesting efficiency of the NIRF-guided approach.
  • No postoperative complications were observed, and intraoperative complications occurred in only 2 dogs (11.1%), both requiring conversion to open surgery.
  • Metastatic disease was confirmed in 48% of patients (12/25 nodes), including cases where LNs appeared normal in size, highlighting the value of histologic evaluation.
  • NIRF-ICG enabled precise identification of small and mildly enlarged nodes, which are often missed during traditional imaging or palpation.
  • Fluorescent dye leakage following LN capsule rupture limited visibility and required surgical conversion, indicating a key limitation of the technique.
  • ICG signal was occasionally absent in metastatic LNs, likely due to lymphatic rerouting or obstruction, underscoring limitations in SLN identification.
  • The lateral approach allowed consistent access to ipsilateral MILN, IILN, and sacral LNs, though contralateral nodes were inaccessible with this method.

Monti

Veterinary Surgery

6

2025

Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

2025-6-VS-monti-1

Article Title: Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

Journal: Veterinary Surgery

In Knudsen 2024 et al., on observer performance, which observer factor significantly influenced diagnostic accuracy?

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Correct. Inexperienced observers showed significant improvement from Reading 1 to 2; experience had a direct effect on performance.
Incorrect. The correct answer is Experience level and training.
Inexperienced observers showed significant improvement from Reading 1 to 2; experience had a direct effect on performance.

🔍 Key Findings Summary

  • Study Design: Prospective case series of 52 scans from 44 dogs with CCL injury.
  • Main Technique: 16-slice CTA; evaluated by 3 observers with varying experience; validated against surgical mini-medial arthrotomy findings.
  • Diagnostic Metrics (Reading 2):
    • Sensitivity: 1.00 (Observers 1 & 2), 0.93 (Observer 3)
    • Specificity: 0.78–0.91
    • Positive Likelihood Ratio: Up to 10.71
    • Negative Likelihood Ratio: As low as 0.08
    • Accuracy: 90%+ for all in Reading 2
  • Observer Effect: Significant improvement between first and second reading for less experienced observers (p < 0.05); learning curve evident.
  • Meniscal lesions found:
    • 9/12 in suspected late meniscal injury cases
    • 19/40 in newly diagnosed CCL cases
    • Most common = bucket handle tears
  • Conclusion: Multidetector CTA is a clinically useful, non-invasive tool for identifying medial meniscal lesions in dogs with CCL disease.

Knudsen

Veterinary Surgery

1

2024

Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

2024-1-VS-knudsen-2

Article Title: Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

Journal: Veterinary Surgery

In Sanders 2024 et al., on feline anastomosis techniques, where was leakage most commonly observed in skin-stapled constructs?

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Correct. In skin-stapled constructs, 8/10 leaks originated at staple holes, with 2 additional from the cut edge.
Incorrect. The correct answer is Staple holes.
In skin-stapled constructs, 8/10 leaks originated at staple holes, with 2 additional from the cut edge.

🔍 Key Findings Summary

  • ILP and MIP: No significant differences in leak pressure between HSA, FEESA, and SS techniques (p > .05).
  • Construct Time:
    • FEESA (no oversew) fastest: 79 ± 30 s
    • HSA-SI slowest: 397 ± 70 s (p < .001)
  • Tissue Thickness:
    • Jejunum thickest: 2.28 ± 0.30 mm
    • Stomach thinnest: 1.66 ± 0.28 mm
  • Staple Malformation: Noted in 2 FEESA-O constructs, vertical staple line.
  • Leak Locations:
    • HSA: All leaked from suture bites
    • FEESA: Leaks from vertical and horizontal staple lines
    • SS: Mostly from staple holes

Sanders

Veterinary Surgery

2

2024

Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats

2024-2-VS-sanders-4

Article Title: Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats

Journal: Veterinary Surgery

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