Your Custom Quiz

In Pfund 2025 et al., on femoral cortical thickness, what best describes the reliability of CTI measurements across observers?

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Correct. The CTI showed excellent interobserver reliability with minimal variability.
Incorrect. The correct answer is Near-perfect agreement, ICC = 0.984.
The CTI showed excellent interobserver reliability with minimal variability.

🔍 Key Findings

  • Lower CTI values were significantly associated with higher risk of both intraoperative and postoperative femoral fractures or fissures (p <.0001).
  • The mean CTI for all dogs was 0.285, whereas dogs with fissures/fractures had a mean CTI of 0.246.
  • For each 0.001 increase in CTI, odds of fissure/fracture decreased by 2–3% depending on perioperative timing.
  • High interobserver reliability (ICC = 0.984) and consistency between pre- and postoperative CTI measurements (ICC = 0.96).
  • CTI was the only significant risk factor identified; age, breed, bodyweight, BCS, CFI, or luxoid hips were not significant.
  • Prophylactic lateral plating in dogs with low CTI (mean 0.230) resulted in no postoperative fractures.
  • Postoperative fractures occurred in 8% of cases, and 93% of dogs returned to full function within one year.
  • CTI may be a useful radiographic screening tool, especially when advanced imaging (e.g., DEXA) is unavailable.

Pfund

Veterinary Surgery

6

2025

Femoral cortical thickness index in a population of dogs undergoing total hip replacement

2025-6-VS-pfund-4

Article Title: Femoral cortical thickness index in a population of dogs undergoing total hip replacement

Journal: Veterinary Surgery

In Karydas 2025 et al., on follow-up radiography, which combination of clinical indicators most strongly predicted a need for plan adjustment?

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Correct. Abnormal clinical exam had the highest OR (44.8), especially when combined with lameness.
Incorrect. The correct answer is Lameness + abnormal exam findings.
Abnormal clinical exam had the highest OR (44.8), especially when combined with lameness.

🔍 Key Findings

139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:

  • Owner concerns (OR: 7.6)
  • Analgesic use at follow-up (OR: 7.9)
  • Lameness (OR: 5.9)
  • Abnormal clinical exam (OR: 44.8)
  • Radiographic abnormalities (OR: 51.9)

No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.

Karydas

Veterinary Surgery

2

2025

Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

2025-2-VS-karydas-4

Article Title: Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

Journal: Veterinary Surgery

In Holman 2024 et al., on canine shoulder arthroscopy, what was the main method used to mark the limits of visualization?

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Correct. Tattoo ink was injected arthroscopically to mark the visual limits for later dissection.
Incorrect. The correct answer is Ink injection into soft tissue.
Tattoo ink was injected arthroscopically to mark the visual limits for later dissection.

🔍 Key Findings

  • 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
  • 58% of the medial glenohumeral ligament's cranial border was within view.
  • 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
  • Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
  • Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.

Holman

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

2024-1-VCOT-holman-4

Article Title: Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Anderson 2025 et al., on liver hemostatic agents, what was the time to 50% hemostasis for the AG group?

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Correct. Time to 50% hemostasis was 2:00 in AG vs. 4:49 in PC, demonstrating more rapid effect with the AG sponge.
Incorrect. The correct answer is 2 minutes 00 seconds.
Time to 50% hemostasis was 2:00 in AG vs. 4:49 in PC, demonstrating more rapid effect with the AG sponge.

🔍 Key Findings

  • Study Design: Prospective, randomized clinical trial of 45 dogs undergoing liver biopsy or lobectomy.
  • Groups:
    • Adhesive gelatin sponge (AG) group (n=22)
    • Plain collagen sponge (PC) group (n=23)
  • Main Results:
    • At 5 minutes post-application, 10/20 PC dogs were still bleeding vs. 2/20 AG dogs (p = 0.0138).
    • AG had significantly better adhesion scores (median 2 vs. 1, p < 0.001).
    • Sponge dislodgement: 5/23 in PC group, 0/22 in AG group (p = 0.042).
    • Time to 50% hemostasis: AG = 2 min, PC = 4 min 49 sec.
  • Complications: No adverse events related to either sponge.
  • Conclusion: Adhesive gelatin sponges offered superior intraoperative adhesion and hemostatic control during canine liver surgery compared to collagen sponges.

Anderson

Veterinary Surgery

2

2025

A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery

2025-2-VS-anderson1-4

Article Title: A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery

Journal: Veterinary Surgery

In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, what percentage of prophylactic fenestrations were performed at adjacent disc sites?

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Correct. 88.9% of prophylactic fenestrations were at adjacent discs, targeting common recurrence sites.
Incorrect. The correct answer is 89%.
88.9% of prophylactic fenestrations were at adjacent discs, targeting common recurrence sites.

🔍 Key Findings

  • Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
  • Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
  • 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
  • Medical management was effective in 92.9% of recurrence cases.
  • Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
  • Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
  • Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
  • No major complications or deaths linked directly to PF in initial surgeries.

Berthomé

Veterinary Surgery

6

2025

Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

2025-6-VS-berthome-5

Article Title: Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

Journal: Veterinary Surgery

In Young 2023 et al., on minimally invasive parathyroidectomy, what percentage of dogs developed permanent hypocalcemia requiring lifelong calcitriol?

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Correct. Two dogs (4.4%) developed permanent hypocalcemia needing lifelong supplementation.
Incorrect. The correct answer is 4.4%.
Two dogs (4.4%) developed permanent hypocalcemia needing lifelong supplementation.

🔍 Key Findings

  • Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
  • Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
  • Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
  • Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
  • Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
  • Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
  • Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
  • One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.

Young

Veterinary Surgery

1

2023

Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

2023-1-VS-young-5

Article Title: Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

Journal: Veterinary Surgery

In Danielski 2022 et al., on PAUL complications, which factor was significantly associated with increased risk of post-operative complications?

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Correct. Heavier dogs had a 7% increased risk of complications per kg.
Incorrect. The correct answer is Body weight.
Heavier dogs had a 7% increased risk of complications per kg.

🔍 Key Findings

  • Major complications occurred in 25.6% of limbs treated with PAUL, including non-union, implant failure, and infection requiring revision surgery.
  • Increased body weight was significantly associated with a higher risk of complications (7% increased risk per additional kg; p = .04).
  • Post-operative radiographic assessment was unreliable in predicting complications; inter-observer agreement was poor (kappa ≤ 0.12).
  • Expert evaluation of implant or reduction errors had low predictive value (k < 0.2) for postoperative complications.
  • Common major complications included non-union (6 limbs), screw breakage, and surgical site infections.
  • Implant removal was required in 11.5% of limbs, mostly due to non-union or infection.
  • Being a Labrador appeared protective on univariate analysis, but not on multivariate analysis after adjusting for weight.
  • Radiographs showing suboptimal plate placement or osteotomy reduction did not reliably correlate with actual complication occurrence.

Danielski

Veterinary Surgery

1

2022

Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

2022-1-VS-danielski-1

Article Title: Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

Journal: Veterinary Surgery

In Kokkinos 2025 et al., on THR age effects, which variable remained significantly associated with complications on multivariable analysis?

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Correct. Only age <6 months was statistically associated with increased complication risk on multivariable analysis.
Incorrect. The correct answer is Age at surgery.
Only age <6 months was statistically associated with increased complication risk on multivariable analysis.

🔍 Key Findings

  • Study population: 116 dogs underwent cementless THR; grouped by age:
    • Group A: ≤6 months (n = 27)
    • Group B: >6 to ≤12 months (n = 41)
    • Group C: >12 months (n = 48)
  • Overall perioperative complication rate: 31.9% (37/116)
    • Group A: 22.2%
    • Group B: 26.8%
    • Group C: 41.7%
  • No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
  • Luxation was significantly more common in dogs >12 months:
    • Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
  • Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
  • Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
  • No infections or aseptic loosening observed during the 8-week follow-up.

Kokkinos

Veterinary Surgery

3

2025

The influence of age at total hip replacement on perioperative complications in dogs

2025-3-VS-kokkinos-3

Article Title: The influence of age at total hip replacement on perioperative complications in dogs

Journal: Veterinary Surgery

In Murphy 2024 et al., what was the overall prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg?

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Correct. Contralateral CCLR occurred in 159/831 dogs, or 19.1%, lower than prior reports of 33–48% prevalence.
Incorrect. The correct answer is 19.1%.
Contralateral CCLR occurred in 159/831 dogs, or 19.1%, lower than prior reports of 33–48% prevalence.

🔍 Key Findings Summary

  • Prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg was 19.1%, notably lower than previous studies (33–50%).
  • Median time to contralateral CCLR was 12.9 months.
  • Older age reduced risk — 2% decrease per month of age (p=0.003).
  • Golden Retrievers and Labradors had significantly lower risk (p=0.028 and p=0.007, respectively).
  • No effect found from TPA, meniscal injury, or comorbidities (e.g., hip dysplasia, hypothyroidism).

Murphy

Veterinary and Comparative Orthopedics and Traumatology

1

2024

The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older

2024-1-VCOT-murphy-1

Article Title: The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Peterson 2022 et al., on crescent guide in TPLO, which device took the longest time to apply in bone models?

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Correct. The radial saw guide took the longest to apply (median 243s), while the crescent guide was the fastest (median 111s).
Incorrect. The correct answer is Radial saw guide.
The radial saw guide took the longest to apply (median 243s), while the crescent guide was the fastest (median 111s).

🔍 Key Findings

  • Crescent guide use resulted in significantly less medial cortical damage (mean 3.8 mm²) than the radial saw guide (35.7 mm²) and standard jig (51.3 mm²) in bone models.
  • No significant difference in osteotomy accuracy (distance of eccentricity, coronal or axial angulation) among crescent guide, radial guide, or standard jig in either bone models or cadavers.
  • Device application time was shortest with the crescent guide and longest for the radial saw guide.
  • Osteotomy time was fastest with the crescent guide compared to the radial saw guide (P = .015).
  • Participants rated the crescent guide easier to apply than both the radial saw guide (P < .005) and the standard jig (P = .015).
  • 5 of 6 novice participants preferred the crescent guide over the other devices for performing TPLO.
  • Subjective ease of osteotomy performance was higher with the crescent guide vs. radial guide (P < .001).
  • Crescent guide does not assist in fragment stabilization or plateau rotation unlike a standard TPLO jig.

Peterson

Veterinary Surgery

3

2022

Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

2022-3-VS-peterson-3

Article Title: Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

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