Your Custom Quiz

In Bresciani 2022 et al., on modified urethrostomy outcomes, what was the most common early postoperative complication in cats undergoing mPPU?

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Correct. All cats experienced mild incontinence and skin scalding early post-op, which resolved spontaneously.
Incorrect. The correct answer is Peristomal dermatitis and mild incontinence.
All cats experienced mild incontinence and skin scalding early post-op, which resolved spontaneously.

🔍 Key Findings

  • Modified prepubic urethrostomy (mPPU) was effective for managing proximal urethral obstructions in male cats.
  • All 8 cats regained voluntary urination within 24 hours postoperatively.
  • Early urinary incontinence and peristomal dermatitis occurred in all cats but were self-limiting.
  • Two cats (25%) required surgical revision due to stomal obstruction from weight gain and abdominal fat.
  • No intraoperative complications were reported in any of the 8 cats.
  • Follow-up (13–84 months) showed sustained urinary continence and owner satisfaction in all cases.
  • The rectus abdominis muscle tunnel likely increased outflow resistance, minimizing persistent incontinence.
  • Recurrent hematuria and dysuria occurred in 3 cats but were managed conservatively.

Bresciani

Veterinary Surgery

2

2022

Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats

2022-2-VS-bresciani-1

Article Title: Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats

Journal: Veterinary Surgery

In Chan 2025 et al., on partial cuneiformectomy in BOAS dogs, which preoperative factor was significantly associated with higher odds of complications?

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Correct. Low BCS (<4) was significantly associated with higher complication risk (OR = 0.452, p = .004).
Incorrect. The correct answer is Low body condition score (BCS).
Low BCS (<4) was significantly associated with higher complication risk (OR = 0.452, p = .004).

🔍 Key Findings

  • Partial cuneiformectomy (PC) did not increase complication rates compared to multilevel surgery alone (overall complications: PC = 16.3%, non-PC = 19.4%; p = .758).
  • Major complication rates were not significantly different (PC = 11.6%, non-PC = 7.4%; p = .482).
  • Significant improvement in BOAS grade was observed in dogs undergoing PC (p < .0001).
  • BOAS index improved significantly in both groups, with greater median reduction in the PC group (28.5%) than non-PC (20.7%) (p < .0001).
  • Low body condition score (BCS <4) was significantly associated with higher complication rates (odds ratio = 0.452; p = .004).
  • Hospitalization duration did not differ between groups (median = 1 day; p = .743).
  • Mortality was low (3.5%) in the PC group despite more severe airway disease, suggesting the technique is safe even in advanced collapse.
  • The technique widened the rima glottidis without damaging surrounding structures, reducing airflow resistance and preserving laryngeal function.

Chan

Veterinary Surgery

6

2025

Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse

2025-6-VS-chan-3

Article Title: Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse

Journal: Veterinary Surgery

In Anderson 2025 et al., on wound drain configurations, which configuration achieved the greatest surface area coverage of the wound bed?

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Correct. Parallel drain configuration had significantly higher mean surface area coverage compared to others (p < .01).
Incorrect. The correct answer is Parallel configuration.
Parallel drain configuration had significantly higher mean surface area coverage compared to others (p < .01).

🔍 Key Findings

  • Study Design: Cadaveric model using four large-breed dogs with 10x10 cm full-thickness wounds at four locations (shoulder, thorax, flank, thigh).
  • Configurations Tested: Diagonal, opposite, parallel, and perpendicular placements of wound infusion catheter and JP drain.
  • Fluid Retrieval:
    • No significant difference by configuration (p = .92) or location (p = .32).
    • Perpendicular configuration had the highest mean retrieval (11.35 mL, 56.8% of instilled volume).
    • Flank location had the lowest retrieval (7.2 mL, 35.9%).
  • Surface Area Coverage:
    • Parallel configuration achieved the highest SA coverage (83.4% ± 11.6%, p < .01).
    • Perpendicular was lowest.
  • Leakage:
    • No difference in leakage between configurations (p = .74) or locations (p = .10).
    • Leakage commonly occurred at drain or catheter entry points (93.8% of wounds).
  • Conclusion: Parallel drain configuration optimized fluid dispersion. Infusion-retrieval systems may allow for topical therapy delivery in closed wounds.

Anderson

Veterinary Surgery

2

2025

Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

2025-2-VS-anderson2-1

Article Title: Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

Journal: Veterinary Surgery

In Huerta 2025 et al., on TPLO healing assessment, which breed had significantly lower healing scores at 8 weeks?

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Correct. Boxers had lower radiographic healing scores than Labradors with both scoring systems (p < 0.001)
Incorrect. The correct answer is Boxer dogs.
Boxers had lower radiographic healing scores than Labradors with both scoring systems (p < 0.001)

🔍 Key Findings

Population: 29 Boxer dogs and 29 age-matched Labrador Retrievers undergoing TPLO.
Scoring Systems Compared: 5-point vs. 10-point radiographic healing systems.
Healing Scores (Week 8):

  • Boxers: 5-point mean = 3.3; 10-point mean = 6.9
  • Labradors: 5-point mean = 3.6; 10-point mean = 7.5
  • Statistically significant difference (p = 0.0003 and p < 0.0001)

Osteotomy Gap ≥1 mm (present in 16.4%): Associated with significantly lower healing scores and increased recommendations for additional radiographic follow-up (p < 0.0001).
Observer Reliability:

  • Both systems = good interobserver consistency.
  • Slightly better intraobserver consistency with the 10-point scale.

Clinical Implication: Boxer dogs may need extended healing time or altered follow-up strategy after TPLO.

Huerta

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

2025-1-VC-Huerta-2

Article Title: Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Wylie 2025 et al., on femoral implant accuracy, what was the effect of inaccurate isometric placement on postoperative stifle stability?

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Correct. Inaccurate femoral implant positioning was significantly associated with increased internal tibial rotation at follow-up (p = .009), indicating possible implant failure.
Incorrect. The correct answer is It was significantly associated with increased internal tibial rotation.
Inaccurate femoral implant positioning was significantly associated with increased internal tibial rotation at follow-up (p = .009), indicating possible implant failure.

🔍 Key Findings

  • Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
  • Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
  • Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
  • SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
  • Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
  • No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
  • Minor and major complications were low and not significantly different between implant types.
  • A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.

Wylie

Veterinary Surgery

7

2025

Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

2025-7-VS-wylie-1

Article Title: Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

Journal: Veterinary Surgery

In Bondonny 2024 et al., what was the mid-term functional outcome rate after using the modified IM pin technique?

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Correct. Mid-term full functional outcome was achieved in 96.9% of cats (32/33 fractures):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is 96.9%.
Mid-term full functional outcome was achieved in 96.9% of cats (32/33 fractures):contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • Retrospective study of 33 fractures in 31 cats with Salter–Harris I or II distal femoral fractures
  • Used 1 intramedullary Steinmann pin + 1 laterally placed antirotational pin
  • 96.9% achieved full functional outcome at mid-term follow-up
  • No implant migration or removal required
  • Minor complications: 2 seromas; Major: 3 (patellar luxation [2], osteomyelitis [1])
  • Growth plate remained open in 27.3% of cases at 6–8 weeks post-op

Bondonny

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management

2024-2-VCOT-bondonny-1

Article Title: Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Mazdarani 2022 et al., on CBLO and stifle biomechanics, which statement best describes the **patellar ligament angle (PTA)** after CBLO?

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Correct. CBLO resulted in a parallel but lower PTA curve, indicating effective flexion induced by the osteotomy.
Incorrect. The correct answer is PTA was consistently lower than intact, mimicking flexion.
CBLO resulted in a parallel but lower PTA curve, indicating effective flexion induced by the osteotomy.

🔍 Key Findings

  • CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
  • CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
  • Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
  • Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
  • PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
  • Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
  • Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
  • Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

Mazdarani

Veterinary Surgery

6

2022

Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

2022-6-VS-mazdarani-5

Article Title: Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

Journal: Veterinary Surgery

In Lin 2025 et al., on surgical approaches to the radius, which approach provided significantly more surface exposure?

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Correct. The CLA exposed significantly more radial surface area than CMA.
Incorrect. The correct answer is Craniolateral approach.
The CLA exposed significantly more radial surface area than CMA.

🔍 Key Findings

  • Craniolateral approach (CLA) exposed significantly more radial surface area than craniomedial approach (CMA) (19.4 cm² vs. 13.8 cm²; p = 0.01).
  • Proximal width of exposure was greater in CLA, especially at 12.5% length (P2 level, p = 0.016), aiding plate placement.
  • No significant difference in exposed bone length between approaches.
  • CLA avoided major neurovascular structures, making dissection cleaner and safer proximally.
  • CMA consistently encountered median nerve/artery/vein, complicating proximal exposure.
  • CLA allowed better access to proximal radius for locking plate application, which may benefit MIPO techniques.
  • CLA also enables ulna fixation via the same incision, whereas CMA requires a separate skin incision.
  • Anatomical tilt of the proximal cranial surface favored CLA, requiring less plate contouring than CMA for proper fit.

Lin

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?

2025-3-VCOT-lin-1

Article Title: Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Nash 2024 et al., on proximal GER, what was the upper reference limit for cumulative proximal esophageal acid exposure?

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Correct. No proximal acid exposure was expected in healthy dogs, setting the upper reference limit at 0%.
Incorrect. The correct answer is 0%.
No proximal acid exposure was expected in healthy dogs, setting the upper reference limit at 0%.

🔍 Key Findings Summary

  • Population: 35 nonbrachycephalic dogs undergoing orthopedic procedures (TPLO)
  • Study design: Prospective observational using transnasal Digitrapper dual-sensor pH probe after short TIVA
  • Upper reference limits:
    • Distal GER events per hour: 2.4
    • Proximal GER events per hour: 0.4
    • Cumulative distal acid exposure: 2.3%
    • Cumulative proximal acid exposure: 0%
  • Median values (normal):
    • Distal GER events per hour: 0.3
    • Proximal GER events per hour: 0
  • Proximal GER observed in 12/31 dogs
  • No regurgitation observed in any dog
  • No major adverse events with probe use
  • Clinical implication: These parameters provide a reference for assessing excessive GER in future canine surgical cases

Nash

Veterinary Surgery

1

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs; a reference

2024-1-VS-nash-5

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs; a reference

Journal: Veterinary Surgery

In Haine 2022 et al., on outcomes in canine limb tumors, what was the overall R1 rate following planned narrow excision for soft tissue sarcomas?

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Correct. STSs had a 42% R1 rate vs 26% for MCTs in the study.
Incorrect. The correct answer is 42%.
STSs had a 42% R1 rate vs 26% for MCTs in the study.

🔍 Key Findings

  • Fewer R1 margins (tumor on ink) were achieved in mast cell tumors (MCTs) when using 6–10 mm lateral margins versus 0–5 mm (7% vs. 55%; _P_ = .049).
  • For soft tissue sarcomas (STSs), no benefit was seen in margin completeness between 0–5 mm vs. 6–10 mm lateral margins (41% vs. 43% R1).
  • Overall R1 rates were 26% for MCTs and 42% for STSs following PNE.
  • R scheme (“tumor on ink” = R1) had better interobserver agreement (83%) compared to ≤1 mm margin criteria (68% agreement).
  • Complication rate was moderate (26%), but no surgeries required revision.
  • Local recurrence/metastasis occurred in 14% of dogs, with 60% of those having R1 margins.
  • Adjunctive therapy was considered clinically indicated in 46% of 0–5 mm margin cases vs. 24% of 6–10 mm cases.
  • Histologic grade and tumor size were not predictive of margin completeness.

Haine

Veterinary Surgery

7

2022

Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

2022-7-VS-haine-3

Article Title: Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

Journal: Veterinary Surgery

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