Your Custom Quiz

In Beer 2026 et al., on synovial CRP biomarkers, which diagnostic approach did the authors recommend for suspected bacterial infective arthritis?

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Correct. The authors concluded that bacterial infective arthritis remains challenging to diagnose and requires multiple complementary diagnostic factors.
Incorrect. The correct answer is Integrate history, cytology, culture findings, and treatment response.
The authors concluded that bacterial infective arthritis remains challenging to diagnose and requires multiple complementary diagnostic factors.

🔍 Key Findings

  • Synovial CRP was significantly lower in osteoarthritis than both IMPA and bacterial infective arthritis (p=0.001 for both comparisons).
  • Synovial CRP could not differentiate IMPA from bacterial infective arthritis (p=0.721), limiting its value as a stand-alone diagnostic test.
  • Median synovial CRP concentrations were 0.2 mg/L (OA), 65.79 mg/L (IMPA), and 60.8 mg/L (infective arthritis).
  • Synovial CRP is useful for distinguishing inflammatory from non-inflammatory arthropathies, but not infectious from sterile inflammatory disease.
  • Synovial neutrophil count positively correlated with synovial CRP in IMPA and infective arthritis, supporting CRP as a marker of joint inflammation.
  • Serum and synovial CRP showed a moderate positive correlation in IMPA cases (r=0.52), although not statistically significant.
  • Higher synovial CRP was associated with increased lameness severity in osteoarthritis (r=0.91, p=0.004).
  • Diagnosis of bacterial infective arthritis remains multifactorial, requiring integration of history, cytology, culture, and treatment response rather than CRP alone.

Beer

Veterinary and Comparative Orthopaedics and Traumatology

3

2026

Synovial Fluid C-Reactive Protein as a Biomarker in Osteoarthritis, Immune-Mediated Polyarthritis and Bacterial Infective Arthritis

2026-3-vcot-beer-5

Article Title: Synovial Fluid C-Reactive Protein as a Biomarker in Osteoarthritis, Immune-Mediated Polyarthritis and Bacterial Infective Arthritis

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Chik 2025 et al., on abdominal wall prestretching, what was the effect of prestretching on the need for increased insufflation or conversion to open surgery?

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Correct. All 50 dogs completed laparoscopic procedures at 6 mmHg after PS, without conversion or pressure increase.
Incorrect. The correct answer is No dogs required increased insufflation or conversion to open.
All 50 dogs completed laparoscopic procedures at 6 mmHg after PS, without conversion or pressure increase.

🔍 Key Findings

  • Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
  • PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
  • All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
  • Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
  • Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
  • No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
  • Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
  • Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.

Chik

Veterinary Surgery

5

2025

Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

2025-5-VS-chik-4

Article Title: Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

Journal: Veterinary Surgery

In Almeida 2025 et al., on TPLO and partial CCL rupture, where was the greatest increase in ligament thickness observed postoperatively?

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Correct. The largest increase in PLT was recorded at the midpoint of the patellar ligament.
Incorrect. The correct answer is Midpoint.
The largest increase in PLT was recorded at the midpoint of the patellar ligament.

🔍 Key Findings

  • Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
  • Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
  • Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
  • Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
  • No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
  • Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
  • Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
  • Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.

Almeida

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

2025-4-VCOT-almeida-2

Article Title: Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Trefny 2025 et al., on locking plate biomechanics, how was strain distribution measured in the plates?

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Correct. Strain was measured via 3D digital image correlation at predefined ROIs.
Incorrect. The correct answer is 3D digital image correlation.
Strain was measured via 3D digital image correlation at predefined ROIs.

🔍 Key Findings

  • Short working length constructs had significantly higher stiffness and lower strain than long constructs in compression bending (p = 0.0172).
  • In tension bending, short constructs also had higher precontact stiffness and lower strain, but this reversed after transcortical contact (~150 N).
  • Transcortical contact increased stiffness only in long constructs, producing a bilinear load-displacement curve.
  • Postcontact stiffness was higher in long constructs, but this may not reflect clinical benefit due to risks of high interfragmentary strain.
  • Short working length reduced strain at multiple ROIs under both loading conditions, including over fracture gap (Tables 1–3).
  • Increased working length promoted stress concentration and deformation, especially in compression bending.
  • In vitro benefits of long constructs (via contact stability) may not translate to healing, as repetitive loading could increase plate strain and bone resorption.
  • Plate strain was effectively mapped using 3D digital image correlation, confirming regional strain differences between configurations.

Trefny

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate

2025-3-VCOT-trefny-5

Article Title: Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Carrera 2024 et al., which technique was used to correct high external tibial torsion in one patient?

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Correct. This was required for correction of a 47° tibial torsion, not amenable to TTT:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Proximal tibial derotation osteotomy.
This was required for correction of a 47° tibial torsion, not amenable to TTT:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
  • Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
  • Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
  • Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
  • No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
  • One complication due to domestic trauma, not surgical failure.
  • Early surgery appeared to preserve alignment and prevent deformity progression.

Carrera

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

2024-2-VCOT-carrera-2

Article Title: Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Chitty 2025 et al., on tibial fracture fixation in immature dogs, which complication was most common in the external fixation group?

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Correct. Pin tract morbidity was the most common complication in dogs receiving external skeletal fixation.
Incorrect. The correct answer is Pin tract morbidity.
Pin tract morbidity was the most common complication in dogs receiving external skeletal fixation.

🔍 Key Findings

Internal fixation (IF) group (n=59):

  • Complication rate: 20.3%
  • Major complications: 15.3%
  • Longer time to discharge if complications occurred (median: 12.5 weeks)

External skeletal fixation (ESF) group (n=36):

  • Complication rate: 55.6% (p < .001 vs IF)
  • Major complications: 52.8%
  • Most common issue: pin tract morbidity

Multivariable analysis:

  • Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
  • Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)

Fixation choice influenced by age:

  • Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)

Breed & fracture distribution:

  • Common breeds: Labrador, Border Collie, Whippet
  • Common fracture sites: middle and proximal third of tibia

Chitty

Veterinary Surgery

4

2025

Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

2025-4-VS-chitty-2

Article Title: Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

Journal: Veterinary Surgery

In Downey 2023 et al., on thoracoscopic lobectomy in dogs, what was the most common histopathologic diagnosis?

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Correct. 10 of 12 dogs had pulmonary consolidation caused by infectious pneumonia.
Incorrect. The correct answer is Infectious pneumonia.
10 of 12 dogs had pulmonary consolidation caused by infectious pneumonia.

🔍 Key Findings

  • Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
  • 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
  • OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
  • Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
  • Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
  • Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
  • Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
  • Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.

Downey

Veterinary Surgery

7

2023

Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

2023-7-VS-downey-1

Article Title: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

Journal: Veterinary Surgery

In Danielski 2022 et al., on humero-anconeal incongruity, what role did the novel caudo-medial arthroscope portal play in the study?

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Correct. This portal provided consistent access to view and assess the HA lesion associated with HIF.
Incorrect. The correct answer is It enabled visualization of the caudal humeral condyle.
This portal provided consistent access to view and assess the HA lesion associated with HIF.

🔍 Key Findings

  • A novel caudo-medial arthroscopic portal allowed visualization of previously undescribed cartilage lesions on the caudal medial humeral condyle.
  • A consistent focal cartilage lesion (HA lesion) was observed in 100% of elbows with HIF (21/21), but in none of the 31 elbows without HIF.
  • Lesions varied from indentations to full-thickness cartilage loss, typically elliptical and located just medial to the humeral condyle isthmus.
  • A clunk-like sensation and dynamic engagement of the anconeal process into the lesion were observed in 16/21 elbows with HIF during elbow manipulation.
  • In 5/21 elbows, engagement of the anconeal process led to observable widening of the HIF line, suggesting dynamic instability.
  • Findings support a novel concept of humero-anconeal incongruity as a contributor to the pathogenesis of HIF.
  • Spaniel breed was not a confounder—the lesion was only present in elbows with HIF, regardless of breed.
  • The study suggests potential for using arthroscopy as a screening tool for early detection of humero-anconeal incongruity and HIF risk.

Danielski

Veterinary Surgery

1

2022

Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings

2022-1-VS-danielski2-5

Article Title: Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings

Journal: Veterinary Surgery

In Banks 2023 et al., on TECA-LBO in brachycephalic dogs, what was the most common intraoperative complication observed?

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Correct. Severe hemorrhage was the most common intraoperative complication, seen in 76.2% of those with intra-op events.
Incorrect. The correct answer is Severe hemorrhage.
Severe hemorrhage was the most common intraoperative complication, seen in 76.2% of those with intra-op events.

🔍 Key Findings

  • Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
  • Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
  • EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
  • Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
  • Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
  • Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
  • MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
  • Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.

Banks

Veterinary Surgery

5

2023

Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

2023-5-VS-banks-2

Article Title: Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

Journal: Veterinary Surgery

In Fracka 2025 et al., on cementless knee replacement, which implant-related finding was noted at necropsy?

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Correct. The post-mortem exam found mild polyethylene wear but no loosening, metallosis, or migration【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is Mild polyethylene wear at the tibial insert caudal edge.
The post-mortem exam found mild polyethylene wear but no loosening, metallosis, or migration【57†Veterinary Surgery†L1-L20】

🔍 Key Findings

Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.

Clinical function:

  • Improved ROM from 90° pre-op to 120° post-op.
  • Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
  • No visible lameness by 14 weeks.

Implant performance:

  • No complications at any follow-up points.
  • No osteolysis, loosening, or metallosis at 6-year necropsy.

Wear evaluation:

  • Mild UHMWPE insert wear, localized to caudal edges.

Histologic findings:

  • Robust osseointegration at implant-bone interface.
  • Fibrous tissue only in areas lacking porous coating.

Conclusion:

  • Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
  • Support for considering early surgical intervention in severe stifle OA.

Fracka

Veterinary Surgery

3

2025

Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

2025-3-VS-fracka-3

Article Title: Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

Journal: Veterinary Surgery

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