Your Custom Quiz

In Bounds 2023 et al., on feline hip arthroscopy, which structure was consistently avoided during portal placement in all hips?

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Correct. Cannula placement always avoided the sciatic nerve, with a minimum clearance of 1.1 mm.
Incorrect. The correct answer is Sciatic nerve.
Cannula placement always avoided the sciatic nerve, with a minimum clearance of 1.1 mm.

2023-8-VS-bounds-3

Article Title:

Journal:

In Swieton 2025 et al., on portocaval shunts, what was the perioperative mortality rate?

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Correct. Only one dog died in the perioperative period, resulting in a 5% mortality rate.
Incorrect. The correct answer is 5%.
Only one dog died in the perioperative period, resulting in a 5% mortality rate.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

  • Good to excellent outcome: 81% (17/21)
  • Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

2025-2-VS-swieton-5

Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

Journal: Veterinary Surgery

In Horwood 2024 et al., on complications in luxoid hip dysplasia, what was the most common surgical revision performed for dorsal luxation?

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Correct. Most luxated LH dogs were revised with femoral neck lengthening and/or increased head size to restore stability.
Incorrect. The correct answer is Increased femoral neck length.
Most luxated LH dogs were revised with femoral neck lengthening and/or increased head size to restore stability.

🔍 Key Findings

  • Luxoid hip dysplasia (LH) was present in 8% of THA cases and significantly increased risk of major complications (p < .001).
  • Intraoperative fissures/fractures were 3x more likely in LH dogs vs non-LH (39% vs 16%, p = .001).
  • Dorsal luxation was more frequent in LH dogs (28% vs 4%, p = .019).
  • Acetabular cup placement with ALO >35° was associated with luxation in LH dogs.
  • Morphologic abnormalities (e.g., femoral valgus, lateralization/medialization of cortices) were common in LH and may complicate implantation.
  • Despite higher risk, 94% of LH dogs achieved satisfactory outcomes after appropriate revisions.
  • Younger age and lighter weight characterized LH dogs (mean age 14.7 months vs 40.9 months, p < .001).
  • All LH dogs were treated with cementless stems; prophylactic cerclage was rarely used.

Horwood

Veterinary Surgery

4

2024

Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

2024-4-VS-horwood-3

Article Title: Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

Journal: Veterinary Surgery

In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), which management strategy was used in the majority of TPP cases?

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Correct. Most (7/10) cases were managed conservatively with full recovery.
Incorrect. The correct answer is Conservative management with monitoring.
Most (7/10) cases were managed conservatively with full recovery.

🔍 Key Findings

  • Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
  • TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
  • Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
  • Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
  • All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
  • Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
  • One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
  • Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.

González Montaño

Veterinary Surgery

4

2023

Traumatic pulmonary pseudocysts in nine dogs and two cats

2023-4-VS-gonzalezmontano-3

Article Title: Traumatic pulmonary pseudocysts in nine dogs and two cats

Journal: Veterinary Surgery

In Gibson 2026 et al., on laparoscopic gastropexy instrumentation, which statement regarding instrument ergonomics is most accurate?

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Correct. No significant treatment effect was identified for shoulder, neck, back, wrist, forearm, or hand ergonomic scores, despite proposed ergonomic advantages of articulating instrumentation.
Incorrect. The correct answer is No significant difference in measured ergonomic scores was identified between ALI and SLI.
No significant treatment effect was identified for shoulder, neck, back, wrist, forearm, or hand ergonomic scores, despite proposed ergonomic advantages of articulating instrumentation.

🔍 Key Findings

  • Standard laparoscopic instrumentation (SLI) was faster: median suture-line time was 6 min (5–10) with SLI versus 8 min (6–11) with the articulating needle driver (ALI); ALI added a modeled mean 1.9 min per suture line (p < .0001).
  • ALI increased surgeon mental workload: NASA-TLX scores were significantly higher with ALI for mental demand, perceived performance, effort, and frustration.
  • Objective technical performance favored SLI: mean global rating checklist scores were 17.7 for SLI versus 15.24 for ALI (p < .0001), although inter-rater agreement was only moderate-to-low (r = .36).
  • No ergonomic advantage was demonstrated: shoulder, neck, back, wrist, forearm, and hand scores did not differ significantly between ALI and SLI.
  • Both instruments successfully permitted TLG: all 17 client-owned dogs completed the procedure without conversion, supporting the feasibility of ALI despite inferior measured performance.
  • Adverse events were uncommon and unrelated to ALI: two grade 2 intraoperative events occurred because of SLI device failure requiring replacement, and no postoperative complications were reported.
  • A learning-curve effect may explain ALI performance: the surgeon was proficient with SLI but had no prior clinical ALI experience before the trial; the authors caution against interpreting the initial performance disadvantage as definitive evidence against ALI.
  • Clinical benefit may depend on the procedure: investigators subjectively appreciated ALI's increased dexterity but noted reduced perceived needle-grasping strength; the device may prove more advantageous in difficult suturing orientations than routine TLG.

Gibson

Veterinary Surgery

6

2026

Comparison between a laparoscopic articulating needle driver with standard laparoscopic instrumentation for total laparoscopic gastropexy in dogs

2026-6-vs-gibson-3

Article Title: Comparison between a laparoscopic articulating needle driver with standard laparoscopic instrumentation for total laparoscopic gastropexy in dogs

Journal: Veterinary Surgery

In Renaud 2025 et al., on biliary peritonitis surgery, which diagnostic tool had only 38% sensitivity for detecting biliary tract rupture?

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Correct. Ultrasound identified biliary rupture in only 38% of confirmed cases, highlighting its limited sensitivity.
Incorrect. The correct answer is Ultrasound.
Ultrasound identified biliary rupture in only 38% of confirmed cases, highlighting its limited sensitivity.

🔍 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-3

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

Journal: Veterinary Surgery

In Knell 2026 et al., on feline stifle luxation, which structure was reconstructed using knotless anchors?

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Correct. The medial collateral ligament was anatomically reconstructed using PushLock knotless interference anchors.
Incorrect. The correct answer is Medial collateral ligament.
The medial collateral ligament was anatomically reconstructed using PushLock knotless interference anchors.

🔍 Key Findings

  • Coaptationless multiligament reconstruction restored stifle stability in all 23 cats, allowing immediate postoperative weight bearing without external immobilization.
  • Successful outcome was achieved in 22/23 cats (95.7%), with only one case requiring arthrodesis after recurrent instability.
  • Reconstruction of the caudal cruciate ligament (CdCrL) proved critical, as 3 of 4 caudal subluxation complications occurred when the CdCrL was not reconstructed initially.
  • Major complications occurred in 26.6% (6/23) and consisted primarily of caudal tibial subluxation (4 cases) and medial patellar luxation (2 cases).
  • Revision surgery successfully restored function in most complications, with stable joints and excellent FMPI scores after revision.
  • Excellent functional outcomes were reported, with FMPI scores ranging from 0.95–1.0 at 6 months and lameness absent in nearly all cats.
  • Early mobilization without postoperative immobilization preserved range of motion, with minimal osteoarthritis progression observed over 6 months.
  • Internal brace principles using TightRope constructs, knotless anchors, and UHMWPE sutures provided strong multiplanar stabilization, supporting immediate limb use and favorable clinical outcomes.

Knell

Veterinary Surgery

4

2026

A multiligament, internal brace, coaptationless stifle reconstruction technique for feline stifle luxation

2026-4-vs-knell-5

Article Title: A multiligament, internal brace, coaptationless stifle reconstruction technique for feline stifle luxation

Journal: Veterinary Surgery

In Kwok 2023 et al., on BFX lateral bolt THR in dogs, which type of complication most often led to prosthesis explantation?

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Correct. 4 of 5 explants were due to acetabular cup issues, not femoral stem failure.
Incorrect. The correct answer is Acetabular cup complications.
4 of 5 explants were due to acetabular cup issues, not femoral stem failure.

🔍 Key Findings

  • 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
  • Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
  • Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
  • Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
  • Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
  • Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
  • Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
  • Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.

Kwok

Veterinary Surgery

1

2023

Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

2023-1-VS-kwok-5

Article Title: Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

Journal: Veterinary Surgery

In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, what was the overall recurrence rate reported for dogs treated with ventral slot decompression?

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Correct. The study reported a 25% recurrence rate overall, with all recurrences in the non-fenestrated group.
Incorrect. The correct answer is 25%.
The study reported a 25% recurrence rate overall, with all recurrences in the non-fenestrated group.

🔍 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-1

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

Journal: Veterinary Surgery

In Nicolas 2024 et al., how was the scapular osteotomy stabilized?

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Correct. Two locking plates were placed cranial and caudal to the scapular spine:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Double 2.4-mm locking plates.
Two locking plates were placed cranial and caudal to the scapular spine:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • The lateral approach via scapular osteotomy allowed safe access to the T1-2 foramen in a French Bulldog with foraminal disc extrusion.
  • A mini-hemilaminectomy was performed, preserving articular facets.
  • The dog had no neurologic deficits postoperatively, returned to ambulation within 24 hours, and was discharged in 3 days.
  • At 10 months, CT confirmed excellent scapular healing and no recurrence.
  • Double 2.4-mm locking plates provided stable fixation across the scapular spine.
  • The technique avoided thoracic entry or dorsal spine dissection, suggesting a less invasive alternative for select T1-2 foraminal cases.

Nicolas

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

2024-2-VCOT-nicolas-3

Article Title: Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

Journal: Veterinary and Comparative Orthopedics and Traumatology

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