Your Custom Quiz

In Yu 2026 et al., on elbow OA surgery outcomes, what was a key limitation affecting the interpretation of success rates in surgical treatments for elbow OA?

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Correct. Most studies relied on subjective measures like owner satisfaction, making comparison difficult.
Incorrect. The correct answer is Inconsistent and subjective outcome measures.
Most studies relied on subjective measures like owner satisfaction, making comparison difficult.

🔍 Key Findings

  • Canine unicompartmental elbow (CUE) had the highest reported success (91–98%) and the second-best safety profile (NNH = 7.6).
  • Sliding humeral osteotomy (SHO) showed moderate success (43–82%) but had the best safety profile (NNH = 9.5).
  • Overall evidence quality was low, with no Level I studies and only five Level II (prospective) studies.
  • Success measures were inconsistent, often based on subjective outcomes (e.g., owner satisfaction), limiting comparability.
  • Adverse events were common, with high complication rates in arthrodesis and total elbow arthroplasty (TEA).
  • One study using objective outcome (PVF) showed only 43% long-term success for SHO, suggesting possible overestimation of success in subjective studies.
  • The review highlights the need for validated, standardized outcome tools in elbow OA surgery trials.
  • Number needed to harm (NNH) emerged as a more consistent and informative safety metric than success percentages.

Yu

Veterinary Surgery

1

2026

Systematic review of surgical treatment for severe elbow osteoarthritis in dogs

2026-1-vs-yu-3

Article Title: Systematic review of surgical treatment for severe elbow osteoarthritis in dogs

Journal: Veterinary Surgery

In Cortez 2024 et al., on feline ectopic ureters, what diagnostic imaging modality was successful in all cases in which it was used?

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Correct. CT diagnosed ectopic ureters in 3/3 cases, making it the most consistently accurate modality in this cohort.
Incorrect. The correct answer is Computed tomography (CT).
CT diagnosed ectopic ureters in 3/3 cases, making it the most consistently accurate modality in this cohort.

🔍 Key Findings

  • Ectopic ureters in cats are rare, but most are extramural and bilateral.
  • Surgical techniques used included ureteroneocystostomy (UNC), neoureterostomy (NU), nephroureterectomy, and cystoscopic laser ablation (CLA).
  • All cats showed improvement in urinary continence postoperatively, with 11/12 achieving complete resolution.
  • Major complications were rare; one cat developed uroabdomen requiring revision surgery.
  • Diagnostic imaging was effective, with abdominal ultrasound diagnosing 8/10 and CT 3/3 cases.
  • Short- and long-term complications included urethral spasms, UTIs, stranguria, and rectal prolapse; all were manageable.
  • CLA was successful in 2 cats and is noted as a first-time described technique in feline ectopic ureter cases.
  • Median postoperative follow-up was 340 days, supporting good long-term outcomes.

Cortez

Veterinary Surgery

6

2024

Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

2024-6-VS-cortez-3

Article Title: Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

Journal: Veterinary Surgery

In Calabria 2026 et al., on ovariectomy biomarkers, which inflammatory biomarker showed an early postoperative peak after laparoscopic ovariectomy and returned to baseline by postoperative day 7?

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Correct. IL-6 increased transiently at 2 hours after laparoscopic ovariectomy, declined by 24 hours, and returned to baseline by day 7, whereas OPEN surgery resulted in a more prolonged elevation.
Incorrect. The correct answer is IL-6.
IL-6 increased transiently at 2 hours after laparoscopic ovariectomy, declined by 24 hours, and returned to baseline by day 7, whereas OPEN surgery resulted in a more prolonged elevation.

🔍 Key Findings

  • Laparoscopic ovariectomy produced a milder inflammatory response than open ovariectomy, supporting the benefits of minimally invasive surgery.
  • Twenty-six healthy anestrus bitches were randomized equally to laparoscopic (LAP) or open (OPEN) ovariectomy in a prospective, blinded clinical trial.
  • IL-6 increased rapidly after laparoscopy but returned to baseline by 7 days, whereas OPEN surgery produced a later, more prolonged elevation.
  • Reactive oxygen metabolites (d-ROMs) remained higher after OPEN surgery, while LAP caused only a transient postoperative increase.
  • Biological antioxidant potential (BAP) increased only in the OPEN group by postoperative day 7, suggesting a compensatory response to greater oxidative stress.
  • PON-1 decreased after surgery in both groups, remaining lower in LAP through day 7, indicating that its interpretation as an inflammatory marker remains complex.
  • LAP required longer operative time (35 vs 25 minutes; p = .008) but resulted in significantly smaller total incision length (1.5 vs 2.5 cm; p < .001).
  • No intraoperative or postoperative surgical or anesthetic complications occurred in either treatment group.

Calabria

Veterinary Surgery

5

2026

Surgical impact of laparoscopic and laparotomic elective ovariectomy on inflammatory and oxidative stress biomarkers in anestrus dogs

2026-5-vs-calabria-1

Article Title: Surgical impact of laparoscopic and laparotomic elective ovariectomy on inflammatory and oxidative stress biomarkers in anestrus dogs

Journal: Veterinary Surgery

In Lee 2022 et al., on TPLO accuracy, which deformity was significantly reduced in cadaver limbs with 3D-guided TPLO?

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Correct. The study found angular deformity was significantly reduced in cadavers using the 3D-printed guide (P < .001).
Incorrect. The correct answer is Angular deformity.
The study found angular deformity was significantly reduced in cadavers using the 3D-printed guide (P < .001).

🔍 Key Findings

  • 3D-printed TPLO guides significantly reduced osteotomy inclination angle in both bone models and cadaver limbs compared to jig alone (P < .001).
  • Torsional deformities were lower when the 3D-printed guide was used in bone models (P < .001), but not significantly different in cadavers.
  • Angular deformities were significantly reduced in cadavers using 3D-printed guides (P < .001).
  • Proximal jig pin angulation was more accurate with the guide in cadavers (P < .001); not significant in bone models.
  • Medial cortex damage was substantially reduced in bone models when the 3D-printed guide was used (P < .001).
  • Postoperative tibial plateau angle (TPA) did not differ significantly between groups, suggesting that clinical alignment can still be achieved without the guide.
  • Clinical significance of improved metrics is uncertain, but improved precision may reduce surgical complications.
  • 3D guide design allowed direct placement of jig and bone plate, potentially improving workflow and safety.

Lee

Veterinary Surgery

6

2022

Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study

2022-6-VS-lee-2

Article Title: Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

In Jeon 2025 et al., on distal femoral shortening, what was the **main indication** for performing DFSO during THR in dogs with luxoid hips?

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Correct. Intraoperative inability to reduce the prosthesis using conventional methods triggered the need for DFSO.
Incorrect. The correct answer is To manage irreducible prostheses when standard tension-relieving techniques failed.
Intraoperative inability to reduce the prosthesis using conventional methods triggered the need for DFSO.

🔍 Key Findings

  • Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
  • Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
  • Bone union was achieved in all cases post-DFSO, indicating good healing potential.
  • Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
  • One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
  • DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
  • Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
  • DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.

Jeon

Veterinary Surgery

6

2025

Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

2025-6-VS-jeon-1

Article Title: Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

Journal: Veterinary Surgery

In Nash 2024 et al., on esophageal pH monitoring, which technique was used to place the pH probe?

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Correct. This method was chosen for safety and tolerability, reducing morbidity compared to percutaneous or conscious placement.
Incorrect. The correct answer is Transnasal placement under light anesthesia.
This method was chosen for safety and tolerability, reducing morbidity compared to percutaneous or conscious placement.

🔍 Key Findings

  • Esophageal pH-monitoring was well tolerated in all 35 nonbrachycephalic dogs, with no major adverse events reported.
  • Distal GER occurred in 80% of dogs, but events were typically brief and non-productive; proximal GER occurred in only 39%.
  • Upper reference limits for GER were 2.4 events/hour (distal) and 0.4 events/hour (proximal).
  • Cumulative acid exposure was minimal: upper limits were 2.3% (distal) and 0% (proximal).
  • Comparison with brachycephalic dogs shows significantly higher GER frequency and duration, validating the diagnostic utility of pH monitoring.
  • Transnasal probe placement under light anesthesia was safe and less morbid compared to percutaneous or conscious techniques.
  • No expelled or productive regurgitation occurred, despite some GER events, indicating efficient esophageal clearance in healthy dogs.
  • Diet and fasting duration may affect GER, but these were not controlled variables in this study.

Nash

Veterinary Surgery

8

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

2024-8-VS-nash-3

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

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 Zab 2026 et al., on THA stem templating, which radiographic projection produced significantly larger templated femoral stem sizes?

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Correct. Flexed projections produced a median stem size of 9 versus 8 for extended projections (p < .0001).
Incorrect. The correct answer is Hip-flexed projection.
Flexed projections produced a median stem size of 9 versus 8 for extended projections (p < .0001).

🔍 Key Findings

  • Hip-flexed and hip-extended radiographs produced significantly different femoral stem template sizes, confirming the techniques are not interchangeable (p < .0001).
  • Hip-extended templating underestimated implanted stem size (mean difference −0.54), whereas hip-flexed templating overestimated implanted size (mean difference +0.30).
  • Neither radiographic method consistently predicted the actual implanted femoral stem, emphasizing the importance of intraoperative assessment.
  • Flexed projections generated larger template sizes (median stem size 9) than extended projections (median stem size 8).
  • Canal flare index (CFI) was significantly higher on flexed views (1.89 vs 1.61; p < .0001), reducing apparent "stovepipe" morphology.
  • 88% of extended projections were classified as stovepipe femora versus 44% of flexed projections (p = .0027), suggesting substantial projection-related morphologic distortion.
  • Femoral length appeared significantly longer on flexed radiographs (204.8 mm vs 189.3 mm; p < .001), supporting the presence of foreshortening on extended views.
  • Hip-flexed radiographs may be a practical alternative when hip extension is not possible, especially in severe OA, but implant selection should remain guided by intraoperative findings.

Zab

Veterinary Surgery

4

2026

Comparison of canine femoral implant templating for total hip arthroplasty on 25 sets of craniocaudal extended and caudocranial flexed hip radiographs

2026-4-vs-zab-1

Article Title: Comparison of canine femoral implant templating for total hip arthroplasty on 25 sets of craniocaudal extended and caudocranial flexed hip radiographs

Journal: Veterinary Surgery

In Dalton 2023 et al., on acetabular fracture repair, what was the functional outcome for the clinical case treated with this technique?

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Correct. The Chihuahua case showed rapid functional recovery and confirmed radiographic healing by 3 months.
Incorrect. The correct answer is Weight bearing within 24 hours and healed at 3 months.
The Chihuahua case showed rapid functional recovery and confirmed radiographic healing by 3 months.

🔍 Key Findings

  • Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
  • All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
  • Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
  • Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
  • Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
  • Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
  • Use of locking screws improved reduction fidelity, particularly across a broad plate span.
  • 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.

Dalton

Veterinary Surgery

6

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-6-vs-dalton-4

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

In Healy 2025 et al., on incidental PBBs, what was the prevalence of PBBs in the studied dog population?

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Correct. 30 of 2178 canine CTs had incidental PBBs, a prevalence of 1.37%.
Incorrect. The correct answer is 1.37%.
30 of 2178 canine CTs had incidental PBBs, a prevalence of 1.37%.

🔍 Key Findings

Population: 2,178 canine CTs reviewed retrospectively.
Prevalence: Incidental PBBs found in 1.37% (30/2178).
Outcome: None of the dogs with incidental PBBs developed clinical spontaneous pneumothorax (SP) over a median follow-up of 1255 days.
Significant Associations:

  • Age: Dogs with PBBs were significantly older (median 10.5 yrs vs. 8.2 yrs, p = .001).
  • CT indication: PBBs more likely during neoplastic staging (p = .006).

PBB Characteristics:

  • Total = 60 PBBs (median 1/dog; range 1–7).
  • Location: 35% in left caudal, 31.6% right caudal, only 13.3% in right cranial lobe.
  • Size-based: 25 bullae (>10 mm), 35 blebs (≤10 mm).

Conclusion: Prophylactic resection of incidental PBBs not justified given no observed SP risk in this population.

Healy

Veterinary Surgery

1

2025

Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

2025-1-VS-healy-1

Article Title: Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

Journal: Veterinary Surgery

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