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In Alvarez 2022 et al., on rehabilitation modalities, what was a major limitation noted across many studies included in the systematic review?

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Correct. Many studies suffered from small cohorts, high RoB, lack of blinding, and poorly standardized rehab protocols.
Incorrect. The correct answer is Small sample sizes and high RoB.
Many studies suffered from small cohorts, high RoB, lack of blinding, and poorly standardized rehab protocols.

🔍 Key Findings

  • Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
  • Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
  • Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
  • Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
  • Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
  • Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
  • No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
  • The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.

Alvarez

Veterinary Surgery

2

2022

Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

2022-2-VS-alvarez-3

Article Title: Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

Journal: Veterinary Surgery

In Kimura 2025 et al., on mini-THA in <4 kg dogs, what was the observed outcome at the 52-week mark in successfully completed cases?

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Correct. All completed THA cases had no lameness at 52 weeks:contentReference[oaicite:0]{index=0}.
Incorrect. The correct answer is All dogs showed complete resolution of lameness.
All completed THA cases had no lameness at 52 weeks:contentReference[oaicite:0]{index=0}.

🔍 Key Findings

  • Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
  • Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
  • Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
  • Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
  • Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
  • Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
  • No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
  • CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.

Kimura

Veterinary Surgery

6

2025

Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

2025-6-VS-kimura-1

Article Title: Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

Journal: Veterinary Surgery

In Ferreira 2025 et al., on heated pneumoperitoneum in dogs, which of the following correlated with temperature reduction only in the nonheated group?

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Correct. In the nonheated group, longer insufflation time was significantly correlated with lower final body temperature (p = .037).
Incorrect. The correct answer is Insufflation time.
In the nonheated group, longer insufflation time was significantly correlated with lower final body temperature (p = .037).

🔍 Key Findings

  • Heated CO₂ insufflation reduced perioperative hypothermia during laparoscopic ovariectomy compared to nonheated CO₂.
  • Final body temperature was significantly higher in the heated group (36.03°C) than in the nonheated group (34.93°C).
  • Temperature reduction correlated with surgical duration only in the nonheated group (p < .05).
  • Heated CO₂ delayed temperature drop, occurring after 20 minutes vs. 5 minutes in nonheated cases.
  • No significant differences between groups in anesthetic, surgical, or insufflation times.
  • All dogs recovered uneventfully and were discharged the same day.
  • Heated CO₂ may offer greater benefit in longer procedures or in small-sized dogs prone to hypothermia.
  • No adverse effects were attributed to heated gas use in this clinical trial.

Ferreira

Veterinary Surgery

5

2025

Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

2025-5-VS-ferreira-4

Article Title: Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

Journal: Veterinary Surgery

In Viitanen 2023 et al., on zygomatic sialoadenectomy, what was a cited benefit of intraoral approach in terms of postoperative management?

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Correct. IOA caused minimal external trauma, eliminating the need for E-collar in all clinical cases.
Incorrect. The correct answer is No need for Elizabethan collar.
IOA caused minimal external trauma, eliminating the need for E-collar in all clinical cases.

🔍 Key Findings

  • Intraoral approach (IOA) reduced surgical time compared to lateral orbitotomy (median: 42.0 vs 65.7 minutes, p = .005)
  • Ease of closure (Stage III) was better with IOA (p < .001), though gland removal (Stage II) was easier with LOA (p = .039)
  • Complete gland removal was achieved in 8/10 IOA vs 10/10 LOA cases in cadaveric study
  • All 3 clinical cases had uneventful recoveries post-IOA, including one carcinoma, with no intra- or short-term postoperative complications
  • LOA had superior surgical exposure, but was more invasive and time-consuming
  • IOA posed greater difficulty in complete gland removal in brachycephalic dogs, with remnant tissue noted in 2/10 cadavers
  • IOA avoids osteotomy, reducing potential complications like delayed union and postoperative pain
  • Cosmetic outcomes and healing were better with IOA, and no E-collar was required postoperatively

Viitanen

Veterinary Surgery

2

2023

Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

2023-2-VS-viitanen-3

Article Title: Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

Journal: Veterinary Surgery

In Whyte 2025 et al., on cannulated screw fixation, what percentage of patients experienced any form of complication?

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Correct. Overall complication rate was 36%, including minor and major complications.
Incorrect. The correct answer is 26%.
Overall complication rate was 36%, including minor and major complications.

🔍 Key Findings

Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%

  • Major complication: Most common was screw breakage

Significant risk factor for screw breakage:

  • Body weight >20 kg (statistically significant)

Breed distribution:

  • Spaniels, especially English Springer Spaniels, were most common

No mention of plate augmentation as standard in this cohort

Whyte

Veterinary Surgery

2

2025

Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

2025-2-VS-whyte-3

Article Title: Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

Journal: Veterinary Surgery

In Farrell 2022 et al., on checklist reliability in OVH simulation, what was the recommended number of raters needed to achieve acceptable reliability (G ≥ 0.76) for high-stakes use of the checklist?

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Correct. Two raters per student were needed to achieve a G-coefficient of 0.76, which is considered acceptable for high-stakes exams.
Incorrect. The correct answer is 2.
Two raters per student were needed to achieve a G-coefficient of 0.76, which is considered acceptable for high-stakes exams.

🔍 Key Findings

  • 39 of 40 checklist items for simulated OVH surgical assessment had good content validity (CVI = 0.81)
  • Only 1 of 6 items from the OSATS GRS (respect for tissue) met inclusion criteria (CVI = 0.80)
  • Checklist showed strong reliability (G-coefficient = 0.85) for moderate-stakes exams
  • Modified OSATS GRS showed acceptable reliability (G-coefficient = 0.79)
  • Two raters needed for acceptable reliability in high-stakes exams when using the checklist
  • Minimal interrater bias found; variance largely due to interaction among student, rater, and item
  • Digital recordings were a reliable method of evaluating surgical performance
  • Study supports using checklist over OSATS GRS for assessing preclinical students on simulated models

Farrell

Veterinary Surgery

5

2022

Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment

2022-5-VS-farrell-3

Article Title: Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment

Journal: Veterinary Surgery

In Trefny 2025 et al., on locking plate biomechanics, when did transcortical contact occur in long working length constructs?

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Correct. Transcortical contact occurred in long constructs around 150–155 N in tension bending.
Incorrect. The correct answer is Between 150–155 N.
Transcortical contact occurred in long constructs around 150–155 N in tension bending.

🔍 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-2

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 Dalton 2023 et al., on acetabular fracture repair, what was the purpose of using mirrored 3D-printed hemipelves in the cadaveric and clinical cases?

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Correct. Plates were pre-contoured to mirrored hemipelves to match normal anatomy for each individual case.
Incorrect. The correct answer is To contour patient-specific bone plates.
Plates were pre-contoured to mirrored hemipelves to match normal anatomy for each individual case.

🔍 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-2

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

Journal: Veterinary Surgery

In Young 2023 et al., on minimally invasive parathyroidectomy, what was the most common histopathologic diagnosis in excised parathyroid glands?

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Correct. Parathyroid adenomas accounted for 54.8% of excised glands, the most common diagnosis in the study.
Incorrect. The correct answer is Parathyroid adenoma.
Parathyroid adenomas accounted for 54.8% of excised glands, the most common diagnosis in the study.

🔍 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-1

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

Journal: Veterinary Surgery

In Bondonny 2024 et al., which of the following statements is TRUE about antirotational pin placement?

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Correct. Correct antirotational pin placement required crossing the IM pin proximal to the fracture line:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is It crossed the intramedullary pin proximal to the fracture.
Correct antirotational pin placement required crossing the IM pin proximal to the fracture line:contentReference[oaicite:3]{index=3}

🔍 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-4

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

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