Your Custom Quiz

In Duffy 2022 et al., on barbed suture oversew, which repair method demonstrated the **shortest completion time** during oversew of the transverse staple line?

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Correct. Barbed suture repairs were ~18% faster than monofilament; unidirectional suture had the shortest average time.
Incorrect. The correct answer is FEESA with unidirectional barbed suture oversew.
Barbed suture repairs were ~18% faster than monofilament; unidirectional suture had the shortest average time.

🔍 Key Findings

  • Oversewing the transverse staple line using barbed suture showed no difference in initial (ILP) or maximum leakage pressure (MLP) compared to monofilament suture (p = .439 and .644).
  • Barbed suture repairs were ~18% faster (25 seconds faster; p < .001) than monofilament suture.
  • No difference was found between unidirectional and bidirectional barbed sutures in leakage resistance or repair time (p = .697).
  • Mean ILP and MLP were significantly higher in control jejunal segments (6.6x and 5.1x greater respectively; p < .001).
  • Leakage consistently occurred at the crotch of the FEESA in all oversew groups (>80%), not the staple line.
  • All oversewn techniques leaked at supraphysiologic pressures, indicating clinical safety against in vivo leakage.
  • No leakage was observed from barbed suture holes, addressing concerns of tissue trauma due to barb design.
  • The study supports barbed suture as a viable alternative to conventional monofilament suture for FEESA oversew in dogs.

Duffy

Veterinary Surgery

5

2022

Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

2022-5-VS-duffy-1

Article Title: Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

Journal: Veterinary Surgery

In Glenn 2024 et al., on client-based SSI surveillance, which of the following statements best describes Algorithm 1?

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Correct. Algorithm 1 had the highest sensitivity (87.1%) and negative predictive value (97%), making it suitable for ruling out SSIs.
Incorrect. The correct answer is It was best used to rule out SSIs.
Algorithm 1 had the highest sensitivity (87.1%) and negative predictive value (97%), making it suitable for ruling out SSIs.

🔍 Key Findings

  • Algorithm 3 had the highest overall accuracy (95.5%) in diagnosing SSIs from client questionnaires.
  • Active surveillance identified 19.4% more SSIs compared to passive surveillance alone.
  • SSI rate was 8.22% across 754 surgeries; 33.9% of SSIs required revision surgery.
  • Client-based responses were 37.9% more frequent than those from referring veterinarians.
  • Deep/implant SSIs could be missed if not associated with visible wound healing problems.
  • Two late SSIs (after 90 days) occurred, both linked to implant surgeries.
  • Algorithm 1 was the most sensitive (87.1%) but less specific; useful for screening.
  • Algorithm 2 had the highest specificity (97.9%); useful as a “rule-in” diagnostic method.

Glenn

Veterinary Surgery

8

2024

Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

2024-8-VS-glenn-3

Article Title: Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

Journal: Veterinary Surgery

In Cruciani 2025 et al., on portal placement, what was the primary reason for modifying the arthroscopic portal?

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Correct. Placing the portal on the same side as the lesion facilitated easier removal of osteochondral fragments.
Incorrect. The correct answer is To improve fragment access and removal.
Placing the portal on the same side as the lesion facilitated easier removal of osteochondral fragments.

🔍 Key Findings

  • Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
  • Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
  • Outcomes:
    • Good to excellent mid-to-long-term outcomes in 11/14 dogs.
    • Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
    • Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
    • No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
  • Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
  • Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
  • Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).

Cruciani

Veterinary Surgery

1

2025

A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

2025-1-VS-cruciani-3

Article Title: A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

Journal: Veterinary Surgery

In Turner 2025 et al., on TPA changes after SH-1/2 fracture repair, which factor was NOT significantly associated with greater TPA reduction?

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Correct. Tension band usage did not lead to significantly more TPA reduction than K-wires alone (p = 0.539).
Incorrect. The correct answer is Use of tension band.
Tension band usage did not lead to significantly more TPA reduction than K-wires alone (p = 0.539).

🔍 Key Findings

  • TPA decreased significantly from preoperative to follow-up (mean 5.89°; p < 0.001), and from immediate postoperative to follow-up (mean 2.2°; p = 0.018)
  • Use of tension band in addition to K-wires did not significantly improve TPA reduction compared to K-wires alone
  • Cranial K-wire positioning may attenuate growth at the cranial tibial physis, allowing relative caudal growth to reduce TPA over time
  • Dynamic TPA reduction may reduce risk of cranial cruciate ligament rupture even when initial TPA is high
  • Small breeds (e.g., French Bulldogs) were overrepresented; further research is needed in larger breeds with more growth potential
  • Surgical reduction is difficult, but perfect alignment may not be essential if TPA reduces postoperatively
  • Radiographic TPA measurement was reliably performed with low interobserver variability
  • K-wire removal at 3–8 weeks may facilitate continued growth in growing dogs

Turner

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs

2025-5-VCOT-turner-2

Article Title: Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Schroeder 2022 et al., on fascial anatomy mapping, what surgical approach may be required for tumors near the 13th rib?

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Correct. The fascia near the 13th rib is thin and prone to tearing; subperiosteal elevation or rib removal is needed to preserve margins.
Incorrect. The correct answer is C. Subperiosteal elevation or partial rib ostectomy.
The fascia near the 13th rib is thin and prone to tearing; subperiosteal elevation or rib removal is needed to preserve margins.

🔍 Key Findings

  • Fascial planes in dogs were consistently classifiable into four surgical types:
  • Type I (discrete sheets), Type II (tightly adhered to thin muscle), Type III (tightly adhered to thick muscle), and Type IV (periosteum-associated).
  • Two junction types were identified: Type A (easily elevated) and Type B (higher risk of disruption).
  • Disruption-prone areas include the scapular spine (type IV fascia) and lateral thorax near the 13th rib, where rib resection may be needed to preserve margins.
  • The latissimus dorsi transition zones and fascial areas near the thoracic inlet and scapulohumeral joint were prone to fascial thinning or disruption.
  • Partial muscle resections or periosteal elevations may be required in areas with fragile fascia to maintain oncologic margins.
  • Dorsal spinous processes (T6–L6) showed type IV fascia; however, osteotomy may be needed in some dogs for clear margins.
  • Blended fascial transitions (e.g., rectus abdominis: type II cranially, type I caudally) necessitate intraoperative judgment on resection depth.
  • Cutaneous trunci may suffice as a deep margin for small, low-grade tumors in well-muscled dogs, but not reliably for high-grade or larger masses.

Schroeder

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk

2022-1-VS-schroeder-3

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk

Journal: Veterinary Surgery

In Deveci 2025 et al., on 3D drill guides, what was the median time for screw guide placement and drilling?

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Correct. The full guide-assisted screw placement process took a median of 7.2 minutes.
Incorrect. The correct answer is 7.2 minutes.
The full guide-assisted screw placement process took a median of 7.2 minutes.

🔍 Key Findings

  • Objective: Evaluate feasibility and accuracy of 3D-printed patient-specific drill guides for iliosacral screw placement in cadaver dogs.
  • N = 10 canine cadavers (20 hemipelves); screw placement done using fluoroscopic-assisted patient-specific guides (PSG).
  • Median cortical breach grade: 0 (IQR 0–1) for all screws.
    19/20 screws breached sacral canal wall (all ≤ grade 2), but no screws breached canal contents (grade 3).
  • Median trajectory deviation: 0.88° transverse, 0.72° dorsal.
  • Procedure time: Median 7.2 minutes for guide placement and drilling.
  • Conclusions: PSG-assisted screw placement was safe, accurate, and fast, offering clinical potential in pelvic trauma.

Deveci

Veterinary Surgery

2

2025

Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

2025-2-VS-deveci-4

Article Title: Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

Journal: Veterinary Surgery

In Low 2025 et al., on machine-learning outcomes in IVDE, what was the performance of the XGBoost model when using only preoperative variables?

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Correct. The preoperative-only XGBoost model had AUC 0.8271 and accuracy 71.9%.
Incorrect. The correct answer is AUC 0.8271, Accuracy 71.9%.
The preoperative-only XGBoost model had AUC 0.8271 and accuracy 71.9%.

🔍 Key Findings

The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).

Ambulatory recovery occurred in 53.1% of dogs (86/162).

The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.

Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.

Top predictive features (by SHAP analysis) included:

  1. T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
  2. Use of fenestration (presence associated with better recovery)
  3. Hospitalization duration
  4. Imaging modality used
  5. Duration of nonambulatory status

Machine learning provided better insight into prognostic factors than traditional statistical methods.

Low

Veterinary Surgery

4

2025

Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

2025-4-VS-low-5

Article Title: Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

Journal: Veterinary Surgery

In Evers 2022 et al., on bone-to-tendon plate fixation, which complication prompted the second surgery?

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Correct. Skin pressure necrosis occurred at the proximal edge of the tendon plate, prompting plate revision.
Incorrect. The correct answer is Skin ulceration over the plate.
Skin pressure necrosis occurred at the proximal edge of the tendon plate, prompting plate revision.

🔍 Key Findings

  • Bone-to-tendon plate fixation allowed successful stabilization of a highly comminuted calcaneus fracture in a dog with fragments too small for traditional fixation.
  • The plate was sutured to the common calcaneal tendon using a figure-of-8 pattern, bypassing the need for screw fixation into small proximal fragments.
  • Radiographic union was achieved by 17 weeks, though considered delayed, with the dog returning to normal function by 36 weeks post-op.
  • A second surgery was required to replace the tendon-anchored plate with a calcaneus-only plate due to skin ulceration and implant prominence.
  • Implant-associated infection was suspected; cultures confirmed Staphylococcus pseudintermedius, managed with doxycycline and clindamycin.
  • Use of human placental matrix (hPM) and both autogenous and allogenic bone grafts supported healing, though their specific contribution remains uncertain.
  • Postoperative complications included delayed union and skin ulceration, emphasizing challenges of implant design and soft tissue management.
  • This is the first report of using a bone-to-tendon plate for a calcaneus fracture in dogs and demonstrates its potential in cases where traditional methods are not viable.

Evers

Veterinary Surgery

5

2022

Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

2022-5-VS-evers-2

Article Title: Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

Journal: Veterinary Surgery

In Tobias 2022 et al., on perineal hernia repair positioning, which statement best reflects the outcome of colopexy?

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Correct. Colopexy helped facilitate visualization but did not prevent recurrence.
Incorrect. The correct answer is It improved visualization during hernia reduction.
Colopexy helped facilitate visualization but did not prevent recurrence.

🔍 Key Findings

  • Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
  • Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
  • Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
  • Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
  • Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
  • Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
  • Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
  • Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.

Tobias

Veterinary Surgery

5

2022

Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

2022-5-VS-tobias-5

Article Title: Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

Journal: Veterinary Surgery

In Trefny 2025 et al., on locking plate biomechanics, what effect did transcortical contact have on long working length constructs?

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Correct. Long working length constructs became stiffer and less strained after transcortical contact.
Incorrect. The correct answer is Decreased strain and increased stiffness.
Long working length constructs became stiffer and less strained after transcortical contact.

🔍 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-3

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

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