Your Custom Quiz

In Korchek 2025 et al., on fracture gap risk, what effect did prolonged external coaptation (>1 week) have on outcomes?

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Correct. Prolonged external coaptation was associated with bandage-related complications such as skin wounds and osteopenia (OR = 5.4, p = .04).
Incorrect. The correct answer is It was significantly associated with major and minor non-implant complications.
Prolonged external coaptation was associated with bandage-related complications such as skin wounds and osteopenia (OR = 5.4, p = .04).

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

  • 27% in cases with fracture gap
  • 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

  • OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

  • OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

  • OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

Korchek

Veterinary Surgery

2

2025

Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

2025-2-VS-korchek-2

Article Title: Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

Journal: Veterinary Surgery

In Huerta 2025 et al., on leakage in canine lung lobectomy, which group had the lowest median leakage pressure?

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Correct. The PL-30 group had the lowest median leakage pressure at 10 cm H₂O.
Incorrect. The correct answer is PL-30.
The PL-30 group had the lowest median leakage pressure at 10 cm H₂O.

🔍 Key Findings

PL-30 group (partial, TA30-V3 wedge):

  • 100% leaked
  • Median leakage pressure: 10 cm H₂O
  • Most failures from periphery of staple line

PL-60 group (partial, TA60-3.5):

  • 100% leaked
  • Median leakage pressure: 18 cm H₂O
  • Better than PL-30 (p = .006)

TL-30 group (total, TA30-V3):

  • Only 1 of 11 leaked (at 22 cm H₂O)
  • All others resisted pressures >50–65 cm H₂O
  • Significantly higher leakage pressure than both PL groups (p < .001)

Odds ratios (leakage vs TL-30):

  • PL-30: OR 437 at both 20 and 30 cm H₂O (p = .003)
  • PL-60: OR 437 at 20 cm H₂O and 133 at 30 cm H₂O (p = .003)

Recommendation: Prefer TL-30 when possible. If partial needed, PL-60 superior to PL-30, but all partials leaked at physiologic pressures.

Huerta

Veterinary Surgery

4

2025

Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

2025-4-VS-huerta-2

Article Title: Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

Journal: Veterinary Surgery

In Scheuermann 2024 et al., on 3D-printed reduction systems, what was the primary benefit of the 3D-MIPO technique compared to conventional MIPO?

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Correct. The 3D-MIPO group had a mean surgical time 34 minutes shorter than the conventional MIPO group.
Incorrect. The correct answer is Significantly shorter surgical duration.
The 3D-MIPO group had a mean surgical time 34 minutes shorter than the conventional MIPO group.

🔍 Key Findings

  • The study was a historic case-control trial comparing custom 3D-printed VSP-guided MIPO (3D-MIPO) to conventional MIPO (c-MIPO) in dogs with diaphyseal tibial fractures.
  • Surgical time was significantly shorter in the 3D-MIPO group (117 min vs. 151 min; p = .014), and fluoroscopy use was dramatically reduced (11 vs. 37 images; p < .001).
  • All 3D-MIPO reductions were acceptable or near-anatomic; 2 c-MIPO dogs had unacceptable reductions.
  • Tibial length, frontal, and sagittal alignment post-op were similar between groups; no significant difference in anatomic restoration (p > .1).
  • Radiographic union occurred in all dogs by 3 months. Time to union was similar between groups (3D-MIPO: 67 days vs. c-MIPO: 53 days; p = .207).
  • Postoperative complication rate was higher in 3D-MIPO (27% vs. 14%), including 2 major infections requiring implant removal.
  • 3D-MIPO required more pre-op time (~23 hours longer from presentation to surgery; p = .002), partly due to guide printing/sterilization.
  • Improved surgical efficiency and more consistent reductions were noted in the 3D-MIPO group, supporting its clinical utility despite increased pre-op logistics.

Scheuermann

Veterinary Surgery

6

2024

Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study

2024-6-VS-scheuermann2-1

Article Title: Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study

Journal: Veterinary Surgery

In Horwood 2024 et al., on complications in luxoid hip dysplasia, which cup orientation angle was associated with increased risk of postoperative luxation?

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Correct. LH dogs that luxated postoperatively had a median ALO of 40°, significantly higher than non-luxated LH dogs (30°, p = .016).
Incorrect. The correct answer is 40°.
LH dogs that luxated postoperatively had a median ALO of 40°, significantly higher than non-luxated LH dogs (30°, p = .016).

🔍 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-2

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

Journal: Veterinary Surgery

In Guénégo 2025 et al., on AMA-based CCWO, which combination was key to minimizing SSIs in AMA-based CCWO?

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Correct. Use of RJB and postop antibiotics was associated with a low SSI rate.
Incorrect. The correct answer is Robert Jones bandage and antibiotics.
Use of RJB and postop antibiotics was associated with a low SSI rate.

🔍 Key Findings

  • AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
  • Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
  • All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
  • AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
  • Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
  • Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
  • Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
  • Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.

Guénégo

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

2025-3-VCOT-guenego-3

Article Title: Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Ciammaichella 2025 et al., on lymphadenectomy complications, what was the most common type of postoperative complication observed?

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Correct. Most postoperative complications were minor (Grade 1), with regional edema being the most common.
Incorrect. The correct answer is Regional edema.
Most postoperative complications were minor (Grade 1), with regional edema being the most common.

🔍 Key Findings

  • Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
  • Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
  • Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
  • Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
  • Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
  • No significant predictors retained significance in multivariate analysis
  • Use of methylene blue was associated with fewer complications, although not statistically significant
  • Complication rates did not result in mortality, and all were manageable; MST was 374 days

Ciammaichella

Veterinary Surgery

7

2025

Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

2025-7-VS-ciammaichella-4

Article Title: Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

Journal: Veterinary Surgery

In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, what was the reported survival to discharge for cats with linear foreign bodies?

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Correct. The survival rate for cats with LFBOs was 98.2%, similar to DFBOs at 97%.
Incorrect. The correct answer is 98.2%.
The survival rate for cats with LFBOs was 98.2%, similar to DFBOs at 97%.

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-5

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Journal: Veterinary Surgery

In Redolfi 2024 et al., what implant configuration was most commonly used to stabilize the tibial tuberosity?

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Correct. 21/24 stifles had pin and tension band wire fixation of the tibial tuberosity
Incorrect. The correct answer is Pins and tension band wire.
21/24 stifles had pin and tension band wire fixation of the tibial tuberosity

🔍 Key Findings Summary

  • Study of 24 stifles in 22 dogs with concurrent CCLR and grade III–IV MPL treated via TPLO-TTT
  • Major complications: 4/24 (3 surgical site infections, 1 MPL reluxation); minor complications: 5/24
  • Long-term follow-up (median 27 months): 21/22 dogs sound, 23/24 stifles resolved
  • Patellar ligament thickening observed post-op in 4 cases, resolved with rehab
  • The only case of MPL reluxation involved untreated tibial torsion, suggesting case selection is critical

Redolfi

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

2024-1-VCOT-redolfi-5

Article Title: Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Radke 2022 et al., on outcome measure validation, which of the following instruments was noted to have **inconsistent factor analysis results** across validation studies?

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Correct. CBPI’s factor analysis yielded inconsistent structures across studies, questioning construct stability.
Incorrect. The correct answer is Canine Brief Pain Inventory (CBPI).
CBPI’s factor analysis yielded inconsistent structures across studies, questioning construct stability.

🔍 Key Findings

  • CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
  • COI scored highest in development rigor and evidence quality among evaluated OROMs.
  • Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
  • LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
  • CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
  • All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
  • Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
  • Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).

Radke

Veterinary Surgery

2

2022

Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

2022-2-VS-radke-3

Article Title: Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

Journal: Veterinary Surgery

In Carwardine 2024 et al., on screw placement in HIF, which complication type was significantly more common with lateral screw placement?

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Correct. Seromas were significantly more frequent in lateral placement cases (p = .012).
Incorrect. The correct answer is Seroma.
Seromas were significantly more frequent in lateral placement cases (p = .012).

🔍 Key Findings

  • 73 elbows (52 dogs) underwent randomized medial or lateral transcondylar screw placement for HIF.
  • Lateral-to-medial placement resulted in a significantly higher rate of complications (62.2%) vs medial-to-lateral (19.4%) (p = .001).
  • Odds ratio for complications: 6.11 (95% CI: 2.13–17.52).
  • Most common complications: seromas (n = 13), surgical site infections (n = 16).
  • Implants with lower AMI/bodyweight were significantly associated with major complications (p = .037).
  • Only 4 procedures (5%) required revision surgery (major type I complications), with no difference by screw direction.
  • NNT = 2.3 for medial placement to prevent one complication.

Carwardine

Veterinary Surgery

2

2024

Medial versus lateral transcondylar screw placement for canine humeral intracondylar fissures: A randomized clinical trial

2024-2-VS-carwardine-3

Article Title: Medial versus lateral transcondylar screw placement for canine humeral intracondylar fissures: A randomized clinical trial

Journal: Veterinary Surgery

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