Your Custom Quiz

In Scharpf 2024 et al., what symmetry index (SI) threshold was considered indicative of normal limb loading?

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Correct. A symmetry index (SI) ≥ 0.9 was defined as normal for limb loading across all force parameters:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is 0.90.
A symmetry index (SI) ≥ 0.9 was defined as normal for limb loading across all force parameters:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
  • No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
  • Force plate analysis was more sensitive than visual lameness scoring.
  • Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
  • Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.

Scharpf

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

2024-2-VCOT-scharpf-3

Article Title: Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Sisk 2024 et al., what is a theoretical advantage of expandable intramedullary nails?

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Correct. Expandable IMNs are designed to better contact the endosteum with less intraoperative imaging:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Minimized need for fluoroscopy.
Expandable IMNs are designed to better contact the endosteum with less intraoperative imaging:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • IMN provides relative stability, resists bending/torsion due to central axis alignment
  • Larger diameter nails = exponentially greater stiffness (∝ D⁴)
  • Trade-off: Larger interlocking holes weaken fatigue strength of the nail
  • Reaming increases contact/stability but has pros/cons:
    • Improves outcomes in closed fractures
    • May reduce endosteal blood flow in thin-walled bones (e.g., cats)
  • Design advances:
    • Angle-stable IMN reduce rotational slack
    • Expandable nails simplify insertion but may compromise removal or compressive load resistance
    • Precontoured nails match bone curvature but lack consistent clinical superiority
  • Material debates continue (e.g., titanium vs. stainless steel vs. magnesium)

Sisk

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine

2024-6-VCOT-sisk-3

Article Title: Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Thomsen 2024 et al., on CT accuracy for liver tumors, which liver lobes showed significantly lower CT localization accuracy?

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Correct. These lobes were significantly more prone to localization errors.
Incorrect. The correct answer is Quadrate and right lateral.
These lobes were significantly more prone to localization errors.

🔍 Key Findings

  • CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
  • Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
  • Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
  • CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
  • Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
  • No significant associations found between histopathologic diagnosis and localization accuracy
  • Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
  • Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best

Thomsen

Veterinary Surgery

7

2024

Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

2024-7-VS-thomsen-2

Article Title: Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

Journal: Veterinary Surgery

In Pfund 2025 et al., on femoral cortical thickness, what was the mean CTI for dogs that developed perioperative fractures?

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Correct. The mean CTI in dogs with fissures/fractures was 0.246 vs 0.285 in all dogs.
Incorrect. The correct answer is 0.246.
The mean CTI in dogs with fissures/fractures was 0.246 vs 0.285 in all dogs.

🔍 Key Findings

  • Lower CTI values were significantly associated with higher risk of both intraoperative and postoperative femoral fractures or fissures (p <.0001).
  • The mean CTI for all dogs was 0.285, whereas dogs with fissures/fractures had a mean CTI of 0.246.
  • For each 0.001 increase in CTI, odds of fissure/fracture decreased by 2–3% depending on perioperative timing.
  • High interobserver reliability (ICC = 0.984) and consistency between pre- and postoperative CTI measurements (ICC = 0.96).
  • CTI was the only significant risk factor identified; age, breed, bodyweight, BCS, CFI, or luxoid hips were not significant.
  • Prophylactic lateral plating in dogs with low CTI (mean 0.230) resulted in no postoperative fractures.
  • Postoperative fractures occurred in 8% of cases, and 93% of dogs returned to full function within one year.
  • CTI may be a useful radiographic screening tool, especially when advanced imaging (e.g., DEXA) is unavailable.

Pfund

Veterinary Surgery

6

2025

Femoral cortical thickness index in a population of dogs undergoing total hip replacement

2025-6-VS-pfund-5

Article Title: Femoral cortical thickness index in a population of dogs undergoing total hip replacement

Journal: Veterinary Surgery

In Miller 2024 et al., on SOP-LC mechanical testing, how did single-side clamp placement affect bending strength compared to alternating sides?

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Correct. Single-side clamps increased bending strength, yield displacement, and load significantly.
Incorrect. The correct answer is Increased strength and yield load.
Single-side clamps increased bending strength, yield displacement, and load significantly.

🔍 Key Findings Summary

  • No significant difference in mechanical properties between contoured vs non-contoured SOP-LC rods
  • Clamp configuration significantly influenced mechanical performance:
    • Single-side clamps → ↑ yield load, ↑ displacement, ↑ bending strength (p < 0.05)
    • Alternating-side clamps → ↑ initial torsional stiffness (p = 0.029)
  • Clamp slippage was evident only in torsional tests; screw loosening may be torque-dependent
  • Mild screw bending and construct offset suggest subtle instability
  • Recommends clamp configuration choice based on loading scenario
  • Suggests 3.0 Nm torque may be more effective than 2.5 Nm to prevent clamp slippage

Miller

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

2024-4-VCOT-miller-2

Article Title: Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Matz 2022 et al., on stapler size comparison, which stapler group had the highest mean initial leak pressure (ILP)?

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Correct. TA 30 V3 had the highest ILP at 181.5 mmHg, though differences were not statistically significant.
Incorrect. The correct answer is TA 30 V3 2.5 mm.
TA 30 V3 had the highest ILP at 181.5 mmHg, though differences were not statistically significant.

🔍 Key Findings

  • No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
  • All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
  • Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
  • Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
  • No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
  • Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
  • One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
  • Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.

Matz

Veterinary Surgery

4

2022

Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

2022-4-VS-matz-1

Article Title: Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

Journal: Veterinary Surgery

In Fracka 2025 et al., on cementless knee replacement, what postoperative improvement in stifle range of motion (ROM) was documented?

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Correct. ROM improved from 90° preoperatively to 120° postoperatively over 6 weeks【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is From 90° to 120°.
ROM improved from 90° preoperatively to 120° postoperatively over 6 weeks【57†Veterinary Surgery†L1-L20】

🔍 Key Findings

Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.

Clinical function:

  • Improved ROM from 90° pre-op to 120° post-op.
  • Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
  • No visible lameness by 14 weeks.

Implant performance:

  • No complications at any follow-up points.
  • No osteolysis, loosening, or metallosis at 6-year necropsy.

Wear evaluation:

  • Mild UHMWPE insert wear, localized to caudal edges.

Histologic findings:

  • Robust osseointegration at implant-bone interface.
  • Fibrous tissue only in areas lacking porous coating.

Conclusion:

  • Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
  • Support for considering early surgical intervention in severe stifle OA.

Fracka

Veterinary Surgery

3

2025

Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

2025-3-VS-fracka-1

Article Title: Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

Journal: Veterinary Surgery

In Jones 2024 et al., on elbow OA cysts, what best describes the presence of SBCs in radiographic OA grade 0 elbows?

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Correct. SBCs were absent in elbows without radiographic signs of OA (grade 0).
Incorrect. The correct answer is No SBCs were detected.
SBCs were absent in elbows without radiographic signs of OA (grade 0).

🔍 Key Findings Summary

  • Sample: 38 Labrador Retrievers (76 elbows)
  • SBCs (subchondral bone cysts):
    • Not found in elbows without OA
  • Increased number and size with OA severity:
    • Grade 1: median 3 SBCs
    • Grade 2: 9 SBCs
    • Grade 3: 20 SBCs (p < .001)
    • Larger SBCs in more severe OA (OR = 1.056, p = .012)
  • Locations: 62% humerus, 28% ulna, 10% radius
  • Sex and Age Effects:
    • Older dogs had larger SBCs (p = .013)
    • Female dogs had smaller SBCs (p = .002)
    • SBC number unrelated to age or sex

Jones

Veterinary Surgery

2

2024

Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

2024-2-VS-jones-3

Article Title: Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

Journal: Veterinary Surgery

In Guevara 2024 et al., on implant placement accuracy, what was considered an acceptable placement grade using the modified Zdichavsky classification?

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Correct. Grades I and IIa were deemed acceptable; grades IIb, IIIa, and IIIb were unacceptable.
Incorrect. The correct answer is I and IIa.
Grades I and IIa were deemed acceptable; grades IIb, IIIa, and IIIb were unacceptable.

🔍 Key Findings:

  • Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
  • Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
  • Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
  • Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
  • Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
  • Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
  • Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
  • Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.

Guevara

Veterinary Surgery

2

2024

Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

2024-2-VS-guevara-4

Article Title: Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

Journal: Veterinary Surgery

In Paulick 2022 et al., on feline ilial plating, which of the following statements best describes the failure mode observed in **locking plate constructs**?

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Correct. Locking constructs consistently failed via bone slicing, not screw loosening.
Incorrect. The correct answer is Bone slicing occurred in all specimens.
Locking constructs consistently failed via bone slicing, not screw loosening.

🔍 Key Findings

  • Locking plates (except ALPS-5) withstood significantly more cycles before failure than nonlocking DCP constructs.
  • ALPS-6.5, LCP, and FIXIN plates endured higher loads and resisted displacement better than DCP and ALPS-5.
  • ALPS-5 plates showed lower bending stiffness than all other constructs (P < .05).
  • DCP constructs failed due to screw loosening, seen in all specimens.
  • Locking constructs failed by bone slicing, affecting 100% of specimens.
  • Catastrophic implant failure (fracture or plastic deformation) occurred only in ALPS-5 group.
  • Plate size and screw-plate interface both influence resistance to cyclic loading in feline ilial fracture repair.
  • Locking plates are preferable for reducing screw pullout, but plate strength (e.g., cross-section) must match loading forces.

Paulick

Veterinary Surgery

1

2022

Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats

2022-1-VS-paulick-4

Article Title: Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats

Journal: Veterinary Surgery

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