Your Custom Quiz

In Spies 2024 et al., on EHPSS in large dogs, what was the most common clinical sign at presentation?

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Correct. Lethargy was reported in 61.9% of dogs, making it the most common presenting clinical sign.
Incorrect. The correct answer is Lethargy.
Lethargy was reported in 61.9% of dogs, making it the most common presenting clinical sign.

🔍 Key Findings

  • 63 dogs ≥15 kg with single EHPSS were reviewed.
  • Most common breeds: Golden Retriever (28.6%), mixed breed (20.6%).
  • Most common shunt types: splenocaval (25.4%) and portocaval (25.4%).
  • 45 dogs received surgical attenuation; 18 were medically managed.
  • 6.7% (3/45) of surgically treated dogs died due to shunt-related complications; 22.2% (4/18) of medically managed dogs died.
  • Hypoplastic portal vein was noted in 52.9% of dogs where portal anatomy was described.
  • 37.5% of surviving attenuated dogs were weaned off all medical management.
  • Attenuated dogs had higher 1-, 2-, and 5-year survival rates (89%, 77%, 77%) than nonattenuated dogs (82%, 49%, 24%).

Spies

Veterinary Surgery

2

2024

Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts

2024-2-VS-spies-5

Article Title: Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts

Journal: Veterinary Surgery

In Thibault 2023 et al., on DPO for THR luxation, what was the reported impact of DPO on angle of lateral opening (ALO) and version angle (VA)?

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Correct. DPO resulted in a median 11° decrease in ALO and an 8° increase in VA.
Incorrect. The correct answer is ALO decreased and VA increased.
DPO resulted in a median 11° decrease in ALO and an 8° increase in VA.

2023-8-VS-thibault-3

Article Title:

Journal:

In Hanlon 2022 et al., on short screw sacroiliac fixation, what complication was observed in some short screw cases?

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Correct. Three cases (1 SPS, 2 SLS) had caudal screws impinging the ventral sacral foramina.
Incorrect. The correct answer is Ventral sacral foraminal impingement.
Three cases (1 SPS, 2 SLS) had caudal screws impinging the ventral sacral foramina.

🔍 Key Findings

  • Two short screws (SLS or SPS) provided >2× peak load, yield load, and stiffness vs a single long screw (LLS) for SI joint stabilization.
  • No mechanical advantage was seen between the two short screw types (lag vs positional).
  • All short screws terminated lateral to the spinal canal, avoiding spinal impingement.
  • Ventral sacral foraminal impingement occurred in 3 short-screw cases (1 SPS, 2 SLS), all involving the caudal screw.
  • LLS group showed more abaxial displacement at osteotomy sites, suggesting inferior stabilization for concurrent pelvic fractures.
  • Short screw constructs had longer total screw length (48 mm) than LLS (40 mm), contributing to increased stiffness.
  • Positioning of caudal screw in a cranial/craniodorsal trajectory may help avoid nerve foraminal injury.
  • No significant difference in displacement at peak load among groups; stiffness and load capacity were the primary benefits.

Hanlon

Veterinary Surgery

7

2022

Mechanical evaluation of canine sacroiliac joint stabilization using two short screws

2022-7-VS-hanlon-4

Article Title: Mechanical evaluation of canine sacroiliac joint stabilization using two short screws

Journal: Veterinary Surgery

In Raleigh 2022 et al., on pericardiectomy complications, what was the approximate incidence of intraoperative ventricular fibrillation (VF)?

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Correct. An estimated 3% of pericardiectomy procedures resulted in intraoperative VF.
Incorrect. The correct answer is 3%.
An estimated 3% of pericardiectomy procedures resulted in intraoperative VF.

🔍 Key Findings

  • Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
  • 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
  • Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
  • Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
  • Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
  • Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
  • VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
  • Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.

Raleigh

Veterinary Surgery

4

2022

The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

2022-4-VS-raleigh-1

Article Title: The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

Journal: Veterinary Surgery

In Perry 2025 et al., on I-Loc fracture fixation, what technical recommendation was emphasized for tibial fractures?

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Correct. Prebending tibial nails was recommended to maintain alignment and avoid increased tibial plateau angle.
Incorrect. The correct answer is Prebend the nail to follow recurvatum.
Prebending tibial nails was recommended to maintain alignment and avoid increased tibial plateau angle.

🔍 Key Findings

  • High union rate with low complications was achieved using the I-Loc angle-stable interlocking nail across 243 canine long-bone fractures.
  • Mean time to clinical union was 8.3 weeks, faster than many historical plate-rod or non-angle-stable nail reports.
  • Major complications occurred in only 5.3% and minor complications in 9.1% of cases.
  • Most fractures were diaphyseal (75%) and comminuted (62%), demonstrating effectiveness in complex fracture patterns.
  • Ancillary implants were uncommon (21%), mainly used in epi-/metaphyseal fractures or for anatomic reconstruction.
  • Postoperative missed bolt rate was very low (0.94%), reflecting improved targeting accuracy.
  • Open fractures carried a substantially higher risk of SSI and implant removal compared with closed fractures.
  • Prebending of tibial nails was strongly recommended to follow natural recurvatum and avoid iatrogenic alignment errors.

Perry

Veterinary Surgery

8

2025

Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail

2025-8-VS-perry-5

Article Title: Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail

Journal: Veterinary Surgery

In Nagahiro 2023 et al., on quadriceps-femoral mismatch, which MPL grade was associated with significantly shorter quadriceps muscle length relative to femoral length?

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Correct. QML/FL was significantly lower in grade IV compared to grades I–III, indicating a shortened quadriceps muscle in severe MPL.
Incorrect. The correct answer is Grade IV.
QML/FL was significantly lower in grade IV compared to grades I–III, indicating a shortened quadriceps muscle in severe MPL.

🔍 Key Findings

  • Quadriceps muscle length/femoral length ratio (QML/FL) was significantly lower in dogs with grade IV MPL than grades I–III (p ≤ .002).
  • Shortened QML was associated with increased femoral torsion angle (FTA) and increased aLDFA, indicating correlation with femoral deformity.
  • QML/FL increased with age, possibly due to muscular development or reduced deformity in older dogs (p = .004).
  • Grade IV MPL dogs had QML/FL < 0.87, the lower normal limit based on healthy beagles, suggesting clinically significant muscle shortening.
  • PLL/PL ratio (used to diagnose patella alta) was not associated with QML/FL or MPL severity in small breeds.
  • QML/FL can help preoperatively identify candidates for femoral shortening ostectomy, improving femoropatellar alignment.
  • Multivariate regression model confirmed QML/FL is independently influenced by age, FTA, and aLDFA (R² = 0.45).
  • CT-based 3D measurements enabled objective, noninvasive quantification of femoral and muscle alignment parameters.

Nagahiro

Veterinary Surgery

4

2023

Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation

2023-4-VS-nagahiro-1

Article Title: Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation

Journal: Veterinary Surgery

In Low 2025 et al., on gonadectomy and CrCLD, which timing of gonadectomy was associated with the highest relative risk for cruciate disease?

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Correct. The subgroup analysis showed that dogs neutered at ≤1 year had significantly increased odds (OR: ~3.4) of developing CrCLD compared to those neutered later.
Incorrect. The correct answer is Gonadectomy at or before 1 year of age.
The subgroup analysis showed that dogs neutered at ≤1 year had significantly increased odds (OR: ~3.4) of developing CrCLD compared to those neutered later.

🔍 Key Findings

Increased risk with gonadectomy:

  • Pooled OR for CrCLD:
    • Females: 2.29 (95% CI: 1.77–2.95)
    • Males: 2.12 (95% CI: 1.67–2.69)

Early gonadectomy (≤1 year) further increased risk:

  • OR vs >1 year:
    • Females: 3.39
    • Males: 3.13

Late gonadectomy (>1 year) had no significant difference vs intact dogs.

Breed-specific findings:

  • Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
  • Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)

Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)

Low

Veterinary Surgery

2

2025

The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

2025-2-VS-low-2

Article Title: The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

Journal: Veterinary Surgery

In Payne 2024 et al., on HIF propagation pattern, what was the typical origin point of the humeral intracondylar fissure (HIF) in English Springer Spaniels?

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Correct. CT analysis showed HIF origin averaged 57° caudal to the supratrochlear foramen, supporting a caudal-to-cranial propagation model.
Incorrect. The correct answer is Approximately 57 degrees caudal to the supratrochlear foramen.
CT analysis showed HIF origin averaged 57° caudal to the supratrochlear foramen, supporting a caudal-to-cranial propagation model.

🔍 Key Findings Summary

  • HIF typically originates 57° caudal to the supratrochlear foramen and propagates cranially in a segmental pattern.
  • %HIF correlated significantly with both fissure depth and length:
    • %DHIF increased linearly (r = 0.989, p < 0.001)
    • %LHIF followed a sigmoidal relationship with %HIF (p < 0.001)
  • Higher %HIF was significantly associated with:
    • Clinical lameness (p = 0.004)
    • Distal shift in the fissure center (CHIF)
  • Implant complications in 5/17 elbows treated with transcondylar screws
  • Isthmus diameter increased with weight (p = 0.002), relevant for screw sizing

Payne

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Computed Tomography Topographical Analysis of Incomplete Humeral Intracondylar Fissures in English Springer Spaniel Dogs

2024-2-VCOT-payne-1

Article Title: Computed Tomography Topographical Analysis of Incomplete Humeral Intracondylar Fissures in English Springer Spaniel Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Stoneburner 2024 et al., on MIS survey results, what was the most commonly performed MIS procedure among respondents?

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Correct. Most surgeons reported laparoscopic ovariectomy/hysterectomy as their most frequent MIS procedure.
Incorrect. The correct answer is Laparoscopic OVE/OHE.
Most surgeons reported laparoscopic ovariectomy/hysterectomy as their most frequent MIS procedure.

🔍 Key Findings

  • The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
  • In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
  • Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
  • Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
  • 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
  • MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
  • The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
  • Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.

Stoneburner

Veterinary Surgery

5

2024

Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

2024-5-VS-stoneburner-2

Article Title: Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

Journal: Veterinary Surgery

In İnal 2025 et al., on supracutaneous locking plates, which imaging modality was used to assess bone volume and callus HU?

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Correct. CT allowed objective, quantitative assessment of callus area and Hounsfield Units (HU).
Incorrect. The correct answer is Computed tomography.
CT allowed objective, quantitative assessment of callus area and Hounsfield Units (HU).

🔍 Key Findings

  • Supracutaneous locking plates (SLPs) were successfully used to manage 33 diaphyseal fractures (radial–ulnar and tibial) in 30 cats and dogs.
  • Median fracture healing time was 50.5 days (range: 27–88), with most patients regaining limb use within days postoperatively.
  • CT-based metrics (callus area, HU, and 3D bone volume) increased significantly during healing (p < 0.05), validating CT as a quantitative tool for assessing healing.
  • Complications were minimal: minor in 15/33 (e.g., screw tract discharge, edema), and major in 3/33 (e.g., implant failure, delayed union, nonunion).
  • Minimally invasive osteosynthesis required longer surgery times than closed reduction (p < 0.05), but both techniques were viable.
  • SLPs enabled successful bilateral fracture management without inter-plate interference due to their compact design.
  • Screw orientation challenges were noted in cats, especially with cranial application to the radius due to narrow anatomy.
  • Polyaxial locking screws were used safely and did not dislodge, allowing for angular insertion (≤10°) to avoid neurovascular structures.

İnal

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats

2025-5-VCOT-inal-2

Article Title: Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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