Your Custom Quiz

In Frapwell 2026 et al., on humeral condyle morphology, what hypothesis was proposed to explain HIF formation related to condylar shape?

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Correct. Authors propose that abnormal condylar angles may generate shear forces orthogonal to the fissure, contributing to HIF pathogenesis.
Incorrect. The correct answer is Shear force orthogonal to the fissure.
Authors propose that abnormal condylar angles may generate shear forces orthogonal to the fissure, contributing to HIF pathogenesis.

🔍 Key Findings

  • HIF-affected dogs had significantly greater angle A and B, indicating increased axial articular angulation of the medial and lateral humeral condyle (p < .001).
  • Vertical condylar height (lengths a and b) was significantly greater in HIF-affected dogs compared to controls (p = .007 and p < .001 respectively).
  • Angle G (dorsal plane medial condyle angle) was also significantly greater in HIF-affected dogs, suggesting altered medial humeral morphology (p < .001).
  • The angle between axial surfaces (A–B angle) was significantly more acute in HIF dogs (107.4° vs. 114.2°, p < .001), suggesting potential for increased shear force.
  • Springer Spaniels with HIF showed significantly greater angulation and vertical height than unaffected Springer controls (p < .001 to .007 across variables).
  • Morphological differences persisted across non-spaniel breeds, reinforcing that altered condylar geometry is not breed-restricted.
  • Authors propose that greater condylar angulation contributes to shear stress, orthogonal to the fissure, possibly contributing to HIF pathogenesis.
  • These morphologic alterations could inform future screening or preventive strategies, and may explain variable surgical outcomes and implant failure.

Frapwell

Veterinary Surgery

1

2026

Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure

2026-1-vs-frapwell-4

Article Title: Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure

Journal: Veterinary Surgery

In Sunlight 2022 et al., on Protein C monitoring, what percentage of dogs required a second intervention following PTCE for IHPSS?

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Correct. 16 out of 47 dogs (34%) underwent a second procedure, mainly due to recurrence of clinical signs.
Incorrect. The correct answer is 34%.
16 out of 47 dogs (34%) underwent a second procedure, mainly due to recurrence of clinical signs.

🔍 Key Findings

  • Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
  • Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
  • Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
  • Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
  • Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
  • Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
  • PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
  • Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.

Sunlight

Veterinary Surgery

1

2022

Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

2022-1-VS-sunlight-3

Article Title: Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

Journal: Veterinary Surgery

In Wylie 2026 et al., on CCT surgical outcomes, which surgical approach was associated with the highest rate of catastrophic complications?

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Correct. Catastrophic complications occurred in 26.1% of tendon repairs with immobilization and 0% after pantarsal arthrodesis.
Incorrect. The correct answer is Tendon repair with tarsocrural immobilization.
Catastrophic complications occurred in 26.1% of tendon repairs with immobilization and 0% after pantarsal arthrodesis.

🔍 Key Findings

  • CCT surgery was performed in 80 dogs (89 limbs) across five referral centers in a retrospective cohort study evaluating surgical treatment outcomes.
  • Tendon repair with tarsocrural immobilization was the most common treatment (51.7%), followed by pantarsal arthrodesis (36%) and immobilization without repair (12.3%).
  • The three-loop pulley was the most frequently used tendon repair suture pattern (41.3%) among repaired tendons.
  • Overall complication rates did not differ significantly between tendon repair (56.5%) and pantarsal arthrodesis (42.8%) (p = .543).
  • Catastrophic complications were significantly higher after tendon repair with immobilization (26.1%) compared with pantarsal arthrodesis (0%) (p = .005).
  • Temporary tarsocrural immobilization (with or without tendon repair) was associated with higher revision surgery risk than pantarsal arthrodesis.
  • Median referral follow-up time was 10 weeks (range 6–256 weeks).
  • Long-term owner outcomes (LOAD questionnaire) showed no difference in mildly affected dogs among surgical groups (p = .493).

Wylie

Veterinary Surgery

2

2026

Complications and outcomes following surgical management of common calcaneal tendon pathology in 80 dogs

2026-2-vs-wylie-4

Article Title: Complications and outcomes following surgical management of common calcaneal tendon pathology in 80 dogs

Journal: Veterinary Surgery

In Forzisi 2026 et al., on stifle locking plate immobilization, what was the primary rationale for limiting immobilization to approximately 6–8 weeks?

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Correct. Prolonged immobilization can lead to cartilage deterioration; limiting immobilization to about 6–8 weeks reduces these deleterious effects.
Incorrect. The correct answer is Avoid articular cartilage degeneration from prolonged immobilization.
Prolonged immobilization can lead to cartilage deterioration; limiting immobilization to about 6–8 weeks reduces these deleterious effects.

🔍 Key Findings

  • Temporary transarticular locking plates successfully immobilized the stifle joint for protection of primary repairs (e.g., ligament reconstruction or articular fracture fixation) in dogs and cats.
  • 15 stifle joints in 13 patients met inclusion criteria (9 dogs, 4 cats) treated for injuries such as patellar fracture, patellar ligament rupture, stifle luxation, and femoral condylar fractures.
  • The plate was contoured along the medial distal femur and proximal tibia, immobilizing the joint at 135–145° extension with at least three screws in each bone segment.
  • Implant removal occurred at a median of 58 days (range 27–96), aligning with the planned ~6-week immobilization period intended to protect repair while limiting cartilage damage.
  • No intraoperative complications were reported, and all animals were able to ambulate comfortably postoperatively.
  • One major complication (plate breakage at 19 days) required early removal and temporary orthotic support.
  • Four minor complications involved plate breakage occurring after the recommended removal time, often related to delayed follow-up appointments.
  • Respecting the planned 6-week implant removal is important to prevent implant failure, and dedicated anatomically designed plates may further improve technique reliability.

Forzisi

Veterinary and Comparative Orthopaedics and Traumatology

2

2026

Temporary Transarticular Immobilization of the Stifle Joint Using a Locking Plate

2026-2-vcot-forzisi-5

Article Title: Temporary Transarticular Immobilization of the Stifle Joint Using a Locking Plate

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Sullivan 2025 et al., on TTT stabilization methods, what biomechanical benefit did the TBW group demonstrate over the others?

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Correct. Only the TBW group had zero crest fractures, unlike the 2-pin and spacer pin groups.
Incorrect. The correct answer is Distal crest fracture prevention.
Only the TBW group had zero crest fractures, unlike the 2-pin and spacer pin groups.

🔍 Key Findings

  • Spacer pin fixation showed no difference in failure force or stiffness compared to tension band wire (TBW) or 2-pin techniques.
  • All constructs failed under loads >1000 N, exceeding estimated peak quadriceps force in dogs during walking (~240 N).
  • Patellar ligament failure was the most common mode of failure across all groups (5–8 samples per group).
  • Distal tibial crest fractures were seen only in 2-pin and spacer pin groups, not in TBW group, suggesting TBW may protect against crest failure.
  • No failures occurred at pin tracts, possibly due to pin placement within patellar ligament footprint.
  • Spacer pin technique avoids placing pins through the tuberosity, potentially reducing risks of soft tissue complications like tendinopathy or irritation.
  • Use of partial osteotomy with robust distal crest may substitute for TBW without compromising initial mechanical strength.
  • Further in vivo or cyclic loading studies are required, as this cadaveric study tested only acute tensile failure.

Sullivan

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Biomechanical Comparison of Spacer Pin Fixation to Two Established Methods of Tibial Tuberosity Transposition Stabilization in Dogs

2025-3-VCOT-sullivan-3

Article Title: Biomechanical Comparison of Spacer Pin Fixation to Two Established Methods of Tibial Tuberosity Transposition Stabilization in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Viitanen 2023 et al., on zygomatic sialoadenectomy, which dog conformation was associated with higher difficulty in complete gland removal using IOA?

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Correct. In brachycephalic cadavers, remnant gland tissue remained after IOA, likely due to anatomy.
Incorrect. The correct answer is Brachycephalic.
In brachycephalic cadavers, remnant gland tissue remained after IOA, likely due to anatomy.

🔍 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-4

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

Journal: Veterinary Surgery

In Davis 2025 et al., on modified anal sacculectomy, what was the resolution rate of minor postoperative complications?

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Correct. 13 of 14 dogs with grade 1 complications resolved by 2-week follow-up (93%).
Incorrect. The correct answer is 93%.
13 of 14 dogs with grade 1 complications resolved by 2-week follow-up (93%).

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-2

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic vertical sleeve gastrectomy (LVSG), what was the most common intraoperative complication in the cadaver model?

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Correct. Stenosis was observed in 2/9 cadavers, associated with stapling too close to the lesser curvature.
Incorrect. The correct answer is Stenosis at the incisura angularis.
Stenosis was observed in 2/9 cadavers, associated with stapling too close to the lesser curvature.

🔍 Key Findings

  • LVSG was successfully performed in 9/10 cadavers and both live cats, demonstrating procedural feasibility.
  • Mean stomach resected was 27.6% of total weight in cadavers, with no leaks in 8/8 tested or either live patient.
  • Mean surgical time: 110.4 min (cadavers) and 115 min (live cats); no intra- or postoperative complications observed.
  • Stenosis near the incisura occurred in 2 cadavers; attributed to staple placement too close to the lesser curvature.
  • 3D printed cannulas (3DPCs) improved ergonomics and were used in 6/10 cadavers and both live procedures.
  • Live cats lost 21–24% body weight over 3 months, with full return to pre-surgical BCS and no GI complications.
  • Orogastric tube and proper tensioning were critical in preventing gastric stenosis during staple placement.
  • No reinforcement or oversew was used on the staple line; TriStaple cartridges provided reliable closure.

Buote

Veterinary Surgery

7

2023

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

2023-7-VS-buote2-1

Article Title: Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Journal: Veterinary Surgery

In Fracka 2023 et al., on patient-specific guides, what best describes the effect of PSGs on sagittal plane alignment of femoral cuts?

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Correct. PSGs significantly improved sagittal alignment of both distal and cranial femoral cuts (p = .018, p = .043).
Incorrect. The correct answer is Significant improvement in both cranial and distal cuts.
PSGs significantly improved sagittal alignment of both distal and cranial femoral cuts (p = .018, p = .043).

🔍 Key Findings

  • 3D-printed patient-specific guides (PSGs) improved tibial cut alignment in the frontal plane compared to generic guides (mean error 1.03° vs 2.41°, p = .036).
  • All tibial cuts using PSGs were within 3° of target alignment, while 2/8 of the generic group were outliers.
  • PSGs significantly improved sagittal alignment of both distal (p = .018) and cranial (p = .043) femoral cuts.
  • No significant difference was found in varus-valgus femoral alignment or closing angle between PSG and generic guide groups.
  • Tibial sagittal slope alignment was not significantly different between groups.
  • PSGs provided better intraoperative usability, including improved visibility, no loosening, and ease of use.
  • Femoral sizing and component fit were equivalent between PSGs and generic guides, ensuring proper prosthesis alignment.
  • PSGs may offer training advantages for novice surgeons, especially in anatomically complex or deformed joints.

Fracka

Veterinary Surgery

5

2023

3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement

2023-5-VS-fracka-2

Article Title: 3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on femoral MIPO alignment, which statement about fluoroscopy use is most accurate?

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Correct. Fewer fluoroscopic images were required in the FRS group compared to the IMP group (median 7 vs 26).
Incorrect. The correct answer is IMP required more fluoroscopy than FRS.
Fewer fluoroscopic images were required in the FRS group compared to the IMP group (median 7 vs 26).

🔍 Key Findings

  • Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
  • Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
  • Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
  • Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
  • FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
  • Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
  • Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
  • Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.

Scheuermann

Veterinary Surgery

6

2023

Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs

2023-6-VS-scheuermann-1

Article Title: Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs

Journal: Veterinary Surgery

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