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In Banse 2022 et al., on skill retention methods, which component of cognitive load was significantly higher in massed instruction (MI) students at LMU?

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Correct. LMU MI students reported higher mental, physical, and time demands, indicating elevated cognitive load.
Incorrect. The correct answer is Mental demand.
LMU MI students reported higher mental, physical, and time demands, indicating elevated cognitive load.

🔍 Key Findings

  • Spaced instruction (SI) improved immediate performance on the first learned skill compared to massed instruction (MI) in both LSU and LMU cohorts.
  • Cognitive load was higher in MI students at LMU, particularly in physical demand, effort, and frustration, while LSU showed no significant cognitive load differences.
  • Skill performance differences disappeared after 2 weeks of supervised practice, regardless of instructional format.
  • Time to complete skills improved over time, but this did not always correlate with improved checklist or global rating scores.
  • Intrinsic cognitive load increased when teaching more complex or related surgical tasks in the same session.
  • Initial skill complexity and prior exposure may influence effectiveness of spaced vs massed instruction.
  • Supervised practice sessions are critical to eliminate initial skill disparities between instructional methods.
  • Massed instruction may still be acceptable if followed by scheduled practice opportunities.

Banse

Veterinary Surgery

7

2022

Teaching veterinary surgical skills: Comparison of massed versus spaced instruction

2022-7-VS-banse-2

Article Title: Teaching veterinary surgical skills: Comparison of massed versus spaced instruction

Journal: Veterinary Surgery

In Bounds 2023 et al., on feline hip arthroscopy, which structure was consistently avoided during portal placement in all hips?

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Correct. Cannula placement always avoided the sciatic nerve, with a minimum clearance of 1.1 mm.
Incorrect. The correct answer is Sciatic nerve.
Cannula placement always avoided the sciatic nerve, with a minimum clearance of 1.1 mm.

2023-8-VS-bounds-3

Article Title:

Journal:

In Lampart 2023 et al., on manual laxity testing, which test showed the greatest interobserver variability in compressive force applied?

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Correct. CD showed poor interobserver agreement for force application (ICC = 0.44), likely due to examiner experience and hand positioning.
Incorrect. The correct answer is Cranial drawer test.
CD showed poor interobserver agreement for force application (ICC = 0.44), likely due to examiner experience and hand positioning.

🔍 Key Findings

  • Cranial drawer (CD), tibial compression (TCT), and tibial pivot compression test (TPCT) showed 100% sensitivity and specificity in differentiating intact from CCL-deficient stifles in this ex vivo model.
  • TPCT elicited the highest cranial tibial translation (CTT) and internal tibial rotation, though differences in rotation did not reach statistical significance.
  • Inter- and intraobserver agreement for CTT was excellent across all tests (ICC >0.9).
  • Rotation and force application had greater variability, particularly with less experienced observers and during CD.
  • Forces applied during CD were significantly higher in intact limbs and correlated with observer experience.
  • Subjective CTT estimates strongly correlated with objective kinematic measurements (r = 0.895), with a median absolute error of 1.31 mm.
  • TPCT may be particularly useful for assessing rotational instability, mimicking the pivot-shift test used in human ACL exams.
  • Study supports development of a grading system for manual laxity testing, especially in acute CCLR cases.

Lampart

Veterinary Surgery

5

2023

Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study

2023-5-VS-lampart-4

Article Title: Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study

Journal: Veterinary Surgery

In Saitoh 2025 et al., on CTS stabilization, which of the following was used in the majority of stabilization procedures?

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Correct. 8 of 12 dogs underwent synthetic ligament reconstruction as the primary repair method.
Incorrect. The correct answer is Synthetic ligament reconstruction.
8 of 12 dogs underwent synthetic ligament reconstruction as the primary repair method.

🔍 Key Findings

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

  • 3 dogs = primary ligamentous repair
  • 8 dogs = synthetic ligament reconstruction
  • 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

  • All 10 dogs had improved or resolved lameness.
  • All 5 farm dogs returned to work (most at full or substantial capacity).
  • Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

Saitoh

Veterinary Surgery

1

2025

Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

2025-1-VS-saitoh-5

Article Title: Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

Journal: Veterinary Surgery

In Philips 2025 et al., on radiographic IAIP detection, how did implants placed 2 mm into the joint perform in terms of accurate classification?

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Correct. Implants placed 2 mm into the joint were correctly classified in 97.2% of cases.
Incorrect. The correct answer is 97.2% correct.
Implants placed 2 mm into the joint were correctly classified in 97.2% of cases.

🔍 Key Findings

Overall accuracy of radiography to detect IAIP: 77.9%

Sensitivity: 97.2%
Specificity: 67.6%

False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating

Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)

Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)

Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)

No palpable abnormalities (e.g., crepitus) observed during ROM for any group

No significant difference in detection by specialty field or reviewer qualification

Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases

Philips

Veterinary Surgery

3

2025

Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

2025-3-VS-philips-5

Article Title: Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

Journal: Veterinary Surgery

In Jeong 2025 et al., on contoured saw guide vs jig, what was a key outcome in terms of osteotomy *inclination* on cadaver limbs?

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Correct. The contoured guide significantly reduced osteotomy inclination deviation, improving perpendicularity (p = .008).
Incorrect. The correct answer is Contoured guide showed more accurate inclination angle (1.2° vs. 4.3°)..
The contoured guide significantly reduced osteotomy inclination deviation, improving perpendicularity (p = .008).

🔍 Key Findings

  • TPLO with the contoured saw guide achieved more accurate osteotomy angles for both inclination and torsion in bone models and cadaveric limbs (p < .05).
  • Medial cortical damage was significantly lower with the contoured guide (247 vs. 1866 pixels in bone models; p < .001).
  • No significant difference in eccentricity (distance between actual and intended osteotomy center) was found between groups.
  • Postoperative tibial plateau angle (TPA) was similar between groups (6.4° vs. 7.6°; p = .15), though both were slightly higher than the target of 6°.
  • Deviation in medial mechanical proximal tibial angle (mMPTA) showed no significant group difference; valgus deformity occurred in both.
  • Osteotomy and device application times were similar between the contoured guide and jig-assisted TPLO.
  • The contoured guide eliminated the need for proximal jig pin, potentially reducing intra-articular pin risk.
  • The guide's multiple pin fixation system improved stability and alignment, supporting safer osteotomy on curved tibial surfaces.

Jeong

Veterinary Surgery

7

2025

Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

2025-7-VS-jeong-1

Article Title: Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

Journal: Veterinary Surgery

In Logothetou 2024 et al., on SPF complications, what was the most commonly reported postoperative issue?

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Correct. Wound dehiscence was observed in 35% of cases, making it the most common complication.
Incorrect. The correct answer is Wound dehiscence.
Wound dehiscence was observed in 35% of cases, making it the most common complication.

🔍 Key Findings

  • Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
  • Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
  • Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
  • Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
  • Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
  • Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
  • Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
  • Closure technique did not significantly influence complication severity, though staple use was numerically worse.

Logothetou

Veterinary Surgery

3

2024

Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

2024-3-VS-logothetou-1

Article Title: Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

Journal: Veterinary Surgery

In Saitoh 2025 et al., on CTS stabilization, what was the major complication observed?

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Correct. A single major complication occurred: breakage of the CTS.
Incorrect. The correct answer is CTS breakage.
A single major complication occurred: breakage of the CTS.

🔍 Key Findings

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

  • 3 dogs = primary ligamentous repair
  • 8 dogs = synthetic ligament reconstruction
  • 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

  • All 10 dogs had improved or resolved lameness.
  • All 5 farm dogs returned to work (most at full or substantial capacity).
  • Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

Saitoh

Veterinary Surgery

1

2025

Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

2025-1-VS-saitoh-2

Article Title: Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

Journal: Veterinary Surgery

In Chik 2025 et al., on abdominal wall prestretching, what was the effect of prestretching on the need for increased insufflation or conversion to open surgery?

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Correct. All 50 dogs completed laparoscopic procedures at 6 mmHg after PS, without conversion or pressure increase.
Incorrect. The correct answer is No dogs required increased insufflation or conversion to open.
All 50 dogs completed laparoscopic procedures at 6 mmHg after PS, without conversion or pressure increase.

🔍 Key Findings

  • Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
  • PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
  • All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
  • Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
  • Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
  • No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
  • Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
  • Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.

Chik

Veterinary Surgery

5

2025

Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

2025-5-VS-chik-4

Article Title: Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

Journal: Veterinary Surgery

In Adams 2024 et al., on canine tibial plateau fractures, which approach was used for lateral TPFs?

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Correct. The lateral approach included caudolateral arthrotomy with elevation of the lateral meniscus for visualization.
Incorrect. The correct answer is Lateral approach with lateral meniscus elevation.
The lateral approach included caudolateral arthrotomy with elevation of the lateral meniscus for visualization.

🔍 Key Findings

  • Tibial plateau fractures (TPF) are rare in dogs, but can be surgically stabilized with good outcomes even in complex trauma cases.
  • Lateral TPFs (Unger type 41-B1) were approached via caudolateral arthrotomy, with elevation of the lateral meniscus for visualization and use of lag screws and K-wires for fixation.
  • Medial TPF (Unger type 41-B2) was addressed via medial parapatellar approach using K-wires and a figure-of-eight tension band.
  • One minor complication occurred: implant yield at 2 weeks in a case with a concurrent fibular fracture, resulting in a 0.8 mm step defect.
  • No major complications were recorded, and all dogs achieved clinical union with full function by 8–10 weeks.
  • Long-term owner-reported outcomes (LOAD scores) were excellent (5/52), indicating minimal osteoarthritis or chronic pain.
  • Concurrent fibular fractures may increase risk of implant failure and should influence implant selection (e.g., considering buttress plating).
  • Arthroscopic-assisted techniques may be applicable in select cases, but open reduction was preferred due to fragment displacement or concurrent injuries.

Adams

Veterinary Surgery

6

2024

Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases

2024-6-VS-adams-3

Article Title: Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases

Journal: Veterinary Surgery

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