Your Custom Quiz

In Muroi 2024 et al., on radius plate stress effects, what was the yield load measured during mechanical testing of cadaveric radii?

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Correct. Mechanical testing showed yield load was 1,260 N at 55.5% of the distal radius.
Incorrect. The correct answer is 1,260 N.
Mechanical testing showed yield load was 1,260 N at 55.5% of the distal radius.

🔍 Key Findings Summary

  • Finite element analysis compared intact radii vs. locking plates placed 1 mm or 3 mm above the bone
  • LP placement significantly reduced tensile (maximum principal) stress on cranial cortex, potentially causing implant-induced osteoporosis
  • Shell element findings:
    • Max principal stress significantly lower in both LP groups vs. intact (p < 0.05)
  • Solid element findings:
    • Equivalent stress higher and max principal stress lower in LP groups
  • Implication: Tension reduction may impair bone remodeling; implant design and placement height affect stress environment

Muroi

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

2024-3-VCOT-muroi-2

Article Title: Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Peycke 2022 et al., on CBLO in immature dogs, what was the most common **complication** from improper screw placement in CBLO?

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Correct. Two dogs developed valgus deformities from screws breaching the distal lateral portion of the proximal tibial physis.
Incorrect. The correct answer is Valgus deformity.
Two dogs developed valgus deformities from screws breaching the distal lateral portion of the proximal tibial physis.

🔍 Key Findings

  • CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
  • Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
  • Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
  • Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
  • One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
  • CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
  • In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
  • No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.

Peycke

Veterinary Surgery

3

2022

Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

2022-3-VS-peycke-2

Article Title: Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

Journal: Veterinary Surgery

In Rocheleau 2023 et al., on shoulder stabilization, which complication was more common with bone anchor placement than with suture-toggle stabilization?

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Correct. Articular cartilage violation occurred in 2 bone anchor cases versus 1 suture-toggle case.
Incorrect. The correct answer is Violation of articular cartilage.
Articular cartilage violation occurred in 2 bone anchor cases versus 1 suture-toggle case.

🔍 Key Findings

  • Arthroscopically assisted stabilization with an IAD was feasible in cadaveric canine shoulders using both bone anchor and suture-toggle techniques.
  • Suture-toggle repair was successfully performed in all specimens, while bone anchors could not be deployed in 3/10 shoulders, indicating lower feasibility.
  • Median surgical time was shorter for the suture-toggle group (25.5 min) compared to the anchor group (37.3 min).
  • Postoperative abduction angles returned to baseline in the anchor group, while the suture-toggle group had slightly reduced angles, suggesting possible overtightening.
  • Violation of the articular surface occurred in 2 anchor specimens and 1 suture-toggle specimen, but none were considered likely to be clinically significant.
  • Overall targeting accuracy using the IAD was 88%, supporting its utility in guiding tunnel/anchor placement.
  • CT measurements showed acceptable bone stock and insertion angles, but anchor insertion angles were lower than optimal for mechanical pullout strength.
  • Suture-toggle technique was considered simpler and more consistent, with fewer complications and faster execution than anchor placement.

Rocheleau

Veterinary Surgery

4

2023

Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

2023-4-VS-rocheleau-4

Article Title: Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

Journal: Veterinary Surgery

In Horwood 2024 et al., on complications in luxoid hip dysplasia, what was the most common surgical revision performed for dorsal luxation?

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Correct. Most luxated LH dogs were revised with femoral neck lengthening and/or increased head size to restore stability.
Incorrect. The correct answer is Increased femoral neck length.
Most luxated LH dogs were revised with femoral neck lengthening and/or increased head size to restore stability.

🔍 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-3

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

Journal: Veterinary Surgery

In Marchionatti 2022 et al., on antiseptic efficacy comparison, what issue may falsely elevate the observed efficacy of antiseptics in skin cultures?

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Correct. Residual activity of antiseptics without neutralizers can persist after sampling, skewing results:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Lack of neutralizing agents during sampling.
Residual activity of antiseptics without neutralizers can persist after sampling, skewing results:contentReference[oaicite:3]{index=3}

🔍 Key Findings

  • Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
  • No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
  • Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
  • Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
  • Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
  • Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
  • Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
  • Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.

Marchionatti

Veterinary Surgery

5

2022

Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

2022-5-VS-marchionatti-4

Article Title: Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

Journal: Veterinary Surgery

In Becker 2026 et al., on lumbar spine PLC biomechanics, how did the second PLC compare biomechanically to the first in terms of passive range of motion increase?

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Correct. Both the first and second PLCs significantly increased ROM, but the second did not have a greater effect than the first.
Incorrect. The correct answer is It caused a similar magnitude of increase.
Both the first and second PLCs significantly increased ROM, but the second did not have a greater effect than the first.

🔍 Key Findings

  • Each PLC significantly increased passive range of motion (ROM) in the sagittal and dorsal planes (p < .05).
  • No significant change was observed in rotational ROM after either PLC.
  • First PLC increased sagittal ROM by 2.4° (23% increase); second PLC added 1.0° (8% increase).
  • Dorsal ROM increased by 2.3° after first PLC and 1.5° after second PLC.
  • Second PLC did not cause greater destabilization than the first — both contributed similarly to ROM increase.
  • Failure testing showed that spinal segments with two PLCs failed at 13 Nm, while native spines withstood up to 25 Nm, suggesting reduced load-bearing capacity but not clinically significant under normal conditions.
  • Rotational stability was preserved, possibly due to intact facet joints and lamina, which play a larger role in rotation.
  • Study supports the clinical feasibility of two consecutive PLCs, but cautions against excessive bone removal due to potential for spinal instability.

Becker

Veterinary Surgery

1

2026

Influence of two consecutive partial lateral corpectomies on passive motion of the canine lumbar spine

2026-1-VS-becker-2

Article Title: Influence of two consecutive partial lateral corpectomies on passive motion of the canine lumbar spine

Journal: Veterinary Surgery

In Schmutterer 2024 et al., what was concluded regarding femorotibial kinematics when changing flexion angles?

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Correct. Flexion angle altered load metrics but not femorotibial kinematics in this setup
Incorrect. The correct answer is No significant kinematic change.
Flexion angle altered load metrics but not femorotibial kinematics in this setup

🔍 Key Findings Summary

  • Biomechanical study on 14 hindlimbs from Retrievers (cadaveric)
  • Three stifle flexion angles tested: 125°, 135°, and 145°
  • Contact Force Ratio (CFR) was significantly higher at 125° and 135° than at 145° (p < 0.001)
  • Center of force shifted caudally with increasing flexion — especially in medial meniscus
  • Lateral meniscus peak pressure was significantly higher at 125° than 145° (p = 0.049)
  • Mean pressures on lateral meniscus decreased with extension, while medial meniscus pressure remained constant
  • Relevance: Helps interpret meniscal load in early cruciate disease and in surgical modeling

Schmutterer

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

2024-3-VCOT-schmutterer-5

Article Title: Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Miyagi 2025 et al., on endoscopic laser sphincterotomy, what was the outcome of the two cases with lateral perforation?

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Correct. The two perforations were not visible on post-dissection leak testing and did not cause saline escape.
Incorrect. The correct answer is No saline egress or visible damage was detected.
The two perforations were not visible on post-dissection leak testing and did not cause saline escape.

🔍 Key Findings

  • Endoscopic-assisted retrograde catheterization (EARC) and laser sphincterotomy were successful in 18/18 cadavers, demonstrating technical feasibility.
  • Intramural common bile duct (ICBD) length ranged from 10 to 21 mm (mean 15.8 mm), with no correlation to body weight (r = 0.06, p = .79).
  • Transition from ICBD to extramural duct was accurately identified endoscopically in 88% (16/18); transition was heralded by separation of the submucosal layer.
  • Partial lateral perforations occurred in 2/18 dogs, only during early learning phase; no leakage was found on open dissection.
  • Laser sphincterotomy preserved the pancreatic duct orifice, aided by protective catheter positioning.
  • Compared to open duodenotomy, this technique allows for a smaller incision and less manipulation of the pancreas, which may reduce morbidity.
  • No adverse events such as intra-abdominal saline egress or full-thickness perforation occurred, and the technique allowed safe access up to 10 mm from the MDP.
  • Cadaveric limitations included absence of biliary pathology and inability to evaluate live complications, but the technique shows promise for future live animal trials.

Miyagi

Veterinary Surgery

5

2025

Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

2025-5-VS-miyagi-4

Article Title: Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

Journal: Veterinary Surgery

In Davey 2024 et al., on modified closed anal sacculectomy, what was the observed local recurrence rate following surgery?

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Correct. The local recurrence rate was only 2.2%, significantly lower than previously reported rates for AGASACA surgery.
Incorrect. The correct answer is 2.2%.
The local recurrence rate was only 2.2%, significantly lower than previously reported rates for AGASACA surgery.

🔍 Key Findings

  • Modified closed anal sacculectomy resulted in a local recurrence rate of only 2.2%, substantially lower than prior reports (18–50%).
  • Postoperative complications occurred in 31.9% of dogs; most (93%) were minor, with dehiscence being the most common.
  • Mean survival time in deceased dogs was 521 days; median was 388 days.
  • Surgical technique included complete en bloc excision of the sac and duct with sphincter reconstruction, aiming to reduce seeding risk.
  • Only one major complication resulted in euthanasia due to infection and dehiscence.
  • Histologic margins were complete in 44.7% of dogs; lymphatic invasion was present in 31.9%, and vascular in 8.5%.
  • Adjunctive chemotherapy was administered in 34% of dogs (mostly carboplatin); not standardized due to retrospective design.
  • Routine rectal exam was key to diagnosis in 57.4% of dogs with no clinical signs, underscoring the importance of screening.

Davey

Veterinary Surgery

6

2024

Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

2024-6-VS-davey-1

Article Title: Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

Journal: Veterinary Surgery

In Carvajal 2025 et al., on femoral stem breakage, which patient factor was frequently present in failed cases?

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Correct. 10 of 13 dogs were heavier than manufacturer guidelines for the implanted stem size.
Incorrect. The correct answer is Dogs exceeding weight guidelines for stem size.
10 of 13 dogs were heavier than manufacturer guidelines for the implanted stem size.

🔍 Key Findings

Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)

Implant factors:

  • 13/14 were BFX lateral bolt stems (sizes #5–7)
  • +9 necks used in 5/11 of 17 mm heads
  • 10/14 stems undersized based on radiographs
  • 10/13 dogs exceeded weight limits for implanted stem size

Malalignment:

  • 10/14 had varus alignment (median 3.9°)
  • 8/14 had insufficient proximodistal seating

Breakage site: Proximolateral shoulder in all cases

Revision outcomes:

  • 11 revised (7 CFX, 3 larger BFX, 1 collared)
  • 9/10 revised dogs regained full function
  • Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure

Histopathology:

  • Electron microscopy showed fatigue striations and incomplete bead fusion

Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.

Carvajal

Veterinary Surgery

3

2025

Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

2025-3-VS-carvajal-3

Article Title: Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

Journal: Veterinary Surgery

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