Your Custom Quiz

In Cinti 2026 et al., on feline caudal axial flaps, which postoperative complications were most commonly reported?

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Correct. The most common complications were partial flap dehiscence, seroma, and edema, each occurring in approximately 14.2% of cats.
Incorrect. The correct answer is Seroma, edema, and partial flap dehiscence.
The most common complications were partial flap dehiscence, seroma, and edema, each occurring in approximately 14.2% of cats.

🔍 Key Findings

  • The lateral caudal axial pattern flap was successfully used to reconstruct caudodorsal trunk defects in cats, most commonly following tumor excision (85.7%).
  • Mean flap length was 61.3% of tail length, aligning with canine recommendations of ~60–78% to reduce distal necrosis risk.
  • Postoperative complications occurred in 50% of cats, although many experienced more than one minor complication.
  • Most common complications were partial flap dehiscence, seroma, and edema (each 14.2%).
  • Uncomplicated healing occurred in 57.1% of cats, while the remaining 42.8% had only minor complications not requiring surgical revision.
  • No cats required revision surgery for complications, indicating acceptable clinical outcomes despite the moderate complication rate.
  • Seromas resolved spontaneously despite the routine use of active drains, suggesting they may be a relatively common but minor complication.
  • Local tumor control was achieved in 83.3% of cats undergoing tumor excision, with a median follow-up of 135 days.

Cinti

Veterinary Surgery

2

2026

Outcome and complications of lateral caudal axial pattern flap in 14 cats

2026-2-vs-cinti-3

Article Title: Outcome and complications of lateral caudal axial pattern flap in 14 cats

Journal: Veterinary Surgery

In Hanlon 2022 et al., on short screw sacroiliac fixation, what intraoperative consideration may reduce foraminal trauma?

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Correct. Authors noted this trajectory may reduce ventral sacral foraminal impingement.
Incorrect. The correct answer is Caudal screw placed in cranial/craniodorsal direction.
Authors noted this trajectory may reduce ventral sacral foraminal impingement.

🔍 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-5

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

Journal: Veterinary Surgery

In Pilot 2022 et al., on closure methods in sternotomy, what was concluded regarding closure technique choice in large dogs?

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Correct. Dog size increased risk of complications, but closure method did not alter this risk.
Incorrect. The correct answer is Closure material choice does not affect risk in large dogs.
Dog size increased risk of complications, but closure method did not alter this risk.

🔍 Key Findings

  • Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
  • No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
  • Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
  • Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
  • Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
  • Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
  • Infection rate was low (2.7%), and not significantly different between wire and suture.
  • Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.

Pilot

Veterinary Surgery

6

2022

Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

2022-6-VS-pilot-5

Article Title: Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

Journal: Veterinary Surgery

In Loh 2024 et al., on treatment outcomes for CvHL in dogs, what was the odds ratio of successful treatment with hobbles vs. closed reduction alone?

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Correct. Hobbles were 7.62 times more likely to succeed compared to closed reduction alone.
Incorrect. The correct answer is 7.62.
Hobbles were 7.62 times more likely to succeed compared to closed reduction alone.

🔍 Key Findings

  • Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
  • Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
  • Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
  • Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
  • Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
  • Ehmer sling is not recommended due to high failure and complication rates (60.6%).
  • Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
  • No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).

Loh

Veterinary Surgery

4

2024

Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

2024-4-VS-loh-2

Article Title: Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

Journal: Veterinary Surgery

In Peng 2025 et al., on topical amikacin gel, what was the lower limit of quantification (LLOQ) for the assay used?

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Correct. The Siemens Syva EMIT Amikacin Assay used in this study had an LLOQ of 2.5 μg/mL【90†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is 2.5 μg/mL.
The Siemens Syva EMIT Amikacin Assay used in this study had an LLOQ of 2.5 μg/mL【90†Veterinary Surgery†L1-L20】

🔍 Key Findings

Objective: Determine if topical 45 mg/mL amikacin in CMC gel leads to systemic absorption in dogs with wounds.

Dogs enrolled: 11 client-owned dogs, with 31 applications of the gel.

Serum findings:

  • Only 5 of 153 samples were above the 2.5 µg/mL quantification limit
  • All values remained <5 µg/mL, the presumed toxicity threshold
  • No correlation was found between dose-related parameters (mg, mg/kg, mg/cm²) and serum amikacin levels

Peak concentrations were observed at ~2 hours post-application, declining rapidly thereafter

No nephrotoxicity observed, and most values were below detection

Conclusion: Topical amikacin gel appears safe at doses up to 24.9 mg/kg, with minimal systemic absorption

Peng

Veterinary Surgery

3

2025

Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

2025-3-VS-peng2-3

Article Title: Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

Journal: Veterinary Surgery

In Jeon 2025 et al., on distal femoral shortening, which **advantage of DFSO over subtrochanteric osteotomy** is highlighted in dogs?

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Correct. DFSO avoids disrupting critical proximal structures needed for stem fixation.
Incorrect. The correct answer is Preservation of proximal femoral anatomy for stable fixation.
DFSO avoids disrupting critical proximal structures needed for stem fixation.

🔍 Key Findings

  • Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
  • Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
  • Bone union was achieved in all cases post-DFSO, indicating good healing potential.
  • Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
  • One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
  • DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
  • Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
  • DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.

Jeon

Veterinary Surgery

6

2025

Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

2025-6-VS-jeon-5

Article Title: Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

Journal: Veterinary Surgery

In Carvajal 2023 et al., on serum biomarkers post-THA, what treatment had all dogs discontinued by 6 months?

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Correct. All dogs had stopped NSAID treatment by the 6-month mark, potentially reflecting reduced inflammation.
Incorrect. The correct answer is NSAIDs.
All dogs had stopped NSAID treatment by the 6-month mark, potentially reflecting reduced inflammation.

🔍 Key Findings

  • C-reactive protein (CRP) and serum amyloid A (SAA) levels remained low at 3 and 6 months after uncomplicated THA in dogs.
  • No significant differences were observed in CRP or SAA between preoperative, 3-month, and 6-month time points.
  • Mean CRP values were 3.8 mg/L pre-op, 0.8 mg/L at 3 months, and 1.4 mg/L at 6 months.
  • Mean SAA values were 13.9 mg/L pre-op, 14.1 mg/L at 3 months, and 18.4 mg/L at 6 months.
  • All dogs recovered normally with no complications or persistent signs of inflammation at follow-up.
  • Study establishes baseline CRP and SAA levels for dogs post-THA, useful for comparison in suspected PJI.
  • These markers may help differentiate periprosthetic joint infection (PJI) if values deviate from baseline post-THA.
  • NSAID therapy was discontinued by 6 months in all dogs, possibly reflecting decreased inflammation.

Carvajal

Veterinary Surgery

1

2023

Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

2023-1-VS-carvajal-5

Article Title: Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

Journal: Veterinary Surgery

In Folk 2025 et al., on vessel sealing device reuse, what was the most common level of biologic debris observed?

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Correct. Scant debris was the most frequent finding (14 of 16 devices), despite cleaning and EtO sterilization.
Incorrect. The correct answer is Scant.
Scant debris was the most frequent finding (14 of 16 devices), despite cleaning and EtO sterilization.

🔍 Key Findings

40 dogs underwent splenectomy using 16 bipolar vessel sealing devices (VSDs)
Devices were reused up to 4 times after handwashing and ethylene oxide (EtO) sterilization
Biologic debris was found in 100% of devices, specifically under the transection blade, even after a single use

  • Mostly scant (14/16) or mild (2/16) debris

No devices or debris yielded positive aerobic culture after EtO sterilization
EtO sterilization proved microbiologically effective despite visible residue
Perioperative failure rate: 1 device (malfunctioned during first activation)

Folk

Veterinary Surgery

3

2025

Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy

2025-3-VS-folk-4

Article Title: Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy

Journal: Veterinary Surgery

In Downey 2023 et al., on thoracoscopic lobectomy, what factor was associated with conversion to open thoracotomy?

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Correct. Conversion was associated with median symptom duration of 90 vs. 7 days.
Incorrect. The correct answer is Longer duration of clinical signs.
Conversion was associated with median symptom duration of 90 vs. 7 days.

🔍 Key Findings

  • Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
  • 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
  • OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
  • Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
  • Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
  • Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
  • Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
  • Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.

Downey

Veterinary Surgery

7

2023

Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

2023-7-VS-downey-2

Article Title: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

Journal: Veterinary Surgery

In Husi 2023 et al., on TPLO vs TPLO-IB biomechanics, what was the intraobserver reliability for the eTPT and iTPT tests after TPLO and TPLO-IB?

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Correct. Intraobserver reliability was excellent with ICCs of 0.93 (eTPT) and 0.91 (iTPT).
Incorrect. The correct answer is Excellent.
Intraobserver reliability was excellent with ICCs of 0.93 (eTPT) and 0.91 (iTPT).

🔍 Key Findings

  • TPLO alone failed to neutralize rotational instability under tibial pivot compression (TPT), despite a negative TCT.
  • TPLO combined with lateral augmentation (TPLO-IB) restored both craniocaudal and rotational stability to near-intact levels.
  • Cranial tibial translation was 6× greater after TPLO vs intact stifles when tested with TPT (p < .001).
  • No significant difference in cranial tibial translation or internal rotation between intact stifles and TPLO-IB group during TCT, eTPT, or iTPT.
  • TPLO-IB did not overconstrain the stifle, avoiding excessive external rotation.
  • External tibial rotation (eTPT) was more sensitive than TCT in detecting persistent instability after TPLO.
  • Excellent intraobserver reliability for both eTPT and iTPT (ICC > 0.9).
  • Study supports intraoperative use of TPT to identify cases needing additional rotational stabilization.

Husi

Veterinary Surgery

5

2023

Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study

2023-5-VS-husi-5

Article Title: Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study

Journal: Veterinary Surgery

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