Your Custom Quiz

In Glenn 2024 et al., on client-based SSI surveillance, what proportion of SSIs were identified *only* via active surveillance?

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Correct. Active surveillance alone detected 12 of 62 SSIs (19.4%) not found through passive methods.
Incorrect. The correct answer is 19.4%.
Active surveillance alone detected 12 of 62 SSIs (19.4%) not found through passive methods.

🔍 Key Findings

  • Algorithm 3 had the highest overall accuracy (95.5%) in diagnosing SSIs from client questionnaires.
  • Active surveillance identified 19.4% more SSIs compared to passive surveillance alone.
  • SSI rate was 8.22% across 754 surgeries; 33.9% of SSIs required revision surgery.
  • Client-based responses were 37.9% more frequent than those from referring veterinarians.
  • Deep/implant SSIs could be missed if not associated with visible wound healing problems.
  • Two late SSIs (after 90 days) occurred, both linked to implant surgeries.
  • Algorithm 1 was the most sensitive (87.1%) but less specific; useful for screening.
  • Algorithm 2 had the highest specificity (97.9%); useful as a “rule-in” diagnostic method.

Glenn

Veterinary Surgery

8

2024

Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

2024-8-VS-glenn-2

Article Title: Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

Journal: Veterinary Surgery

In Evers 2022 et al., on bone-to-tendon plate fixation, what was the primary reason for anchoring the plate to the tendon instead of the bone?

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Correct. Small proximal calcaneal fragments limited conventional screw fixation, necessitating tendon anchoring.
Incorrect. The correct answer is The proximal bone fragments were too small for screw purchase.
Small proximal calcaneal fragments limited conventional screw fixation, necessitating tendon anchoring.

🔍 Key Findings

  • Bone-to-tendon plate fixation allowed successful stabilization of a highly comminuted calcaneus fracture in a dog with fragments too small for traditional fixation.
  • The plate was sutured to the common calcaneal tendon using a figure-of-8 pattern, bypassing the need for screw fixation into small proximal fragments.
  • Radiographic union was achieved by 17 weeks, though considered delayed, with the dog returning to normal function by 36 weeks post-op.
  • A second surgery was required to replace the tendon-anchored plate with a calcaneus-only plate due to skin ulceration and implant prominence.
  • Implant-associated infection was suspected; cultures confirmed Staphylococcus pseudintermedius, managed with doxycycline and clindamycin.
  • Use of human placental matrix (hPM) and both autogenous and allogenic bone grafts supported healing, though their specific contribution remains uncertain.
  • Postoperative complications included delayed union and skin ulceration, emphasizing challenges of implant design and soft tissue management.
  • This is the first report of using a bone-to-tendon plate for a calcaneus fracture in dogs and demonstrates its potential in cases where traditional methods are not viable.

Evers

Veterinary Surgery

5

2022

Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

2022-5-VS-evers-1

Article Title: Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

Journal: Veterinary Surgery

In Walter de Bruyn 2024 et al., on orthogonal plate fixation, what was the effect of working length on construct stiffness?

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Correct. Construct stiffness in both bending and torsion decreased incrementally as working length increased:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Inverse relationship.
Construct stiffness in both bending and torsion decreased incrementally as working length increased:contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • Primary 3.5-mm LCP used with short (SWL), medium (MWL), and long (LWL) working lengths
  • Addition of orthogonal 2.7-mm LCP resulted in:
    • Significantly higher bending stiffness for SWL, MWL, and LWL (p < 0.0001)
    • Higher torsional stiffness for MWL and LWL (not for SWL)
    • Significantly lower strain across all working lengths in bending (p < 0.01)
  • Working length inversely related to construct stiffness and directly to plate strain
  • Orthogonal plates eliminated stiffness differences across working lengths in bending
  • Suggests orthogonal plates can improve implant fatigue life and allow compensation when short working lengths are unachievable

Walterdebruyn

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model

2024-4-VCOT-walterdebruyn-1

Article Title: Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Adams 2024 et al., on canine tibial plateau fractures, what factor contributed to the implant yield in Case 2?

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Correct. The authors note that reduced stability due to the concurrent fibular fracture likely contributed to implant yield.
Incorrect. The correct answer is Concurrent fibular fracture reducing construct stability.
The authors note that reduced stability due to the concurrent fibular fracture likely contributed to implant yield.

🔍 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-5

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

Journal: Veterinary Surgery

In Adrian 2024 et al., on feline pelvic fracture stabilization, what was the most common grade of pelvic canal narrowing at follow-up?

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Correct. At follow-up, 12 of 16 cats with narrowing showed mild change in sacral index.
Incorrect. The correct answer is Mild narrowing (<10%).
At follow-up, 12 of 16 cats with narrowing showed mild change in sacral index.

🔍 Key Findings

  • 20 cats with pelvic fractures treated with SOP plates and cortical screws
  • Full function reported in all patients per FMPI follow-up
  • Screw loosening in 3/20 SOP cases; implant removal in 3 cats
  • Median sacral index decrease at follow-up: 5.7%; mostly mild narrowing
  • Complications: 5 major (3 SOP removals, 2 trochanter osteotomy issues); 20 minor
  • SOP plate shown feasible even in challenging configurations; good functional outcomes

Adrian

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

2024-1-VCOT-adrian-5

Article Title: Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In David 2024 et al., on single-port cryptorchidectomy, what was the most common method used for transection of the spermatic cord?

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Correct. 10 of 14 dogs underwent SL compared to only 4 with VSD.
Incorrect. The correct answer is Suture ligation (SL).
10 of 14 dogs underwent SL compared to only 4 with VSD.

🔍 Key Findings

  • Single-port laparoscopic-assisted cryptorchidectomy (SP-LAC) was feasible in 13/14 dogs with abdominal cryptorchidism.
  • Median surgical time was 17 min for unilateral and 27 min for bilateral cryptorchidectomy.
  • All testes were successfully exteriorized through a 15-mm mini-celiotomy in most dogs; only 2 needed slight enlargement.
  • One major complication occurred (testicular artery hemorrhage, requiring conversion to open surgery).
  • Two minor complications involved trocar-related issues (splenic capsule laceration, capnoretroperitoneum).
  • No incisional complications were reported postoperatively; some dogs had mild dermatitis at the clipped site.
  • The technique requires only one surgeon and no advanced tools beyond a single-port endoscope.
  • Low-pressure capnoperitoneum (6 mmHg) was adequate for visualization in most cases.

David

Veterinary Surgery

3

2024

Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

2024-3-VS-david-2

Article Title: Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

Journal: Veterinary Surgery

In Aldrich 2023 et al., on liposomal bupivacaine in TPLO, what was the reported correlation between CMPS-SF scores and %BWdist?

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Correct. CMPS-SF scores and %BWdist were not significantly correlated at any time point.
Incorrect. The correct answer is No significant correlation.
CMPS-SF scores and %BWdist were not significantly correlated at any time point.

🔍 Key Findings

  • Liposomal bupivacaine (LB) infiltration did not reduce the need for rescue analgesia compared with placebo in dogs undergoing TPLO.
  • CMPS-SF pain scores were not significantly different between LB and placebo groups at any postoperative time point.
  • % body weight distribution (%BWdist) to the operated limb did not differ significantly between treatment groups across all time points.
  • No correlation was found between CMPS-SF scores and %BWdist, suggesting these metrics assess different aspects of postoperative pain.
  • Postoperative carprofen administration was standardized, and LB did not provide additional detectable analgesic benefit.
  • Three-layer infiltration technique (joint capsule, fascia, subcutis) was used consistently across all cases.
  • Adverse events were minor and comparable between LB and placebo groups.
  • Post hoc analysis suggested a much larger sample size (58–436 dogs) would be needed to detect significant differences in %BWdist.

Aldrich

Veterinary Surgery

5

2023

Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery

2023-5-VS-aldrich-4

Article Title: Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery

Journal: Veterinary Surgery

In Gant 2025 et al., on skin prep and SSI, which finding was reported?

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Correct. No significant difference in SSI was found across clean, clean-contaminated, and contaminated categories (p > .25).
Incorrect. The correct answer is Surgical classification had no effect on SSI rate.
No significant difference in SSI was found across clean, clean-contaminated, and contaminated categories (p > .25).

🔍 Key Findings

  • No statistically significant difference in overall SSI rates: 9.2% (chlorhexidine) vs. 7.38% (iodophor) (p = .25).
  • Significant drape lift occurred in 13.2% of cases; those with lift had 2.72× increased risk of SSI (p = .026).
  • Increased body weight was a statistically significant risk factor for SSI (p = .008): each 1 kg increased SSI risk by 3%.
  • Use of glutaraldehyde was associated with a 2.38× increased risk of SSI (p = .055, approaching significance).
  • No difference in SSI rates based on surgeon training level or surgical classification (clean, clean-contaminated, contaminated).

Gant

Veterinary Surgery

3

2025

Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes

2025-3-VS-gant-5

Article Title: Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes

Journal: Veterinary Surgery

In Heald 2022 et al., on PED wound therapy, which of the following statements best describes the cat's outcome after PED treatment?

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Correct. Culture on day 17 showed no infection, and the wound healed fully by day 47.
Incorrect. The correct answer is PED resolved infection and wound healed by day 47.
Culture on day 17 showed no infection, and the wound healed fully by day 47.

🔍 Key Findings

  • Electroceutical dressing (PED) promoted complete healing of chronic wounds in both a dog and a cat previously unresponsive to standard therapies.
  • Infection clearance occurred in both animals by the end of PED therapy, as shown by negative culture results.
  • In the dog, wound area reduced by ~4.2× over 10 days; healing completed by day 67 with no further antibiotic therapy.
  • In the cat, wound area reduced by ~2.5× over 17 days; healing completed by day 47 without systemic antibiotics.
  • PEDs function via direct current (DC) stimulation, believed to generate hypochlorous acid (HOCl) with antibacterial properties.
  • No side effects or adverse tissue reactions were observed in either case, supporting biocompatibility.
  • Multidrug-resistant organisms (e.g., S. pseudintermedius, S. canis, S. epidermidis) were eradicated by PED treatment.
  • PED therapy may reduce reliance on antibiotics and surgery, offering a novel adjunct for chronic, infected wounds.

Heald

Veterinary Surgery

3

2022

Electroceutical treatment of infected chronic wounds in a dog and a cat

2022-3-VS-heald-4

Article Title: Electroceutical treatment of infected chronic wounds in a dog and a cat

Journal: Veterinary Surgery

In Ferreira 2025 et al., on tibial torsion measurement, which method had the highest interobserver reproducibility?

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Correct. The new method had an interobserver ICC of 0.83, higher than the traditional method (0.52).
Incorrect. The correct answer is 3D tomographic method described in this study.
The new method had an interobserver ICC of 0.83, higher than the traditional method (0.52).

🔍 Key Findings

Objective: Validate a new 3D CT-based method for measuring tibial torsion in dogs with MPL, comparing it to a traditional method.

Sample: 40 tibiae from client-owned dogs with MPL (primarily small-breed).

Repeatability (intraobserver):

  • New method: ICC = 0.99 → excellent agreement

Reproducibility (interobserver):

  • New method: ICC = 0.83 → high agreement
  • Traditional method: ICC = 0.52 → moderate agreement

Torsion angle measurements:

  • New method avg: 16.00° ± 8.77
  • Traditional method avg: 8.76° ± 4.92

Conclusion: The new method is more repeatable, reproducible, and provides higher torsion values than the traditional Aper method, especially reliable for small-breed dogs.

Ferreira

Veterinary Surgery

3

2025

Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation

2025-3-VS-ferreira-1

Article Title: Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation

Journal: Veterinary Surgery

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