Your Custom Quiz

In Banks 2023 et al., on TECA-LBO in brachycephalic dogs, how did the surgical time compare between EBBs and other breeds?

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Correct. Median surgical time was significantly longer in EBBs (115 min) than in OBs (95 min) (p = .011).
Incorrect. The correct answer is EBBs had significantly longer times.
Median surgical time was significantly longer in EBBs (115 min) than in OBs (95 min) (p = .011).

🔍 Key Findings

  • Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
  • Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
  • EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
  • Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
  • Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
  • Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
  • MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
  • Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.

Banks

Veterinary Surgery

5

2023

Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

2023-5-VS-banks-3

Article Title: Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

Journal: Veterinary Surgery

In Davies 2024 et al., on lymphaticovenous anastomosis, what was the main technical issue encountered during pinning to the MAC?

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Correct. Poor luminal visibility required repeat pinning in one cat to ensure flow through the TD.
Incorrect. The correct answer is Luminal patency difficulty during vessel pinning.
Poor luminal visibility required repeat pinning in one cat to ensure flow through the TD.

🔍 Key Findings

  • Lymphaticovenous anastomosis (TD to AV) was successfully performed in all 8 feline cadavers using a microvascular anastomotic coupler (MAC).
  • Anastomotic patency was confirmed intraoperatively and postoperatively in 7/8 cats via contrast lymphography or retrograde venography.
  • Dissection and anastomosis took a median of 120 minutes, with minimal technical complications.
  • A 1.5 mm MAC was used in 6 cats, and a 2.0 mm in 2 cats; TD diameter ranged 1.0–1.5 mm, AV up to 2.25 mm.
  • Challenges included vessel twisting and luminal patency issues, resolved intraoperatively with minor adjustments (e.g., repeat pinning, tacking suture).
  • MAC use eliminated need for hand-suturing, lowering skill demands but requiring precise alignment.
  • Technique provides direct lymphatic-to-venous drainage, potentially reducing the stimulus for collateral vessel formation.
  • May serve as a future treatment option for feline idiopathic chylothorax, warranting further in vivo studies.

Davies

Veterinary Surgery

7

2024

Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

2024-7-VS-davies-2

Article Title: Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

Journal: Veterinary Surgery

In Petazzoni 2022 et al., on DPO in older dogs, which factor likely contributed to the absence of implant failure?

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Correct. Locking plates and extra ventral plates likely provided better fixation in mature dogs.
Incorrect. The correct answer is Use of locking plates and ventral plating.
Locking plates and extra ventral plates likely provided better fixation in mature dogs.

🔍 Key Findings

  • DPO improved joint congruity and clinical signs in dogs ≥10 months old with minimal osteoarthritis.
  • Median Norberg angle increased by 21.8% 1 year postoperatively (from 87° to 106°; p < .01).
  • Femoral head coverage increased significantly, with PC rising 66.7% and LHC by 162.5% at 1 year (p < .01).
  • No significant change in pelvic canal width postoperatively, suggesting pelvic conformation was preserved.
  • All ilial osteotomies healed with complete osseous bridging by 8 weeks; 7/11 pubic osteotomies achieved full healing.
  • No intraoperative or postoperative complications were reported, including implant failure.
  • Locking plates and additional ventral plating were used in select cases and may have contributed to implant stability.
  • DPO may be extended to older dogs with suitable hip morphology and minimal OA, expanding traditional age criteria.

Petazzoni

Veterinary Surgery

2

2022

Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months

2022-2-VS-petazzoni-3

Article Title: Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months

Journal: Veterinary Surgery

In Huerta 2025 et al., on TPLO healing assessment, what effect did a postoperative osteotomy gap ≥1 mm have on healing scores?

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Correct. Both scoring systems showed significantly lower 8-week healing scores when a gap ≥1 mm was present
Incorrect. The correct answer is Significantly lower scores.
Both scoring systems showed significantly lower 8-week healing scores when a gap ≥1 mm was present

🔍 Key Findings

Population: 29 Boxer dogs and 29 age-matched Labrador Retrievers undergoing TPLO.
Scoring Systems Compared: 5-point vs. 10-point radiographic healing systems.
Healing Scores (Week 8):

  • Boxers: 5-point mean = 3.3; 10-point mean = 6.9
  • Labradors: 5-point mean = 3.6; 10-point mean = 7.5
  • Statistically significant difference (p = 0.0003 and p < 0.0001)

Osteotomy Gap ≥1 mm (present in 16.4%): Associated with significantly lower healing scores and increased recommendations for additional radiographic follow-up (p < 0.0001).
Observer Reliability:

  • Both systems = good interobserver consistency.
  • Slightly better intraobserver consistency with the 10-point scale.

Clinical Implication: Boxer dogs may need extended healing time or altered follow-up strategy after TPLO.

Huerta

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

2025-1-VC-Huerta-1

Article Title: Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Mullen 2024 et al., on NIRF for GDV, what best describes the NIRF findings in stapled partial gastrectomy sites?

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Correct. The stapled edge showed fluorescence intensity comparable to viable tissue, suggesting preserved perfusion.
Incorrect. The correct answer is Fluorescence similar to viable tissue.
The stapled edge showed fluorescence intensity comparable to viable tissue, suggesting preserved perfusion.

🔍 Key Findings

  • NIRF altered surgical strategy in 3 of 20 GDV dogs, identifying necrosis not appreciated subjectively.
  • Fundic fluorescence <10% indicated histologically confirmed gastric necrosis.
  • In 1 dog, NIRF revealed nonviability despite the surgeon’s impression of viability.
  • Staple line fluorescence resembled viable tissue in the only stapled gastrectomy, suggesting preservation of perfusion.
  • GDV dogs (even “viable”) showed lower fluorescence vs. healthy controls, indicating subclinical vascular compromise.
  • Histology confirmed full-thickness necrosis in all 4 dogs with NIRF-defined nonviability.
  • Pre-op lactate was significantly higher in nonviable GDV dogs (8.55 vs 4.89 mmol/L, p=0.03).
  • No complications were reported from ICG use; imaging was safe and repeatable.

Mullen

Veterinary Surgery

4

2024

Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

2024-4-VS-mullen-4

Article Title: Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

Journal: Veterinary Surgery

In Mihara 2024 et al., on mitral valve repair in dogs, what geometric change supported improved valve competence?

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Correct. Postoperative CL increased significantly, restoring mitral competence.
Incorrect. The correct answer is Coaptation length increase.
Postoperative CL increased significantly, restoring mitral competence.

🔍 Key Findings

  • Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
  • MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
  • Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
  • Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
  • Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
  • The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
  • Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.

Mihara

Veterinary Surgery

3

2024

Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

2024-3-VS-mihara-2

Article Title: Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

Journal: Veterinary Surgery

In Petchell 2025 et al., on CORA-based CCWO, what was the key advantage of the CCWOCORA method in achieving postoperative tibial plateau angle (TPAPOST)?

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Correct. CCWOCORA achieved a precise TPAPOST of 5.00° in all cases due to preoperative geometric planning.
Incorrect. The correct answer is It allowed for exact prediction and achievement of TPAPOST.
CCWOCORA achieved a precise TPAPOST of 5.00° in all cases due to preoperative geometric planning.

🔍 Key Findings

  • The CORA-based cranial closing wedge ostectomy (CCWOCORA) consistently achieved the target postoperative TPA of 5° across all tibial morphologies.
  • CCWOCORA produced significantly less variability in postoperative TPA compared to other methods (TPA range: 5.00–5.00°; p < .001).
  • Mechanical axis advancement (MAA) was precisely controlled at 3° in CCWOCORA, leading to greater surgical predictability.
  • Other techniques (e.g., CCWOTPA, CCWOTPA–5, CCWOISO) showed greater variance in TPA, MAA, and tibial length.
  • In small-breed dogs, increasing the MAA from 3° to 5° did not affect TPA outcomes, but increased proximal bone stock, improving feasibility.
  • Wedge angles and tibial length changes varied by method, but CCWOCORA maintained length better than TPA-based methods.
  • The technique allows preoperative planning of both desired MAA and TPA, enhancing predictability and customization.
  • CORA methodology enables precise geometric correction and alignment of mechanical axes, reducing reliance on trial-and-error alignment.

Petchell

Veterinary Surgery

7

2025

An in silico comparison of a novel CORA-based cranial closing wedge ostectomy methodology with three other techniques

2025-7-VS-petchell-1

Article Title: An in silico comparison of a novel CORA-based cranial closing wedge ostectomy methodology with three other techniques

Journal: Veterinary Surgery

In Quitzan 2022 et al., on staple line configuration, which FEESA combination demonstrated the highest initial leak pressure (ILP)?

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Correct. The 3V/3T configuration yielded the highest ILP (69.88 ± 21.23 mmHg) among FEESA groups.
Incorrect. The correct answer is 3-row vertical, 3-row transverse (3V/3T).
The 3V/3T configuration yielded the highest ILP (69.88 ± 21.23 mmHg) among FEESA groups.

🔍 Key Findings

  • All FEESA configurations leaked at lower pressures than intact segments, confirming reduced integrity vs. native tissue.
  • FEESA with 3-row transverse staples (3V/3T or 2V/3T) had significantly higher leak pressures than 2-row configurations.
  • 3V/3T configuration had the highest ILP (69.88 ± 21.23 mmHg) among all groups, significantly greater than 2V/2T and 3V/2T (P < .001).
  • Leakage consistently occurred at the transverse staple line (not vertical), regardless of configuration.
  • No significant difference in maximum intraluminal pressure (MIP) between FEESA groups.
  • All FEESA constructs withstood intraluminal pressures >25 mmHg, exceeding normal physiological jejunal pressure in dogs.
  • No leaks occurred from the vertical staple line, highlighting it as a more robust closure site.
  • Third staple row in transverse line may be a viable alternative to suture oversew, pending further clinical evaluation.

Quitzan

Veterinary Surgery

5

2022

Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study

2022-5-VS-quitzan-1

Article Title: Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, which technique showed a significantly lower rate of iatrogenic cartilage injury?

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Correct. ST injections had a significantly lower IACI rate (11% vs 50%, p = .007).
Incorrect. The correct answer is Supratubercular (ST) approach.
ST injections had a significantly lower IACI rate (11% vs 50%, p = .007).

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-2

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

In Zann 2023 et al., In Long-term outcomes after proximal humeral OC debridement in dogs, what was a consistent finding in all shoulders treated surgically for proximal humeral osteochondrosis?

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Correct. All surgically treated shoulders developed OA and synovitis, with incomplete cartilage infilling.
Incorrect. The correct answer is Moderate-to-severe synovitis.
All surgically treated shoulders developed OA and synovitis, with incomplete cartilage infilling.

🔍 Key Findings

  • 20 dogs (26 shoulders) evaluated at mean 3.5 years post-surgery after arthroscopic or open debridement.
  • Ipsilateral muscle atrophy and decreased range of motion (↓ extension, ↓ flexion) in affected limbs compared to contralateral healthy shoulders.
  • All treated shoulders developed osteoarthritis, confirmed radiographically, by CT, and arthroscopically.
  • Moderate to severe synovitis was present in all shoulders; lesions showed patchy, incomplete cartilage infilling even up to 8.9 years post-op.
  • Kinetic gait analysis showed no significant differences in PVF/VI between affected and unaffected limbs, despite mild lameness clinically.
  • Owners reported good to very good mobility (median LOAD = 6), often underestimating clinical lameness.
  • CT detected larger lesion dimensions than radiographs (wider, deeper defects).
  • Despite progression of OA, surgical debridement was associated with satisfactory long-term function, though not prevention of degenerative changes.

Zann

Veterinary Surgery

7

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-7-VS-zann-1

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

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