Your Custom Quiz

In Buote 2023 et al., on 3D printed cannulas, what was the approximate manufacturing cost per sterilizable 3D printed cannula?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Each sterilizable 3D printed cannula cost less than $5 to produce including materials and consumables.
Incorrect. The correct answer is $5.00.
Each sterilizable 3D printed cannula cost less than $5 to produce including materials and consumables.

🔍 Key Findings

  • Customized 3D printed cannulas (3DPCs) significantly reduced surgical time in feline cadaver models (125.6 vs. 95.2 min, p = 0.03).
  • Use of 3DPCs resulted in a reduction in instrument collisions (6.8 vs. 2.6, p = 0.03).
  • Cannula pullout complications decreased with 3DPCs (10 vs. 2.2 per procedure, p = 0.03).
  • 3DPCs were designed at shorter lengths (3 cm), improving intra-abdominal working space in cats.
  • No incisional or postoperative complications occurred in the two live feline cases.
  • One 3DPC insufflation port broke intraoperatively; resolved by using a male luer lock connector in the next case.
  • CO₂ leakage occurred from re-used silicone valves in 2 ports; emphasizing the need for durable valve design.
  • Estimated cost per 3DPC was <$5.00, suggesting cost-effective customization for feline laparoscopy.

Buote

Veterinary Surgery

7

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-7-VS-buote-4

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

In Walker 2025 et al., on ventral slot guides, what was the impact on slot position variability when using the 3D guide?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Use of the guide cut variability in slot position by more than half.
Incorrect. The correct answer is Reduced from 63% to 29%.
Use of the guide cut variability in slot position by more than half.

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

  • GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
  • FHVS produced significantly shorter slots than intended (p < .01)
  • No difference in surgical time (p = .071)
  • Shape ratio and slot divergence from midline were similar between groups (p > .4)
  • Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

Walker

Veterinary Surgery

3

2025

Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

2025-3-VS-walker-2

Article Title: Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

Journal: Veterinary Surgery

In Hildebrandt 2023 et al., on Buccal Transposition Flap for Maxillary Lip Reconstruction in Dogs, what was the most common complication observed after flap placement?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Oronasal fistula occurred in 2 dogs, typically near the palatal incision.
Incorrect. The correct answer is Oronasal fistula.
Oronasal fistula occurred in 2 dogs, typically near the palatal incision.

🔍 Key Findings

  • Buccal transposition flap provided successful closure of large maxillary lip defects in all 5 dogs
  • All flaps survived, with 3 dogs experiencing minor complications (e.g., fistulas, dehiscence) that resolved
  • Flap vascularization originated from the angularis oris and superior labial arteries, as confirmed via CT angiography
  • Excellent cosmetic and functional outcomes were achieved in all cases
  • Ex vivo cadaver study validated flap perfusion, showing consistent contrast filling of key arteries
  • Oronasal fistulas occurred in 2 dogs at the palatal incision site, likely due to contact with the mandibular canine tooth
  • Mandibular canine coronectomy was performed in 2/5 dogs to prevent flap trauma
  • Flap design and commissure positioning were customizable, aiding tension relief and improving outcomes

Hildebrandt

Veterinary Surgery

2

2023

Buccal transposition flap for closure of maxillary lip defects in 5 dogs

2023-2-VS-hildebrandt-2

Article Title: Buccal transposition flap for closure of maxillary lip defects in 5 dogs

Journal: Veterinary Surgery

In Bae 2025 et al., on SI screw orientation, which screw-side combination yielded the highest rotational stability?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Right-handed screws on right SI (RhRSI) had the highest torque and load values (e.g., 313% more torque vs RhLSI, p < .01).
Incorrect. The correct answer is Right-handed screw on right SI.
Right-handed screws on right SI (RhRSI) had the highest torque and load values (e.g., 313% more torque vs RhLSI, p < .01).

🔍 Key Findings

  • Ex vivo study using 24 canine cadaver pelves to test screw thread direction in SI luxation.
  • Four groups: RhRSI, RhLSI, LhRSI, LhLSI.
  • Right-handed screws on right side (RhRSI) had 313% higher torque and 274% higher load vs left side (p < .01).
  • Left-handed screws on left side (LhLSI) had 198% higher torque and 195% higher load vs right side (p < .03).
  • All failures occurred due to rotation, with no screw breakage or fractures.
  • Body weight and moment arm were similar across groups.
  • Clinical implication: Use of screw matching handedness to luxation side improves stability.

Bae

Veterinary Surgery

2

2025

Effect of thread direction on rotational stability in lag​-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs

2025-2-VS-bae-1

Article Title: Effect of thread direction on rotational stability in lag​-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs

Journal: Veterinary Surgery

In Knudsen 2024 et al., on CTA diagnosis, what was the observed **negative likelihood ratio (NLR)** of CTA for meniscal lesion detection in second readings?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. A low NLR (≤0.1) suggests CTA is effective for ruling out lesions.
Incorrect. The correct answer is 0.08.
A low NLR (≤0.1) suggests CTA is effective for ruling out lesions.

🔍 Key Findings

  • Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
  • Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
  • Training effect was evident, as less experienced observers improved between first and second readings.
  • Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
  • CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
  • Approximately 90% of menisci were correctly classified in second readings.
  • No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
  • CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.

Knudsen

Veterinary Surgery

8

2024

Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

2024-8-VS-knudsen-4

Article Title: Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

Journal: Veterinary Surgery

In Chen 2024 et al., on pressure-measurement tools, which device demonstrated the highest accuracy and precision?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. WMg was the only device not significantly different from the gold standard and had the smallest mean error (−0.020 cm H2O).
Incorrect. The correct answer is Water manometer with gauge (WMg).
WMg was the only device not significantly different from the gold standard and had the smallest mean error (−0.020 cm H2O).

🔍 Key Findings

  • WMg (water manometer with gauge) was the most accurate and precise pressure measurement device.
  • APT (arterial pressure transducer) was less accurate than WMg but still precise; it differed significantly from the gold standard (WMr).
  • CCT (Compass CT) was the least accurate and precise and differed significantly from the set pressure.
  • Mean differences from set pressure were smallest for WMg (−0.020 cm H2O), moderate for APT (−0.390 cm H2O), and largest for CCT (−1.267 cm H2O).
  • All devices showed excellent interobserver (ICC = 1.000) and intraobserver agreement (ICC range 0.985–0.998).
  • Even though the CCT performed least well, all devices had mean errors ≤1.3 cm H2O, indicating potential clinical utility.
  • WMg or WMr should be preferred in surgical settings due to superior accuracy and precision.
  • Measurement precision is more critical than accuracy during PSS surgery, as a 1 mm Hg (~1.3 cm H2O) increase in portal pressure raises odds of poor outcomes by 9%.

Chen

Veterinary Surgery

4

2024

Accuracy, precision, and interobserver and intraobserver agreements related to pressure-measurement devices

2024-4-VS-chen-1

Article Title: Accuracy, precision, and interobserver and intraobserver agreements related to pressure-measurement devices

Journal: Veterinary Surgery

In McLean 2024 et al., what was the average increase in TPA among dogs with rock-back?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Dogs with rock-back had an average TPA increase of 3.2° ± 2.6°:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is 3.2° ± 2.6°.
Dogs with rock-back had an average TPA increase of 3.2° ± 2.6°:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 95 TPLO procedures reviewed retrospectively with follow-up radiographs
  • Rock-back defined as increase in tibial plateau angle (TPA) ≥2° from immediate post-op to recheck
  • 21% of stifles (20/95) experienced rock-back
  • Mean ΔTPA among rock-back cases = 3.2° ± 2.6°
  • No implant failures or tibial tuberosity fractures were reported in these cases
  • Plate inclination and exit cut angle (ECA) were not associated with increased risk of rock-back (p = 0.4 and 0.2)
  • Authors hypothesize that compression across osteotomy in vivo may mitigate torsional effects from ECA, unlike in gap-model studies
  • Emphasizes that rock-back is relatively common, even with well-placed implants

Mclean

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

2024-6-VCOT-mclean-3

Article Title: Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, what percentage of dogs experienced no neurologic deterioration postoperatively?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 80% of dogs maintained their preoperative neurologic status immediately post-op:contentReference[oaicite:1]{index=1}.
Incorrect. The correct answer is 80%.
80% of dogs maintained their preoperative neurologic status immediately post-op:contentReference[oaicite:1]{index=1}.

🔍 Key Findings

  • Spinal stabilization with 3D-printed patient-specific drill guides (3D-PSGs) was safe, with no immediate perioperative complications reported.
  • 84% of pedicle screws were optimally placed, and only 0.5% breached the spinal canal, reflecting high placement accuracy.
  • 80% of dogs experienced no neurologic deterioration postoperatively, indicating reliable short-term safety.
  • 3D-PSGs were accurate and reproducible, even across multiple institutions and surgeons.
  • Mid-term outcomes were favorable: all dogs were ambulatory, and 90% had static or improved neurologic signs.
  • 7 of 10 mid-term follow-ups showed abnormal gait, though owners rated lifestyle ≥3/5, suggesting acceptable function.
  • 3D-printed guides enabled precise pedicle screw placement in deformed vertebrae, expanding options in small breeds.
  • One dog suffered a T4 spinous process fracture due to overextension of PMMA cement, emphasizing the need for cement placement caution.

Violini

Veterinary Surgery

4

2024

Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

2024-4-VS-violini-2

Article Title: Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

Journal: Veterinary Surgery

In Radke 2022 et al., on outcome measure validation, what was the COSMIN justification for not assessing internal consistency in the LOAD instrument?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Formative models do not require internal consistency analysis since items are not necessarily correlated.
Incorrect. The correct answer is LOAD is based on a formative model rather than a reflective one.
Formative models do not require internal consistency analysis since items are not necessarily correlated.

🔍 Key Findings

  • CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
  • COI scored highest in development rigor and evidence quality among evaluated OROMs.
  • Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
  • LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
  • CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
  • All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
  • Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
  • Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).

Radke

Veterinary Surgery

2

2022

Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

2022-2-VS-radke-2

Article Title: Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

Journal: Veterinary Surgery

In Marshall 2022 et al., what **effect did bone grafting** have on delayed or non-union outcomes?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Bone graft use was associated with a 3.32× increase in risk, likely reflecting selection bias.
Incorrect. The correct answer is Increased odds (OR 3.32) of delayed or non-union.
Bone graft use was associated with a 3.32× increase in risk, likely reflecting selection bias.

🔍 Key Findings

  • Delayed union occurred in 13.9% of fractures; non-union in 4.6%; mal-union in 0.7%
  • Major implant failure increased odds of delayed or non-union by 12.9×
  • Surgical site infection increased risk 3.2×; bone grafting (any type) was also associated (OR 3.3)
  • Comminuted fractures had 4.2× greater odds of delayed or non-union
  • Older age increased risk, with odds increasing by 21% per year
  • Radius and ulna fractures in toy breeds were not high risk, contrary to historical belief
  • Most non-unions required revision surgery with rhBMP-2 or autograft to achieve union
  • Ilium fractures showed 0% delayed/non-union — possibly due to robust muscle envelope

Marshall

Veterinary Surgery

7

2022

Delayed union, non-union and mal-union in 442 dogs

2022-7-VS-marshall-4

Article Title: Delayed union, non-union and mal-union in 442 dogs

Journal: Veterinary Surgery

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.