Your Custom Quiz

In Holman 2024 et al., on lateral arthroscopy of the canine shoulder, what percentage of the medial glenohumeral ligament’s cranial border was visible?

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Correct. 58% of the cranial arm of the medial glenohumeral ligament was within view during standard arthroscopy.
Incorrect. The correct answer is 58%.
58% of the cranial arm of the medial glenohumeral ligament was within view during standard arthroscopy.

🔍 Key Findings

  • 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
  • 58% of the medial glenohumeral ligament's cranial border was within view.
  • 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
  • Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
  • Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.

Holman

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

2024-1-VCOT-holman-3

Article Title: Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Latifi 2024 et al., on fascial mapping in the canine hindlimb, what was the recommended surgical principle for distal limb resections where deep fascial margins are poor?

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Correct. This principle helps avoid unnecessary complexity and flap contamination when deep margins are not feasible.
Incorrect. The correct answer is If you can't go deep, don't go wide.
This principle helps avoid unnecessary complexity and flap contamination when deep margins are not feasible.

🔍 Key Findings

  • This anatomical study mapped fascial planes of the canine hindlimb and pelvis to aid superficial tumor resection.
  • Type I fascia (discrete sheets) was suitable for deep margins in fascia lata, lateral crus, and gluteal regions.
  • Areas with poor or absent fascia included the ischiorectal fossa, femoral triangle, stifle extensor mechanism, and pes.
  • Type IV fascia associated with periosteum (e.g., patella, tibial tuberosity) required partial ostectomy for inclusion in surgical margins.
  • Nerves at risk during deep dissection included obturator, superficial peroneal, and tibial nerves, particularly in regions with weak fascia.
  • In males, bulbospongiosus muscle could act as a fascial plane but dissection was challenging and potentially hemorrhagic.
  • In females, constrictor vulvae/vestibulae muscles were tightly associated with mucosa, limiting clean resection options.
  • Distal hindlimb resections often lacked a usable fascial plane, suggesting that amputation or adjuvant therapy may be more appropriate.

Latifi

Veterinary Surgery

3

2024

Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis

2024-3-VS-latifi-5

Article Title: Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis

Journal: Veterinary Surgery

In Allaith 2023 et al., on THR outcomes, what statistically significant change was observed in postoperative LOAD scores?

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Correct. Postoperative LOAD scores improved significantly from 21 to 11 (P < .0001), showing better mobility.
Incorrect. The correct answer is They decreased from 21 to 11.
Postoperative LOAD scores improved significantly from 21 to 11 (P < .0001), showing better mobility.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

  • 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
  • Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
  • Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
  • Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
  • Most common complications: Luxation, femoral fracture, and aseptic loosening.
  • BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
  • Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
  • Owner satisfaction was high, with 88% rating outcome as very good or good.

Allaith

Veterinary Surgery

2

2023

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

2023-2-VS-allaith-4

Article Title: Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

Journal: Veterinary Surgery

In Dickerson 2023 et al., on surgical outcomes in hepatic abscessation, what was the reported in-hospital mortality rate?

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Correct. 8 of 38 dogs died before discharge, corresponding to a 21% mortality rate.
Incorrect. The correct answer is 21%.
8 of 38 dogs died before discharge, corresponding to a 21% mortality rate.

🔍 Key Findings

  • Liver lobectomy was the most common treatment (27/36 dogs), with multiple lobes removed in ~1/3 of cases.
  • Septic peritonitis was present in 21/23 sampled dogs, making it a frequent complication.
  • Perioperative complications occurred in 21/36 dogs, including aspiration pneumonia, pancreatitis, and acute kidney injury.
  • Intraoperative hypotension was common (32/36), often requiring vasopressors or colloids.
  • Mortality prior to discharge was 21% (8/38), with deaths related to sepsis, aspiration pneumonia, and multi-organ dysfunction.
  • Median survival time was 638 days in dogs surviving to discharge.
  • No recurrence of hepatic abscessation was observed in the surviving population.
  • E. coli and Clostridium spp. were the most commonly cultured organisms, often as single-agent infections.

Dickerson

Veterinary Surgery

1

2023

Outcome in 38 dogs surgically treated for hepatic abscessation

2023-1-VS-dickerson-3

Article Title: Outcome in 38 dogs surgically treated for hepatic abscessation

Journal: Veterinary Surgery

In Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, which of the following best describes the utility of 3D-printed drill guides?

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Correct. 3D-PSGs enabled accurate pedicle screw placement in small deformed vertebrae of brachycephalic dogs:contentReference[oaicite:4]{index=4}.
Incorrect. The correct answer is Enabled screw placement in deformed vertebrae.
3D-PSGs enabled accurate pedicle screw placement in small deformed vertebrae of brachycephalic dogs:contentReference[oaicite:4]{index=4}.

🔍 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-5

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 Drudi 2022 et al., on CAL vs TAL outcomes, what was the approximate mean increase in rima glottidis area at 15 days post-op for the CAL group?

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Correct. CAL maintained a mean 199% increase at 15 days, significantly higher than TAL.
Incorrect. The correct answer is 199%.
CAL maintained a mean 199% increase at 15 days, significantly higher than TAL.

🔍 Key Findings

  • Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
  • TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
  • No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
  • All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
  • CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
  • Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
  • Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
  • Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.

Drudi

Veterinary Surgery

3

2022

Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis

2022-3-VS-drudi-2

Article Title: Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis

Journal: Veterinary Surgery

In Dobberstein 2022 et al., on NSAID ulcer repair, what was a common factor among most dogs that developed gastrointestinal perforations?

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Correct. 9 of 11 dogs had NSAID misuse, such as overdose, prolonged use, or concurrent steroid administration.
Incorrect. The correct answer is Concurrent corticosteroid or NSAID overdose.
9 of 11 dogs had NSAID misuse, such as overdose, prolonged use, or concurrent steroid administration.

🔍 Key Findings

  • Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
  • NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
  • All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
  • No significant association between ulcer size or location and postoperative survival.
  • Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
  • Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
  • Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
  • Median follow-up of 444 days showed long-term survival was achievable post-primary repair.

Dobberstein

Veterinary Surgery

7

2022

Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

2022-7-VS-dobberstein-2

Article Title: Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

Journal: Veterinary Surgery

In Farrugia 2025 et al., on BODPUO location effects, what complication pattern was observed with more proximal osteotomies?

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Correct. Despite assumptions, more proximal BODPUOs were not linked to increased complications.
Incorrect. The correct answer is No increase in complication rate.
Despite assumptions, more proximal BODPUOs were not linked to increased complications.

🔍 Key Findings

  • Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
  • Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
  • Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
  • Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
  • Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
  • Osteotomy length had no significant effect on change in angle.
  • Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
  • No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

Farrugia

Veterinary Surgery

6

2025

Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

2025-6-VS-farrugia-5

Article Title: Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

Journal: Veterinary Surgery

In Power 2022 et al., on liposomal bupivacaine use, what was concluded about its use in off-label orthopedic procedures?

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Correct. The study found no significant difference in complication rates between labeled and off-label orthopedic uses.
Incorrect. The correct answer is It appeared safe.
The study found no significant difference in complication rates between labeled and off-label orthopedic uses.

🔍 Key Findings

  • Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
  • Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
  • No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
  • No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
  • Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
  • Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
  • Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
  • Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.

Power

Veterinary Surgery

4

2022

Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

2022-4-VS-power-3

Article Title: Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

Journal: Veterinary Surgery

In Sisk 2024 et al., which nail design feature may reduce infection risk?

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Correct. Solid IMNs showed two-fold reduced infection rates vs. slotted or cannulated nails in rabbit studies:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Solid nail design.
Solid IMNs showed two-fold reduced infection rates vs. slotted or cannulated nails in rabbit studies:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • IMN provides relative stability, resists bending/torsion due to central axis alignment
  • Larger diameter nails = exponentially greater stiffness (∝ D⁴)
  • Trade-off: Larger interlocking holes weaken fatigue strength of the nail
  • Reaming increases contact/stability but has pros/cons:
    • Improves outcomes in closed fractures
    • May reduce endosteal blood flow in thin-walled bones (e.g., cats)
  • Design advances:
    • Angle-stable IMN reduce rotational slack
    • Expandable nails simplify insertion but may compromise removal or compressive load resistance
    • Precontoured nails match bone curvature but lack consistent clinical superiority
  • Material debates continue (e.g., titanium vs. stainless steel vs. magnesium)

Sisk

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine

2024-6-VCOT-sisk-2

Article Title: Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine

Journal: Veterinary and Comparative Orthopedics and Traumatology

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