Your Custom Quiz

In Almeida 2025 et al., on TPLO and partial CCL rupture, where was the greatest increase in ligament thickness observed postoperatively?

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Correct. The largest increase in PLT was recorded at the midpoint of the patellar ligament.
Incorrect. The correct answer is Midpoint.
The largest increase in PLT was recorded at the midpoint of the patellar ligament.

🔍 Key Findings

  • Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
  • Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
  • Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
  • Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
  • No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
  • Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
  • Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
  • Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.

Almeida

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

2025-4-VCOT-almeida-2

Article Title: Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Hoenecke 2025 et al., on radiographic opacity in patella luxation, which diagnostic technique was suggested to provide better sensitivity than arthrotomy for subtle CCL damage?

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Correct. Authors noted arthroscopy provides better sensitivity for subtle intra-articular changes than arthrotomy.
Incorrect. The correct answer is Arthroscopy.
Authors noted arthroscopy provides better sensitivity for subtle intra-articular changes than arthrotomy.

🔍 Key Findings

  • 65% of stifles with patella luxation and intact CCLs had increased radiographic soft tissue opacity
  • Weight and radiographic OA were significantly associated with increased opacity (p = .0029 and p = .0143)
  • Each 1 kg increase in weight increased the odds of opacity by 10%
  • Grade of patella luxation, age, and muscle atrophy were not significantly associated with increased opacity
  • 19% of dogs with long-term follow-up developed a CCL rupture post-patella surgery, 50% of those had opacity at initial presentation
  • Radiographic opacity alone should not be interpreted as CCL disease in dogs with patella luxation
  • Radiographic findings likely represent effusion or synovial hyperplasia, not CCL pathology
  • Arthrotomy was used to confirm CCL integrity at surgery, but arthroscopy could provide better sensitivity

Hoenecke

Veterinary Surgery

7

2025

Increased radiographic stifle soft tissue opacity in dogs with patella luxation

2025-7-VS-hoenecke-5

Article Title: Increased radiographic stifle soft tissue opacity in dogs with patella luxation

Journal: Veterinary Surgery

In Hawker 2024 et al., on checklist attitudes, what was a leading barrier cited for noncompletion of SSCs?

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Correct. Forgetfulness (39.6%) was the most frequently cited reason for SSC noncompletion.
Incorrect. The correct answer is Forgetfulness.
Forgetfulness (39.6%) was the most frequently cited reason for SSC noncompletion.

🔍 Key Findings

  • 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
  • 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
  • Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
  • Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
  • Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
  • Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
  • Surgeons and OR staff were most commonly identified as noncompliant team members.
  • SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.

Hawker

Veterinary Surgery

5

2024

Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

2024-5-VS-hawker-2

Article Title: Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

Journal: Veterinary Surgery

In Danielski 2024 et al., on PUO effect on HIF, what was the mean preoperative Hounsfield unit (HU) value of the fissure ROI on CT?

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Correct. The preoperative HU for the fissure region of interest was reported as 640.
Incorrect. The correct answer is 640.
The preoperative HU for the fissure region of interest was reported as 640.

🔍 Key Findings Summary

  • Sample: 51 elbows from 35 spaniel dogs
  • Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
  • Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
  • Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
  • Complications:
    • Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
    • Minor: 3 cases (5.8%) due to IM pin migration
  • Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
  • PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
  • Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)

Danielski

Veterinary Surgery

2

2024

Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

2024-2-VS-danielski-4

Article Title: Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

Journal: Veterinary Surgery

In Konno 2026 et al., on hepatic mass resection risks, what was the significance of the corrected distance from the mass to the CVC?

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Correct. Corrected distance was significantly associated with complications (OR: 0.666 per 0.1 cm/kg; p = .017).
Incorrect. The correct answer is It was a key risk factor for severe complications.
Corrected distance was significantly associated with complications (OR: 0.666 per 0.1 cm/kg; p = .017).

🔍 Key Findings

  • Postoperative complications occurred in 17.7% of dogs undergoing hepatic mass resection; mortality was 6.3%
  • Shorter corrected distance from hepatic mass to CVC (per 0.1 cm/kg decrease) was significantly associated with increased complications (OR: 0.666; p = .017)
  • Presence of underlying disease increased complication risk (OR: 2.703; p = .007)
  • Intraoperative hypotension was a strong predictor of complications (OR: 3.589; p = .019)
  • Surgical time was borderline significant in multivariable models (OR: 1.011 per min; p = .052)
  • Liver lobe location (left, central, right) was not significantly associated with complications
  • Prothrombin time (PT) correlated with complication risk in univariable analysis but was not consistently significant in multivariable models
  • CT evaluation of mass proximity to the CVC is a useful preoperative predictor of complication risk

Konno

Veterinary Surgery

1

2026

Risk factors for complications associated with canine hepatic mass resection: A study of 96 cases

2026-1-VS-konno-2

Article Title: Risk factors for complications associated with canine hepatic mass resection: A study of 96 cases

Journal: Veterinary Surgery

In Moore 2023 et al., on Divisional outcomes in canine liver mass resection, which liver division was most commonly affected by liver masses in dogs?

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Correct. 58% of liver masses were located in the left division.
Incorrect. The correct answer is Left.
58% of liver masses were located in the left division.

🔍 Key Findings

  • Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
  • Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
  • Mortality rate was 6.5% overall, with no significant association with liver lobe location.
  • Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
  • Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
  • Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
  • Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
  • Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.

Moore

Veterinary Surgery

4

2023

Association between divisional location and short-term outcome of liver mass resection in 124 dogs

2023-4-VS-moore-1

Article Title: Association between divisional location and short-term outcome of liver mass resection in 124 dogs

Journal: Veterinary Surgery

In Wang 2025 et al., on TPLO osteotomy alignment, which measurement was found to be more accurate intraoperatively?

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Correct. D1 showed a median R1 radius deviation of only 0.5 mm from the intended 21 mm, while D2 (R2) showed a 2.5 mm deviation.
Incorrect. The correct answer is D1 (from patellar ligament insertion).
D1 showed a median R1 radius deviation of only 0.5 mm from the intended 21 mm, while D2 (R2) showed a 2.5 mm deviation.

🔍 Key Findings

  • Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of (range: 0–4.5°), showing excellent accuracy.
  • The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
  • Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
  • Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
  • Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
  • Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
  • Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
  • Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.

Wang

Veterinary Surgery

7

2025

Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

2025-7-VS-wang-2

Article Title: Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

Journal: Veterinary Surgery

In De Moya 2025 et al., on antebrachial deformity correction, what percentage of the recorded distraction translated to actual radial lengthening?

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Correct. Only 80% of the distraction measured on the fixator resulted in actual bone lengthening, likely due to soft tissue and frame mechanics.
Incorrect. The correct answer is 80%.
Only 80% of the distraction measured on the fixator resulted in actual bone lengthening, likely due to soft tissue and frame mechanics.

🔍 Key Findings

  • CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
  • Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
  • Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
  • Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
  • Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
  • Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
  • Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
  • Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.

De Moya

Veterinary Surgery

6

2025

Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

2025-6-VS-demoya-2

Article Title: Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

Journal: Veterinary Surgery

In Forzisi 2025 et al., on femoral growth post-THR, how did femoral cortical width change at 50% femoral length?

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Correct. THR increased femoral cortical width by 8.5% at 50% length (p = .030).
Incorrect. The correct answer is It increased by 8.5%.
THR increased femoral cortical width by 8.5% at 50% length (p = .030).

🔍 Key Findings

Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:

  • Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
  • No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).

Cortical Width:

  • Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).

Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:

  • Moderate negative for trochanteric growth.
  • Moderate positive for proximal femoral width.

Forzisi

Veterinary Surgery

1

2025

Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

2025-1-VS-forzisi-3

Article Title: Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

Journal: Veterinary Surgery

In Matz 2022 et al., on stapler size comparison, what is the clinical significance of the finding that all stapler groups had ILPs exceeding 25 mmHg?

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Correct. The study used 25 mmHg as a reference threshold; all stapler groups exceeded this, suggesting functional closure under physiological conditions.
Incorrect. The correct answer is They exceed normal intraluminal pressures in dogs.
The study used 25 mmHg as a reference threshold; all stapler groups exceeded this, suggesting functional closure under physiological conditions.

🔍 Key Findings

  • No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
  • All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
  • Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
  • Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
  • No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
  • Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
  • One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
  • Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.

Matz

Veterinary Surgery

4

2022

Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

2022-4-VS-matz-4

Article Title: Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

Journal: Veterinary Surgery

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