Your Custom Quiz

In Cheon 2025 et al., on guide accuracy in DFO, what was the overall mean angular correction error found using both patient-specific and universal guides?

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Correct. Mean errors were under 2° for both guide types, with no statistical difference.
Incorrect. The correct answer is Less than 2°.
Mean errors were under 2° for both guide types, with no statistical difference.

🔍 Key Findings

  • Both patient-specific and universal guides yielded correction errors <2°, with no statistically significant difference in accuracy.
  • Universal guide corrected aLDFA up to 24° and AA up to 20°, addressing multiplanar deformities effectively.
  • Patient-specific guides allowed for preoperative simulation, providing more stable pin placement and potentially aiding less-experienced surgeons.
  • Universal guide eliminated the need for CT-based customization, reducing time and cost.
  • Cadaver and bone model trials showed consistent accuracy, validating both methods in vitro and ex vivo.
  • No significant differences in outcome when correcting uniplanar (aLDFA) vs biplanar (aLDFA + AA) deformities.
  • Universal guide's fixed size presented limitations in small dogs, potentially requiring multiple size options.
  • Universal guide showed potential for standard use, offering repeatable outcomes with minimal prep despite needing precise intraoperative placement.

Cheon

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

2025-3-VCOT-cheon-1

Article Title: Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In García 2025 et al., on TIAS shunt confirmation, which imaging method was NOT required during the procedure?

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Correct. TIAS used only ultrasound; fluoroscopy and CTA were not needed for intraoperative guidance.
Incorrect. The correct answer is Fluoroscopy.
TIAS used only ultrasound; fluoroscopy and CTA were not needed for intraoperative guidance.

🔍 Key Findings

  • 40 dogs with congenital EHPSS were surgically treated using intraoperative transsplenic injection of agitated saline (TIAS) to assess full temporary occlusion.
  • TIAS was successful in 38/40 dogs; the remaining 2 had additional shunting vessels not originally seen and required further identification/ligation.
  • No intraoperative or postoperative complications occurred.
  • TIAS allowed real-time confirmation of attenuation success using ultrasound-visible microbubbles.
  • Median postoperative bile acids were 5 μmol/L (preprandial) and 25 μmol/L (postprandial).
  • Long-term outcomes: 29/39 dogs had excellent, 10/39 had good outcomes; 3 dogs died unrelated to EHPSS.
  • Technique is presented as a safe, quick, low-cost, accessible intraoperative assessment alternative to IOMP or SP.

Garcia

Veterinary Surgery

2

2025

Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

2025-2-VS-garcia-4

Article Title: Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

Journal: Veterinary Surgery

In Fracka 2024 et al., on perioperative risk factors, what factor was present only in dogs with complications but excluded from the final model due to statistical instability?

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Correct. All dogs with prior aspiration pneumonia had complications, but it was not in the model due to instability.
Incorrect. The correct answer is History of aspiration pneumonia.
All dogs with prior aspiration pneumonia had complications, but it was not in the model due to instability.

🔍 Key Findings

  • Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
  • Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
  • Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
  • Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
  • History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
  • Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
  • FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
  • Bulldogs comprised 80% of population, with French Bulldogs most common (63%).

Fracka

Veterinary Surgery

4

2024

Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

2024-4-VS-fracka-5

Article Title: Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

Journal: Veterinary Surgery

In Townsend 2024 et al., on 3D osteotomy accuracy, which of the following planes showed significant improvement with PSG in both simple and complex cuts?

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Correct. Frontal plane improved in both simple and complex cuts; sagittal improved in complex cuts (Group 3).
Incorrect. The correct answer is Frontal and sagittal.
Frontal plane improved in both simple and complex cuts; sagittal improved in complex cuts (Group 3).

🔍 Key Findings:

  • Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
  • Osteotomy types (3 groups):
    1. 30° uniplanar frontal wedge
    2. Oblique (30° frontal, 15° sagittal)
    3. Single oblique (30° frontal, 15° sagittal, 30° external rotation)
  • Comparison: 3D PSG vs Freehand (FH)
  • Main Outcomes:
    • PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
    • 84% of PSG osteotomies were within 5° of target vs 50% of FH.
  • Significant improvements with PSG in:
    • Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
    • Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
  • Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
  • No difference in osteotomy location (mm) between methods.
  • Clinical relevance: PSG more consistent and accurate, especially for complex cuts.

Townsend

Veterinary Surgery

2

2024

Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

2024-2-VS-townsend-4

Article Title: Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

Journal: Veterinary Surgery

In Levine 2025 et al., on thoracoscopic pericardiectomy, which approach avoided the need for one-lung ventilation?

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Correct. ILR enabled bilateral ventilation and avoided the need for OLV.
Incorrect. The correct answer is Intercostal in left lateral recumbency (ILR).
ILR enabled bilateral ventilation and avoided the need for OLV.

🔍 Key Findings

Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)

Approaches:

  • ILR = Intercostal in Left Lateral Recumbency (no OLV required)
  • PDR = Paraxiphoid in Dorsal Recumbency (traditional)

Outcomes:

  • Pericardiectomy time was shorter for ILR (p = .045)
  • Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
  • Visibility and cardiac exposure were superior in PDR group

Feasibility:

  • ILR approach was consistently successful in achieving partial pericardiectomy
  • Bilateral ventilation was adequate; no need for OLV

Clinical relevance:

  • ILR may improve efficiency when paired with TDL
  • PDR remains preferable for cases requiring maximal pericardial resection

Levine

Veterinary Surgery

1

2025

Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

2025-1-VS-levine-2

Article Title: Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

Journal: Veterinary Surgery

In Kuvaldina 2023 et al., in Minimally invasive axillary lymphadenectomy in dogs, what was the average surgical time for excising the axillary lymph node in cadaveric specimens?

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Correct. The mean surgical time to excise the axillary lymph node in cadavers was 33 minutes.
Incorrect. The correct answer is 33 minutes.
The mean surgical time to excise the axillary lymph node in cadavers was 33 minutes.

🔍 Key Findings

  • A minimally invasive endoscopic technique was successfully developed for excisional biopsy of axillary lymph nodes in dogs.
  • The procedure was performed on 4 cadavers (6 limbs) and 3 clinical patients, with no major complications reported.
  • Mean cadaveric time: accessory axillary node 5.1 min; axillary node 33 min. One limb had a double axillary node.
  • In clinical cases, 2/3 were completed endoscopically; one required conversion to open due to node elevation difficulty.
  • Surgical times in clinical cases ranged from 35 to 58 minutes, depending on node accessibility and number.
  • Postoperative morbidity was minimal: no lymphedema, minor seroma or lameness resolved quickly.
  • The SILS port approach enabled effective access, though precise placement was critical to visualization.
  • This is the first reported veterinary endoscopic technique for axillary lymphadenectomy; potential for improved staging and reduced morbidity.

Kuvaldina

Veterinary Surgery

7

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-7-VS-kuvaldina-3

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

In Alvarez 2024 et al., which quadrant had significantly reduced compression when only Kern forceps were used?

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Correct. Kern forceps alone produced compression mostly in the craniomedial quadrant, reducing caudal compression:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Caudo­lateral.
Kern forceps alone produced compression mostly in the craniomedial quadrant, reducing caudal compression:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • F + P (forceps + plate compression) achieved the most uniform, high-pressure distribution across all quadrants.
  • Kern forceps alone concentrated force in craniomedial quadrant, reducing caudal compression.
  • Combining Kern + F improved craniolateral compression but did not restore caudal compression.
  • Plate compression alone yielded caudal bias, not uniform pressure.
  • Significant inter-method variation in quadrant-specific compression confirmed via ANOVA (p < 0.001 for all quadrants).

Alvarez

Veterinary and Comparative Orthopedics and Traumatology

2

2024

In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

2024-2-VCOT-alvarez-2

Article Title: In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

In McClean 2025 et al., on shoulder arthrocentesis techniques, what recommendation did the authors make based on safety and accuracy data?

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Correct. Less than 50% accuracy and significant cartilage injury prompted authors to recommend image-guided injections.
Incorrect. The correct answer is Prefer image guidance to improve safety and accuracy.
Less than 50% accuracy and significant cartilage injury prompted authors to recommend image-guided injections.

🔍 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-5

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 Jones 2024 et al., on elbow OA cysts, what factor was associated with **larger** SBCs?

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Correct. Older dogs had significantly larger SBCs than young dogs (OR = 1.054, p = .013).
Incorrect. The correct answer is Older age.
Older dogs had significantly larger SBCs than young dogs (OR = 1.054, p = .013).

🔍 Key Findings Summary

  • Sample: 38 Labrador Retrievers (76 elbows)
  • SBCs (subchondral bone cysts):
    • Not found in elbows without OA
  • Increased number and size with OA severity:
    • Grade 1: median 3 SBCs
    • Grade 2: 9 SBCs
    • Grade 3: 20 SBCs (p < .001)
    • Larger SBCs in more severe OA (OR = 1.056, p = .012)
  • Locations: 62% humerus, 28% ulna, 10% radius
  • Sex and Age Effects:
    • Older dogs had larger SBCs (p = .013)
    • Female dogs had smaller SBCs (p = .002)
    • SBC number unrelated to age or sex

Jones

Veterinary Surgery

2

2024

Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

2024-2-VS-jones-4

Article Title: Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

Journal: Veterinary Surgery

In Kuvaldina 2023 et al., in Minimally invasive axillary lymphadenectomy in dogs, what was the most common reason for conversion from endoscopic to open axillary lymph node excision?

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Oops! Something went wrong while submitting the form.
Correct. One clinical case required conversion due to inability to elevate the axillary node into the dissection field.
Incorrect. The correct answer is Lymph node immobility preventing elevation.
One clinical case required conversion due to inability to elevate the axillary node into the dissection field.

🔍 Key Findings

  • A minimally invasive endoscopic technique was successfully developed for excisional biopsy of axillary lymph nodes in dogs.
  • The procedure was performed on 4 cadavers (6 limbs) and 3 clinical patients, with no major complications reported.
  • Mean cadaveric time: accessory axillary node 5.1 min; axillary node 33 min. One limb had a double axillary node.
  • In clinical cases, 2/3 were completed endoscopically; one required conversion to open due to node elevation difficulty.
  • Surgical times in clinical cases ranged from 35 to 58 minutes, depending on node accessibility and number.
  • Postoperative morbidity was minimal: no lymphedema, minor seroma or lameness resolved quickly.
  • The SILS port approach enabled effective access, though precise placement was critical to visualization.
  • This is the first reported veterinary endoscopic technique for axillary lymphadenectomy; potential for improved staging and reduced morbidity.

Kuvaldina

Veterinary Surgery

7

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-7-VS-kuvaldina-1

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

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