Your Custom Quiz

In Thompson 2024 et al., on cyanoacrylate enterotomy sealants, which group had the lowest maximum intraluminal pressure (MIP)?

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Correct. The CE group had the lowest MIP (mean 22.7 mmHg), significantly lower than suture-based groups.
Incorrect. The correct answer is Cyanoacrylate only.
The CE group had the lowest MIP (mean 22.7 mmHg), significantly lower than suture-based groups.

🔍 Key Findings

  • Highest initial leak pressure (ILP) observed in the handsewn + cyanoacrylate (HS + CE) group: 83.3 ± 4.6 mmHg (p < .001 vs. others).
  • Lowest ILP: cyanoacrylate-only group (CE): 18.6 ± 3.5 mmHg.
  • No significant MIP difference between handsewn (HSE) and HS + CE groups (p = .19); CE had significantly lower MIP (22.7 mmHg).
  • Leak location:
    • HSE: 60% from suture holes
    • CE: 100% from incisional line
    • HS + CE: 60% from incisional line, 40% from suture holes
  • Authors conclude cyanoacrylate augmentation significantly increases ILP and could reduce enterotomy leakage risk.

Thompson

Veterinary Surgery

2

2024

Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

2024-2-VS-thompson-4

Article Title: Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

Journal: Veterinary Surgery

In Gibson 2024 et al., on mediastinoscopy in dogs, what was the **overall complication rate** observed during the cadaveric procedures?

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Correct. Only minor grade 1 events (pleural tear and LN rupture) were reported, with no major complications.
Incorrect. The correct answer is Low with only two minor adverse events.
Only minor grade 1 events (pleural tear and LN rupture) were reported, with no major complications.

🔍 Key Findings

  • Mediastinoscopy was technically feasible in large-breed canine cadavers using a SILS port and standard laparoscopic instruments.
  • The left tracheobronchial lymph node (LTBLN) was successfully retrieved in all cadavers (7/7), while cranial mediastinal lymph nodes were retrieved in only 1/7.
  • Postprocedural pleural gas was observed in 4/7 cadavers, likely due to CO₂ insufflation.
  • Instrument limitations with a human-designed mediastinoscope led to preference for laparoscopic instruments and SILS port for improved access and visualization.
  • Complication rates were low, with only two minor (Grade 1) adverse events (pleural tear and LN rupture).
  • Obesity and mediastinal fat were cited as potential challenges to visualization and node retrieval.
  • NASA-TLX workload scores were lowest for tracheobronchial nodes, indicating these were the easiest to access.
  • The authors concluded this approach may facilitate minimally invasive biopsy or resection of cranial mediastinal masses in live dogs, but clinical trials are needed to validate safety and efficacy.

Gibson

Veterinary Surgery

5

2024

Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

2024-5-VS-gibson-4

Article Title: Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

Journal: Veterinary Surgery

In Sandberg 2024 et al., which joint was most affected by the tactical harness in all planes of motion?

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Correct. All planes of motion in the elbow showed significant alteration during both walk and trot when harness was worn:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Elbow.
All planes of motion in the elbow showed significant alteration during both walk and trot when harness was worn:contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • Tactical harness use altered kinematics in all forelimb joints
  • Elbow most affected: increased extension, internal rotation, abduction at walk and trot
  • Carpus: reduced flexion, increased abduction at walk
  • Shoulder: least affected, but showed reduced flexion and increased abduction during walk
  • Only significant ROM increases:
    • Shoulder frontal plane (22%)
    • Elbow transverse plane (19%) at walk
  • Results suggest potential functional limitations from harness use during duty

Sandberg

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Influence of Wearing a Tactical Harness on Three-Dimensional Thoracic Limb Kinematics

2024-2-VCOT-sandberg-1

Article Title: Influence of Wearing a Tactical Harness on Three-Dimensional Thoracic Limb Kinematics

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Chen 2024 et al., on pressure-measurement tools, how much does the risk of poor outcome increase per 1 mm Hg rise in portal pressure during complete PSS occlusion?

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Correct. A 1 mm Hg rise increases odds of failure by 9%, highlighting the need for precise monitoring.
Incorrect. The correct answer is 9%.
A 1 mm Hg rise increases odds of failure by 9%, highlighting the need for precise monitoring.

🔍 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-5

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

Journal: Veterinary Surgery

In de la Oliva 2024 et al., which fixation method was most associated with complications?

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Correct. Most complications occurred in dogs treated with K-wires, including implant migration and fracture displacement:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Kirschner wires.
Most complications occurred in dogs treated with K-wires, including implant migration and fracture displacement:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 89 French Bulldogs with HCF; 40.4% (36/89) had contralateral HIF
  • Prophylactic transcondylar screws placed in 20/36 HIF; no complications in these
  • Complication rate for HCF repair = 13.4% (6.7% minor, 6.7% major)
  • Most complications occurred with Kirschner wire fixation
  • Short-term outcome: Bone healing observed in all, but 14/45 had persistent intracondylar gap
  • Long-term outcomes (n=27):
    • Excellent = 66.7%
    • Good = 29.6%
    • Fair = 3.7%
  • Complication-free dogs significantly more likely to have excellent/good outcomes (p = 0.007)

Delaoliva

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome

2024-3-VCOT-delaoliva-3

Article Title: Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Muroi 2024 et al., on radius plate stress effects, what was the yield load measured during mechanical testing of cadaveric radii?

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Correct. Mechanical testing showed yield load was 1,260 N at 55.5% of the distal radius.
Incorrect. The correct answer is 1,260 N.
Mechanical testing showed yield load was 1,260 N at 55.5% of the distal radius.

🔍 Key Findings Summary

  • Finite element analysis compared intact radii vs. locking plates placed 1 mm or 3 mm above the bone
  • LP placement significantly reduced tensile (maximum principal) stress on cranial cortex, potentially causing implant-induced osteoporosis
  • Shell element findings:
    • Max principal stress significantly lower in both LP groups vs. intact (p < 0.05)
  • Solid element findings:
    • Equivalent stress higher and max principal stress lower in LP groups
  • Implication: Tension reduction may impair bone remodeling; implant design and placement height affect stress environment

Muroi

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

2024-3-VCOT-muroi-2

Article Title: Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

In De Moya 2023 et al., on femoral physeal/neck fracture repair, which factor was most associated with the development of complications following FGPP?

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Correct. Cases with >15 days between injury and surgery showed remodeling and had a higher complication rate.
Incorrect. The correct answer is Fracture chronicity >15 days.
Cases with >15 days between injury and surgery showed remodeling and had a higher complication rate.

🔍 Key Findings

  • FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
  • Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
  • Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
  • Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
  • Median surgical time was 60 minutes, and no conversions to open surgery were needed.
  • Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
  • One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
  • FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.

De Moya

Veterinary Surgery

6

2023

Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-6-VS-demoya-2

Article Title: Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

In Adrian 2024 et al., on feline pelvic fracture stabilization, what was a suggested strategy to reduce screw pullout in SOP constructs?

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Correct. Failure occurred in short plate cases; longer plates improved outcomes.
Incorrect. The correct answer is Use longer plates with more bicortical screws.
Failure occurred in short plate cases; longer plates improved outcomes.

🔍 Key Findings

  • 20 cats with pelvic fractures treated with SOP plates and cortical screws
  • Full function reported in all patients per FMPI follow-up
  • Screw loosening in 3/20 SOP cases; implant removal in 3 cats
  • Median sacral index decrease at follow-up: 5.7%; mostly mild narrowing
  • Complications: 5 major (3 SOP removals, 2 trochanter osteotomy issues); 20 minor
  • SOP plate shown feasible even in challenging configurations; good functional outcomes

Adrian

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

2024-1-VCOT-adrian-4

Article Title: Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Smith 2025 et al., on bacterial cultures in TECA dehiscence what was the conclusion about using intraoperative cultures to guide treatment of dehiscence?

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Correct. Cultures during TECA were not reliable predictors of pathogens at dehiscence and repeat cultures were recommended.
Incorrect. The correct answer is They were not predictive and new cultures should be performed.
Cultures during TECA were not reliable predictors of pathogens at dehiscence and repeat cultures were recommended.

🔍 Key Findings

  • Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
  • In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
  • Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
  • Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
  • Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
  • TECA cultures were not predictive of bacteria at incisional dehiscence.
  • 75% of dogs healed with either medical or surgical management.

Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.

Smith

Veterinary Surgery

3

2025

Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

2025-3-VS-smith-2

Article Title: Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

Journal: Veterinary Surgery

In Wang 2025 et al., on TPLO osteotomy alignment, what was a potential **advantage of using intraoperative fluoroscopy** in challenging cases?

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Correct. Intraoperative fluoroscopy allowed dynamic limb repositioning and real-time targeting of the intercondylar eminence to improve alignment.
Incorrect. The correct answer is Provides real-time adjustment for precise osteotomy alignment.
Intraoperative fluoroscopy allowed dynamic limb repositioning and real-time targeting of the intercondylar eminence to improve alignment.

🔍 Key Findings

  • Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of 3° (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-4

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

Journal: Veterinary Surgery

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