Your Custom Quiz

In Farrell 2022 et al., on checklist reliability in OVH simulation, what was the recommended number of raters needed to achieve acceptable reliability (G ≥ 0.76) for high-stakes use of the checklist?

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Correct. Two raters per student were needed to achieve a G-coefficient of 0.76, which is considered acceptable for high-stakes exams.
Incorrect. The correct answer is 2.
Two raters per student were needed to achieve a G-coefficient of 0.76, which is considered acceptable for high-stakes exams.

🔍 Key Findings

  • 39 of 40 checklist items for simulated OVH surgical assessment had good content validity (CVI = 0.81)
  • Only 1 of 6 items from the OSATS GRS (respect for tissue) met inclusion criteria (CVI = 0.80)
  • Checklist showed strong reliability (G-coefficient = 0.85) for moderate-stakes exams
  • Modified OSATS GRS showed acceptable reliability (G-coefficient = 0.79)
  • Two raters needed for acceptable reliability in high-stakes exams when using the checklist
  • Minimal interrater bias found; variance largely due to interaction among student, rater, and item
  • Digital recordings were a reliable method of evaluating surgical performance
  • Study supports using checklist over OSATS GRS for assessing preclinical students on simulated models

Farrell

Veterinary Surgery

5

2022

Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment

2022-5-VS-farrell-3

Article Title: Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment

Journal: Veterinary Surgery

In Rodiño Tilve 2022 et al., on feline THR outcomes, what was the median postoperative FMPI-short form score?

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Correct. The FMPI-sf improved from 2.111 pre-op to 0.111 post-op (P < .001).
Incorrect. The correct answer is 0.111.
The FMPI-sf improved from 2.111 pre-op to 0.111 post-op (P < .001).

🔍 Key Findings

From “Long-term follow up of 44 cats undergoing total hip replacement” by Rodiño Tilve et al.

  • Slipped capital femoral epiphysis (SCFE) was the most common surgical indication (61%, 34/56 hips), primarily affecting young neutered male cats.
  • All THRs used cemented micro/nano BioMedtrix implants; most common femoral stem was size #3, and most common acetabular cup was 12 mm.
  • Postoperative complication rate was 19.6% (11/56) with 9 major complications (luxation most common), and no intraoperative complications reported.
  • All luxations occurred in hips implanted with femoral neck +0 mm length implants.
  • Second luxations were more common when revision used same implant size; use of larger implants reduced reluxation rates.
  • FMPI-sf score improved significantly from median 2.111 pre-op to 0.111 post-op (P < .001), indicating reduced pain and improved function.
  • Very high owner satisfaction: 91% (30/33) reported outcome as "very good."
  • No significant associations found between complications and variables like weight, sex, implant size, or surgical indication.

Rodiño Tilve

Veterinary Surgery

5

2022

Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

2022-5-VS-rodino-4

Article Title: Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

Journal: Veterinary Surgery

In Curuci 2024 et al., what was a reported benefit of the wedge resection used in DCTPLO?

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Correct. Removing the semicircular wedge reduced the amount of TPLO rotation required to level the plateau:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Reduced need for TPLO rotation.
Removing the semicircular wedge reduced the amount of TPLO rotation required to level the plateau:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
  • Mean TPA correction: from 39.4° to 6.3°
  • Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
  • Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
  • Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
  • The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO

Curuci

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

2024-6-VCOT-curuci-4

Article Title: Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Jones 2024 et al., on surgical technique mortality, what possible reason was proposed for increased mortality with BVSD?

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Correct. Authors hypothesized that thermal injury and edema may contribute to complications.
Incorrect. The correct answer is Thermal injury causing pharyngeal edema.
Authors hypothesized that thermal injury and edema may contribute to complications.

🔍 Key Findings

  • Study compared 606 dogs (English Bulldogs, French Bulldogs, Pugs) undergoing partial staphylectomy via CO₂ laser, bipolar vessel sealing device (BVSD), or conventional incision.
  • Mortality rate: 4.0% (24/606).
  • BVSD was associated with significantly increased perioperative mortality compared to other methods (OR = 6.0, 95% CI: 1.3–28.4, p = .023).
  • High-grade laryngeal collapse (stage II or III) independently increased mortality risk (OR = 4.6, 95% CI: 1.8–11.8, p = .002).
  • No difference in mortality between CO₂ laser and conventional incision techniques.
  • CO₂ laser and conventional techniques had similar complication rates.

Jones

Veterinary Surgery

1

2024

Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

2024-1-VS-jones-5

Article Title: Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

Journal: Veterinary Surgery

In Bohin 2026 et al., on feline Achilles repair, what proportion of limbs achieved successful long-term functional recovery among cases with complete follow-up?

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Correct. Eleven of twelve limbs with complete long-term follow-up achieved successful recovery and normal function.
Incorrect. The correct answer is 91.7% (11/12).
Eleven of twelve limbs with complete long-term follow-up achieved successful recovery and normal function.

🔍 Key Findings

  • UHMWPE implant reconstruction resulted in successful long-term functional recovery in 11/12 limbs (91.7%) with complete follow-up, with restoration of normal tarsal motion in most cats.
  • All injuries occurred at the tendino-osseous junction, with 53.8% being complete Achilles tendon ruptures and 46.2% partial gastrocnemius avulsions (Type IIc).
  • No intraoperative complications occurred in any of the 13 repaired limbs.
  • Complication rate was low (15.4%), with only one calcaneal fracture from screw malposition and one surgical site infection causing implant failure.
  • External coaptation was not required in all cases, and outcomes did not differ between limbs with or without rigid coaptation.
  • Median long-term follow-up was 18.5 months, with a median FMPI score of 1.5 indicating excellent owner-reported limb function.
  • Calcaneal fracture risk was associated with distal interference screw malposition, emphasizing the importance of correct screw placement proximal and caudal to the talocalcaneal central joint.
  • The technique may reduce complications associated with transarticular fixation or external skeletal fixation, potentially improving short-term recovery while preserving tendon loading during healing.

Bohin

Veterinary Surgery

4

2026

Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)

2026-4-vs-bohin-1

Article Title: Outcomes of 11 cats with Achilles tendon (AT) rupture repair treated with a synthetic ultra-high-molecular-weight polyethylene (UHMWPE)

Journal: Veterinary Surgery

In Power 2022 et al., on liposomal bupivacaine use, which group had a significantly higher rate of incisional complications?

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Correct. Soft tissue surgeries showed a higher complication rate (26%) vs orthopedic (11.6%), which was statistically significant (P < 0.01).
Incorrect. The correct answer is Soft tissue procedures.
Soft tissue surgeries showed a higher complication rate (26%) vs orthopedic (11.6%), which was statistically significant (P < 0.01).

🔍 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-2

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

Journal: Veterinary Surgery

In Adams 2022 et al., on C-section survival rates, how did brachycephalic breed status influence survival in the multivariable model?

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Correct. Brachycephalism was not a significant variable in the multivariable model for neonatal survival (p = .221).
Incorrect. The correct answer is No effect.
Brachycephalism was not a significant variable in the multivariable model for neonatal survival (p = .221).

🔍 Key Findings

  • Neonatal survival to discharge was 93.1% overall, with no significant difference between brachycephalic (94.8%) and nonbrachycephalic (91.8%) breeds.
  • Elective C-section significantly improved neonatal survival (99.2%) compared to emergency C-section (87.1%) (p < .001).
  • Larger C-section litter size was positively associated with survival (p = .004; OR 1.57), whereas total litter size had no effect.
  • Maternal heart rate and stage of labor were associated with neonatal mortality in univariable analysis, but not multivariable.
  • Brachycephalism alone was not a risk factor for neonatal mortality (p = .221) in multivariable analysis.
  • Emergency C-section was the strongest predictor of neonatal mortality (OR 4.75), regardless of breed.
  • Multidisciplinary team approach likely contributed to high survival rates, emphasizing importance of coordinated care.
  • Historical factors such as primiparity and maternal age were not associated with mortality in this cohort.

Adams

Veterinary Surgery

7

2022

Risk factors for neonatal mortality prior to hospital discharge in brachycephalic and nonbrachycephalic dogs undergoing cesarean section

2022-7-VS-adams-4

Article Title: Risk factors for neonatal mortality prior to hospital discharge in brachycephalic and nonbrachycephalic dogs undergoing cesarean section

Journal: Veterinary Surgery

In Knell 2026 et al., on feline stifle luxation, which postoperative management strategy was used following multiligament reconstruction?

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Correct. An intentional goal of the technique was immediate stability without postoperative joint immobilization.
Incorrect. The correct answer is No postoperative immobilization or coaptation.
An intentional goal of the technique was immediate stability without postoperative joint immobilization.

🔍 Key Findings

  • Coaptationless multiligament reconstruction restored stifle stability in all 23 cats, allowing immediate postoperative weight bearing without external immobilization.
  • Successful outcome was achieved in 22/23 cats (95.7%), with only one case requiring arthrodesis after recurrent instability.
  • Reconstruction of the caudal cruciate ligament (CdCrL) proved critical, as 3 of 4 caudal subluxation complications occurred when the CdCrL was not reconstructed initially.
  • Major complications occurred in 26.6% (6/23) and consisted primarily of caudal tibial subluxation (4 cases) and medial patellar luxation (2 cases).
  • Revision surgery successfully restored function in most complications, with stable joints and excellent FMPI scores after revision.
  • Excellent functional outcomes were reported, with FMPI scores ranging from 0.95–1.0 at 6 months and lameness absent in nearly all cats.
  • Early mobilization without postoperative immobilization preserved range of motion, with minimal osteoarthritis progression observed over 6 months.
  • Internal brace principles using TightRope constructs, knotless anchors, and UHMWPE sutures provided strong multiplanar stabilization, supporting immediate limb use and favorable clinical outcomes.

Knell

Veterinary Surgery

4

2026

A multiligament, internal brace, coaptationless stifle reconstruction technique for feline stifle luxation

2026-4-vs-knell-1

Article Title: A multiligament, internal brace, coaptationless stifle reconstruction technique for feline stifle luxation

Journal: Veterinary Surgery

In Lotsikas 2025 et al., on stifle distraction portal, what major procedural advantage did the new portal approach provide?

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Correct. The new portal allowed safe insertion of the VSTL without needing to remove the arthroscope or shave the fat pad【69†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is Avoided fat pad shaving and scope removal.
The new portal allowed safe insertion of the VSTL without needing to remove the arthroscope or shave the fat pad【69†Veterinary Surgery†L1-L20】

🔍 Key Findings

Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:

  • No damage to the long digital extensor tendon (LDE) with this portal
  • VSTL could be placed without removing the arthroscope
  • Portal creation time ~37 seconds (faster than previously reported)

Cartilage impact:

  • Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
  • No difference in IACI between 5- and 10-minute lever durations
  • Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)

Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use

Lotsikas

Veterinary Surgery

3

2025

Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

2025-3-VS-lotsikas-5

Article Title: Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

Journal: Veterinary Surgery

In Crystal 2024 et al., on elbow osteotomies, which variable most significantly predicted reduced medial elbow load?

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Correct. Osteotomy angle had the greatest impact (1.08 unit decrease per 1° angle; p = 0.0002).
Incorrect. The correct answer is Osteotomy angle.
Osteotomy angle had the greatest impact (1.08 unit decrease per 1° angle; p = 0.0002).

🔍 Key Findings Summary

  • Ex vivo cadaver study using 5 paired canine thoracic limbs
  • Compared medial opening wedge osteotomy (MOWO) and external rotational osteotomy (ERO) of the humerus
  • Measured pressure changes in the medial compartment using thin-film sensors
  • ERO significantly reduced peak pressure and pressure distribution in the medial elbow compartment (p < 0.05)
  • MOWO showed no significant pressure reduction relative to native state
  • Combined MOWO + ERO did not significantly improve over ERO alone
  • Findings support the biomechanical rationale for ERO as a surgical strategy to offload the medial compartment in cases like medial compartment disease (MCD)

Crystal

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

2024-4-VCOT-crystal-5

Article Title: Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopedics and Traumatology

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