Your Custom Quiz

In Evers 2022 et al., on bone-to-tendon plate fixation, what was the primary reason for anchoring the plate to the tendon instead of the bone?

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Correct. Small proximal calcaneal fragments limited conventional screw fixation, necessitating tendon anchoring.
Incorrect. The correct answer is The proximal bone fragments were too small for screw purchase.
Small proximal calcaneal fragments limited conventional screw fixation, necessitating tendon anchoring.

🔍 Key Findings

  • Bone-to-tendon plate fixation allowed successful stabilization of a highly comminuted calcaneus fracture in a dog with fragments too small for traditional fixation.
  • The plate was sutured to the common calcaneal tendon using a figure-of-8 pattern, bypassing the need for screw fixation into small proximal fragments.
  • Radiographic union was achieved by 17 weeks, though considered delayed, with the dog returning to normal function by 36 weeks post-op.
  • A second surgery was required to replace the tendon-anchored plate with a calcaneus-only plate due to skin ulceration and implant prominence.
  • Implant-associated infection was suspected; cultures confirmed Staphylococcus pseudintermedius, managed with doxycycline and clindamycin.
  • Use of human placental matrix (hPM) and both autogenous and allogenic bone grafts supported healing, though their specific contribution remains uncertain.
  • Postoperative complications included delayed union and skin ulceration, emphasizing challenges of implant design and soft tissue management.
  • This is the first report of using a bone-to-tendon plate for a calcaneus fracture in dogs and demonstrates its potential in cases where traditional methods are not viable.

Evers

Veterinary Surgery

5

2022

Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

2022-5-VS-evers-1

Article Title: Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

Journal: Veterinary Surgery

In Miller 2024 et al., on surgical comparison of staphylectomy vs. FFP, which of the following was true regarding anesthetic complications?

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Correct. Despite similar complication rates between groups, hypothermia and hypotension were most frequently reported.
Incorrect. The correct answer is Hypothermia and hypotension were the most common types.
Despite similar complication rates between groups, hypothermia and hypotension were most frequently reported.

🔍 Key Findings

  • FFP resulted in longer median surgery (75 min) and anesthesia (111 min) durations than S (51 min and 80 min, respectively).
  • No significant difference in anesthetic complications, regurgitation, aspiration pneumonia, or hospitalization time between S and FFP.
  • Major complications were rare (4%) and equally distributed between procedures; included tracheostomy and euthanasia due to severe airway disease.
  • Postoperative oxygen use was common (52% of dogs) but not significantly different between procedures.
  • FFP dogs more often had laryngeal collapse (especially Grade 1: 68% vs. 32% in S dogs).
  • Most dogs (85%) had concurrent nares surgery, with caudal wedge resection more frequent in FFP dogs.
  • Few dogs needed revision soft palate surgery (7/124 total); similar between groups.
  • Postoperative clinical signs improved across both procedures; regurgitation was the most persistent sign post-op.

Miller

Veterinary Surgery

8

2024

Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

2024-8-VS-miller-3

Article Title: Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

Journal: Veterinary Surgery

In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had Staphylococcus spp. isolated at the time of incisional dehiscence?

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Correct. Staphylococcus spp. were found in 10 of 12 dehiscence cultures (83.3%).
Incorrect. The correct answer is 83.3%.
Staphylococcus spp. were found in 10 of 12 dehiscence cultures (83.3%).

🔍 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-3

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

Journal: Veterinary Surgery

In de la Oliva 2024 et al., what was the rate of dogs achieving an excellent or good long-term outcome?

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Correct. 66.7% had excellent and 29.6% had good outcome; total 96.3% (26/27 dogs) in long-term follow-up:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is 96.3%.
66.7% had excellent and 29.6% had good outcome; total 96.3% (26/27 dogs) in long-term follow-up:contentReference[oaicite:3]{index=3}

🔍 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-4

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Wylie 2025 et al., on femoral implant accuracy, which factor was significantly associated with more accurate implant placement?

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Correct. Higher weight was linked to better implant placement (p = .012), likely due to improved anatomical landmark visibility and surgical access.
Incorrect. The correct answer is Higher patient weight.
Higher weight was linked to better implant placement (p = .012), likely due to improved anatomical landmark visibility and surgical access.

🔍 Key Findings

  • Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
  • Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
  • Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
  • SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
  • Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
  • No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
  • Minor and major complications were low and not significantly different between implant types.
  • A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.

Wylie

Veterinary Surgery

7

2025

Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

2025-7-VS-wylie-4

Article Title: Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

Journal: Veterinary Surgery

In Crystal 2024 et al., on elbow osteotomies, how did opening wedge osteotomies compare to external rotational osteotomies in reducing medial compartment load?

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Correct. Opening wedge osteotomies were more effective at reducing medial load (adjustment value 7.26, p = 0.045).
Incorrect. The correct answer is More effective.
Opening wedge osteotomies were more effective at reducing medial load (adjustment value 7.26, p = 0.045).

🔍 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-3

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

In McClean 2025 et al., on shoulder arthrocentesis techniques, what percentage of injections using the subacromial (SA) approach were completely accurate?

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Correct. SA injections were completely accurate in 50% of shoulders.
Incorrect. The correct answer is 50%.
SA injections were completely accurate in 50% of shoulders.

🔍 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-1

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 Janas 2024 et al., on ARC outcomes in cats, what percentage of cats experienced perioperative complications?

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Correct. Five out of 20 cats (25%) experienced perioperative complications including seizures, blindness, and ascites.
Incorrect. The correct answer is 25%.
Five out of 20 cats (25%) experienced perioperative complications including seizures, blindness, and ascites.

🔍 Key Findings:

  • Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
  • Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
  • Short-term outcomes (18 cats):
    • Excellent: 14
    • Good: 2
    • Poor: 2
  • Long-term outcomes (18 cats):
    • Excellent: 15
    • Good: 1
    • Poor: 2
  • Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
  • Preoperative blindness resolved in most cats.
  • Mean follow-up duration: Median 8 years.

Janas

Veterinary Surgery

2

2024

Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

2024-2-VS-janas-1

Article Title: Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

Journal: Veterinary Surgery

In Levine 2025 et al., on thoracoscopic pericardiectomy, which statement best describes cardiac exposure between groups?

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Correct. PDR approach offered more comprehensive cardiac visibility.
Incorrect. The correct answer is PDR had superior cardiac exposure.
PDR approach offered more comprehensive cardiac visibility.

🔍 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-4

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

Journal: Veterinary Surgery

In Planchamp 2022 et al., on imaging-based AAI diagnosis, what cranial translation ratio (CTR) cutoff identified potentially unstable dogs?

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Correct. A CTR ≥0.18 classified dogs as potentially unstable (sensitivity 90.48%, specificity 78.08%).
Incorrect. The correct answer is ≥0.18.
A CTR ≥0.18 classified dogs as potentially unstable (sensitivity 90.48%, specificity 78.08%).

🔍 Key Findings

  • Ventral Compression Index (VCI) ≥0.16 (extension) or ≥0.2 (flexion) was diagnostic for AAI with 100% sensitivity and >94% specificity
  • VCI had the highest diagnostic accuracy among all measured variables (AUC > 0.99)
  • C1-C2 overlap ≤2.7 mm (extension) or ≤1.8 mm (flexion) also diagnostic for AAI (sensitivity 84–96%, specificity 81–90%)
  • C1-C2 angle ≥176.9° (extension) or ≥187.4° (flexion) had high sensitivity and specificity (~95%)
  • Basion-dens interval ≥5.9 mm (extension) or ≥3.0 mm (flexion) provided moderate diagnostic accuracy
  • Cranial translation ratio (CTR) ≥0.18 classified dogs as potentially unstable (sensitivity 90%, specificity 78%)
  • VCI ≥0.23 reliably differentiated AAI from potentially unstable cases (sensitivity 94%, specificity 94%)
  • DALR ≤0.24 had high specificity (100%) but low sensitivity for AAI diagnosis

Planchamp

Veterinary Surgery

4

2022

Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs

2022-4-VS-planchamp-4

Article Title: Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs

Journal: Veterinary Surgery

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