Your Custom Quiz

In Saitoh 2025 et al., on CTS stabilization, which group of dogs all returned to work after CTS stabilization?

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Correct. All 5 working farm dogs returned to work postoperatively.
Incorrect. The correct answer is Farm dogs with instability.
All 5 working farm dogs returned to work postoperatively.

🔍 Key Findings

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

  • 3 dogs = primary ligamentous repair
  • 8 dogs = synthetic ligament reconstruction
  • 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

  • All 10 dogs had improved or resolved lameness.
  • All 5 farm dogs returned to work (most at full or substantial capacity).
  • Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

Saitoh

Veterinary Surgery

1

2025

Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

2025-1-VS-saitoh-4

Article Title: Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

Journal: Veterinary Surgery

In Latifi 2022 et al., on forelimb fascial mapping, which of the following structures was typically associated with type IV fascia?

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Correct. Type IV fascia is defined as being periosteal, and was commonly observed at the scapular spine, olecranon, and accessory carpal bone.
Incorrect. The correct answer is Scapular spine.
Type IV fascia is defined as being periosteal, and was commonly observed at the scapular spine, olecranon, and accessory carpal bone.

🔍 Key Findings

  • Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
  • Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
  • Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
  • Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
  • Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
  • Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
  • Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
  • Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.

Latifi

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

2022-1-VS-latifi-2

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

Journal: Veterinary Surgery

In Chan 2025 et al., on partial cuneiformectomy in BOAS dogs, what was the effect of cuneiformectomy on postoperative complication rates compared to multilevel airway surgery alone?

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Correct. Complication rates were similar between PC and non-PC groups (16.3% vs. 19.4%, p = .758).
Incorrect. The correct answer is It did not significantly affect complication rates.
Complication rates were similar between PC and non-PC groups (16.3% vs. 19.4%, p = .758).

🔍 Key Findings

  • Partial cuneiformectomy (PC) did not increase complication rates compared to multilevel surgery alone (overall complications: PC = 16.3%, non-PC = 19.4%; p = .758).
  • Major complication rates were not significantly different (PC = 11.6%, non-PC = 7.4%; p = .482).
  • Significant improvement in BOAS grade was observed in dogs undergoing PC (p < .0001).
  • BOAS index improved significantly in both groups, with greater median reduction in the PC group (28.5%) than non-PC (20.7%) (p < .0001).
  • Low body condition score (BCS <4) was significantly associated with higher complication rates (odds ratio = 0.452; p = .004).
  • Hospitalization duration did not differ between groups (median = 1 day; p = .743).
  • Mortality was low (3.5%) in the PC group despite more severe airway disease, suggesting the technique is safe even in advanced collapse.
  • The technique widened the rima glottidis without damaging surrounding structures, reducing airflow resistance and preserving laryngeal function.

Chan

Veterinary Surgery

6

2025

Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse

2025-6-VS-chan-1

Article Title: Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse

Journal: Veterinary Surgery

In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), what was the most common concurrent thoracic injury in patients with traumatic pulmonary pseudocysts?

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Correct. Pneumothorax was present in 100% of cases and was often bilateral.
Incorrect. The correct answer is Pneumothorax.
Pneumothorax was present in 100% of cases and was often bilateral.

🔍 Key Findings

  • Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
  • TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
  • Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
  • Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
  • All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
  • Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
  • One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
  • Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.

González Montaño

Veterinary Surgery

4

2023

Traumatic pulmonary pseudocysts in nine dogs and two cats

2023-4-VS-gonzalezmontano-2

Article Title: Traumatic pulmonary pseudocysts in nine dogs and two cats

Journal: Veterinary Surgery

In Israel 2022 et al., on cerclage wire in THR, what is the most appropriate placement location for the cerclage to prevent proximal femoral fractures?

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Correct. This location targets the area of greatest hoop strain and is essential for preventing fissures during press-fit implantation.
Incorrect. The correct answer is Proximal to the lesser trochanter and near the calcar.
This location targets the area of greatest hoop strain and is essential for preventing fissures during press-fit implantation.

🔍 Key Findings

  • No proximal femoral fractures occurred in any of the 184 hips with cerclage wire placement
  • Cerclage wire was well tolerated, with no failures or complications related to the wire
  • Application of a single cerclage wire took <10 minutes, was cost-effective, and required minimal instrumentation
  • 3 postoperative complications (1 fissure, 2 fractures) occurred distal to the cerclage site, near the stem tip, requiring plate/screw fixation
  • All dogs returned to normal activity, and all owners were satisfied with the outcome
  • Cerclage placement location is critical—must be proximal to the lesser trochanter and close to the calcar to resist hoop strain
  • Biomechanical evidence supports that cerclage wires improve resistance to hoop strain and subsidence of cementless stems
  • Press-fit cementless stems may settle, but when supported by cerclage, this does not result in fractures even in undersized implants

Israel

Veterinary Surgery

2

2022

Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

2022-2-VS-israel-2

Article Title: Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

Journal: Veterinary Surgery

In Rocheleau 2024 et al., on arthroscopic meniscal suturing, what structure was repaired in all cases?

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Correct. All cases involved tears of the caudal horn of the medial meniscus.
Incorrect. The correct answer is Caudal horn of medial meniscus.
All cases involved tears of the caudal horn of the medial meniscus.

🔍 Key Findings

  • Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
  • All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
  • The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
  • No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
  • Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
  • Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
  • The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
  • The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.

Rocheleau

Veterinary Surgery

5

2024

Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

2024-5-VS-rocheleau-1

Article Title: Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

Journal: Veterinary Surgery

In Jeon 2025 et al., on distal femoral shortening, what was the **median femoral shortening ratio** required to achieve prosthesis reduction?

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Correct. The median femoral shortening length ratio was 13.8% (range: 10.7–15.3%) to enable prosthesis reduction.
Incorrect. The correct answer is 13.8%.
The median femoral shortening length ratio was 13.8% (range: 10.7–15.3%) to enable prosthesis reduction.

🔍 Key Findings

  • Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
  • Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
  • Bone union was achieved in all cases post-DFSO, indicating good healing potential.
  • Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
  • One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
  • DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
  • Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
  • DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.

Jeon

Veterinary Surgery

6

2025

Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

2025-6-VS-jeon-2

Article Title: Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

Journal: Veterinary Surgery

In Lopez Barroso 2026 et al., on sacroiliac screw accuracy, which factor most likely contributed to caudal screw angulation in some cases?

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Correct. The study noted caudal angulation in many cases and attributed it to minor malalignment of the pelvis.
Incorrect. The correct answer is Imperfect pelvic positioning.
The study noted caudal angulation in many cases and attributed it to minor malalignment of the pelvis.

🔍 Key Findings

  • Mean SI joint reduction was 94.25%, exceeding the 90% target considered important to reduce screw loosening
  • Mean sacral width purchase was 82.52%, with all screws achieving >60%—a threshold for reducing implant loosening risk
  • All 20 screws were accurately placed within the sacral body, confirmed via CT or radiographs
  • A 3D-printed drill guide and table-bound system facilitated consistent screw placement via minimally invasive technique
  • Craniocaudal and dorsoventral angles were well controlled (mean CCA = –1.22°, DVA = 0.71°), demonstrating accurate trajectory
  • No intraoperative complications were reported; all pilot holes drilled on first attempt
  • Use of fluoroscopy and orthogonal imaging enhanced surgical accuracy and reduced malposition risk
  • The system permitted screw placement through a sleeve that doubled as a muscle retractor, allowing implant delivery without disruption

Lopez Barroso

Veterinary Surgery

1

2026

Accuracy of a table‐bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats

2026-1-VS-lopezbarroso-5

Article Title: Accuracy of a table‐bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats

Journal: Veterinary Surgery

In Muroi 2024 et al., on radius plate stress effects, what FEA result was consistent in both LP 1 mm and 3 mm groups?

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Correct. Maximum principal stress decreased significantly at cranial cortex in both LP groups.
Incorrect. The correct answer is Reduced tensile stress on cranial aspect.
Maximum principal stress decreased significantly at cranial cortex in both LP groups.

🔍 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-4

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Alvarez-Sanchez 2023 et al., on SLN mapping in canine MCT, which tumor type showed unexpectedly high rates of lymph node metastasis?

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Correct. 7 of 8 dogs with subcutaneous MCT had metastatic nodes, challenging assumptions of benign behavior in this tumor subtype.
Incorrect. The correct answer is Subcutaneous mast cell tumor.
7 of 8 dogs with subcutaneous MCT had metastatic nodes, challenging assumptions of benign behavior in this tumor subtype.

🔍 Key Findings

  • Combined ICTL and NIRF detected the same SLN in 80% of cases; each method alone missed sentinel lymph nodes in some dogs.
  • ICLT failed in 5% of dogs, while NIRF failed in 20%; combined use resulted in only 5% failure in SLN detection.
  • Metastatic lymph nodes were detected in 95% of dogs, despite most tumors being low or intermediate grade (95%).
  • 27 of 41 nodes (65.8%) were histologically metastatic (HN2 or HN3), many of which would have been missed using ALN alone.
  • ALN matched the SLN in only 45% of cases with ICTL and 30% with NIRF, supporting the need for SLN mapping.
  • ICLT and NIRF were complementary, often identifying different SLN, with some only fluorescent or enhanced in one modality.
  • Subcutaneous MCT had higher metastatic rates (7/8 dogs) than previously reported, challenging older assumptions about benign behavior.
  • Removing both ALN and SLN (from both methods) improved detection of metastasis to 85–95%, reducing risk of understaging.

Alvarez-Sanchez

Veterinary Surgery

3

2023

Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

2023-3-VS-alvarez-sanchez-5

Article Title: Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

Journal: Veterinary Surgery

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