Your Custom Quiz

In Kwok 2023 et al., on BFX lateral bolt THR in dogs, which type of complication most often led to prosthesis explantation?

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Correct. 4 of 5 explants were due to acetabular cup issues, not femoral stem failure.
Incorrect. The correct answer is Acetabular cup complications.
4 of 5 explants were due to acetabular cup issues, not femoral stem failure.

🔍 Key Findings

  • 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
  • Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
  • Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
  • Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
  • Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
  • Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
  • Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
  • Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.

Kwok

Veterinary Surgery

1

2023

Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

2023-1-VS-kwok-5

Article Title: Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

Journal: Veterinary Surgery

In Chan 2025 et al., on partial cuneiformectomy in BOAS dogs, how did hospitalization duration compare between PC and non-PC groups?

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Correct. Hospitalization duration did not differ significantly between groups (median 1 day, p = .743).
Incorrect. The correct answer is No significant difference (median 1 day both).
Hospitalization duration did not differ significantly between groups (median 1 day, p = .743).

🔍 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-5

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

Journal: Veterinary Surgery

In Welsh 2025 et al., on orthogonal plating, what change was consistently noted in all 3.5 mm plates?

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Correct. All 3.5 mm plates showed deformation; OP plates remained intact post-testing.
Incorrect. The correct answer is Permanent bending or plastic deformation.
All 3.5 mm plates showed deformation; OP plates remained intact post-testing.

🔍 Key Findings

  • Compared unilateral plating (UP) vs orthogonal plating (OP) with 2.0, 2.4, and 3.0 mm plates (OP2.0, OP2.4, OP3.0).
  • Model: acetal homopolymer (Delrin) rod with 29 mm fixed fracture gap, loaded axially (4–196 N, 90,000 cycles).
  • OP constructs had 2.5–4.1x higher strength and 3.0–4.2x higher stiffness than UP constructs (p < .0002).
  • UP had 3.5–4.1x higher gap strain than OP groups (p < .0075).
  • All OP groups exceeded 1000 N max load before failure (vs 424 N for UP).
  • Greater implant size in OP groups further increased performance.
  • All constructs survived fatigue loading; 3.5 mm plates showed deformation, especially UP; OP plates remained intact.

Welsh

Veterinary Surgery

4

2025

Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

2025-4-VS-welsh-5

Article Title: Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

Journal: Veterinary Surgery

In Marturello 2023 et al., on 3D-printed humeral models, which anatomical region had the **highest model accuracy** across all printer types?

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Correct. Humeral condyle replicas were consistently within 0.5 mm of cadaveric measurements, the most accurate across the study.
Incorrect. The correct answer is Humeral condyle.
Humeral condyle replicas were consistently within 0.5 mm of cadaveric measurements, the most accurate across the study.

🔍 Key Findings

  • 3D-printed models using desktop printers (FDM, LFS) showed submillimetric accuracy, comparable to or better than industrial-grade PJP printers.
  • Bone size had a greater effect on print accuracy than printer type, especially in proximal humerus regions.
  • The humeral condyle region showed the greatest model accuracy, with mean differences under 0.5 mm, regardless of printer.
  • Models tended to be slightly smaller than cadaveric bones, potentially due to systematic underestimation during printing.
  • FDM printer provided the highest accuracy at the humeral condyle in medium-sized bones (+0.09 mm).
  • LFS printer produced prints faster and more reliably than FDM, although both had comparable dimensional accuracy.
  • Statistically significant differences existed, but all were submillimetric and unlikely to impact surgical outcomes.
  • Desktop printers are suitable for surgical planning, including plate pre-contouring and patient-specific instrumentation.

Marturello

Veterinary Surgery

1

2023

Accuracy of anatomic 3‐dimensionally printed canine humeral models

2023-1-VS-marturello-2

Article Title: Accuracy of anatomic 3‐dimensionally printed canine humeral models

Journal: Veterinary Surgery

In Philips 2025 et al., on radiographic IAIP detection, what percentage of non-penetrating implants were incorrectly classified as penetrating the joint?

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Correct. Nearly one-third (32.4%) of non-penetrating implants were misclassified as penetrating.
Incorrect. The correct answer is 32.4%.
Nearly one-third (32.4%) of non-penetrating implants were misclassified as penetrating.

🔍 Key Findings

Overall accuracy of radiography to detect IAIP: 77.9%

Sensitivity: 97.2%
Specificity: 67.6%

False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating

Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)

Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)

Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)

No palpable abnormalities (e.g., crepitus) observed during ROM for any group

No significant difference in detection by specialty field or reviewer qualification

Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases

Philips

Veterinary Surgery

3

2025

Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

2025-3-VS-philips-2

Article Title: Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

Journal: Veterinary Surgery

In Nicetto 2024 et al., what was the most common complication after TRP implantation?

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Correct. Minor complications included grade 1 lameness from periarticular fibrosis; only one case had luxation recurrence.
Incorrect. The correct answer is Periarticular fibrosis.
Minor complications included grade 1 lameness from periarticular fibrosis; only one case had luxation recurrence.

🔍 Key Findings Summary

  • 48 dogs (60 stifles) underwent custom 3D-printed TRP implantation for patellar luxation
  • 24 treated with TRP alone; 36 with additional procedures (e.g., DFO, TTT)
  • Success rate: 59/60 corrected patellar tracking
  • Functional outcome: 57/60 full function, 2 acceptable, 1 unacceptable
  • Complication rate: 3 total (2 minor, 1 major recurrence)
  • TRP spares cartilage unlike trochleoplasty, offering implant-based ridge augmentation
  • No implant loosening or infection observed

Nicetto

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

2024-2-VCOT-nicetto-2

Article Title: Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Brockman 2025 et al., on canine mitral valve repair outcomes, which factor was significantly associated with improved survival?

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Correct. Higher operative rank (reflecting experience) was significantly associated with survival (p < .05).
Incorrect. The correct answer is Operative rank.
Higher operative rank (reflecting experience) was significantly associated with survival (p < .05).

🔍 Key Findings

  • Overall survival to discharge: 107 of 132 dogs (81%)
  • Quartile improvement: Survival increased steadily from 67% in Q1 to 91% in Q4
    • Q1: 22/33 survived
    • Q2: 27/33
    • Q3: 28/33
    • Q4: 30/33
  • Statistical significance: Higher operative rank significantly associated with improved survival (p < .05)
  • Median cross clamp time (XCT): 73 min (range 40–165), but increased again in Q4
  • Fatalities (n=25) were often due to:
    • Failure to wean from CPB
    • Intracranial vascular events (stroke)
    • Intrathoracic hemorrhage
  • Breed representation: CKCS (23.5%), Chihuahua (22%), Crossbreeds (21%)
  • Stages of MMVD: Stage C (67%), Stage D (27%), Stage B2 (6%)
  • Emphasis on deliberate multidisciplinary teamwork for outcome improvement
  • Highlights importance of technical and non-technical team skills, procedural standardization, and consistent personnel

Brockman

Veterinary Surgery

4

2025

Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach

2025-4-VS-brockman-3

Article Title: Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach

Journal: Veterinary Surgery

In Swieton 2025 et al., on portocaval shunts, what percentage of dogs underwent ameroid constrictor placement?

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Correct. 67% of dogs were treated using ameroid constrictor placement to attenuate the shunt.
Incorrect. The correct answer is 67%.
67% of dogs were treated using ameroid constrictor placement to attenuate the shunt.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

  • Good to excellent outcome: 81% (17/21)
  • Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

2025-2-VS-swieton-2

Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

Journal: Veterinary Surgery

In Rocheleau 2025 et al., on infected total hip replacements, which of the following best describes the culture outcomes for the non-curative intent (NCI) group?

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Correct. In the NCI group, all explanted implants cultured positive despite low arthroscopic culture sensitivity.
Incorrect. The correct answer is Explanted implants yielded positive cultures in all dogs.
In the NCI group, all explanted implants cultured positive despite low arthroscopic culture sensitivity.

🔍 Key Findings

Study Design: Case series of 8 dogs with confirmed or suspected PJI after total hip replacement (THR)
Dogs were categorized into:

  • Curative intent (CI) group (n=5): short-duration infections, implant retention attempted
  • Non-curative intent (NCI) group (n=3): chronic infections, implants scheduled for removal or revision

Success Rate: 7 of 8 dogs had infection resolution, including 4 of 5 in the CI group
Sampling sensitivity:

  • Arthroscopic culture success was 80% in the CI group but only 33% in the NCI group
  • All explanted implants from NCI group yielded positive cultures

Common isolates: Staphylococcus pseudointermedius (including MRSP), S. epidermidis, Stenotrophomonas maltophilia, and E. coli
Ancillary treatments included:

  • Partial synovectomy, high-volume lavage (5–10 L), biofilm-depleting lavage, and/or amikacin-impregnated calcium sulfate beads

Mean follow-up: >1 year (mean 812 days); no signs of recurrence in successfully treated cases
Conclusions: Arthroscopic management of THR infections is feasible and effective in appropriately selected dogs. Success aligns with human literature when infection type is favorable (Type 1, 3, 4). Sensitivity of arthroscopic culture is higher in early/acute infections.

Rocheleau

Veterinary Surgery

4

2025

Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases

2025-4-VS-rocheleau-3

Article Title: Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases

Journal: Veterinary Surgery

In Kershaw 2025 et al., on PSG vs AD, what was the most significant benefit of using a patient-specific guide (PSG) during transcondylar screw (TCS) placement in dogs?

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Correct. PSGs significantly improved drill hole entry (p < 0.001) and exit (p = 0.044) accuracy over aiming devices.
Incorrect. The correct answer is Significantly improved entry and exit hole accuracy.
PSGs significantly improved drill hole entry (p < 0.001) and exit (p = 0.044) accuracy over aiming devices.

🔍 Key Findings

  • 3D-printed patient-specific guides (PSGs) significantly improved accuracy of drill hole entry (p < 0.001) and exit (p = 0.044) compared to commercial aiming devices (AD).
  • Zero joint penetrations occurred with PSGs, whereas 3 of 7 AD-guided screws were predicted to penetrate the joint (p = 0.19).
  • Variance in exit point and drill angle was significantly lower in PSG group, suggesting more consistent results.
  • One PSG case failed due to improper guide seating, but this was corrected with improved soft tissue clearance.
  • PSGs enabled safer trajectories despite use by novice surgeons, emphasizing their value in less experienced hands.
  • Drill holes placed with ADs deviated more cranially and distally, increasing the risk of articular violation.
  • Use of PSGs allowed for tighter clustering of drill trajectories, especially in the cranial–caudal axis.
  • Subjective feedback favored PSGs for ease of use and ergonomic design, despite requiring slightly larger incisions.

Kershaw

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus

2025-5-VCOT-kershaw-1

Article Title: Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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