Quiz Question

In Bounds 2023 et al., on feline hip arthroscopy, which structure was consistently avoided during portal placement in all hips?

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Correct. Cannula placement always avoided the sciatic nerve, with a minimum clearance of 1.1 mm.
Incorrect. The correct answer is Sciatic nerve.
Cannula placement always avoided the sciatic nerve, with a minimum clearance of 1.1 mm.

2023-8-VS-bounds-3

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In Timmermans 2026 et al., on soft palate changes post-BOAS surgery, which of the following best describes the rostral thickness (RTH) outcome in both treatment groups?

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Correct. Both surgical techniques resulted in increased RTH at 3 months postoperatively.
Incorrect. The correct answer is Increased after both FFP and STS.
Both surgical techniques resulted in increased RTH at 3 months postoperatively.

🔍 Key Findings

  • Soft palate length, volume, and cross-sectional area decreased significantly after both folded flap palatoplasty (FFP) and standard staphylectomy (STS).
  • Middle thickness (MTH) of the soft palate decreased after STS but increased after FFP, indicating FFP may not thin the soft palate long-term.
  • Rostral thickness (RTH) increased in both groups, suggesting regional variation in healing or remodeling.
  • Clinical improvement (exercise tolerance) occurred in most dogs: 6/8 in FFP and 10/10 in STS group.
  • One major complication in FFP group led to death despite revision surgery; another mortality occurred in STS group (likely due to severe laryngeal collapse).
  • No difference in minor complication rates between FFP and STS groups.
  • Histological remodeling or edema may explain lack of MTH reduction in FFP at 3 months.
  • Immediate postoperative imaging may be needed to evaluate initial reduction effects of FFP.

Timmermans

Veterinary Surgery

1

2026

Evaluation of soft palate thickness in brachycephalic dogs 3 months after folded flap palatoplasty versus standard staphylectomy

2026-1-VS-timmermans-5

Article Title: Evaluation of soft palate thickness in brachycephalic dogs 3 months after folded flap palatoplasty versus standard staphylectomy

Journal: Veterinary Surgery

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In Forzisi 2025 et al., on femoral growth post-THR, how did femoral cortical width change at 50% femoral length?

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Correct. THR increased femoral cortical width by 8.5% at 50% length (p = .030).
Incorrect. The correct answer is It increased by 8.5%.
THR increased femoral cortical width by 8.5% at 50% length (p = .030).

🔍 Key Findings

Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:

  • Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
  • No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).

Cortical Width:

  • Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).

Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:

  • Moderate negative for trochanteric growth.
  • Moderate positive for proximal femoral width.

Forzisi

Veterinary Surgery

1

2025

Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

2025-1-VS-forzisi-3

Article Title: Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

Journal: Veterinary Surgery

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In Enright 2022 et al., on adrenalectomy outcomes, which of the following best describes the association between alpha-blocker use and intraoperative hypertension?

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Correct. Dogs receiving alpha-blockers had significantly higher systolic BP intraoperatively (median 170 mmHg vs. 142 mmHg; P = .01).
Incorrect. The correct answer is Alpha-blocker therapy was associated with higher intraoperative systolic BP.
Dogs receiving alpha-blockers had significantly higher systolic BP intraoperatively (median 170 mmHg vs. 142 mmHg; P = .01).

🔍 Key Findings

  • 83% of dogs survived to discharge after adrenalectomy for pheochromocytoma.
  • Median survival time post-discharge was 1169 days (3.2 years).
  • Preoperative alpha-blocker therapy (e.g., phenoxybenzamine) was not associated with improved survival.
  • Dogs receiving alpha-blockers had higher intraoperative systolic BP, with median values 170 mmHg vs. 142 mmHg in non-treated dogs (P = .01).
  • Intraoperative arrhythmias occurred in 30% of cases, with no difference between dogs receiving alpha-blockers and those not.
  • Histologic vascular invasion occurred in ~70% of tumors.
  • Tumor recurrence was suspected in 3 dogs, and metastasis in 8 dogs, though not histologically confirmed in most cases.
  • Postoperative complications included refractory hypotension, acute kidney injury, and hypertension persisting >48 hours in 10 dogs.

Enright

Veterinary Surgery

3

2022

Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy

2022-3-VS-enright-3

Article Title: Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy

Journal: Veterinary Surgery

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In Kang 2023 et al., on 3DEP accuracy, what was a key advantage of the 3DEP design for fluid and debris management during surgery?

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Correct. The 3DEP design helped prevent fluid and debris from spreading into the surgical field by sealing against bone.
Incorrect. The correct answer is It compressed against bone, containing fluids.
The 3DEP design helped prevent fluid and debris from spreading into the surgical field by sealing against bone.

2023-8-VS-kang-5

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In Morgera 2022 et al., on stifle surgery draping methods, which draping technique was found to significantly reduce infection-inflammation?

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Correct. The study found no significant difference in infection-inflammation rates between the two draping techniques.
Incorrect. The correct answer is No significant difference.
The study found no significant difference in infection-inflammation rates between the two draping techniques.

🔍 Key Findings

  • No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
  • Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
  • Tibial tuberosity advancement (TTA) was the most common procedure (61%).
  • Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
  • Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
  • Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
  • Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
  • Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.

Morgera

Veterinary Surgery

3

2022

Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

2022-3-VS-morgera-2

Article Title: Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

Journal: Veterinary Surgery

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In You 2025 et al., on barbed sutures for lung lobectomy, what was the observed leakage rate at physiological airway pressure (<20 cmH₂O)?

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Correct. None of the bronchial closure techniques showed leakage at <20 cmH₂O, the physiological pressure threshold.
Incorrect. The correct answer is No leakage in any group.
None of the bronchial closure techniques showed leakage at <20 cmH₂O, the physiological pressure threshold.

🔍 Key Findings

  • Barbed sutures showed comparable leakage pressure to traditional sutures and stapling devices (p = .36).
  • No bronchial leaks occurred at physiological pressure (<20 cmH₂O) in any group.
  • Leakage at supraphysiologic pressure (20–80 cmH₂O) occurred in 90% of stapler, 80% of traditional, and 60% of barbed suture closures.
  • Barbed sutures reduced ligation time significantly compared to traditional sutures (10.7 vs. 14.1 minutes, p < .01).
  • Staplers remained fastest, with mean ligation time of 2.4 minutes.
  • No knot failure or suture breakage was observed in barbed or traditional suture groups.
  • Leakage in barbed sutures occurred mostly at the loop effector zone, but remained within acceptable limits.
  • Barbed sutures may offer an effective alternative when staplers are unavailable, impractical, or cost-prohibitive.

You

Veterinary Surgery

7

2025

Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

2025-7-VS-you-1

Article Title: Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

Journal: Veterinary Surgery

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In Sisk 2024 et al., which nail design feature may reduce infection risk?

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Correct. Solid IMNs showed two-fold reduced infection rates vs. slotted or cannulated nails in rabbit studies:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Solid nail design.
Solid IMNs showed two-fold reduced infection rates vs. slotted or cannulated nails in rabbit studies:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • IMN provides relative stability, resists bending/torsion due to central axis alignment
  • Larger diameter nails = exponentially greater stiffness (∝ D⁴)
  • Trade-off: Larger interlocking holes weaken fatigue strength of the nail
  • Reaming increases contact/stability but has pros/cons:
    • Improves outcomes in closed fractures
    • May reduce endosteal blood flow in thin-walled bones (e.g., cats)
  • Design advances:
    • Angle-stable IMN reduce rotational slack
    • Expandable nails simplify insertion but may compromise removal or compressive load resistance
    • Precontoured nails match bone curvature but lack consistent clinical superiority
  • Material debates continue (e.g., titanium vs. stainless steel vs. magnesium)

Sisk

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine

2024-6-VCOT-sisk-2

Article Title: Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Thompson 2024 et al., on cyanoacrylate enterotomy sealants, which group had the highest initial leak pressure (ILP)?

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Correct. The HS + CE group achieved the highest ILP (83.3 mmHg), significantly exceeding all others (p < .001).
Incorrect. The correct answer is Handsewn + cyanoacrylate.
The HS + CE group achieved the highest ILP (83.3 mmHg), significantly exceeding all others (p < .001).

🔍 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-1

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

Journal: Veterinary Surgery

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In Trefny 2025 et al., on locking plate biomechanics, why may in vitro stiffness benefits of transcortical contact not translate in vivo?

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Correct. Transcortical contact in vivo may cause unsustainable strain and bone resorption.
Incorrect. The correct answer is Causes high interfragmentary strain.
Transcortical contact in vivo may cause unsustainable strain and bone resorption.

🔍 Key Findings

  • Short working length constructs had significantly higher stiffness and lower strain than long constructs in compression bending (p = 0.0172).
  • In tension bending, short constructs also had higher precontact stiffness and lower strain, but this reversed after transcortical contact (~150 N).
  • Transcortical contact increased stiffness only in long constructs, producing a bilinear load-displacement curve.
  • Postcontact stiffness was higher in long constructs, but this may not reflect clinical benefit due to risks of high interfragmentary strain.
  • Short working length reduced strain at multiple ROIs under both loading conditions, including over fracture gap (Tables 1–3).
  • Increased working length promoted stress concentration and deformation, especially in compression bending.
  • In vitro benefits of long constructs (via contact stability) may not translate to healing, as repetitive loading could increase plate strain and bone resorption.
  • Plate strain was effectively mapped using 3D digital image correlation, confirming regional strain differences between configurations.

Trefny

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate

2025-3-VCOT-trefny-4

Article Title: Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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Quiz Results

Topic: Healing & Complications
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