Quiz Question

In de Moya 2023 et al., on FGPP of femoral capital physeal/neck fractures, what was the overall healing outcome?

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Correct. Most fractures healed satisfactorily, though complications occurred in ~40% of cases.
Incorrect. The correct answer is 10/13 fractures healed successfully.
Most fractures healed satisfactorily, though complications occurred in ~40% of cases.

🔍 Key Findings

  • 11 dogs, 13 fractures (mostly Salter-Harris type I) were repaired with FGPP using Kirschner wires.
  • 10/13 fractures achieved satisfactory healing with good limb function at ~43 days median follow-up.
  • Major complications occurred in 5 dogs: intra-articular pin placement, implant migration (2), implant failure with nonunion, and malunion.
  • 2 dogs presenting >15 days post-injury with radiographic remodeling were poor candidates → higher risk of nonunion/malunion.
  • Preoperative displacement was mostly mild (10/13 fractures); these had better outcomes than chronic or severely displaced cases.
  • Median surgical time: 60 minutes (range 45–75), all performed percutaneously without conversion to open.
  • Elective pin removal was performed in 5 cases; migration occurred with both short and long cut wires.
  • Femoral neck resorption (“apple-coring”) was rare (2/10 healed cases) and thought to be less frequent than after ORIF due to reduced vascular disruption.

de Moya

Veterinary Surgery

7

2023

Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-7-VS-demoya-1

Article Title: Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

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In Morgera 2022 et al., on stifle surgery draping methods, which of the following was true regarding anesthesia duration between groups?

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Correct. Both groups had a mean duration of ~73.8 minutes; there was no significant difference.
Incorrect. The correct answer is Anesthesia time was not significantly different.
Both groups had a mean duration of ~73.8 minutes; there was no significant difference.

🔍 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-5

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 Ciammaichella 2025 et al., on lymphadenectomy complications, which factor was significantly associated with intraoperative complications?

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Correct. Enlarged LNs were significantly associated with increased risk of intraoperative hemorrhage (p = .030).
Incorrect. The correct answer is Lymph node size.
Enlarged LNs were significantly associated with increased risk of intraoperative hemorrhage (p = .030).

🔍 Key Findings

  • Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
  • Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
  • Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
  • Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
  • Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
  • No significant predictors retained significance in multivariate analysis
  • Use of methylene blue was associated with fewer complications, although not statistically significant
  • Complication rates did not result in mortality, and all were manageable; MST was 374 days

Ciammaichella

Veterinary Surgery

7

2025

Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

2025-7-VS-ciammaichella-2

Article Title: Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

Journal: Veterinary Surgery

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In Banks 2024 et al., on CCWO technique, what was the observed effect of **osteotomy distalization >7.5 mm**?

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Correct. Osteotomy performed >7.5 mm distal to the patellar tendon led to worse TPA correction.
Incorrect. The correct answer is It caused progressive TPA under-correction.
Osteotomy performed >7.5 mm distal to the patellar tendon led to worse TPA correction.

🔍 Key Findings

  • Oxley's modified CCWO did not achieve the target TPA of 5° in most cases, even with planning.
  • Mean planned TPA was 7.6°, higher than target, and consistent across dog sizes.
  • Postoperative TPAs were significantly higher in small dogs (median 7°) than in large dogs (median 4.5°).
  • Distalization >7.5 mm of the osteotomy from the patellar tendon led to increased under-correction of TPA.
  • Only dogs with preoperative TPA >35° achieved post-planning TPAs close to the 5° target.
  • Postoperative osteotomy positions were generally more distal than recommended (8.6 mm median).
  • Virtual plate fit was appropriate for all dogs at 5 mm or 7.5 mm positions, suggesting no need for excessive distalization.
  • Excessive correction leading to negative TPAs occurred in some cases, risking caudal cruciate ligament strain.

Banks

Veterinary Surgery

8

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-8-VS-banks-3

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

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In Curuci 2024 et al., on double-cut TPLO, how many stifles achieved radiographic union by 60 days?

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Correct. Union was achieved in 17/18 stifles by 60 days, with the last by 90 days:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is 17 of 18.
Union was achieved in 17/18 stifles by 60 days, with the last by 90 days:contentReference[oaicite:2]{index=2}

🔍 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-2

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

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In Butare-Smith 2022 et al., on cerclage knot biomechanics, which cerclage knot had the **highest initial tension** before testing?

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Correct. Double-loop had significantly higher resting tension, contributing to better fatigue resistance.
Incorrect. The correct answer is Double-loop knot (323 N).
Double-loop had significantly higher resting tension, contributing to better fatigue resistance.

🔍 Key Findings

  • Double-loop cerclage resisted the highest peak load (805 N) and maintained tension longer than twist (488 N) and single-loop (397 N) configurations.
  • Double-loop cerclage sustained 500,000 cycles at 60–80% of peak load in some cases without loosening, outperforming other types.
  • Twist knots loosened rapidly, often within 10 cycles even at low loads (100–390 N).
  • Single-loop knots performed better than twist, with partial resistance up to 100,000 cycles at 160 N, but showed wide variability.
  • All loosening occurred before wire breakage, indicating clinical failure would happen from slack, not fracture.
  • Double-loop cerclage had highest initial tension (323 N) compared to single-loop (124 N) and twist (69 N).
  • Fatigue limit was not identified for twist, since they all loosened early at even 20% of peak load.
  • Clinical recommendation: double-loop cerclage is best for resisting repeated subfailure loading, ideal for fissure prevention or fragment stabilization.

Butare-Smith

Veterinary Surgery

2

2022

Double-loop cerclage resists greater loads for more cycles than twist and single-loop cerclage

2022-2-VS-butare-smith-3

Article Title: Double-loop cerclage resists greater loads for more cycles than twist and single-loop cerclage

Journal: Veterinary Surgery

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In Danielski 2025 et al., on PUO complication reduction, what was the **overall complication rate** reported with IM pin and rhBMP-2 use?

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Correct. The total complication rate was 7.4%, significantly lower than in prior studies.
Incorrect. The correct answer is 7.4%.
The total complication rate was 7.4%, significantly lower than in prior studies.

🔍 Key Findings

  • Combined intramedullary (IM) pin and rhBMP-2 use resulted in a low complication rate (7.4%) after proximal ulnar osteotomy (PUO).
  • Major complications occurred in 5.3% of cases (4 infections, 1 pin breakage with ulnar tilt requiring revision).
  • Minor complications occurred in 2.1% of cases (seroma, delayed union).
  • No cases of non-union were observed; 98.9% of limbs achieved radiographic healing by 6 weeks.
  • IM pin breakage was noted in 11.8% of limbs but did not affect healing outcomes.
  • Chondrodystrophic breeds made up 64.8% of the cohort and tolerated the procedure well.
  • Compared to prior studies, complication rates were substantially reduced with this technique (prior major: 13.9%; this study: 5.3%).
  • The use of rhBMP-2 likely enhanced early bone healing and provided biologic support, particularly important in breeds at higher risk of complications.

Danielski

Veterinary Surgery

6

2025

Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

2025-6-VS-danielski-2

Article Title: Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

Journal: Veterinary Surgery

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In Viljoen 2022 et al., on surgical hand prep protocols, what factor significantly influenced post-surgical contamination risk?

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Correct. Perforation of the thumb glove was a statistically significant factor contributing to higher CFU levels.
Incorrect. The correct answer is Glove perforation in the thumb.
Perforation of the thumb glove was a statistically significant factor contributing to higher CFU levels.

🔍 Key Findings

  • Pre-ABHR hand preparation lowered CFUs at 120 minutes post-gloving compared to ABHR alone (P = .001)
  • pH-neutral soap followed by ABHR outperformed ABHR alone despite being nonmedicated (P = .001)
  • CHX and BAC prewashes showed better immediate CFU reduction post-preparation than pHN (P = .012)
  • No significant difference in total log10 CFU reduction across all four groups over the full surgical period (P = .362)
  • Glove perforation in the thumb was a significant contamination factor (P = .036)
  • All dogs recovered without surgical site infections, though SSI incidence was not a primary outcome
  • Neutralizer validation lacking, so CHX results interpreted cautiously
  • Study supports a 1-minute hand wash with pH-neutral soap prior to ABHR as effective and safe

Viljoen

Veterinary Surgery

3

2022

Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students

2022-3-VS-viljoen-3

Article Title: Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students

Journal: Veterinary Surgery

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In Bush 2023 et al., on canine salivary gland carcinoma, which factor was associated with significantly shorter survival and disease-free interval (DFI)?

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Correct. Dogs with nodal metastasis had an MST of 248 days versus 2340 days without, and shorter DFI.
Incorrect. The correct answer is Lymph node metastasis.
Dogs with nodal metastasis had an MST of 248 days versus 2340 days without, and shorter DFI.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

  • Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
  • Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
  • Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
  • Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
  • Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
  • Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
  • Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
  • Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

Bush

Veterinary Surgery

3

2023

Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

2023-3-VS-bush-2

Article Title: Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

Journal: Veterinary Surgery

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In Sunlight 2022 et al., on Protein C monitoring, what was the most common reason for requiring a second PTCE procedure?

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Correct. This was the most frequent finding at repeat venography in dogs needing second procedures.
Incorrect. The correct answer is Compression and contraction of previously placed coils.
This was the most frequent finding at repeat venography in dogs needing second procedures.

🔍 Key Findings

  • Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
  • Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
  • Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
  • Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
  • Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
  • Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
  • PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
  • Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.

Sunlight

Veterinary Surgery

1

2022

Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

2022-1-VS-sunlight-4

Article Title: Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

Journal: Veterinary Surgery

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Quiz Results

Topic: Healing & Complications
70%

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