Quiz Question

In Aertsens 2025 et al., on thoracic lift technique, what was a key advantage of using a pretied ligating loop (PLL) in feline lobectomy?

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Correct. Pretied ligating loops enabled precise hilar ligation and removal of the foreign body with the lung lobe.
Incorrect. The correct answer is Allows vessel sealing near bronchus.
Pretied ligating loops enabled precise hilar ligation and removal of the foreign body with the lung lobe.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-3

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

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In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, which **surgical device** was associated with **shorter median surgery time**?

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Correct. Median surgery time was shorter for procedures using linear staplers (57.5 min) compared to endoscopic staplers (80 min).
Incorrect. The correct answer is Linear stapler (DST series).
Median surgery time was shorter for procedures using linear staplers (57.5 min) compared to endoscopic staplers (80 min).

🔍 Key Findings

  • TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
  • 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
  • Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
  • Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
  • One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
  • Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
  • Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
  • TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.

Scott

Veterinary Surgery

1

2023

Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs

2023-1-VS-scott-3

Article Title: Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs

Journal: Veterinary Surgery

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In Lomas 2025 et al., on hybrid THR in cats, which component combination was used in all cases?

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Correct. All cats received a CFX cemented femoral stem and a 12 mm BFX cementless acetabular cup.
Incorrect. The correct answer is Cemented femoral stem and cementless acetabular cup.
All cats received a CFX cemented femoral stem and a 12 mm BFX cementless acetabular cup.

🔍 Key Findings

  • Hybrid THR in cats showed no major complications across 17 hips in 15 cats, including 2 bilateral cases.
  • Postoperative radiographs confirmed stable implant positioning with no loosening, migration, or dislocation in follow-up imaging.
  • Mean owner satisfaction was high, with a mean short-form feline musculoskeletal pain index (sf-FMPI) score of 2/36 at a mean follow-up of 438 days.
  • SCFE (slipped capital femoral epiphysis) was the most common indication, seen in 13/17 hips.
  • Partial tenotomy of rectus femoris origin resolved intraoperative medial patella luxation in 3 cases—no cats required surgical correction later.
  • A micro BFX cup allowed for increased acetabular offset, possibly reducing luxation risk even when using a +0 femoral head offset.
  • Hybrid THR was successfully used as a revision for failed CFX THR due to recurrent luxation—implants remained stable post-revision.
  • Use of oversized cups (12 mm) with shallow seating or medial breach still resulted in stable outcomes, suggesting good implant fixation even with reduced bone stock.

Lomas

Veterinary Surgery

6

2025

Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

2025-6-VS-lomas-4

Article Title: Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

Journal: Veterinary Surgery

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In Scheuermann 2024 et al., on 3D-printed reduction guides for tibial fractures, what was the most common plane for angular pin-guide placement error?

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Correct. Axial plane showed the highest angular discrepancies for both proximal and distal pin guides.
Incorrect. The correct answer is Axial.
Axial plane showed the highest angular discrepancies for both proximal and distal pin guides.

🔍 Key Findings

  • The study was a prospective clinical trial evaluating the efficacy of a three-dimensional (3D)-printed, patient-specific reduction system for aligning diaphyseal tibial fractures stabilized using minimally invasive plate osteosynthesis (MIPO) in fifteen client-owned dogs.
  • Virtual surgical planning (VSP) and fabrication were feasible within a clinically relevant timeframe, with a mean of 50.7 hours. Surgical efficiency improved with experience.
  • Pin-guide placement was accurate, with median translational discrepancies of 2.7 mm (proximal) and 2.9 mm (distal), and angular discrepancies highest in the axial plane.
  • The proximal guide was easier to apply (median Likert score: 8) than the distal guide (median: 6).
  • The 3D-printed system enabled near-anatomic reduction in 87% of cases and acceptable reduction in the remaining 13%; no unacceptable reductions occurred.
  • Postoperative alignment and tibial length were well-restored, with all dogs within 5° or 5 mm of contralateral measurements.
  • Temporary circular fixation was occasionally used to assist reduction and improve alignment.
  • Precontoured plates fit easily, with a median Likert score of 9; total surgical time was shorter than conventional MIPO at the institution.
  • The study lacked a control group but builds on prior cadaveric feasibility work.

Scheuermann

Veterinary Surgery

6

2024

Efficacy of virtual surgical planning and a three‐dimensional‐printed surgical guide for canine segmental mandibular reconstruction in a cadaver model

2024-6-VS-scheuermann1-1

Article Title: Efficacy of virtual surgical planning and a three‐dimensional‐printed surgical guide for canine segmental mandibular reconstruction in a cadaver model

Journal: Veterinary Surgery

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In Gollnick 2024 et al., on TCTF risk with Arthrex STS in TPLO, what was the TCTF rate for STS screws placed distal to the osteotomy?

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Correct. 14% of STS screws placed distal to the osteotomy exhibited radiographic signs of TCTF.
Incorrect. The correct answer is 14%.
14% of STS screws placed distal to the osteotomy exhibited radiographic signs of TCTF.

🔍 Key Findings

  • 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
  • TCTFs occurred exclusively distal to the osteotomy
  • 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
  • 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
  • Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
  • Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
  • Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
  • Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS

Gollnick

Veterinary Surgery

6

2024

Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

2024-6-VS-gollnick-4

Article Title: Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

Journal: Veterinary Surgery

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In Alvarez 2024 et al., which quadrant had significantly reduced compression when only Kern forceps were used?

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Correct. Kern forceps alone produced compression mostly in the craniomedial quadrant, reducing caudal compression:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Caudo­lateral.
Kern forceps alone produced compression mostly in the craniomedial quadrant, reducing caudal compression:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • F + P (forceps + plate compression) achieved the most uniform, high-pressure distribution across all quadrants.
  • Kern forceps alone concentrated force in craniomedial quadrant, reducing caudal compression.
  • Combining Kern + F improved craniolateral compression but did not restore caudal compression.
  • Plate compression alone yielded caudal bias, not uniform pressure.
  • Significant inter-method variation in quadrant-specific compression confirmed via ANOVA (p < 0.001 for all quadrants).

Alvarez

Veterinary and Comparative Orthopedics and Traumatology

2

2024

In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

2024-2-VCOT-alvarez-2

Article Title: In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Sadowitz 2023 et al., on screw angle & speed, which technique produced a lower TCF rate despite off-axis screw insertion?

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Correct. Hand insertion of off-axis screws resulted in only 3.75% TCF rate, suggesting lower speed allows redirection and reduces fracture.
Incorrect. The correct answer is Manual insertion at 10° angle.
Hand insertion of off-axis screws resulted in only 3.75% TCF rate, suggesting lower speed allows redirection and reduces fracture.

2023-8-VS-sadowitz-4

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Journal:

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In Gollnick 2024 et al., on TCTF risk with Arthrex STS in TPLO, what percentage of dogs developed transcortical tibial fractures?

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Correct. 42% (33/78) of dogs had radiographic evidence of TCTF following TPLO with Arthrex STS.
Incorrect. The correct answer is 42%.
42% (33/78) of dogs had radiographic evidence of TCTF following TPLO with Arthrex STS.

🔍 Key Findings

  • 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
  • TCTFs occurred exclusively distal to the osteotomy
  • 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
  • 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
  • Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
  • Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
  • Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
  • Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS

Gollnick

Veterinary Surgery

6

2024

Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

2024-6-VS-gollnick-1

Article Title: Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

Journal: Veterinary Surgery

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In Hanlon 2022 et al., on short screw sacroiliac fixation, what was the difference in mechanical performance between short lag and short positional screws?

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Correct. No statistical difference in mechanical performance (stiffness, peak, or yield load) was found between SLS and SPS.
Incorrect. The correct answer is No mechanical difference was observed.
No statistical difference in mechanical performance (stiffness, peak, or yield load) was found between SLS and SPS.

🔍 Key Findings

  • Two short screws (SLS or SPS) provided >2× peak load, yield load, and stiffness vs a single long screw (LLS) for SI joint stabilization.
  • No mechanical advantage was seen between the two short screw types (lag vs positional).
  • All short screws terminated lateral to the spinal canal, avoiding spinal impingement.
  • Ventral sacral foraminal impingement occurred in 3 short-screw cases (1 SPS, 2 SLS), all involving the caudal screw.
  • LLS group showed more abaxial displacement at osteotomy sites, suggesting inferior stabilization for concurrent pelvic fractures.
  • Short screw constructs had longer total screw length (48 mm) than LLS (40 mm), contributing to increased stiffness.
  • Positioning of caudal screw in a cranial/craniodorsal trajectory may help avoid nerve foraminal injury.
  • No significant difference in displacement at peak load among groups; stiffness and load capacity were the primary benefits.

Hanlon

Veterinary Surgery

7

2022

Mechanical evaluation of canine sacroiliac joint stabilization using two short screws

2022-7-VS-hanlon-2

Article Title: Mechanical evaluation of canine sacroiliac joint stabilization using two short screws

Journal: Veterinary Surgery

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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

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Quiz Results

Topic: Implant Selection & Configuration
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