Your Custom Quiz

In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, what was the recurrence rate in the prophylactic fenestration (PF) group?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. None of the dogs in the PF group had a recurrence, suggesting a protective effect.
Incorrect. The correct answer is 0%.
None of the dogs in the PF group had a recurrence, suggesting a protective effect.

🔍 Key Findings

  • Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
  • Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
  • 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
  • Medical management was effective in 92.9% of recurrence cases.
  • Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
  • Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
  • Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
  • No major complications or deaths linked directly to PF in initial surgeries.

Berthomé

Veterinary Surgery

6

2025

Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

2025-6-VS-berthome-2

Article Title: Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

Journal: Veterinary Surgery

In de la Oliva 2024 et al., what effect did prophylactic transcondylar screw placement have in elbows with contralateral HIF?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 20 elbows with HIF were treated prophylactically with TCS; no complications or fractures occurred in follow-up:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Prevention of fracture with no complications.
20 elbows with HIF were treated prophylactically with TCS; no complications or fractures occurred in follow-up:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 89 French Bulldogs with HCF; 40.4% (36/89) had contralateral HIF
  • Prophylactic transcondylar screws placed in 20/36 HIF; no complications in these
  • Complication rate for HCF repair = 13.4% (6.7% minor, 6.7% major)
  • Most complications occurred with Kirschner wire fixation
  • Short-term outcome: Bone healing observed in all, but 14/45 had persistent intracondylar gap
  • Long-term outcomes (n=27):
    • Excellent = 66.7%
    • Good = 29.6%
    • Fair = 3.7%
  • Complication-free dogs significantly more likely to have excellent/good outcomes (p = 0.007)

Delaoliva

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome

2024-3-VCOT-delaoliva-5

Article Title: Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Farrugia 2025 et al., on BODPUO location effects, which of the following had **no significant association** with change in ulna angle?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Osteotomy length did not influence postoperative change in ulna angle after adjusting for osteotomy location.
Incorrect. The correct answer is Osteotomy length.
Osteotomy length did not influence postoperative change in ulna angle after adjusting for osteotomy location.

🔍 Key Findings

  • Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
  • Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
  • Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
  • Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
  • Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
  • Osteotomy length had no significant effect on change in angle.
  • Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
  • No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

Farrugia

Veterinary Surgery

6

2025

Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

2025-6-VS-farrugia-4

Article Title: Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

Journal: Veterinary Surgery

In Evers 2023 et al., on needle arthroscopy, what was a common limitation of needle arthroscopy compared to standard arthroscopy?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Visibility scores were significantly lower for needle arthroscopy across all meniscal regions.
Incorrect. The correct answer is Poor visualization of meniscal horns.
Visibility scores were significantly lower for needle arthroscopy across all meniscal regions.

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for detecting medial meniscal tears using standard arthroscopy (SA) as the reference.
  • NA correctly identified meniscal status in 25/26 dogs, missing only one stable nondisplaced tear.
  • NA took less time than SA: 8 ± 3 min vs. 15 ± 9 min (P = .0041).
  • Visibility scores were significantly lower with NA than SA for all meniscal horns (medial and lateral) .
  • Probing difficulty was greater with NA, especially for the lateral meniscus (P = .0017).
  • NA caused no measurable morbidity: lameness scores were unchanged before and after the procedure (P = .25).
  • NA was possible in sedated dogs, though 10/26 required additional anesthesia due to delays.
  • NA missed 1 lateral tear, likely due to reduced access and lack of shaving compared to SA.

Evers

Veterinary Surgery

7

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-7-VS-evers-2

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

In Jones 2024 et al., on LEAP plate use, what was the most common type of complication reported postoperatively?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Seromas were the most frequently reported minor complication across both fracture types.
Incorrect. The correct answer is Seroma.
Seromas were the most frequently reported minor complication across both fracture types.

🔍 Key Findings Summary

  • 62 fractures in 61 dogs (44 lateral condylar, 18 intracondylar); mostly Spaniels
  • LEAP plate used in all cases; minimal intraoperative contouring needed (1 French Bulldog)
  • Overall complication rate: ~33%, mostly minor; 1 amputation due to catastrophic infection
  • Radiographic healing:
    • Lateral epicondylar part healed in 100%
    • Condylar part healed in ~61.5% LCF and ~57.1% ICF
  • Functional outcomes:
    • 87% returned to full limb use
    • Median LOAD score: 2 for LCF, 6.5 for ICF
  • Design adjustments made post-study to strengthen weak zones around 3rd–4th screw holes

Jones

Veterinary Surgery

4

2024

Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs

2024-4-VS-jones-2

Article Title: Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs

Journal: Veterinary Surgery

In Devriendt 2022 et al., on EHPSS blood testing, which **two tests** had the highest sensitivity for detecting shunt closure?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. SHA (96.9%) and MEGX T15 (96.2%) were the most sensitive single tests for detecting EHPSS closure.
Incorrect. The correct answer is SHA and MEGX at 15 minutes.
SHA (96.9%) and MEGX T15 (96.2%) were the most sensitive single tests for detecting EHPSS closure.

🔍 Key Findings

  • Fasting ammonia (FA) was the most specific test (100%) for confirming EHPSS closure postoperatively.
  • Serum hyaluronic acid (SHA) and MEGX at 15 minutes post-lidocaine were the most sensitive tests (96.9% and 96.2%, respectively).
  • SHA combined with MEGX T15, or with FA or postprandial serum bile acids (SBA), provided 100% sensitivity with good specificity (72.4–82.8%).
  • SHA levels remained elevated in all dogs with persistent shunting, even when other tests were normal.
  • Paired SBA had moderate sensitivity (90%) and variable specificity (89%).
  • The L/MEGX test at 30 min was less useful than at 15 min for assessing closure.
  • Traditional SBA testing showed reduced utility postoperatively; normal values did not rule out persistent shunting.
  • Blood tests improved when combined, but imaging remains essential to definitively confirm EHPSS closure.

Devriendt

Veterinary Surgery

7

2022

Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment

2022-7-VS-devriendt-2

Article Title: Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment

Journal: Veterinary Surgery

In Muroi 2025 et al., on refracture risk, what was the overall refracture rate in the study population of small-breed dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 10 of 181 limbs developed refracture, yielding an overall refracture rate of 5.5%.
Incorrect. The correct answer is 5.5%.
10 of 181 limbs developed refracture, yielding an overall refracture rate of 5.5%.

🔍 Key Findings

  • Refracture occurred in 5.5% of limbs, with higher incidence in the plate removal group (12.5%) vs. non-removal (3.5%).
  • In the non-plate removal group, refractures occurred at the most distal screw site, linked to greater screw position change during growth (OR 1.79, p=0.04).
  • Screw-to-bone diameter ratio (SBDR) >0.4 was a significant risk factor for refracture in the plate retention group.
  • In the plate removal group, refractures occurred at the original fracture site, associated with lower pixel value ratio (bone mineral density) and reduced radial thickness.
  • Implant-induced osteoporosis (IIO) beneath the plate likely contributed to refracture risk after plate removal.
  • Younger age at fracture (<6 months) was associated with higher refracture risk due to ongoing radial growth and shifting screw position.
  • No significant association was found between refracture and plate type (locking vs conventional), fixation method, or ulnar union.
  • Recommendations include careful SBDR sizing, motion restriction, and cautious plate removal decisions in growing dogs.

Muroi

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs

2025-2-VCOT-muroi-5

Article Title: A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Gibson 2024 et al., on mediastinoscopy in dogs, what was the most common **postprocedural finding on CT** after the procedure?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Pleural gas was seen in 4 of 7 cadavers, likely from CO₂ insufflation.
Incorrect. The correct answer is Pleural gas accumulation.
Pleural gas was seen in 4 of 7 cadavers, likely from CO₂ insufflation.

🔍 Key Findings

  • Mediastinoscopy was technically feasible in large-breed canine cadavers using a SILS port and standard laparoscopic instruments.
  • The left tracheobronchial lymph node (LTBLN) was successfully retrieved in all cadavers (7/7), while cranial mediastinal lymph nodes were retrieved in only 1/7.
  • Postprocedural pleural gas was observed in 4/7 cadavers, likely due to CO₂ insufflation.
  • Instrument limitations with a human-designed mediastinoscope led to preference for laparoscopic instruments and SILS port for improved access and visualization.
  • Complication rates were low, with only two minor (Grade 1) adverse events (pleural tear and LN rupture).
  • Obesity and mediastinal fat were cited as potential challenges to visualization and node retrieval.
  • NASA-TLX workload scores were lowest for tracheobronchial nodes, indicating these were the easiest to access.
  • The authors concluded this approach may facilitate minimally invasive biopsy or resection of cranial mediastinal masses in live dogs, but clinical trials are needed to validate safety and efficacy.

Gibson

Veterinary Surgery

5

2024

Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

2024-5-VS-gibson-2

Article Title: Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

Journal: Veterinary Surgery

In Chitty 2025 et al., on tibial fracture fixation in immature dogs, which complication was most common in the external fixation group?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Pin tract morbidity was the most common complication in dogs receiving external skeletal fixation.
Incorrect. The correct answer is Pin tract morbidity.
Pin tract morbidity was the most common complication in dogs receiving external skeletal fixation.

🔍 Key Findings

Internal fixation (IF) group (n=59):

  • Complication rate: 20.3%
  • Major complications: 15.3%
  • Longer time to discharge if complications occurred (median: 12.5 weeks)

External skeletal fixation (ESF) group (n=36):

  • Complication rate: 55.6% (p < .001 vs IF)
  • Major complications: 52.8%
  • Most common issue: pin tract morbidity

Multivariable analysis:

  • Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
  • Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)

Fixation choice influenced by age:

  • Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)

Breed & fracture distribution:

  • Common breeds: Labrador, Border Collie, Whippet
  • Common fracture sites: middle and proximal third of tibia

Chitty

Veterinary Surgery

4

2025

Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

2025-4-VS-chitty-2

Article Title: Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

Journal: Veterinary Surgery

In Knudsen 2024 et al., on CTA diagnosis, what was the maximum reported sensitivity of multidetector CTA for detecting meniscal lesions?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Sensitivity reached 100% in second readings by some observers.
Incorrect. The correct answer is 100%.
Sensitivity reached 100% in second readings by some observers.

🔍 Key Findings

  • Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
  • Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
  • Training effect was evident, as less experienced observers improved between first and second readings.
  • Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
  • CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
  • Approximately 90% of menisci were correctly classified in second readings.
  • No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
  • CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.

Knudsen

Veterinary Surgery

8

2024

Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

2024-8-VS-knudsen-1

Article Title: Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

Journal: Veterinary Surgery

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.