Your Custom Quiz

In Pfund 2025 et al., on femoral cortical thickness, what was the observed effect of a 0.001 increase in CTI on fracture risk?

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Correct. Each 0.001 increase in CTI reduced fissure/fracture odds by 2–3% depending on timing.
Incorrect. The correct answer is Decreased risk by 2–3%.
Each 0.001 increase in CTI reduced fissure/fracture odds by 2–3% depending on timing.

🔍 Key Findings

  • Lower CTI values were significantly associated with higher risk of both intraoperative and postoperative femoral fractures or fissures (p <.0001).
  • The mean CTI for all dogs was 0.285, whereas dogs with fissures/fractures had a mean CTI of 0.246.
  • For each 0.001 increase in CTI, odds of fissure/fracture decreased by 2–3% depending on perioperative timing.
  • High interobserver reliability (ICC = 0.984) and consistency between pre- and postoperative CTI measurements (ICC = 0.96).
  • CTI was the only significant risk factor identified; age, breed, bodyweight, BCS, CFI, or luxoid hips were not significant.
  • Prophylactic lateral plating in dogs with low CTI (mean 0.230) resulted in no postoperative fractures.
  • Postoperative fractures occurred in 8% of cases, and 93% of dogs returned to full function within one year.
  • CTI may be a useful radiographic screening tool, especially when advanced imaging (e.g., DEXA) is unavailable.

Pfund

Veterinary Surgery

6

2025

Femoral cortical thickness index in a population of dogs undergoing total hip replacement

2025-6-VS-pfund-3

Article Title: Femoral cortical thickness index in a population of dogs undergoing total hip replacement

Journal: Veterinary Surgery

In Zann 2023 et al., on proximal humeral OC, what conclusion was drawn about the progression of osteoarthritis (OA)?

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Correct. OA was present in all cases, but owner-reported outcomes were generally positive.
Incorrect. The correct answer is OA progression was consistent but not clinically relevant in most cases.
OA was present in all cases, but owner-reported outcomes were generally positive.

🔍 Key Findings

  • All dogs developed progressive osteoarthritis (OA) after surgical debridement of proximal humeral OC.
  • Ipsilateral muscle atrophy and reduced shoulder range of motion were common, particularly in unilaterally affected dogs.
  • Arthroscopically, lesions showed incomplete cartilage infilling even years after surgery, averaging only ~37% infilling.
  • Synovitis was present in all joints, with moderate-to-severe hypertrophy and vascularity scores.
  • CT identified OC lesions as deeper and wider than radiography, and all affected joints had more advanced OA than contralateral limbs (P = .001 radiograph, P = .005 CT).
  • Kinetic gait analysis showed no significant differences in peak vertical force or impulse, but a subtle 4.4% asymmetric load reduction on the operated limb.
  • Median LOAD score was 6, indicating mild owner-perceived disability despite measurable clinical and imaging abnormalities.
  • Cartilage infilling was incomplete in all cases, with no lesion exceeding 60% restoration, raising questions about the healing potential of debridement alone.

Zann

Veterinary Surgery

6

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-6-VS-zann-5

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

In Saitoh 2025 et al., on CTS stabilization, what method was commonly used in addition to CTS?

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Correct. All dogs received postoperative external coaptation alongside CTS.
Incorrect. The correct answer is External coaptation.
All dogs received postoperative external coaptation alongside CTS.

🔍 Key Findings

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

  • 3 dogs = primary ligamentous repair
  • 8 dogs = synthetic ligament reconstruction
  • 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

  • All 10 dogs had improved or resolved lameness.
  • All 5 farm dogs returned to work (most at full or substantial capacity).
  • Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

Saitoh

Veterinary Surgery

1

2025

Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

2025-1-VS-saitoh-3

Article Title: Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

Journal: Veterinary Surgery

In Walter de Bruyn 2024 et al., what was the impact of orthogonal plate addition on torsional stiffness in medium and long working lengths?

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Correct. Torsional stiffness increased significantly for MWL and LWL after adding orthogonal plates:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Increased significantly.
Torsional stiffness increased significantly for MWL and LWL after adding orthogonal plates:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • Primary 3.5-mm LCP used with short (SWL), medium (MWL), and long (LWL) working lengths
  • Addition of orthogonal 2.7-mm LCP resulted in:
    • Significantly higher bending stiffness for SWL, MWL, and LWL (p < 0.0001)
    • Higher torsional stiffness for MWL and LWL (not for SWL)
    • Significantly lower strain across all working lengths in bending (p < 0.01)
  • Working length inversely related to construct stiffness and directly to plate strain
  • Orthogonal plates eliminated stiffness differences across working lengths in bending
  • Suggests orthogonal plates can improve implant fatigue life and allow compensation when short working lengths are unachievable

Walterdebruyn

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model

2024-4-VCOT-walterdebruyn-3

Article Title: Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Sisk 2024 et al., which IMN design improvement addresses rotational slack?

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Correct. Angle-stable designs reduce mediolateral “slack” and enhance torsional stability:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Angle-stable interlocking threads.
Angle-stable designs reduce mediolateral “slack” and enhance torsional stability:contentReference[oaicite:3]{index=3}

🔍 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-4

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Beamon 2022 et al., on calcanean tunnel orientation, which failure mode was most commonly observed across all groups?

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Correct. Suture pull-through occurred in 67% of cases, with no statistical difference among groups.
Incorrect. The correct answer is Suture pull-through.
Suture pull-through occurred in 67% of cases, with no statistical difference among groups.

🔍 Key Findings

  • No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
  • Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
  • Most common failure mode was suture pull-through (67%), with no significant difference between groups.
  • Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
  • All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
  • The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
  • TT constructs showed more tendon distortion at the repair interface during loading.
  • Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.

Beamon

Veterinary Surgery

4

2022

Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

2022-4-VS-beamon-2

Article Title: Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

Journal: Veterinary Surgery

In Fink 2025 et al., on Roux-en-Y outcomes, which postoperative intervention was commonly used to manage nausea and vomiting due to ileus?

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Correct. G-tubes were used to decompress the stomach, and cisapride was used to stimulate motility.
Incorrect. The correct answer is Gastrostomy decompression and cisapride.
G-tubes were used to decompress the stomach, and cisapride was used to stimulate motility.

🔍 Key Findings

  • Roux-en-Y procedures were successfully completed in all 11 cases (6 dogs, 5 cats), despite case complexity and disease severity.
  • Median survival post-discharge was longer in cats (365 days) vs. dogs (82 days), with better outcomes in non-neoplastic vs. neoplastic disease (192 vs. 5 days).
  • Complication rate was high, with septic peritonitis, dehiscence, and cardiac arrest as leading causes of postoperative death; mortality rate = 36%.
  • Dehiscence rate was 8.6% (2 of 23 anastomoses), considered lower than typical rates for GI anastomoses in high-risk patients.
  • Feeding tubes (gastrostomy/jejunostomy) were used in all cases, enabling early nutritional support and stomach decompression.
  • Postoperative nausea and vomiting were common but mostly self-limiting; managed with metoclopramide, cisapride, and antiemetics.
  • Choledochojejunostomy was preferred when common bile duct was dilated, offering a favorable size match and potentially reducing bile leakage.
  • Roux-en-Y reduced typical Billroth II complications (e.g., bile reflux, afferent loop syndrome, dumping syndrome), with none observed in discharged patients.

Fink

Veterinary Surgery

5

2025

Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series

2025-5-VS-fink-4

Article Title: Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series

Journal: Veterinary Surgery

In Peng 2025 et al., on study design, … how were the final RFG scores determined for each dog?

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Correct. This approach captures the most severe respiratory dysfunction encountered during evaluation.
Incorrect. The correct answer is Highest grade observed in any category or stage.
This approach captures the most severe respiratory dysfunction encountered during evaluation.

🔍 Key Findings

  • Remote respiratory function grading (RFG) had poor to moderate reliability compared to in-person assessment.
  • Expert graders had higher agreement with in-person scores than novices (Cohen’s kappa 0.37–0.48 vs. 0.21–0.47).
  • Interobserver agreement was moderate among experts (Fleiss’ kappa = 0.59) and poor among novices (Fleiss’ kappa = 0.39).
  • Remote recordings suffered from background noise, short clip durations, and technical limitations of electronic stethoscope recordings.
  • Final RFG scores were based on the highest grade across categories (respiratory noise, inspiratory effort, dyspnea/cyanosis/syncope).
  • Clinical impact: Only in-person grading reliably supports decisions for surgical intervention or breeding restrictions.

Peng

Veterinary Surgery

3

2025

Comparison of remote and in-person respiratory function grading of brachycephalic dogs

2025-3-VS-peng1-5

Article Title: Comparison of remote and in-person respiratory function grading of brachycephalic dogs

Journal: Veterinary Surgery

In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, what was the reported survival to discharge for cats with linear foreign bodies?

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Correct. The survival rate for cats with LFBOs was 98.2%, similar to DFBOs at 97%.
Incorrect. The correct answer is 98.2%.
The survival rate for cats with LFBOs was 98.2%, similar to DFBOs at 97%.

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-5

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Journal: Veterinary Surgery

In Ellis 2024 et al., which HU metric showed the best interobserver agreement?

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Correct. Mean HU values had good interobserver agreement (ICC ~0.82–0.90), unlike minimum or maximum HU:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Mean HU.
Mean HU values had good interobserver agreement (ICC ~0.82–0.90), unlike minimum or maximum HU:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 86 elbows assessed: 32 Guide Dogs, 11 Border Collies
  • Guide Dogs showed significantly higher HU values in:
    • MCP: min (p = 0.022), mean (p < 0.01), max (p < 0.01)
    • Humeral trochlea: mean (p < 0.01), max (p < 0.01)
  • Results imply breed-associated HU variation, not necessarily pathologic sclerosis
  • Relevance: Important to avoid false positives for elbow dysplasia during CT-based breeding screens
  • Good interobserver agreement for mean HU values (ICC ~0.82–0.90)

Ellis

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies

2024-3-VCOT-ellis-5

Article Title: Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies

Journal: Veterinary and Comparative Orthopedics and Traumatology

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