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In Woelfel 2022 et al., on cervical locked facets, which imaging sign was associated with this injury on CT?

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Correct. The reverse hamburger bun sign describes loss of normal facet congruity seen on CT at the site of locked facet.
Incorrect. The correct answer is Reverse hamburger bun sign.
The reverse hamburger bun sign describes loss of normal facet congruity seen on CT at the site of locked facet.

🔍 Key Findings

  • Locked facet injuries in dogs involved unilateral dorsal displacement of the cranial articular process of the caudal vertebra, most commonly at C5/6 or C6/7.
  • All affected dogs were small/toy breeds, typically following trauma (most often attacks by larger dogs).
  • Neurologic severity ranged from ambulatory tetraparesis to tetraplegia, often with thoracic limb deficits more severe than pelvic limbs — suggesting a central cord syndrome-like pattern.
  • CT and MRI revealed axial rotation, subluxation, and articular process displacement; MRI showed T2 hyperintensity, nerve root impingement, and soft tissue changes.
  • Surgical treatment included ventral fixation with screws, pins, and PMMA, and one case required dorsal facetectomy for reduction.
  • Medical management, including external coaptation or rest, also resulted in functional recovery in select cases.
  • All dogs with follow-up data (8/8) had functional recovery, with nonambulatory dogs regaining ambulation in a median of 4 weeks.
  • No consistent differences in outcome were observed between surgical and nonsurgical management, suggesting locked facets may be biomechanically stable.

Woelfel

Veterinary Surgery

1

2022

Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

2022-1-VS-woelfel-2

Article Title: Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

Journal: Veterinary Surgery

In Trefny 2025 et al., on plate length and stiffness, which plate length significantly increased construct stiffness over all shorter options?

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Correct. The 12-hole plate (80% plate–bone ratio) had significantly higher stiffness than all other lengths.
Incorrect. The correct answer is 12-hole.
The 12-hole plate (80% plate–bone ratio) had significantly higher stiffness than all other lengths.

🔍 Key Findings

  • 12-hole LCPs (80% plate–bone ratio) showed significantly higher construct stiffness than 6-, 8-, or 10-hole plates in both compression and tension bending.
  • Strain on the plate was significantly lower in 12-hole vs 6-hole plates at all regions of interest (ROIs), especially around the fracture gap.
  • No incremental increases in stiffness or decreases in strain were observed between 6-, 8-, and 10-hole plates—only when comparing to 12-hole plates.
  • Bone model strain adjacent to the plate end was significantly lower for 10- and 12-hole plates vs 6-hole plates under both loading conditions.
  • The threshold effect suggests biomechanical benefits only emerge beyond a plate–bone ratio of ~80%.
  • Working length increased from 9.4 mm (6-hole) to 13 mm (others), potentially influencing strain/stiffness differences.
  • Four-point bending was used, as it replicates the most biomechanically relevant force on plated long bones.
  • Clinical implication: Longer plates may reduce plate strain and peri-implant bone strain, potentially lowering risk of fatigue failure or stress risers.

Trefny

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate

2025-2-VCOT-trefny-1

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

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Zann 2023 et al., In Long-term outcomes after proximal humeral OC debridement in dogs, what was a consistent finding in all shoulders treated surgically for proximal humeral osteochondrosis?

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Correct. All surgically treated shoulders developed OA and synovitis, with incomplete cartilage infilling.
Incorrect. The correct answer is Moderate-to-severe synovitis.
All surgically treated shoulders developed OA and synovitis, with incomplete cartilage infilling.

🔍 Key Findings

  • 20 dogs (26 shoulders) evaluated at mean 3.5 years post-surgery after arthroscopic or open debridement.
  • Ipsilateral muscle atrophy and decreased range of motion (↓ extension, ↓ flexion) in affected limbs compared to contralateral healthy shoulders.
  • All treated shoulders developed osteoarthritis, confirmed radiographically, by CT, and arthroscopically.
  • Moderate to severe synovitis was present in all shoulders; lesions showed patchy, incomplete cartilage infilling even up to 8.9 years post-op.
  • Kinetic gait analysis showed no significant differences in PVF/VI between affected and unaffected limbs, despite mild lameness clinically.
  • Owners reported good to very good mobility (median LOAD = 6), often underestimating clinical lameness.
  • CT detected larger lesion dimensions than radiographs (wider, deeper defects).
  • Despite progression of OA, surgical debridement was associated with satisfactory long-term function, though not prevention of degenerative changes.

Zann

Veterinary Surgery

7

2023

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

2023-7-VS-zann-1

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

Journal: Veterinary Surgery

In Johnson 2022 et al., on PET implant outcomes, what percentage of implants remained fully intact and functional at 6 months postoperatively?

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Correct. Only 2 out of 10 implants were found fully intact and functional at 6 months, representing a 10% success rate.
Incorrect. The correct answer is 10%.
Only 2 out of 10 implants were found fully intact and functional at 6 months, representing a 10% success rate.

🔍 Key Findings

  • Only 2 of 10 PET implants were fully intact and functional at 6 months post-op.
  • Owner-reported function (LOAD scores) improved by 51.7% (p = .008) over 6 months.
  • Gait asymmetry improved by 86% (p = .002) postoperatively.
  • Implant failure occurred in the midbody of the PET device, suggesting fatigue as a failure mechanism.
  • One dog (10%) developed implant infection, necessitating implant removal.
  • Implant fixation method (screws + washers + interference screw) was mechanically adequate and technically simple.
  • Partially intact implants (4/10) still showed improved clinical outcomes, despite structural compromise.
  • Midbody tearing and lack of long-term integrity prohibit continued use of this PET implant in CCL repair.

Johnson

Veterinary Surgery

8

2022

Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial

2022-8-VS-johnson-1

Article Title: Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial

Journal: Veterinary Surgery

In Allaith 2023 et al., on THR outcomes, how did the veterinary surgeon–reported complication rate compare to that reported by owners?

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Correct. Veterinary-reported complication rate was 8.5% vs 23% by owners, indicating moderate agreement.
Incorrect. The correct answer is Surgeons reported 8.5%, owners 23%.
Veterinary-reported complication rate was 8.5% vs 23% by owners, indicating moderate agreement.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

  • 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
  • Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
  • Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
  • Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
  • Most common complications: Luxation, femoral fracture, and aseptic loosening.
  • BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
  • Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
  • Owner satisfaction was high, with 88% rating outcome as very good or good.

Allaith

Veterinary Surgery

2

2023

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

2023-2-VS-allaith-3

Article Title: Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

Journal: Veterinary Surgery

In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the most common surgical indication?

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Correct. Cholelithiasis was identified in 17 of 23 cats and was the leading reason for surgery.
Incorrect. The correct answer is Cholelithiasis.
Cholelithiasis was identified in 17 of 23 cats and was the leading reason for surgery.

🔍 Key Findings

  • Cholelithiasis was the most common indication for cholecystectomy in cats.
  • Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
  • Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
  • 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
  • Vomiting was the most common short- and long-term complication, though most cats were medically managed.
  • Concurrent EHBDO was not a contraindication provided CBD patency was restored.
  • Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
  • Owner-reported outcomes were excellent in all cats that survived long-term.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-1

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In Chik 2025 et al., on abdominal wall prestretching, what was the effect of prestretching on the need for increased insufflation or conversion to open surgery?

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Correct. All 50 dogs completed laparoscopic procedures at 6 mmHg after PS, without conversion or pressure increase.
Incorrect. The correct answer is No dogs required increased insufflation or conversion to open.
All 50 dogs completed laparoscopic procedures at 6 mmHg after PS, without conversion or pressure increase.

🔍 Key Findings

  • Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
  • PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
  • All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
  • Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
  • Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
  • No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
  • Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
  • Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.

Chik

Veterinary Surgery

5

2025

Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

2025-5-VS-chik-4

Article Title: Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

Journal: Veterinary Surgery

In McKay 2023 et al., on patellar tendon augmentation, which augmentation group had the **lowest frequency of 3 mm gap formation**?

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Correct. Only 6% of constructs in the combined group developed 3 mm gap formation, significantly lower than other groups.
Incorrect. The correct answer is Combined TBW.
Only 6% of constructs in the combined group developed 3 mm gap formation, significantly lower than other groups.

🔍 Key Findings

  • Combined transpatellar + suprapatellar TBW technique yielded higher yield, peak, and failure loads than either technique alone.
  • Construct stiffness was significantly higher in the combined group (61.2 N/mm) vs transpatellar (46.8 N/mm) and suprapatellar (28.5 N/mm).
  • Lower incidence of gap formation in the combined group: only 22% had 1 mm gap vs 61% (transpatellar) and 39% (suprapatellar).
  • Load to 3 mm gap was significantly higher in the combined group (p = .036), suggesting superior early repair site stability.
  • Failure modes varied: suprapatellar most often failed via wire unraveling (67%), transpatellar via suture pull-through (67%); combined group had lower incidence of both.
  • Patella fractures were observed only in the combined group (11%), likely due to transosseous tunnel stress.
  • Wire unraveling was a predominant failure mode in suprapatellar (67%) and combined (39%) groups, but core suture pull-through was more common in the transpatellar group (67%); failure occurred by unraveling, not cyclic breakage.
  • Study supports TBW augmentation to reduce load on primary repair and improve biomechanical durability of patellar tendon repairs.

McKay

Veterinary Surgery

8

2023

Biomechanical evaluation of three adjunctive methods of orthopedic tension band-wire fixation to augment simulated patella tendon repairs in dogs

2023-8-VS-mckay-3

Article Title: Biomechanical evaluation of three adjunctive methods of orthopedic tension band-wire fixation to augment simulated patella tendon repairs in dogs

Journal: Veterinary Surgery

In Walker 2022 et al., on TPLO mRUST scoring, which minimum score was associated with a 99% likelihood of subjective union?

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Correct. Scores ≥10/12 were subjectively judged to represent radiographic union in 99% of cases.
Incorrect. The correct answer is 10/12.
Scores ≥10/12 were subjectively judged to represent radiographic union in 99% of cases.

🔍 Key Findings

  • TPLO mRUST scoring showed improved inter-rater reliability (ICC = 0.56) compared to subjective evaluation (Kappa = 0.33).
  • Intra-rater reliability was similar for both methods (TPLO mRUST: 0.73, subjective: 0.72).
  • TPLO mRUST scores ≥10/12 strongly correlated with radiographic union, as subjectively assessed (99% agreement).
  • No significant difference in healing between first and second TPLO sides (P = .09), countering assumptions about load-bearing impact.
  • Higher initial lameness scores and younger age were associated with higher TPLO mRUST scores, suggesting more robust healing in those groups.
  • Postoperative complications were linked to lower TPLO mRUST scores, indicating impaired healing.
  • Medial cortex was excluded from scoring due to plate obstruction, validating use of only 3 cortices for scoring.
  • The TPLO mRUST system may standardize healing assessment, reducing subjective bias across specialties.

Walker

Veterinary Surgery

8

2022

Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing

2022-8-VS-walker-2

Article Title: Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing

Journal: Veterinary Surgery

In Danielski 2025 et al., on PUO complication reduction, what was the study's implication for **chondrodystrophic breeds**?

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Correct. Despite being 64.8% of the cohort, these breeds showed excellent outcomes.
Incorrect. The correct answer is They tolerated the technique well.
Despite being 64.8% of the cohort, these breeds showed excellent outcomes.

🔍 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-5

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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