Your Custom Quiz

In Latifi 2022 et al., on forelimb fascial mapping, which statement is TRUE regarding nerve transection during tumor resection?

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Correct. Cutaneous innervation is often redundant, and functional loss is limited if only superficial branches are transected.
Incorrect. The correct answer is Sensory loss from radial nerve transection is usually minimal due to overlapping innervation.
Cutaneous innervation is often redundant, and functional loss is limited if only superficial branches are transected.

🔍 Key Findings

  • Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
  • Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
  • Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
  • Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
  • Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
  • Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
  • Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
  • Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.

Latifi

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

2022-1-VS-latifi-4

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

Journal: Veterinary Surgery

In Pilot 2022 et al., on closure methods in sternotomy, which of the following was significantly associated with an increased risk of complications?

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Correct. In multivariable regression, only dog size (≥20 kg) was significantly associated with increased complication risk.
Incorrect. The correct answer is Dog size.
In multivariable regression, only dog size (≥20 kg) was significantly associated with increased complication risk.

🔍 Key Findings

  • Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
  • No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
  • Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
  • Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
  • Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
  • Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
  • Infection rate was low (2.7%), and not significantly different between wire and suture.
  • Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.

Pilot

Veterinary Surgery

6

2022

Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

2022-6-VS-pilot-2

Article Title: Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

Journal: Veterinary Surgery

In Carvajal 2025 et al., on femoral stem breakage, what was the most common radiographic finding among failed implants?

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Correct. Varus malalignment was present in 10 of 14 failed cases, with a median angle of 3.9°.
Incorrect. The correct answer is Varus alignment of femoral stem.
Varus malalignment was present in 10 of 14 failed cases, with a median angle of 3.9°.

🔍 Key Findings

Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)

Implant factors:

  • 13/14 were BFX lateral bolt stems (sizes #5–7)
  • +9 necks used in 5/11 of 17 mm heads
  • 10/14 stems undersized based on radiographs
  • 10/13 dogs exceeded weight limits for implanted stem size

Malalignment:

  • 10/14 had varus alignment (median 3.9°)
  • 8/14 had insufficient proximodistal seating

Breakage site: Proximolateral shoulder in all cases

Revision outcomes:

  • 11 revised (7 CFX, 3 larger BFX, 1 collared)
  • 9/10 revised dogs regained full function
  • Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure

Histopathology:

  • Electron microscopy showed fatigue striations and incomplete bead fusion

Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.

Carvajal

Veterinary Surgery

3

2025

Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

2025-3-VS-carvajal-1

Article Title: Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

Journal: Veterinary Surgery

In Dobberstein 2022 et al., on NSAID ulcer repair, which of the following was a significant predictor or trend for postoperative mortality?

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Correct. Vasopressor use showed a strong trend toward increased mortality (P = .0545; OR = 9.033).
Incorrect. The correct answer is Postoperative use of vasopressors.
Vasopressor use showed a strong trend toward increased mortality (P = .0545; OR = 9.033).

🔍 Key Findings

  • Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
  • NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
  • All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
  • No significant association between ulcer size or location and postoperative survival.
  • Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
  • Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
  • Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
  • Median follow-up of 444 days showed long-term survival was achievable post-primary repair.

Dobberstein

Veterinary Surgery

7

2022

Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

2022-7-VS-dobberstein-3

Article Title: Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

Journal: Veterinary Surgery

In Husi 2023 et al., on TPLO vs TPLO-IB biomechanics, what was the key limitation of the tibial compression test (TCT) after TPLO?

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Correct. The study showed that although TCT appeared negative post-TPLO, rotational instability remained, revealed by TPT.
Incorrect. The correct answer is It did not detect residual rotational instability.
The study showed that although TCT appeared negative post-TPLO, rotational instability remained, revealed by TPT.

🔍 Key Findings

  • TPLO alone failed to neutralize rotational instability under tibial pivot compression (TPT), despite a negative TCT.
  • TPLO combined with lateral augmentation (TPLO-IB) restored both craniocaudal and rotational stability to near-intact levels.
  • Cranial tibial translation was 6× greater after TPLO vs intact stifles when tested with TPT (p < .001).
  • No significant difference in cranial tibial translation or internal rotation between intact stifles and TPLO-IB group during TCT, eTPT, or iTPT.
  • TPLO-IB did not overconstrain the stifle, avoiding excessive external rotation.
  • External tibial rotation (eTPT) was more sensitive than TCT in detecting persistent instability after TPLO.
  • Excellent intraobserver reliability for both eTPT and iTPT (ICC > 0.9).
  • Study supports intraoperative use of TPT to identify cases needing additional rotational stabilization.

Husi

Veterinary Surgery

5

2023

Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study

2023-5-VS-husi-1

Article Title: Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study

Journal: Veterinary Surgery

In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what surgical fixation approach was used?

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Correct. A combination of plating and orthopedic wire was used in all cases.
Incorrect. The correct answer is Plating with orthopedic wire.
A combination of plating and orthopedic wire was used in all cases.

🔍 Key Findings

  • All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
  • Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
  • Median lameness score improved from 2/4 to 1/4 by final follow-up.
  • Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
  • No major complications; minor issues included 1 screw loosening and 1 superficial infection.
  • Subjective function was graded full in 4 dogs, acceptable in 7.
  • Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
  • Use of both orthopedic wire and plating provided secure fixation and improved outcomes.

Von Pfeil

Veterinary Surgery

3

2024

Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

2024-3-VS-pfeil-4

Article Title: Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

Journal: Veterinary Surgery

In Bounds 2023 et al., on feline hip arthroscopy, which structure was consistently avoided during portal placement in all hips?

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Correct. Cannula placement always avoided the sciatic nerve, with a minimum clearance of 1.1 mm.
Incorrect. The correct answer is Sciatic nerve.
Cannula placement always avoided the sciatic nerve, with a minimum clearance of 1.1 mm.

2023-8-VS-bounds-3

Article Title:

Journal:

In Williams 2024 et al., on cardiovascular safety, what perioperative effect was observed with adrenaline in the nerve block?

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Correct. No cardiovascular instability (tachycardia, arrhythmias, hypertension) was observed with adrenaline use in the nerve block.
Incorrect. The correct answer is No significant adverse effects.
No cardiovascular instability (tachycardia, arrhythmias, hypertension) was observed with adrenaline use in the nerve block.

🔍 Key Findings Summary

  • Design: Prospective, randomized, double-blinded controlled trial
  • Population: 32 brachycephalic dogs undergoing cut-and-sew sharp staphylectomy
  • Groups: Adrenaline + lidocaine (Group A) vs. Lidocaine only (Group NA)
  • Main Findings:
    • Total hemorrhage significantly lower in Group A (median 1.82 g) vs Group NA (7.95 g); p = .013
    • Normalized hemorrhage significantly lower in Group A; p = .021
    • Surgeon-assigned hemorrhage scores significantly lower in Group A; p = .029
    • No adverse effects (tachycardia, hypertension, arrhythmia, etc.) noted from adrenaline use
    • Breed effect: English Bulldogs bled more overall even after normalization
  • Clinical Implication: Adrenaline in nerve blocks reduces hemorrhage without added risk

Williams

Veterinary Surgery

1

2024

Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

2024-1-VS-williams-3

Article Title: Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

Journal: Veterinary Surgery

In Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which technique caused the greatest cranial mechanical axis shift?

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Correct. This combination produced the largest change in mechanical cranial distal tibial angle (mCrDTA), indicating the greatest axis shift.
Incorrect. The correct answer is CBLO + CCWO.
This combination produced the largest change in mechanical cranial distal tibial angle (mCrDTA), indicating the greatest axis shift.

🔍 Key Findings

  • All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
  • Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
  • Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
  • Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
  • Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
  • Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
  • All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
  • Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.

Story

Veterinary Surgery

8

2024

Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

2024-8-VS-story-1

Article Title: Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

Journal: Veterinary Surgery

In Kang 2022 et al., on 3D scaffold reconstruction, which material was combined with polycaprolactone (PCL) to enhance osteoconductivity?

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Correct. β-TCP was used to improve hydrophilicity and bone regeneration potential of PCL.
Incorrect. The correct answer is Beta-tricalcium phosphate.
β-TCP was used to improve hydrophilicity and bone regeneration potential of PCL.

🔍 Key Findings

  • Patient-specific 3D-printed PCL/β-TCP scaffold enabled successful zygomatic arch reconstruction in a dog.
  • Complete surgical resection of a zygomatic parosteal osteosarcoma was achieved, with a 0.3 mm histologically clean margin.
  • Post-op imaging showed progressive tissue ingrowth into the scaffold, with Hounsfield Units increasing from 20.4 to 97.8 over 10 months.
  • No complications (e.g., infection, displacement) or tumor recurrence were noted at 16-month follow-up.
  • Use of a patient-specific osteotomy guide improved anatomical fit and facilitated precise excision and implant placement.
  • Facial symmetry and orbital stability were maintained throughout follow-up.
  • The scaffold remained structurally stable despite limited bone regeneration, suggesting connective tissue filled the defect.
  • Topical mitomycin C was applied intraoperatively for possible anti-neoplastic effect, but efficacy remains unclear.

Kang

Veterinary Surgery

8

2022

Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog

2022-8-VS-kang-1

Article Title: Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog

Journal: Veterinary Surgery

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