Your Custom Quiz

In Vodnarek 2024 et al., on intraobserver performance, which observer achieved **excellent reliability** for both methods?

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Correct. Observer 1, a diplomate of ECVDI, had ICC > 0.9 for ΔL in both methods.
Incorrect. The correct answer is Radiologist (Observer 1).
Observer 1, a diplomate of ECVDI, had ICC > 0.9 for ΔL in both methods.

🔍 Key Findings

  • Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
  • Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
    • Functional method
    • Anatomically adjusted method
  • Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
  • Outcomes:
    • Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
    • Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
    • Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
    • ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.

Vodnarek

Veterinary Surgery

1

2024

Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

2024-1-VS-vodnarek-3

Article Title: Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

Journal: Veterinary Surgery

In Klever 2024 et al., what factor helps visually identify a dorsoventral rather than ventrodorsal pelvic projection?

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Correct. Dorsoventral views project the patella more proximally on the femur
Incorrect. The correct answer is Patella more proximally projected.
Dorsoventral views project the patella more proximally on the femur

🔍 Key Findings

  • Dorsoventral radiographs artificially increase Norberg angle values by 3.2–5.8% and should be excluded.
  • Lateral pelvic tilt >2° causes asymmetric changes in Norberg angle; >3° results in significant side-specific changes.
  • Cranioventral-to-caudodorsal tilt >10° results in obvious radiographic tilt, but changes Norberg angle by only ~2%.
  • Tilted but subjectively acceptable images have minor impact and may still be usable for screening.
  • Norberg angle readings differed consistently between left/right hips — possibly due to operator handedness.

Klever

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements

2024-1-VCOT-klever-4

Article Title: Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Cheon 2025 et al., on guide accuracy in DFO, which of the following was a limitation of the universal guide?

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Correct. The universal guide struggled with fit in small dogs due to its one-size design.
Incorrect. The correct answer is Single-size design may not suit all dogs.
The universal guide struggled with fit in small dogs due to its one-size design.

🔍 Key Findings

  • Both patient-specific and universal guides yielded correction errors <2°, with no statistically significant difference in accuracy.
  • Universal guide corrected aLDFA up to 24° and AA up to 20°, addressing multiplanar deformities effectively.
  • Patient-specific guides allowed for preoperative simulation, providing more stable pin placement and potentially aiding less-experienced surgeons.
  • Universal guide eliminated the need for CT-based customization, reducing time and cost.
  • Cadaver and bone model trials showed consistent accuracy, validating both methods in vitro and ex vivo.
  • No significant differences in outcome when correcting uniplanar (aLDFA) vs biplanar (aLDFA + AA) deformities.
  • Universal guide's fixed size presented limitations in small dogs, potentially requiring multiple size options.
  • Universal guide showed potential for standard use, offering repeatable outcomes with minimal prep despite needing precise intraoperative placement.

Cheon

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

2025-3-VCOT-cheon-4

Article Title: Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Sandoval 2024 et al., on lung lobectomy technique outcomes, what was the most common intraoperative complication?

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Correct. Hemorrhage occurred in 11.8% of lobectomies and was the most frequently observed intraoperative issue.
Incorrect. The correct answer is Intraoperative hemorrhage.
Hemorrhage occurred in 11.8% of lobectomies and was the most frequently observed intraoperative issue.

🔍 Key Findings

  • Intra- and postoperative complications occurred only in stapled lobectomies, but the difference was not statistically significant (intra: p = .069, post: p = .112).
  • Intraoperative hemorrhage was the most common complication (11.8%), followed by air leakage (2%).
  • All self-ligating loop (SLL) lobectomies had zero complications (n=18), though the sample was small.
  • Postoperative complications included 4 catastrophic events (cardiopulmonary arrest), all in stapled cases.
  • Lung lobectomy technique was not associated with duration of chest tube use, hospitalization, or survival (p > .05).
  • 94.3% of patients survived to discharge (82/87).
  • SLLs are lower-cost and may be more feasible for thoracoscopic/minimally invasive approaches due to smaller port size (5mm vs. 12mm for staplers).
  • A future superiority study would need ≥103 lobectomies per group to assess differences in complication rates.

Sandoval

Veterinary Surgery

7

2024

Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

2024-7-VS-sandoval-2

Article Title: Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

Journal: Veterinary Surgery

In Billas 2022 et al., on SSI risk after limb amputation, what was concluded regarding use of electrosurgery for muscle transection?

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Correct. Monopolar electrosurgery was not associated with increased SSI risk (*P* > .05).
Incorrect. The correct answer is It had no association with SSI.
Monopolar electrosurgery was not associated with increased SSI risk (*P* > .05).

🔍 Key Findings

  • 12.5% overall incidence of SSI after limb amputation, and 10.9% for clean procedures.
  • Bipolar vessel sealing device use for muscle transection significantly increased SSI risk (OR 2.5; P = .023).
  • Monopolar electrosurgery and sharp transection were not associated with increased SSI risk.
  • Non-clean wound classification increased SSI odds (OR 8.2; P = .003).
  • Amputation for infection (OR 5.7) or trauma (OR 4.5) significantly increased SSI risk compared to neoplasia.
  • Preoperative infections at distant sites did not significantly increase SSI risk.
  • Neither surgery/anesthesia duration, hypothermia, hypotension, nor skin closure method significantly affected SSI risk.
  • Study supports avoiding bipolar sealing devices for muscle transection in limb amputations to reduce SSI risk.

Billas

Veterinary Surgery

3

2022

Incidence of and risk factors for surgical site infection following canine limb amputation

2022-3-VS-billas-5

Article Title: Incidence of and risk factors for surgical site infection following canine limb amputation

Journal: Veterinary Surgery

In Evers 2022 et al., on bone-to-tendon plate fixation, what was the primary reason for anchoring the plate to the tendon instead of the bone?

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Correct. Small proximal calcaneal fragments limited conventional screw fixation, necessitating tendon anchoring.
Incorrect. The correct answer is The proximal bone fragments were too small for screw purchase.
Small proximal calcaneal fragments limited conventional screw fixation, necessitating tendon anchoring.

🔍 Key Findings

  • Bone-to-tendon plate fixation allowed successful stabilization of a highly comminuted calcaneus fracture in a dog with fragments too small for traditional fixation.
  • The plate was sutured to the common calcaneal tendon using a figure-of-8 pattern, bypassing the need for screw fixation into small proximal fragments.
  • Radiographic union was achieved by 17 weeks, though considered delayed, with the dog returning to normal function by 36 weeks post-op.
  • A second surgery was required to replace the tendon-anchored plate with a calcaneus-only plate due to skin ulceration and implant prominence.
  • Implant-associated infection was suspected; cultures confirmed Staphylococcus pseudintermedius, managed with doxycycline and clindamycin.
  • Use of human placental matrix (hPM) and both autogenous and allogenic bone grafts supported healing, though their specific contribution remains uncertain.
  • Postoperative complications included delayed union and skin ulceration, emphasizing challenges of implant design and soft tissue management.
  • This is the first report of using a bone-to-tendon plate for a calcaneus fracture in dogs and demonstrates its potential in cases where traditional methods are not viable.

Evers

Veterinary Surgery

5

2022

Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

2022-5-VS-evers-1

Article Title: Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

Journal: Veterinary Surgery

In Sandoval 2024 et al., on lung lobectomy technique outcomes, what percentage of self-ligating loop (SLL) procedures had intra- or postoperative complications?

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Correct. All intra- and postoperative complications occurred in stapled cases; no SLL complications were reported.
Incorrect. The correct answer is 0%.
All intra- and postoperative complications occurred in stapled cases; no SLL complications were reported.

🔍 Key Findings

  • Intra- and postoperative complications occurred only in stapled lobectomies, but the difference was not statistically significant (intra: p = .069, post: p = .112).
  • Intraoperative hemorrhage was the most common complication (11.8%), followed by air leakage (2%).
  • All self-ligating loop (SLL) lobectomies had zero complications (n=18), though the sample was small.
  • Postoperative complications included 4 catastrophic events (cardiopulmonary arrest), all in stapled cases.
  • Lung lobectomy technique was not associated with duration of chest tube use, hospitalization, or survival (p > .05).
  • 94.3% of patients survived to discharge (82/87).
  • SLLs are lower-cost and may be more feasible for thoracoscopic/minimally invasive approaches due to smaller port size (5mm vs. 12mm for staplers).
  • A future superiority study would need ≥103 lobectomies per group to assess differences in complication rates.

Sandoval

Veterinary Surgery

7

2024

Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

2024-7-VS-sandoval-1

Article Title: Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

Journal: Veterinary Surgery

In Karydas 2025 et al., on follow-up radiography, what percent of postoperative plans were changed based on clinical and radiographic findings?

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Correct. Out of 139 cases, 23 (17%) experienced a postoperative plan change based on clinical and radiographic indicators.
Incorrect. The correct answer is 17%.
Out of 139 cases, 23 (17%) experienced a postoperative plan change based on clinical and radiographic indicators.

🔍 Key Findings

139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:

  • Owner concerns (OR: 7.6)
  • Analgesic use at follow-up (OR: 7.9)
  • Lameness (OR: 5.9)
  • Abnormal clinical exam (OR: 44.8)
  • Radiographic abnormalities (OR: 51.9)

No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.

Karydas

Veterinary Surgery

2

2025

Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

2025-2-VS-karydas-1

Article Title: Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

Journal: Veterinary Surgery

In Clough 2022 et al., on CBLO-TTT construct testing, which outcome best describes the load-to-failure comparison between CBLO-TTT and CBLO alone?

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Correct. The study showed no significant difference in mean failure loads between CBLO-TTT and CBLO (P = .81).
Incorrect. The correct answer is CBLO-TTT and CBLO had similar load-to-failure values..
The study showed no significant difference in mean failure loads between CBLO-TTT and CBLO (P = .81).

🔍 Key Findings

  • Combined CBLO-TTT did not reduce load to failure compared to CBLO or TTT alone (P = .81 and P = .12, respectively).
  • CBLO-TTT maintains construct strength without significant compromise compared to individual procedures.
  • Most common failure mode in CBLO-TTT was displacement of the tibial crest segment with k-wire pullout and tension band untwisting.
  • No fulcrum effect was seen in CBLO-TTT, unlike TPLO-TTT combinations, likely due to preservation of buttress effect.
  • Patellar ligament avulsion occurred in both CBLO and CBLO-TTT, but not as a clinical concern — possibly artifact from cadaver model.
  • Load-to-failure testing was static and unidirectional, not accounting for cyclic fatigue or in vivo healing.
  • Plate size and saw blade variation were based on clinical realism, introducing potential variability but not affecting outcomes.
  • Study suggests feasibility of simultaneous surgical correction of CCL rupture and MPL using CBLO-TTT in dogs.

Clough

Veterinary Surgery

3

2022

Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

2022-3-VS-clough-1

Article Title: Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

Journal: Veterinary Surgery

In Duffy 2022 et al., on barbed suture oversew, what was the **most common leakage site** among all FEESA groups regardless of suture type?

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Correct. Over 80% of leakage in all groups occurred at the anastomotic crotch, not staple lines or suture holes.
Incorrect. The correct answer is Crotch of the anastomosis.
Over 80% of leakage in all groups occurred at the anastomotic crotch, not staple lines or suture holes.

🔍 Key Findings

  • Oversewing the transverse staple line using barbed suture showed no difference in initial (ILP) or maximum leakage pressure (MLP) compared to monofilament suture (p = .439 and .644).
  • Barbed suture repairs were ~18% faster (25 seconds faster; p < .001) than monofilament suture.
  • No difference was found between unidirectional and bidirectional barbed sutures in leakage resistance or repair time (p = .697).
  • Mean ILP and MLP were significantly higher in control jejunal segments (6.6x and 5.1x greater respectively; p < .001).
  • Leakage consistently occurred at the crotch of the FEESA in all oversew groups (>80%), not the staple line.
  • All oversewn techniques leaked at supraphysiologic pressures, indicating clinical safety against in vivo leakage.
  • No leakage was observed from barbed suture holes, addressing concerns of tissue trauma due to barb design.
  • The study supports barbed suture as a viable alternative to conventional monofilament suture for FEESA oversew in dogs.

Duffy

Veterinary Surgery

5

2022

Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

2022-5-VS-duffy-2

Article Title: Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

Journal: Veterinary Surgery

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