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In Kang 2024 et al., on sacroiliac fixation strength, what was the primary failure mode for the double 2.3-mm HCS group?

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Correct. Failure was typically within the sacral bone; no screw head pullout noted in HCS group
Incorrect. The correct answer is Cancellous bone failure in sacrum.
Failure was typically within the sacral bone; no screw head pullout noted in HCS group

🔍 Key Findings Summary

  • 20 cats with pelvic fractures treated using locking plates with only cortical screws
  • 28 fractures stabilized (ilium: 17, acetabulum: 6, ischium: 3, pubis: 2)
  • Implants: Primarily 1.5/2.0 mm LCPs or String-of-Pearls plates
  • Major complications in 2/20 cases (10%): sciatic entrapment, malunion requiring THA
  • Minor complications in 2/20 cases (10%): plate impingement, transient lameness
  • Clinical union in all cats by 8 weeks; all cats returned to full function
  • Authors conclude cortical screws alone can provide adequate fixation in feline pelvic fractures if screw purchase and bone quality are sufficient

Kang

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

2024-1-VCOT-kang-2

Article Title: Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Scott 2025 et al., on acetabular cup revision, what was a notable complication observed postoperatively in some cases?

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Correct. One case had low-grade infection and osteolysis potentially linked to metal debris.
Incorrect. The correct answer is Osteolysis possibly associated with metallic debris.
One case had low-grade infection and osteolysis potentially linked to metal debris.

🔍 Key Findings

Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)

Revision Indications:

  • 7 luxations (5 ventral, 2 craniodorsal)
  • 1 femoral stem fracture
  • 1 aseptic stem loosening

Implants:

  • 8 BFX cups, 1 Helica; all revised to BFX
  • 7/9 required a larger cup than original

Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted

Complications:

  • 1 recurrent luxation
  • 1 low-grade infection with possible metallic debris-associated osteolysis
  • 2 femoral fissures managed intraoperatively

Outcomes:

  • Good to excellent function in 6/6 dogs available at median 621 days
  • Minimal complications with success in re-osteointegration of new cup

Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing

Scott

Veterinary Surgery

3

2025

Revision of osteointegrated acetabular cup prostheses in nine dogs

2025-3-VS-scott-4

Article Title: Revision of osteointegrated acetabular cup prostheses in nine dogs

Journal: Veterinary Surgery

In Walker 2025 et al., on ventral slot guides, what was the impact on slot position variability when using the 3D guide?

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Correct. Use of the guide cut variability in slot position by more than half.
Incorrect. The correct answer is Reduced from 63% to 29%.
Use of the guide cut variability in slot position by more than half.

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

  • GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
  • FHVS produced significantly shorter slots than intended (p < .01)
  • No difference in surgical time (p = .071)
  • Shape ratio and slot divergence from midline were similar between groups (p > .4)
  • Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

Walker

Veterinary Surgery

3

2025

Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

2025-3-VS-walker-2

Article Title: Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

Journal: Veterinary Surgery

In Kalmukov 2022 et al., on cell salvage efficacy, what was a noted potential **benefit** of cell salvage over allogeneic transfusion in dogs?

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Correct. Cell salvage removes leukocytes, potentially reducing transfusion reactions.
Incorrect. The correct answer is Removal of leukocytes, reducing cytokine-mediated effects.
Cell salvage removes leukocytes, potentially reducing transfusion reactions.

🔍 Key Findings

  • Direct suction salvaged more red blood cell mass (rbcM) than swab washing: 88.43% vs 84.74% (p = .015)
  • Swab washing still achieved high recovery (84.74%), making it a viable adjunct when suction is not possible
  • No significant difference in post-salvage PCV between methods (~34% for Su and ~33.9% for Sw)
  • Total salvaged blood volume was significantly higher using direct suction (143 mL vs 139.8 mL; p < .001)
  • Leukocytes are removed during salvage, potentially lowering risk of cytokine-mediated transfusion reactions
  • Expired pRBCs were used, but device still achieved high RBC recovery, supporting clinical utility
  • Swab washing via manual agitation may cause more RBC destruction than direct suction
  • Cell salvage may avoid complications of allogeneic transfusions, like storage lesions and immunologic reactions

Kalmukov

Veterinary Surgery

8

2022

Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

2022-8-VS-kalmukov-5

Article Title: Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

Journal: Veterinary Surgery

In Neal 2023 et al., on transcondylar screw placement, which method had lower screw eccentricity on the humeral condyle?

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Correct. Fluoroscopy achieved significantly better screw centering on the condyle (3.1 mm vs 4.2 mm, p = .0017).
Incorrect. The correct answer is Fluoroscopy.
Fluoroscopy achieved significantly better screw centering on the condyle (3.1 mm vs 4.2 mm, p = .0017).

🔍 Key Findings

  • Aiming device provided comparable trajectory accuracy to fluoroscopy, especially in right limbs (1.9° vs. 3.4°, p = .0128).
  • Eccentricity (deviation from condylar center) was lower with fluoroscopy (3.1 mm vs 4.2 mm, p = .0017), making fluoroscopy more precise.
  • Odds of joint infringement were 8× higher with the aiming device, though not statistically significant (p = .0575).
  • Residents had greater screw trajectory deviation than diplomates (p = .0366), highlighting impact of experience.
  • Aiming device procedures took less time than fluoroscopy in some scenarios, particularly for right limbs with right-handed surgeons.
  • Fluoroscopic procedures had more pin/drill attempts, increasing risk of glove puncture and potential aseptic breaks.
  • Mean deviation angles in both groups (<3.5°) were within acceptable range to avoid intracondylar fracture gap.
  • Cadaver model used large-breed, healthy adult dogs, not small-breed immature dogs, limiting generalizability.

Neal

Veterinary Surgery

4

2023

The effect of an aiming device on the accuracy of humeral transcondylar screw placement

2023-4-VS-neal-2

Article Title: The effect of an aiming device on the accuracy of humeral transcondylar screw placement

Journal: Veterinary Surgery

In Matz 2022 et al., on stapler size comparison, what was the primary location of leakage observed in nearly all specimens?

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Correct. Leakage was noted at the staple line in 23 of 24 specimens, supporting its primary role in integrity testing.
Incorrect. The correct answer is At the staple line.
Leakage was noted at the staple line in 23 of 24 specimens, supporting its primary role in integrity testing.

🔍 Key Findings

  • No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
  • All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
  • Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
  • Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
  • No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
  • Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
  • One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
  • Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.

Matz

Veterinary Surgery

4

2022

Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

2022-4-VS-matz-2

Article Title: Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

Journal: Veterinary Surgery

In Cruciani 2025 et al., on portal placement, how often was complete fragment removal achieved?

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Correct. Complete removal was achieved in 17 of 19 joints using the modified ipsilateral portal technique.
Incorrect. The correct answer is 17 of 19 cases.
Complete removal was achieved in 17 of 19 joints using the modified ipsilateral portal technique.

🔍 Key Findings

  • Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
  • Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
  • Outcomes:
    • Good to excellent mid-to-long-term outcomes in 11/14 dogs.
    • Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
    • Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
    • No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
  • Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
  • Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
  • Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).

Cruciani

Veterinary Surgery

1

2025

A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

2025-1-VS-cruciani-5

Article Title: A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

Journal: Veterinary Surgery

In Redolfi 2024 et al., what was the most common major complication observed after TPLO-TTT?

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Correct. Surgical site infections occurred in 3/24 stifles; the most frequent major complication
Incorrect. The correct answer is Surgical site infection.
Surgical site infections occurred in 3/24 stifles; the most frequent major complication

🔍 Key Findings Summary

  • Study of 24 stifles in 22 dogs with concurrent CCLR and grade III–IV MPL treated via TPLO-TTT
  • Major complications: 4/24 (3 surgical site infections, 1 MPL reluxation); minor complications: 5/24
  • Long-term follow-up (median 27 months): 21/22 dogs sound, 23/24 stifles resolved
  • Patellar ligament thickening observed post-op in 4 cases, resolved with rehab
  • The only case of MPL reluxation involved untreated tibial torsion, suggesting case selection is critical

Redolfi

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

2024-1-VCOT-redolfi-2

Article Title: Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

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 Fracka 2023 et al., on patient-specific guides, what best describes the effect of PSGs on sagittal plane alignment of femoral cuts?

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Correct. PSGs significantly improved sagittal alignment of both distal and cranial femoral cuts (p = .018, p = .043).
Incorrect. The correct answer is Significant improvement in both cranial and distal cuts.
PSGs significantly improved sagittal alignment of both distal and cranial femoral cuts (p = .018, p = .043).

🔍 Key Findings

  • 3D-printed patient-specific guides (PSGs) improved tibial cut alignment in the frontal plane compared to generic guides (mean error 1.03° vs 2.41°, p = .036).
  • All tibial cuts using PSGs were within 3° of target alignment, while 2/8 of the generic group were outliers.
  • PSGs significantly improved sagittal alignment of both distal (p = .018) and cranial (p = .043) femoral cuts.
  • No significant difference was found in varus-valgus femoral alignment or closing angle between PSG and generic guide groups.
  • Tibial sagittal slope alignment was not significantly different between groups.
  • PSGs provided better intraoperative usability, including improved visibility, no loosening, and ease of use.
  • Femoral sizing and component fit were equivalent between PSGs and generic guides, ensuring proper prosthesis alignment.
  • PSGs may offer training advantages for novice surgeons, especially in anatomically complex or deformed joints.

Fracka

Veterinary Surgery

5

2023

3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement

2023-5-VS-fracka-2

Article Title: 3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement

Journal: Veterinary Surgery

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