Your Custom Quiz

In Power 2022 et al., on liposomal bupivacaine use, what was the overall incidence of short-term incisional complications in dogs?

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Correct. This was the overall complication rate reported, with most complications being mild.
Incorrect. The correct answer is 19.7%.
This was the overall complication rate reported, with most complications being mild.

🔍 Key Findings

  • Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
  • Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
  • No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
  • No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
  • Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
  • Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
  • Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
  • Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.

Power

Veterinary Surgery

4

2022

Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

2022-4-VS-power-1

Article Title: Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

Journal: Veterinary Surgery

In Zann 2023 et al., on proximal humeral OC surgery, what difference was found in shoulder extension in unilaterally affected dogs?

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Correct. Shoulder extension was significantly decreased (P = .013) in the affected limb compared to the contralateral limb.
Incorrect. The correct answer is Decreased extension in affected limb.
Shoulder extension was significantly decreased (P = .013) in the affected limb compared to the contralateral limb.

🔍 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-3

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

Journal: Veterinary Surgery

In Fitzpatrick 2024 et al., on ESF for pelvic fractures in cats, what was reported regarding the need for revision surgery?

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Correct. No revision surgeries (e.g., hip replacement or FHO) were required in this series.
Incorrect. The correct answer is No cases required revision surgery.
No revision surgeries (e.g., hip replacement or FHO) were required in this series.

🔍 Key Findings

  • External skeletal fixation (ESF) was successfully applied to a variety of pelvic fracture types in cats, including sacroiliac luxations and ilial body fractures.
  • All fractures achieved radiographic union within 9 weeks, even in comminuted or complex configurations.
  • No intraoperative or long-term complications were reported during the study period.
  • Implant loosening was observed radiographically in 13% of cases, with 8% of pins found to be loose at frame removal.
  • ESF enabled indirect fracture reduction using components as handles, with a limited open approach minimizing soft tissue disruption.
  • No iatrogenic neurological deficits were observed, supporting safe pin placement near neurovascular structures, although some cats presented with pre-existing neurologic signs.
  • No cases required revision surgery, and all cats underwent stabilization solely with ESF as per study inclusion criteria.
  • Postoperative hospitalization ranged from 2 to 5 days, though no comparison to other fixation types was evaluated.

Fitzpatrick

Veterinary Surgery

7

2024

External skeletal fixation for the treatment of pelvic fractures in cats

2024-7-VS-fitzpatrick-5

Article Title: External skeletal fixation for the treatment of pelvic fractures in cats

Journal: Veterinary Surgery

In Frapwell 2026 et al., on humeral condyle morphology, how did vertical condylar height differ in HIF-affected dogs compared to controls?

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Correct. Lengths a and b (vertical height) were significantly greater in HIF-affected elbows, indicating elongation of the condyle.
Incorrect. The correct answer is Increased medial and lateral heights.
Lengths a and b (vertical height) were significantly greater in HIF-affected elbows, indicating elongation of the condyle.

🔍 Key Findings

  • HIF-affected dogs had significantly greater angle A and B, indicating increased axial articular angulation of the medial and lateral humeral condyle (p < .001).
  • Vertical condylar height (lengths a and b) was significantly greater in HIF-affected dogs compared to controls (p = .007 and p < .001 respectively).
  • Angle G (dorsal plane medial condyle angle) was also significantly greater in HIF-affected dogs, suggesting altered medial humeral morphology (p < .001).
  • The angle between axial surfaces (A–B angle) was significantly more acute in HIF dogs (107.4° vs. 114.2°, p < .001), suggesting potential for increased shear force.
  • Springer Spaniels with HIF showed significantly greater angulation and vertical height than unaffected Springer controls (p < .001 to .007 across variables).
  • Morphological differences persisted across non-spaniel breeds, reinforcing that altered condylar geometry is not breed-restricted.
  • Authors propose that greater condylar angulation contributes to shear stress, orthogonal to the fissure, possibly contributing to HIF pathogenesis.
  • These morphologic alterations could inform future screening or preventive strategies, and may explain variable surgical outcomes and implant failure.

Frapwell

Veterinary Surgery

1

2026

Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure

2026-1-VS-frapwell-3

Article Title: Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure

Journal: Veterinary Surgery

In Morgera 2022 et al., on stifle surgery draping methods, what was the most commonly performed procedure in the study cohort?

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Correct. TTA accounted for over 60% of the procedures in the study.
Incorrect. The correct answer is Tibial tuberosity advancement (TTA).
TTA accounted for over 60% of the procedures in the study.

🔍 Key Findings

  • No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
  • Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
  • Tibial tuberosity advancement (TTA) was the most common procedure (61%).
  • Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
  • Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
  • Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
  • Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
  • Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.

Morgera

Veterinary Surgery

3

2022

Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

2022-3-VS-morgera-4

Article Title: Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

Journal: Veterinary Surgery

In İnal 2025 et al., on feline high-rise trauma, what was the survival rate across all included cats?

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Correct. 354 out of 373 cats survived, giving a 94.9% survival rate
Incorrect. The correct answer is 94.9%.
354 out of 373 cats survived, giving a 94.9% survival rate

🔍 Key Findings

Sample: 373 cats with high-rise syndrome (HRS) from 2017–2020.
ATTS was the only significant predictor of survival (p < 0.001); each point increase decreased survival odds (OR = 0.46).
AUC for ATTS ROC curve: 0.857 (95% CI: 0.788–0.926).
Floor height, lesion type, and ground surface were not significantly associated with survival.
Odds of injury were 7.98× higher when landing on hard vs. soft surface (p < 0.001).
16.96× increased injury risk from the fourth vs. third floor (p = 0.008).
Cats with ATTS ≥7 had 62% mortality; median ATTS increased with floor height (r = 0.244, p < 0.001).
Thoracic and vertebral trauma were most common causes of death.
Only 32% of cats had the “classic” HRS triad (pneumothorax, epistaxis, hard palate fracture).

Inal

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

2025-1-VC-inal-3

Article Title: Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Nagahiro 2023 et al., on quadriceps-femoral mismatch, which MPL grade was associated with significantly shorter quadriceps muscle length relative to femoral length?

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Correct. QML/FL was significantly lower in grade IV compared to grades I–III, indicating a shortened quadriceps muscle in severe MPL.
Incorrect. The correct answer is Grade IV.
QML/FL was significantly lower in grade IV compared to grades I–III, indicating a shortened quadriceps muscle in severe MPL.

🔍 Key Findings

  • Quadriceps muscle length/femoral length ratio (QML/FL) was significantly lower in dogs with grade IV MPL than grades I–III (p ≤ .002).
  • Shortened QML was associated with increased femoral torsion angle (FTA) and increased aLDFA, indicating correlation with femoral deformity.
  • QML/FL increased with age, possibly due to muscular development or reduced deformity in older dogs (p = .004).
  • Grade IV MPL dogs had QML/FL < 0.87, the lower normal limit based on healthy beagles, suggesting clinically significant muscle shortening.
  • PLL/PL ratio (used to diagnose patella alta) was not associated with QML/FL or MPL severity in small breeds.
  • QML/FL can help preoperatively identify candidates for femoral shortening ostectomy, improving femoropatellar alignment.
  • Multivariate regression model confirmed QML/FL is independently influenced by age, FTA, and aLDFA (R² = 0.45).
  • CT-based 3D measurements enabled objective, noninvasive quantification of femoral and muscle alignment parameters.

Nagahiro

Veterinary Surgery

4

2023

Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation

2023-4-VS-nagahiro-1

Article Title: Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation

Journal: Veterinary Surgery

In Klever 2024 et al., which statement about evaluating Norberg angle on laterally tilted radiographs is correct?

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Correct. Though values may counterbalance, averaging should not be used clinically
Incorrect. The correct answer is Norberg angles may balance but averaging is not advised.
Though values may counterbalance, averaging should not be used clinically

🔍 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-3

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Rocheleau 2025 et al., on infected total hip replacements, what was the overall infection resolution rate following arthroscopic management?

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Correct. Seven out of eight dogs (87.5%) experienced successful infection resolution.
Incorrect. The correct answer is 87.5%.
Seven out of eight dogs (87.5%) experienced successful infection resolution.

🔍 Key Findings

Study Design: Case series of 8 dogs with confirmed or suspected PJI after total hip replacement (THR)
Dogs were categorized into:

  • Curative intent (CI) group (n=5): short-duration infections, implant retention attempted
  • Non-curative intent (NCI) group (n=3): chronic infections, implants scheduled for removal or revision

Success Rate: 7 of 8 dogs had infection resolution, including 4 of 5 in the CI group
Sampling sensitivity:

  • Arthroscopic culture success was 80% in the CI group but only 33% in the NCI group
  • All explanted implants from NCI group yielded positive cultures

Common isolates: Staphylococcus pseudointermedius (including MRSP), S. epidermidis, Stenotrophomonas maltophilia, and E. coli
Ancillary treatments included:

  • Partial synovectomy, high-volume lavage (5–10 L), biofilm-depleting lavage, and/or amikacin-impregnated calcium sulfate beads

Mean follow-up: >1 year (mean 812 days); no signs of recurrence in successfully treated cases
Conclusions: Arthroscopic management of THR infections is feasible and effective in appropriately selected dogs. Success aligns with human literature when infection type is favorable (Type 1, 3, 4). Sensitivity of arthroscopic culture is higher in early/acute infections.

Rocheleau

Veterinary Surgery

4

2025

Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases

2025-4-VS-rocheleau-1

Article Title: Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases

Journal: Veterinary Surgery

In Wylie 2025 et al., on femoral implant accuracy, what is true regarding the simplified pivot shift grading system introduced in the study?

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Correct. The simplified system uses 2 grades: grade 1 = glide, grade 2 = clunk, aiding intraoperative assessment of rotational instability.
Incorrect. The correct answer is It differentiates between “glide” and “clunk” types of instability.
The simplified system uses 2 grades: grade 1 = glide, grade 2 = clunk, aiding intraoperative assessment of rotational instability.

🔍 Key Findings

  • Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
  • Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
  • Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
  • SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
  • Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
  • No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
  • Minor and major complications were low and not significantly different between implant types.
  • A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.

Wylie

Veterinary Surgery

7

2025

Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

2025-7-VS-wylie-5

Article Title: Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

Journal: Veterinary Surgery

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