Your Custom Quiz

In Adair 2023 et al., on urolith removal techniques, which statement about anesthesia and surgery times is accurate?

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Correct. Anesthesia time was significantly shorter in PCCLm; surgery time did not differ significantly.
Incorrect. The correct answer is PCCLm had shorter anesthesia time but similar surgery time.
Anesthesia time was significantly shorter in PCCLm; surgery time did not differ significantly.

🔍 Key Findings

  • PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p < .001)
  • Incomplete urolith removal was similar between PCCLm (11.4%) and OC (20.0%), not statistically significant
  • Anesthesia time was significantly shorter in PCCLm (p < .001), although surgery time was not
  • PCCLm had shorter hospitalization time than OC (median 0 vs 18 hours, p < .001)
  • PCCLm patients were more likely to be discharged the same day (84.7% vs 0%)
  • Surgical site infection/inflammation (SSII) was low in both, with no significant difference (PCCLm: 4.5%, OC: 1.8%)
  • Incision extension in PCCLm significantly increased SSII risk (OR = 18.76, p = .027)
  • More intraoperative complications occurred with PCCLm, though most were minor (22.1% vs 3.4%, p = .021)

Adair

Veterinary Surgery

6

2023

Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

2023-6-VS-adair-5-2697d

Article Title: Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

Journal: Veterinary Surgery

In Adams 2024 et al., on canine tibial plateau fractures, what was the long-term functional outcome for the two cases that completed LOAD questionnaires?

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Correct. Both cases that completed LOAD surveys had excellent scores of 5/52, indicating minimal long-term dysfunction.
Incorrect. The correct answer is Excellent function, LOAD 5.
Both cases that completed LOAD surveys had excellent scores of 5/52, indicating minimal long-term dysfunction.

🔍 Key Findings

  • Tibial plateau fractures (TPF) are rare in dogs, but can be surgically stabilized with good outcomes even in complex trauma cases.
  • Lateral TPFs (Unger type 41-B1) were approached via caudolateral arthrotomy, with elevation of the lateral meniscus for visualization and use of lag screws and K-wires for fixation.
  • Medial TPF (Unger type 41-B2) was addressed via medial parapatellar approach using K-wires and a figure-of-eight tension band.
  • One minor complication occurred: implant yield at 2 weeks in a case with a concurrent fibular fracture, resulting in a 0.8 mm step defect.
  • No major complications were recorded, and all dogs achieved clinical union with full function by 8–10 weeks.
  • Long-term owner-reported outcomes (LOAD scores) were excellent (5/52), indicating minimal osteoarthritis or chronic pain.
  • Concurrent fibular fractures may increase risk of implant failure and should influence implant selection (e.g., considering buttress plating).
  • Arthroscopic-assisted techniques may be applicable in select cases, but open reduction was preferred due to fragment displacement or concurrent injuries.

Adams

Veterinary Surgery

6

2024

Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases

2024-6-VS-adams-4

Article Title: Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases

Journal: Veterinary Surgery

In Grimes 2022 et al., on PDA rupture risks, what was the overall mortality rate following surgical PDA ligation?

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Correct. Only one dog died postoperatively, yielding a 0.4% mortality rate.
Incorrect. The correct answer is 0.4%.
Only one dog died postoperatively, yielding a 0.4% mortality rate.

🔍 Key Findings

  • Rupture occurred in 7.0% of dogs undergoing surgical PDA ligation (20/285).
  • Overall mortality was low (0.4%), with only one death occurring post-rupture.
  • Residual flow occurred in 9.4% of dogs; significantly more common in dogs with rupture.
  • Residual flow odds were not increased when ligation was successfully performed despite rupture.
  • No significant associations between rupture and age, weight, suture size, or dissection technique.
  • Jackson-Henderson and intrapericardial techniques were helpful in managing rupture or fibrosis.
  • Major complications (non-rupture) were rare (1.4%), including pulmonary artery ligation and cardiac arrest.
  • Surgeon preparedness (e.g., hemostatic tools, alternate techniques) was key to successful outcomes.

Grimes

Veterinary Surgery

4

2022

Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

2022-4-VS-grimes-3

Article Title: Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

Journal: Veterinary Surgery

In Kang 2022 et al., on 3D scaffold reconstruction, what was the primary diagnosis confirmed after tumor excision?

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Correct. Histopathology confirmed a well-differentiated variant of parosteal osteosarcoma.
Incorrect. The correct answer is Parosteal osteosarcoma.
Histopathology confirmed a well-differentiated variant of parosteal osteosarcoma.

🔍 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-2

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

Journal: Veterinary Surgery

In Marturello 2023 et al., on 3D-printed humeral models, what clinical application is most **justified by this study’s findings**?

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Correct. High accuracy in the humeral condyle suggests 3D-printed models are ideal for planning articular fracture repairs.
Incorrect. The correct answer is Preoperative fracture reduction of humeral condyle.
High accuracy in the humeral condyle suggests 3D-printed models are ideal for planning articular fracture repairs.

🔍 Key Findings

  • 3D-printed models using desktop printers (FDM, LFS) showed submillimetric accuracy, comparable to or better than industrial-grade PJP printers.
  • Bone size had a greater effect on print accuracy than printer type, especially in proximal humerus regions.
  • The humeral condyle region showed the greatest model accuracy, with mean differences under 0.5 mm, regardless of printer.
  • Models tended to be slightly smaller than cadaveric bones, potentially due to systematic underestimation during printing.
  • FDM printer provided the highest accuracy at the humeral condyle in medium-sized bones (+0.09 mm).
  • LFS printer produced prints faster and more reliably than FDM, although both had comparable dimensional accuracy.
  • Statistically significant differences existed, but all were submillimetric and unlikely to impact surgical outcomes.
  • Desktop printers are suitable for surgical planning, including plate pre-contouring and patient-specific instrumentation.

Marturello

Veterinary Surgery

1

2023

Accuracy of anatomic 3‐dimensionally printed canine humeral models

2023-1-VS-marturello-5

Article Title: Accuracy of anatomic 3‐dimensionally printed canine humeral models

Journal: Veterinary Surgery

In Kalmukov 2022 et al., on cell salvage efficacy, what was the average red blood cell mass (rbcM) recovery percentage?

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Correct. Swab washing recovered an average of 84.74% of rbcM.
Incorrect. The correct answer is 84.7%.
Swab washing recovered an average of 84.74% of rbcM.

🔍 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-2

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

Journal: Veterinary Surgery

In Fracka 2025 et al., on cementless knee replacement, what postoperative improvement in stifle range of motion (ROM) was documented?

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Correct. ROM improved from 90° preoperatively to 120° postoperatively over 6 weeks【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is From 90° to 120°.
ROM improved from 90° preoperatively to 120° postoperatively over 6 weeks【57†Veterinary Surgery†L1-L20】

🔍 Key Findings

Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.

Clinical function:

  • Improved ROM from 90° pre-op to 120° post-op.
  • Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
  • No visible lameness by 14 weeks.

Implant performance:

  • No complications at any follow-up points.
  • No osteolysis, loosening, or metallosis at 6-year necropsy.

Wear evaluation:

  • Mild UHMWPE insert wear, localized to caudal edges.

Histologic findings:

  • Robust osseointegration at implant-bone interface.
  • Fibrous tissue only in areas lacking porous coating.

Conclusion:

  • Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
  • Support for considering early surgical intervention in severe stifle OA.

Fracka

Veterinary Surgery

3

2025

Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

2025-3-VS-fracka-1

Article Title: Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on femoral MIPO alignment, what was a noted limitation of the prototype FRS?

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Correct. Authors noted the system was bulky, time-consuming, and difficult to use clinically in its current form.
Incorrect. The correct answer is It was cumbersome and inefficient.
Authors noted the system was bulky, time-consuming, and difficult to use clinically in its current form.

🔍 Key Findings

  • Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
  • Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
  • Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
  • Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
  • FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
  • Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
  • Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
  • Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.

Scheuermann

Veterinary Surgery

6

2023

Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs

2023-6-VS-scheuermann-5-d2296

Article Title: Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs

Journal: Veterinary Surgery

In Dickson 2024 et al., on VATS for feline chylothorax, which agents were used to visualize the thoracic duct?

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Correct. Methylene blue (11 cats) and ICG (2 cats) were used for duct visualization.
Incorrect. The correct answer is Methylene blue and ICG.
Methylene blue (11 cats) and ICG (2 cats) were used for duct visualization.

🔍 Key Findings

  • Objective: To evaluate outcomes and complications of video-assisted thoracoscopic surgery (VATS) for idiopathic chylothorax in 15 cats.
  • All 15 cats underwent thoracoscopic thoracic duct ligation (TDL); 13 also had simultaneous pericardectomy, 2 had VATS TDL + laparoscopic cisterna chyli ablation (CCA), and 1 cat had an open CCA.
  • Median surgical time was 152.5 minutes (range 60–255).
  • Contrast was used intraoperatively in 13 cats; 11 received methylene blue, and 2 received indocyanine green (ICG).
  • One intraoperative complication (6%) occurred — a minor intercostal artery laceration. Conversion to open surgery occurred in 3 cases (20%) due to visualization issues or bleeding.
  • Postoperative complications occurred in 8 cats (53%), with persistent pleural effusion in 5 cats (33%) being the most common.
  • Mortality was high: 4 cats (27%) died or were euthanized before discharge. Only 7 of 11 cats discharged had resolution of effusion, and recurrence occurred in 1.
  • Authors concluded that while VATS is technically feasible in cats, it did not improve clinical outcomes compared to open surgery, and feline idiopathic chylothorax continues to have a high mortality rate.

Dickson

Veterinary Surgery

5

2024

Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats

2024-5-VS-dickson-4

Article Title: Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats

Journal: Veterinary Surgery

In Scott 2025 et al., on acetabular cup revision, what was the most common indication for revision surgery?

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Correct. Seven of the nine dogs underwent revision due to prosthetic luxation, most commonly ventral.
Incorrect. The correct answer is Luxation.
Seven of the nine dogs underwent revision due to prosthetic luxation, most commonly ventral.

🔍 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-1

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

Journal: Veterinary Surgery

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