Your Custom Quiz

In Barnes 2024 et al., on knot strength testing, how did increasing the number of throws affect DF knot strength?

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Correct. Increasing throws from 3 to 5 in DF knots did not significantly increase KHC.
Incorrect. The correct answer is No significant change in KHC.
Increasing throws from 3 to 5 in DF knots did not significantly increase KHC.

🔍 Key Findings

  • Double forwarder (DF) knots had significantly higher knot holding capacity (KHC) than square (SQ) and surgeon’s (SU) knots when tied with <6 throws.
  • In 3 USP polyglactin 910, DF knots with 4–5 throws were not significantly stronger than SU knots with 6–8 throws (p > .43).
  • DF knots never unraveled, while SQ and SU knots with 4–5 throws showed substantial unraveling.
  • KHC did not increase in DF knots when throws increased from 3 to 5.
  • Knot volume and weight were significantly higher in DF knots than SQ/SU knots at the same throw count (p < .003).
  • DF knots allow sliding placement, potentially useful in minimally invasive or deep cavity procedures.

Barnes

Veterinary Surgery

2

2024

Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture

2024-2-VS-barnes-3

Article Title: Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture

Journal: Veterinary Surgery

In Chik 2025 et al., on abdominal wall prestretching, what type of complications were most commonly encountered during the study?

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Correct. Gas leakage occurred in 34% of dogs, but was mild and easily resolved; no major anesthetic or surgical complications occurred.
Incorrect. The correct answer is Gas leakage at port sites.
Gas leakage occurred in 34% of dogs, but was mild and easily resolved; no major anesthetic or surgical complications occurred.

🔍 Key Findings

  • Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
  • PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
  • All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
  • Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
  • Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
  • No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
  • Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
  • Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.

Chik

Veterinary Surgery

5

2025

Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

2025-5-VS-chik-5

Article Title: Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

Journal: Veterinary Surgery

In Lederer 2025 et al., on MIPO vs ORPS, which fracture type was more common in dogs treated with MIPO?

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Correct. MIPO was used in 41% of comminuted fractures vs 16% in ORPS (p = .012).
Incorrect. The correct answer is Comminuted fractures.
MIPO was used in 41% of comminuted fractures vs 16% in ORPS (p = .012).

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

  • Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
  • Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
  • Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
  • Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
  • Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

Lederer

Veterinary Surgery

4

2025

Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

2025-4-VS-lederer-2

Article Title: Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

Journal: Veterinary Surgery

In Eskelinen 2025 et al., on Plate–Pin fixation for MPL, what factor significantly increased the risk of complications?

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Correct. Surgical deviations increased complication odds 11.3-fold.
Incorrect. The correct answer is Surgical deviation.
Surgical deviations increased complication odds 11.3-fold.

🔍 Key Findings

  • Plate–Pin TTT fixation resolved MPL in 64/65 stifles with low recurrence (1.5%) and good lameness outcomes postoperatively.
  • Complication rate was 21.5% (14/65 stifles), mostly minor (57%); major issues included pin migration, fracture, or capsular failure.
  • Pin-related issues accounted for 8 of 20 total complications, highlighting implant refinement is needed.
  • No avulsions, TT fixation failures, or luxation recurrence occurred in cases where surgical technique was followed precisely.
  • Surgical deviations increased complication risk 11.3× (p < 0.05), suggesting adherence to protocol is critical.
  • Single-session bilateral MPL surgery had comparable complication rate (3/20) to unilateral surgery (11/45).
  • Screw breakage occurred in 3 cases, suggesting at least 3 screws may be needed for secure TT fixation.
  • Authors suggest temporary pin fixation and later removal may reduce complications, though prospective studies are needed.

Eskelinen

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Outcome and Complications Following Medial Patellar Luxation Corrective Surgery with Tibial Tuberosity Transposition Using a Locking Plate and a Pin Fixation: 45 Unilateral and 20 Single-Session Bilateral Procedures

2025-4-VCOT-eskelinen-2

Article Title: Outcome and Complications Following Medial Patellar Luxation Corrective Surgery with Tibial Tuberosity Transposition Using a Locking Plate and a Pin Fixation: 45 Unilateral and 20 Single-Session Bilateral Procedures

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Sisk 2024 et al., what conclusion did the authors draw regarding reamed versus unreamed IMN in dogs?

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Correct. One study cited showed improved outcomes with limited reaming vs. extensive reaming in dogs:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Limited reaming improved outcomes in canine tibial fractures.
One study cited showed improved outcomes with limited reaming vs. extensive reaming in dogs:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • IMN provides relative stability, resists bending/torsion due to central axis alignment
  • Larger diameter nails = exponentially greater stiffness (∝ D⁴)
  • Trade-off: Larger interlocking holes weaken fatigue strength of the nail
  • Reaming increases contact/stability but has pros/cons:
    • Improves outcomes in closed fractures
    • May reduce endosteal blood flow in thin-walled bones (e.g., cats)
  • Design advances:
    • Angle-stable IMN reduce rotational slack
    • Expandable nails simplify insertion but may compromise removal or compressive load resistance
    • Precontoured nails match bone curvature but lack consistent clinical superiority
  • Material debates continue (e.g., titanium vs. stainless steel vs. magnesium)

Sisk

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine

2024-6-VCOT-sisk-5

Article Title: Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Isono 2025 et al., on tibial malalignment in MPL, what clinical advantage does PTMTA provide over TTA in preoperative assessment?

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Correct. Unlike TTA, PTMTA can be visually estimated during palpation, improving clinical utility.
Incorrect. The correct answer is It can be assessed visually during palpation.
Unlike TTA, PTMTA can be visually estimated during palpation, improving clinical utility.

🔍 Key Findings

  • Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
  • PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
  • Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
  • DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
  • PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
  • Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
  • Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
  • Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.

Isono

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

2025-4-VCOT-isono-3

Article Title: Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Grimes 2022 et al., on PDA rupture risks, what was the overall incidence of PDA rupture during surgical ligation in dogs?

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Correct. The study reported rupture in 20 of 285 dogs, corresponding to a 7.0% incidence.
Incorrect. The correct answer is 7.0%.
The study reported rupture in 20 of 285 dogs, corresponding to a 7.0% incidence.

🔍 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-1

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

Journal: Veterinary Surgery

In Moore 2023 et al., on Divisional outcomes in canine liver mass resection, what impact did TA stapler use have on surgical outcomes in liver mass resection?

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Correct. Use of TA stapler reduced intraoperative complications (19x lower) and postoperative complications (4.4x lower).
Incorrect. The correct answer is Reduced both intraoperative and postoperative complications.
Use of TA stapler reduced intraoperative complications (19x lower) and postoperative complications (4.4x lower).

🔍 Key Findings

  • Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
  • Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
  • Mortality rate was 6.5% overall, with no significant association with liver lobe location.
  • Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
  • Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
  • Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
  • Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
  • Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.

Moore

Veterinary Surgery

4

2023

Association between divisional location and short-term outcome of liver mass resection in 124 dogs

2023-4-VS-moore-3

Article Title: Association between divisional location and short-term outcome of liver mass resection in 124 dogs

Journal: Veterinary Surgery

In Danielski 2024 et al., on PUO effect on HIF, what percentage of elbows demonstrated subjective partial or complete healing on follow-up CT?

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Correct. Subjective healing was observed in 41 out of 51 elbows, amounting to 80.3% of the cases.
Incorrect. The correct answer is 80.3%.
Subjective healing was observed in 41 out of 51 elbows, amounting to 80.3% of the cases.

🔍 Key Findings Summary

  • Sample: 51 elbows from 35 spaniel dogs
  • Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
  • Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
  • Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
  • Complications:
    • Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
    • Minor: 3 cases (5.8%) due to IM pin migration
  • Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
  • PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
  • Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)

Danielski

Veterinary Surgery

2

2024

Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

2024-2-VS-danielski-1

Article Title: Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

Journal: Veterinary Surgery

In İnal 2025 et al., on feline high-rise trauma, which factor was most predictive of nonsurvival?

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Correct. ATTS was the only variable significantly associated with survival; each 1-point increase increased nonsurvival odds by 0.46×
Incorrect. The correct answer is Animal Trauma Triage Score (ATTS).
ATTS was the only variable significantly associated with survival; each 1-point increase increased nonsurvival odds by 0.46×

🔍 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-1

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

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