Your Custom Quiz

In Marturello 2023 et al., on 3D-printed humeral models, which desktop printer and region combination yielded **the most accurate measurement**?

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Correct. The most accurate measurement was the lateromedial condylar width in the medium-sized humerus using the FDM printer (+0.09 mm).
Incorrect. The correct answer is FDM printer at humeral condyle.
The most accurate measurement was the lateromedial condylar width in the medium-sized humerus using the FDM printer (+0.09 mm).

🔍 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-4

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

Journal: Veterinary Surgery

In Logothetou 2024 et al., on SPF complications, what was the most commonly reported postoperative issue?

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Correct. Wound dehiscence was observed in 35% of cases, making it the most common complication.
Incorrect. The correct answer is Wound dehiscence.
Wound dehiscence was observed in 35% of cases, making it the most common complication.

🔍 Key Findings

  • Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
  • Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
  • Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
  • Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
  • Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
  • Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
  • Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
  • Closure technique did not significantly influence complication severity, though staple use was numerically worse.

Logothetou

Veterinary Surgery

3

2024

Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

2024-3-VS-logothetou-1

Article Title: Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

Journal: Veterinary Surgery

In Espinel Rupérez 2023 et al., in Arthroscopic-assisted hip toggle stabilization in cats, what was the most challenging intraoperative step during AA-HTS in cats?

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Correct. Authors reported toggle passage through the femoral tunnel as the most challenging step, difficult in 6 joints.
Incorrect. The correct answer is Toggle passage through the femoral tunnel.
Authors reported toggle passage through the femoral tunnel as the most challenging step, difficult in 6 joints.

🔍 Key Findings

  • 14 joints from 7 cat cadavers underwent AA-HTS successfully.
  • Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
  • Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
  • Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
  • Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
  • 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
  • No neurovascular, intrapelvic, or major periarticular injuries occurred.
  • Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.

Espinel Rupérez

Veterinary Surgery

7

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-7-VS-espinel-1

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

In Swieton 2025 et al., on portocaval shunts, what percentage of dogs underwent ameroid constrictor placement?

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Correct. 67% of dogs were treated using ameroid constrictor placement to attenuate the shunt.
Incorrect. The correct answer is 67%.
67% of dogs were treated using ameroid constrictor placement to attenuate the shunt.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

  • Good to excellent outcome: 81% (17/21)
  • Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

2025-2-VS-swieton-2

Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

Journal: Veterinary Surgery

In Perry 2025 et al., on I-Loc fracture fixation, what technical recommendation was emphasized for tibial fractures?

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Correct. Prebending tibial nails was recommended to maintain alignment and avoid increased tibial plateau angle.
Incorrect. The correct answer is Prebend the nail to follow recurvatum.
Prebending tibial nails was recommended to maintain alignment and avoid increased tibial plateau angle.

🔍 Key Findings

  • High union rate with low complications was achieved using the I-Loc angle-stable interlocking nail across 243 canine long-bone fractures.
  • Mean time to clinical union was 8.3 weeks, faster than many historical plate-rod or non-angle-stable nail reports.
  • Major complications occurred in only 5.3% and minor complications in 9.1% of cases.
  • Most fractures were diaphyseal (75%) and comminuted (62%), demonstrating effectiveness in complex fracture patterns.
  • Ancillary implants were uncommon (21%), mainly used in epi-/metaphyseal fractures or for anatomic reconstruction.
  • Postoperative missed bolt rate was very low (0.94%), reflecting improved targeting accuracy.
  • Open fractures carried a substantially higher risk of SSI and implant removal compared with closed fractures.
  • Prebending of tibial nails was strongly recommended to follow natural recurvatum and avoid iatrogenic alignment errors.

Perry

Veterinary Surgery

8

2025

Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail

2025-8-VS-perry-5

Article Title: Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail

Journal: Veterinary Surgery

In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, what was the most common **histopathologic diagnosis** among the excised pulmonary lesions?

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Correct. Papillary carcinoma was the most frequent histological diagnosis among dogs undergoing TA lung lobectomy.
Incorrect. The correct answer is Papillary pulmonary carcinoma.
Papillary carcinoma was the most frequent histological diagnosis among dogs undergoing TA lung lobectomy.

🔍 Key Findings

  • TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
  • 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
  • Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
  • Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
  • One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
  • Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
  • Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
  • TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.

Scott

Veterinary Surgery

1

2023

Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs

2023-1-VS-scott-1

Article Title: Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs

Journal: Veterinary Surgery

In Nagahiro 2023 et al., on quadriceps-femoral mismatch, what was the reference value for normal QML/FL derived from healthy beagles?

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Correct. The reference QML/FL was 0.87–1.00 based on healthy beagle data. Values below 0.87 were considered abnormal.
Incorrect. The correct answer is 0.87–1.00.
The reference QML/FL was 0.87–1.00 based on healthy beagle data. Values below 0.87 were considered abnormal.

🔍 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-5

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

Journal: Veterinary Surgery

In Kershaw 2025 et al., on PSG vs AD, which directional deviation was more common in screws placed using the aiming device?

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Correct. Screws placed with ADs deviated more cranially and distally than those placed with PSGs.
Incorrect. The correct answer is Cranial and distal.
Screws placed with ADs deviated more cranially and distally than those placed with PSGs.

🔍 Key Findings

  • 3D-printed patient-specific guides (PSGs) significantly improved accuracy of drill hole entry (p < 0.001) and exit (p = 0.044) compared to commercial aiming devices (AD).
  • Zero joint penetrations occurred with PSGs, whereas 3 of 7 AD-guided screws were predicted to penetrate the joint (p = 0.19).
  • Variance in exit point and drill angle was significantly lower in PSG group, suggesting more consistent results.
  • One PSG case failed due to improper guide seating, but this was corrected with improved soft tissue clearance.
  • PSGs enabled safer trajectories despite use by novice surgeons, emphasizing their value in less experienced hands.
  • Drill holes placed with ADs deviated more cranially and distally, increasing the risk of articular violation.
  • Use of PSGs allowed for tighter clustering of drill trajectories, especially in the cranial–caudal axis.
  • Subjective feedback favored PSGs for ease of use and ergonomic design, despite requiring slightly larger incisions.

Kershaw

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus

2025-5-VCOT-kershaw-4

Article Title: Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Paul 2024 et al., on postoperative analgesia with BLIS vs fentanyl in amputation, what effect did BLIS have on postoperative sedation scores compared to fentanyl?

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Correct. 10/20 fentanyl dogs showed sedation vs only 2/20 in BLIS group.
Incorrect. The correct answer is Fentanyl caused greater sedation.
10/20 fentanyl dogs showed sedation vs only 2/20 in BLIS group.

🔍 Key Findings

  • BLIS (bupivacaine liposome injectable solution) provided equivalent analgesia to fentanyl CRI based on CMPS-SF scores at all time points except 6h, where BLIS was superior
  • Fewer adverse effects (nausea, vomiting, sedation) were noted in the BLIS group
  • BLIS dogs ate sooner postoperatively (median 6h vs 9h in control)
  • Sedation occurred in 2/20 dogs in BLIS group vs 10/20 in fentanyl group
  • Vomiting occurred in 0/20 BLIS dogs vs 4/20 in fentanyl group
  • Rescue analgesia rates were similar (5 BLIS vs 4 fentanyl group), confirming noninferiority
  • Owner-reported VAS scores were lower for BLIS on day 1 a.m. and p.m. despite variability
  • Results suggest BLIS could reduce opioid reliance post-amputation

Paul

Veterinary Surgery

6

2024

Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

2024-6-VS-paul-5

Article Title: Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

Journal: Veterinary Surgery

In Bounds 2023 et al., on feline hip arthroscopy, which statement best describes feasibility of hip arthroscopy in cats with DJD?

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Correct. The two DJD hips showed no difference in arthroscopic access or visibility.
Incorrect. The correct answer is Feasible with comparable visualization to normal hips.
The two DJD hips showed no difference in arthroscopic access or visibility.

2023-8-VS-bounds-5

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