Your Custom Quiz

In Bilmont 2025 et al., on cup version comparison, what was the typical degree of underestimation when using truncated face version to infer open face version?

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Correct. Open face version consistently exceeded truncated face version by 14–22°, depending on inclination and pelvic extension.
Incorrect. The correct answer is 14–22 degrees.
Open face version consistently exceeded truncated face version by 14–22°, depending on inclination and pelvic extension.

🔍 Key Findings

  • Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
  • Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
  • Truncated face version is an unreliable surrogate for open face version.
  • Accurate interpretation of cup version should include both truncated face version and inclination.
  • Canine 3D pelvic model and CT-based simulation used for all measurements.

Bilmont

Veterinary Surgery

1

2025

Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

2025-1-VS-bilmont-1

Article Title: Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

Journal: Veterinary Surgery

In Chen 2024 et al., on pressure-measurement tools, why is high precision potentially more critical than accuracy when monitoring portal pressures during PSS ligation?

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Correct. Consistent readings help guide decisions about safe occlusion levels despite small bias.
Incorrect. The correct answer is Precision allows reliable comparison of pre- and post-ligation values.
Consistent readings help guide decisions about safe occlusion levels despite small bias.

🔍 Key Findings

  • WMg (water manometer with gauge) was the most accurate and precise pressure measurement device.
  • APT (arterial pressure transducer) was less accurate than WMg but still precise; it differed significantly from the gold standard (WMr).
  • CCT (Compass CT) was the least accurate and precise and differed significantly from the set pressure.
  • Mean differences from set pressure were smallest for WMg (−0.020 cm H2O), moderate for APT (−0.390 cm H2O), and largest for CCT (−1.267 cm H2O).
  • All devices showed excellent interobserver (ICC = 1.000) and intraobserver agreement (ICC range 0.985–0.998).
  • Even though the CCT performed least well, all devices had mean errors ≤1.3 cm H2O, indicating potential clinical utility.
  • WMg or WMr should be preferred in surgical settings due to superior accuracy and precision.
  • Measurement precision is more critical than accuracy during PSS surgery, as a 1 mm Hg (~1.3 cm H2O) increase in portal pressure raises odds of poor outcomes by 9%.

Chen

Veterinary Surgery

4

2024

Accuracy, precision, and interobserver and intraobserver agreements related to pressure-measurement devices

2024-4-VS-chen-3

Article Title: Accuracy, precision, and interobserver and intraobserver agreements related to pressure-measurement devices

Journal: Veterinary Surgery

In Curuci 2024 et al., which of the following statements best describes the complication rate?

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Correct. Only minor complications were noted (2/18), with no revisions or treatments required:contentReference[oaicite:5]{index=5}
Incorrect. The correct answer is Minor complications in 2/18 stifles.
Only minor complications were noted (2/18), with no revisions or treatments required:contentReference[oaicite:5]{index=5}

🔍 Key Findings Summary

  • 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
  • Mean TPA correction: from 39.4° to 6.3°
  • Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
  • Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
  • Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
  • The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO

Curuci

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

2024-6-VCOT-curuci-5

Article Title: Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Williams 2024 et al., on breed effects, which breed exhibited significantly greater hemorrhage, even after normalization?

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Correct. English Bulldogs had significantly higher normalized hemorrhage than other breeds (p = .048).
Incorrect. The correct answer is English Bulldog.
English Bulldogs had significantly higher normalized hemorrhage than other breeds (p = .048).

🔍 Key Findings Summary

  • Design: Prospective, randomized, double-blinded controlled trial
  • Population: 32 brachycephalic dogs undergoing cut-and-sew sharp staphylectomy
  • Groups: Adrenaline + lidocaine (Group A) vs. Lidocaine only (Group NA)
  • Main Findings:
    • Total hemorrhage significantly lower in Group A (median 1.82 g) vs Group NA (7.95 g); p = .013
    • Normalized hemorrhage significantly lower in Group A; p = .021
    • Surgeon-assigned hemorrhage scores significantly lower in Group A; p = .029
    • No adverse effects (tachycardia, hypertension, arrhythmia, etc.) noted from adrenaline use
    • Breed effect: English Bulldogs bled more overall even after normalization
  • Clinical Implication: Adrenaline in nerve blocks reduces hemorrhage without added risk

Williams

Veterinary Surgery

1

2024

Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

2024-1-VS-williams-4

Article Title: Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on femoral MIPO alignment, which reduction system resulted in longer surgical times?

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Correct. FRS procedures were significantly longer than IMP (median 43 vs 29 min; P = .011).
Incorrect. The correct answer is Fracture Reduction System (FRS).
FRS procedures were significantly longer than IMP (median 43 vs 29 min; P = .011).

🔍 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-2-d8236

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 Evers 2023 et al., on needle arthroscopy for meniscal tears, which meniscal structure was significantly harder to probe using needle arthroscopy versus standard arthroscopy?

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Correct. Probing the lateral caudal horn was significantly more difficult with NA (*P* = .0017).
Incorrect. The correct answer is Caudal horn of lateral meniscus.
Probing the lateral caudal horn was significantly more difficult with NA (*P* = .0017).

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for diagnosing medial meniscal tears in dogs with CCLR.
  • NA missed 1 medial and 1 lateral meniscal tear, both nondisplaced and stable.
  • Visibility of all meniscal horns was significantly lower with NA compared to standard arthroscopy (SA) (P < .005 for all horns).
  • Probing the caudal horn of the lateral meniscus was significantly more difficult with NA (P = .0017), though medial horn probing was similar.
  • Mean NA procedure time was 8 ± 3 minutes, significantly shorter than SA (15 ± 9 min, P = .0041).
  • No increase in lameness observed after NA, indicating minimal procedural morbidity.
  • NA was performed under sedation in most dogs, though 10/26 required additional chemical restraint or short anesthesia.
  • NA was most accurate for displaced vertical longitudinal tears, with all 14 correctly identified; one stable tear and a lateral tear were missed.

Evers

Veterinary Surgery

6

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-6-VS-evers-3

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

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 Thomsen 2024 et al., on CT accuracy for liver tumors, which liver lobes showed significantly lower CT localization accuracy?

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Correct. These lobes were significantly more prone to localization errors.
Incorrect. The correct answer is Quadrate and right lateral.
These lobes were significantly more prone to localization errors.

🔍 Key Findings

  • CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
  • Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
  • Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
  • CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
  • Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
  • No significant associations found between histopathologic diagnosis and localization accuracy
  • Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
  • Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best

Thomsen

Veterinary Surgery

7

2024

Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

2024-7-VS-thomsen-2

Article Title: Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

Journal: Veterinary Surgery

In Fink 2025 et al., on Roux-en-Y outcomes, which anastomosis type was preferred when the common bile duct was severely dilated?

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Correct. Choledochojejunostomy was favored due to favorable size match with the intestinal lumen when the CBD was dilated.
Incorrect. The correct answer is Choledochojejunostomy.
Choledochojejunostomy was favored due to favorable size match with the intestinal lumen when the CBD was dilated.

🔍 Key Findings

  • Roux-en-Y procedures were successfully completed in all 11 cases (6 dogs, 5 cats), despite case complexity and disease severity.
  • Median survival post-discharge was longer in cats (365 days) vs. dogs (82 days), with better outcomes in non-neoplastic vs. neoplastic disease (192 vs. 5 days).
  • Complication rate was high, with septic peritonitis, dehiscence, and cardiac arrest as leading causes of postoperative death; mortality rate = 36%.
  • Dehiscence rate was 8.6% (2 of 23 anastomoses), considered lower than typical rates for GI anastomoses in high-risk patients.
  • Feeding tubes (gastrostomy/jejunostomy) were used in all cases, enabling early nutritional support and stomach decompression.
  • Postoperative nausea and vomiting were common but mostly self-limiting; managed with metoclopramide, cisapride, and antiemetics.
  • Choledochojejunostomy was preferred when common bile duct was dilated, offering a favorable size match and potentially reducing bile leakage.
  • Roux-en-Y reduced typical Billroth II complications (e.g., bile reflux, afferent loop syndrome, dumping syndrome), with none observed in discharged patients.

Fink

Veterinary Surgery

5

2025

Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series

2025-5-VS-fink-2

Article Title: Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series

Journal: Veterinary Surgery

In Welsh 2025 et al., on orthogonal plating, which configuration had the highest axial stiffness during static load testing?

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Correct. OP3.0 had the highest stiffness (1772 ± 117 N/mm), showing a clear correlation between implant size and stiffness.
Incorrect. The correct answer is OP3.0.
OP3.0 had the highest stiffness (1772 ± 117 N/mm), showing a clear correlation between implant size and stiffness.

🔍 Key Findings

  • Compared unilateral plating (UP) vs orthogonal plating (OP) with 2.0, 2.4, and 3.0 mm plates (OP2.0, OP2.4, OP3.0).
  • Model: acetal homopolymer (Delrin) rod with 29 mm fixed fracture gap, loaded axially (4–196 N, 90,000 cycles).
  • OP constructs had 2.5–4.1x higher strength and 3.0–4.2x higher stiffness than UP constructs (p < .0002).
  • UP had 3.5–4.1x higher gap strain than OP groups (p < .0075).
  • All OP groups exceeded 1000 N max load before failure (vs 424 N for UP).
  • Greater implant size in OP groups further increased performance.
  • All constructs survived fatigue loading; 3.5 mm plates showed deformation, especially UP; OP plates remained intact.

Welsh

Veterinary Surgery

4

2025

Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

2025-4-VS-welsh-1

Article Title: Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

Journal: Veterinary Surgery

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