Your Custom Quiz

In Fracka 2023 et al., on patient-specific guides, what did NOT significantly differ between PSG and generic guide groups?

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Correct. The locking angle was not significantly different between groups (p = .871).
Incorrect. The correct answer is Femoral component locking angle.
The locking angle was not significantly different between groups (p = .871).

🔍 Key Findings

  • 3D-printed patient-specific guides (PSGs) improved tibial cut alignment in the frontal plane compared to generic guides (mean error 1.03° vs 2.41°, p = .036).
  • All tibial cuts using PSGs were within 3° of target alignment, while 2/8 of the generic group were outliers.
  • PSGs significantly improved sagittal alignment of both distal (p = .018) and cranial (p = .043) femoral cuts.
  • No significant difference was found in varus-valgus femoral alignment or closing angle between PSG and generic guide groups.
  • Tibial sagittal slope alignment was not significantly different between groups.
  • PSGs provided better intraoperative usability, including improved visibility, no loosening, and ease of use.
  • Femoral sizing and component fit were equivalent between PSGs and generic guides, ensuring proper prosthesis alignment.
  • PSGs may offer training advantages for novice surgeons, especially in anatomically complex or deformed joints.

Fracka

Veterinary Surgery

5

2023

3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement

2023-5-VS-fracka-4

Article Title: 3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement

Journal: Veterinary Surgery

In Logothetou 2024 et al., on SPF complications, which anatomic site for SPF reconstruction was associated with the fewest complications?

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Correct. Flaps on the head had significantly fewer complications compared to other regions.
Incorrect. The correct answer is Head.
Flaps on the head had significantly fewer complications compared to other regions.

🔍 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-3

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

Journal: Veterinary Surgery

In Heikkilä 2024 et al., on COPLA scaffold evaluation, what was the key finding at 1.5 years postoperatively?

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Correct. At 1.5 years, both groups had a high prevalence of OA with no significant difference between COPLA and Control shoulders (64% vs. 60%):contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is No significant group differences in OA prevalence.
At 1.5 years, both groups had a high prevalence of OA with no significant difference between COPLA and Control shoulders (64% vs. 60%):contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 22 dogs (36 shoulders) with shoulder OCD randomly assigned to COPLA scaffold (n=19) or Control (n=17) group
  • At 6 months: Significantly fewer dogs in COPLA group had OA (14% vs. 67%; p = 0.019)
  • At 1.5 years: OA prevalence increased in both groups with no significant difference (COPLA: 64%, Control: 60%)
  • HCPI (pain index) increased significantly at 1 week post-op in COPLA dogs only (p = 0.001), but later normalized
  • Static weight-bearing improved only in unilaterally operated COPLA limbs (p = 0.015)
  • One dog in COPLA group had a fragment dislodge requiring arthroscopic removal
  • Overall, COPLA scaffold may provide short-term benefit in OA reduction, but long-term outcomes were similar

Heikkila

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

2024-6-VCOT-heikkila-2

Article Title: Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

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 Pfeil 2024 et al., on fluoroscopic pinning, what was a key advantage of the technique?

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Correct. The minimally invasive technique spares soft tissue, enabling better recovery.
Incorrect. The correct answer is Preserves soft tissue via MIO approach.
The minimally invasive technique spares soft tissue, enabling better recovery.

🔍 Key Findings

  • Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
  • All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
  • Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
  • Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
  • No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
  • Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
  • Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
  • The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.

Pfeil

Veterinary Surgery

5

2024

Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

2024-5-VS-pfeil-4

Article Title: Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

Journal: Veterinary Surgery

In Latifi 2024 et al., on fascial mapping in the canine hindlimb, which fascial type is associated with periosteum and may require ostectomy for inclusion in surgical margins?

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Correct. Type IV fascia is periosteum-associated and often required bone resection (e.g., tibial tuberosity).
Incorrect. The correct answer is Type IV.
Type IV fascia is periosteum-associated and often required bone resection (e.g., tibial tuberosity).

🔍 Key Findings

  • This anatomical study mapped fascial planes of the canine hindlimb and pelvis to aid superficial tumor resection.
  • Type I fascia (discrete sheets) was suitable for deep margins in fascia lata, lateral crus, and gluteal regions.
  • Areas with poor or absent fascia included the ischiorectal fossa, femoral triangle, stifle extensor mechanism, and pes.
  • Type IV fascia associated with periosteum (e.g., patella, tibial tuberosity) required partial ostectomy for inclusion in surgical margins.
  • Nerves at risk during deep dissection included obturator, superficial peroneal, and tibial nerves, particularly in regions with weak fascia.
  • In males, bulbospongiosus muscle could act as a fascial plane but dissection was challenging and potentially hemorrhagic.
  • In females, constrictor vulvae/vestibulae muscles were tightly associated with mucosa, limiting clean resection options.
  • Distal hindlimb resections often lacked a usable fascial plane, suggesting that amputation or adjuvant therapy may be more appropriate.

Latifi

Veterinary Surgery

3

2024

Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis

2024-3-VS-latifi-2

Article Title: Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis

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 Buote 2023 et al., on laparoscopic sleeve gastrectomy in cats, what percentage of cadavers had successful LVSG procedures completed?

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Correct. LVSG was completed successfully in 9 of 10 cadaver cats (90%).
Incorrect. The correct answer is 90%.
LVSG was completed successfully in 9 of 10 cadaver cats (90%).

🔍 Key Findings

  • LVSG was feasible in 9/10 feline cadavers and both live cats, with no intra- or postoperative complications in live cases.
  • Two cadavers developed suspected stenosis due to staple lines too close to the lesser curvature; avoided with orogastric tube placement in later cases.
  • No evidence of gastric leakage in any cadavers (8/10 tested) or live patients after methylene blue leak tests.
  • Mean surgical time was ~110 min cadavers / 115 min live, and 27.6% of stomach mass was resected.
  • Both live cats recovered uneventfully, lost 21–24% body weight over 3 months, and had no GI complications at 6-month follow-up.
  • Orogastric tube and tension on the greater curvature were critical to avoid staple line misplacement or stenosis.
  • No oversew of the staple line was needed, and unreinforced staples showed no leakage in live patients.
  • Future studies needed to assess metabolic outcomes and ideal staple sizing and closure techniques.

Buote

Veterinary Surgery

6

2023

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

2023-6-VS-buote2-1

Article Title: Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, what proportion of SA injections resulted in cartilage injury (IACI)?

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Correct. Half of the SA injections resulted in iatrogenic cartilage injury.
Incorrect. The correct answer is 50%.
Half of the SA injections resulted in iatrogenic cartilage injury.

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-4

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

In Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which procedure consistently under-corrected the tibial plateau angle despite a target TPA of 0°?

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Correct. Group C (mCCWO) aimed for 0° TPA but achieved a mean of 4.76°, reflecting consistent under-correction.
Incorrect. The correct answer is mCCWO.
Group C (mCCWO) aimed for 0° TPA but achieved a mean of 4.76°, reflecting consistent under-correction.

🔍 Key Findings

  • All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
  • Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
  • Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
  • Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
  • Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
  • Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
  • All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
  • Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.

Story

Veterinary Surgery

8

2024

Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

2024-8-VS-story-4

Article Title: Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

Journal: Veterinary Surgery

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