Your Custom Quiz

In You 2025 et al., on barbed sutures for lung lobectomy, what was the main advantage of barbed sutures compared to traditional sutures?

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Correct. Barbed sutures significantly reduced bronchial ligation time vs traditional sutures (10.7 vs 14.1 minutes, p < .01).
Incorrect. The correct answer is Reduced ligation time.
Barbed sutures significantly reduced bronchial ligation time vs traditional sutures (10.7 vs 14.1 minutes, p < .01).

🔍 Key Findings

  • Barbed sutures showed comparable leakage pressure to traditional sutures and stapling devices (p = .36).
  • No bronchial leaks occurred at physiological pressure (<20 cmH₂O) in any group.
  • Leakage at supraphysiologic pressure (20–80 cmH₂O) occurred in 90% of stapler, 80% of traditional, and 60% of barbed suture closures.
  • Barbed sutures reduced ligation time significantly compared to traditional sutures (10.7 vs. 14.1 minutes, p < .01).
  • Staplers remained fastest, with mean ligation time of 2.4 minutes.
  • No knot failure or suture breakage was observed in barbed or traditional suture groups.
  • Leakage in barbed sutures occurred mostly at the loop effector zone, but remained within acceptable limits.
  • Barbed sutures may offer an effective alternative when staplers are unavailable, impractical, or cost-prohibitive.

You

Veterinary Surgery

7

2025

Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

2025-7-VS-you-2

Article Title: Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

Journal: Veterinary Surgery

In Sisk 2024 et al., which IMN design improvement addresses rotational slack?

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Correct. Angle-stable designs reduce mediolateral “slack” and enhance torsional stability:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Angle-stable interlocking threads.
Angle-stable designs reduce mediolateral “slack” and enhance torsional stability:contentReference[oaicite:3]{index=3}

🔍 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-4

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Scheuermann 2023 et al., on MIPO with 3D-printed bone models, what was the main advantage of using the fracture reduction system (FRS) compared to intramedullary pin (IMP) reduction?

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Correct. FRS procedures required significantly fewer fluoroscopic images (median 7 vs. 26, *P = .001*).
Incorrect. The correct answer is Reduced intraoperative fluoroscopy use.
FRS procedures required significantly fewer fluoroscopic images (median 7 vs. 26, *P = .001*).

🔍 Key Findings

  • Precontoured plates based on 3D-printed femurs produced accurate femoral alignment (median deviations <3 mm or <3° in all planes).
  • Both fracture reduction system (FRS) and intramedullary pin (IMP) methods achieved near-anatomic alignment in cadaveric femoral fractures.
  • FRS required fewer fluoroscopic images (median 7 vs. 26, P = .001), but longer surgical time (median 43 vs. 29 min, P = .011).
  • Sagittal plane alignment: FRS led to mild increased recurvatum (median 2.9°), but still within near-anatomic limits (<5°).
  • Axial alignment: Both groups achieved near-anatomic torsion (<10°), though one IMP case had acceptable (not near-anatomic) alignment.
  • Custom drill guides and FRS improved fluoroscopy efficiency but were cumbersome and time-consuming to use. Authors do not recommend current prototype for clinical use.
  • Clinical significance: 3D printed models allow accurate precontouring, reducing intra-op plate adjustment; custom guides may reduce radiation exposure for the surgical team.

Scheuermann

Veterinary Surgery

7

2023

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

2023-7-VS-scheuermann-1

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 Rocheleau 2023 et al., on shoulder stabilization, which stabilization technique showed a statistically significant reduction in abduction angle postoperatively?

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Correct. Postoperative abduction angles were slightly lower than baseline in the suture-toggle group, suggesting some overtightening.
Incorrect. The correct answer is Suture-toggle.
Postoperative abduction angles were slightly lower than baseline in the suture-toggle group, suggesting some overtightening.

🔍 Key Findings

  • Arthroscopically assisted stabilization with an IAD was feasible in cadaveric canine shoulders using both bone anchor and suture-toggle techniques.
  • Suture-toggle repair was successfully performed in all specimens, while bone anchors could not be deployed in 3/10 shoulders, indicating lower feasibility.
  • Median surgical time was shorter for the suture-toggle group (25.5 min) compared to the anchor group (37.3 min).
  • Postoperative abduction angles returned to baseline in the anchor group, while the suture-toggle group had slightly reduced angles, suggesting possible overtightening.
  • Violation of the articular surface occurred in 2 anchor specimens and 1 suture-toggle specimen, but none were considered likely to be clinically significant.
  • Overall targeting accuracy using the IAD was 88%, supporting its utility in guiding tunnel/anchor placement.
  • CT measurements showed acceptable bone stock and insertion angles, but anchor insertion angles were lower than optimal for mechanical pullout strength.
  • Suture-toggle technique was considered simpler and more consistent, with fewer complications and faster execution than anchor placement.

Rocheleau

Veterinary Surgery

4

2023

Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

2023-4-VS-rocheleau-3

Article Title: Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

Journal: Veterinary Surgery

In Davis 2025 et al., on modified anal sacculectomy, what was the most common complication grade reported postoperatively?

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Correct. Grade 1 complications (minor, self-limiting signs like scooting or inappropriate defecation) occurred in 32% of dogs.
Incorrect. The correct answer is Grade 1.
Grade 1 complications (minor, self-limiting signs like scooting or inappropriate defecation) occurred in 32% of dogs.

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-1

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

In Banse 2022 et al., on skill retention methods, what was the observed benefit of spaced instruction (SI) over massed instruction (MI) in veterinary students?

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Correct. Students in the SI group performed better on the first learned skill than those in the MI group immediately post-training.
Incorrect. The correct answer is Improved performance on the first skill learned.
Students in the SI group performed better on the first learned skill than those in the MI group immediately post-training.

🔍 Key Findings

  • Spaced instruction (SI) improved immediate performance on the first learned skill compared to massed instruction (MI) in both LSU and LMU cohorts.
  • Cognitive load was higher in MI students at LMU, particularly in physical demand, effort, and frustration, while LSU showed no significant cognitive load differences.
  • Skill performance differences disappeared after 2 weeks of supervised practice, regardless of instructional format.
  • Time to complete skills improved over time, but this did not always correlate with improved checklist or global rating scores.
  • Intrinsic cognitive load increased when teaching more complex or related surgical tasks in the same session.
  • Initial skill complexity and prior exposure may influence effectiveness of spaced vs massed instruction.
  • Supervised practice sessions are critical to eliminate initial skill disparities between instructional methods.
  • Massed instruction may still be acceptable if followed by scheduled practice opportunities.

Banse

Veterinary Surgery

7

2022

Teaching veterinary surgical skills: Comparison of massed versus spaced instruction

2022-7-VS-banse-1

Article Title: Teaching veterinary surgical skills: Comparison of massed versus spaced instruction

Journal: Veterinary Surgery

In Banks 2024 et al., which surgical factor was significantly associated with under-correction of TPA?

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Correct. More distal ostectomy placement correlated with higher postoperative TPA (p = .01).
Incorrect. The correct answer is Increased ostectomy distalization.
More distal ostectomy placement correlated with higher postoperative TPA (p = .01).

🔍 Key Findings Summary

  • Study Design: Retrospective study of 100 radiographs using in silico and clinical data
  • Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
  • Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
  • Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
  • Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
  • Increased distalizationgreater under-correction of TPA (p = .01)
  • Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
  • Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA

Banks

Veterinary Surgery

1

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-1-VS-banks-3

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

In Cola 2024 et al., on laparotomy-assisted endoscopy, which outcome was significantly improved in the LAER group compared to the enterotomy group?

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Correct. The LAER group had a shorter hospital stay (median 48 h vs 72 h, p = .006).
Incorrect. The correct answer is Length of hospital stay.
The LAER group had a shorter hospital stay (median 48 h vs 72 h, p = .006).

🔍 Key Findings

  • LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
  • Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
  • LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
  • Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
  • Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
  • No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
  • Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
  • Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.

Cola

Veterinary Surgery

7

2024

Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats

2024-7-VS-cola-2

Article Title: Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats

Journal: Veterinary Surgery

In Isono 2025 et al., on tibial malalignment in MPL, which statistical trend was observed in toy poodles with grade 3 MPL?

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Correct. Toy poodles with grade 3 MPL had higher PTMTA than normals, indicating breed-specific severity.
Incorrect. The correct answer is Significantly higher PTMTA compared to normals.
Toy poodles with grade 3 MPL had higher PTMTA than normals, indicating breed-specific severity.

🔍 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-4

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

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Banks 2024 et al., what patient factor was associated with higher preoperative and postoperative TPAs?

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Correct. Small dogs had significantly higher pre- and postoperative TPAs than large dogs.
Incorrect. The correct answer is Small body size.
Small dogs had significantly higher pre- and postoperative TPAs than large dogs.

🔍 Key Findings Summary

  • Study Design: Retrospective study of 100 radiographs using in silico and clinical data
  • Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
  • Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
  • Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
  • Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
  • Increased distalizationgreater under-correction of TPA (p = .01)
  • Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
  • Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA

Banks

Veterinary Surgery

1

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-1-VS-banks-4

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

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