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In de Moya 2023 et al., on FGPP of femoral capital physeal/neck fractures, which major complication was reported following FGPP?

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Correct. One dog developed an intra-articular pin, requiring revision and ultimately FHO.
Incorrect. The correct answer is Intra-articular pin placement.
One dog developed an intra-articular pin, requiring revision and ultimately FHO.

🔍 Key Findings

  • 11 dogs, 13 fractures (mostly Salter-Harris type I) were repaired with FGPP using Kirschner wires.
  • 10/13 fractures achieved satisfactory healing with good limb function at ~43 days median follow-up.
  • Major complications occurred in 5 dogs: intra-articular pin placement, implant migration (2), implant failure with nonunion, and malunion.
  • 2 dogs presenting >15 days post-injury with radiographic remodeling were poor candidates → higher risk of nonunion/malunion.
  • Preoperative displacement was mostly mild (10/13 fractures); these had better outcomes than chronic or severely displaced cases.
  • Median surgical time: 60 minutes (range 45–75), all performed percutaneously without conversion to open.
  • Elective pin removal was performed in 5 cases; migration occurred with both short and long cut wires.
  • Femoral neck resorption (“apple-coring”) was rare (2/10 healed cases) and thought to be less frequent than after ORIF due to reduced vascular disruption.

de Moya

Veterinary Surgery

7

2023

Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-7-VS-demoya-4

Article Title: Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

In Oramas 2025 et al., on laparoscopic liver lobectomy, what factor was strongly correlated with increased lobectomy time?

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Correct. A strong positive correlation was found between lobectomy time and liver lobe weight (r = .73, p = .004).
Incorrect. The correct answer is Weight of the liver lobe.
A strong positive correlation was found between lobectomy time and liver lobe weight (r = .73, p = .004).

🔍 Key Findings

  • 13 cadaver dogs underwent laparoscopic right lateral liver lobectomy in sternal recumbency using a transdiaphragmatic intrathoracic trocar (ITT).
  • All lobectomies were successful, regardless of dog size.
  • Median total surgical time: 35.5 min; median lobectomy time: 18.5 min.
  • ITT port enhanced visualization and access to hilus.
  • No correlation between body weight and hilus access (p = .78).
  • Stronger correlation between liver lobe weight and lobectomy time (r = .73, p = .004).
  • Complication in 3/13 cases: Loss of insufflation due to balloon-tip port failure and pneumothorax.
  • Recommendation: Use a new balloon trocar per case in clinical applications to prevent failure.

Oramas

Veterinary Surgery

4

2025

Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population

2025-4-VS-oramas-2

Article Title: Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population

Journal: Veterinary Surgery

In Davies 2024 et al., on lymphaticovenous anastomosis, what is the proposed advantage of creating a TD to AV anastomosis over traditional TD ligation and cisterna chyli ablation?

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Correct. TD to AV connection reduces stimulus for collateral formation and may prevent leakage.
Incorrect. The correct answer is Direct lymphatic drainage to central veins.
TD to AV connection reduces stimulus for collateral formation and may prevent leakage.

🔍 Key Findings

  • Lymphaticovenous anastomosis (TD to AV) was successfully performed in all 8 feline cadavers using a microvascular anastomotic coupler (MAC).
  • Anastomotic patency was confirmed intraoperatively and postoperatively in 7/8 cats via contrast lymphography or retrograde venography.
  • Dissection and anastomosis took a median of 120 minutes, with minimal technical complications.
  • A 1.5 mm MAC was used in 6 cats, and a 2.0 mm in 2 cats; TD diameter ranged 1.0–1.5 mm, AV up to 2.25 mm.
  • Challenges included vessel twisting and luminal patency issues, resolved intraoperatively with minor adjustments (e.g., repeat pinning, tacking suture).
  • MAC use eliminated need for hand-suturing, lowering skill demands but requiring precise alignment.
  • Technique provides direct lymphatic-to-venous drainage, potentially reducing the stimulus for collateral vessel formation.
  • May serve as a future treatment option for feline idiopathic chylothorax, warranting further in vivo studies.

Davies

Veterinary Surgery

7

2024

Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

2024-7-VS-davies-5

Article Title: Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

Journal: Veterinary Surgery

In Redolfi 2024 et al., which complication was **not** observed in the TPLO-TTT cohort?

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Correct. No tibial tuberosity fractures occurred in any of the 24 stifles
Incorrect. The correct answer is Tibial tuberosity fracture.
No tibial tuberosity fractures occurred in any of the 24 stifles

🔍 Key Findings Summary

  • Study of 24 stifles in 22 dogs with concurrent CCLR and grade III–IV MPL treated via TPLO-TTT
  • Major complications: 4/24 (3 surgical site infections, 1 MPL reluxation); minor complications: 5/24
  • Long-term follow-up (median 27 months): 21/22 dogs sound, 23/24 stifles resolved
  • Patellar ligament thickening observed post-op in 4 cases, resolved with rehab
  • The only case of MPL reluxation involved untreated tibial torsion, suggesting case selection is critical

Redolfi

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

2024-1-VCOT-redolfi-3

Article Title: Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Danielski 2024 et al., on PUO effect on HIF, what was one proposed biomechanical outcome of PUO regarding the anconeal process?

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Correct. The study confirmed cranio-proximal displacement of the anconeal process following PUO.
Incorrect. The correct answer is It displaced cranio-proximally toward the supratrochlear foramen.
The study confirmed cranio-proximal displacement of the anconeal process following PUO.

🔍 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-5

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

Journal: Veterinary Surgery

In Cortina 2023 et al., on modified TTT outcomes for MPL in dogs, how did the complication rate of the m-TTT compare to historical methods?

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Correct. The overall complication rate (19.6%) was lower than historical reports (up to 48%), with major complications at only 4.3%.
Incorrect. The correct answer is Markedly lower overall complications.
The overall complication rate (19.6%) was lower than historical reports (up to 48%), with major complications at only 4.3%.

🔍 Key Findings

  • m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
  • Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
  • Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
  • Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
  • Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
  • All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
  • Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
  • Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.

Cortina

Veterinary Surgery

5

2023

Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs

2023-5-VS-cortina-4

Article Title: Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs

Journal: Veterinary Surgery

In Lhuillery 2022 et al., on GDV stabilization timing, which variable was significantly associated with increased in-hospital and 1-month mortality?

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Correct. Elevated lactate at 24h was the only variable significantly linked to worse survival outcomes.
Incorrect. The correct answer is Hyperlactatemia 24 hours post-fluid therapy.
Elevated lactate at 24h was the only variable significantly linked to worse survival outcomes.

🔍 Key Findings

  • Survival rates did not differ between immediate (90 min) and delayed (≥5 h) surgical stabilization groups at discharge or 1-month post-op (approx. 80% survival in both).
  • Hyperlactatemia at 24 hours post-fluid therapy was significantly associated with in-hospital and 1-month mortality (P = .01 and P = .02).
  • Persistent tachycardia during hospitalization was linked to increased 1-month mortality (P = .015).
  • Partial gastrectomy was required in ~6–10% of cases, with high associated mortality.
  • Preoperative stabilization protocols (trocarization, nasogastric tube) allowed safe surgical delays up to 13.7 hours without impacting survival.
  • Degree of gastric torsion differed between groups; more 0° torsions in delayed cases, potentially due to decompression-induced derotation.
  • No difference in post-op complications such as arrhythmias, hypotension, or AKI between groups.
  • More intra-anesthetic deaths occurred in immediate surgery group, highlighting importance of adequate pre-op stabilization.

Lhuillery

Veterinary Surgery

5

2022

Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

2022-5-VS-lhuillery-2

Article Title: Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

Journal: Veterinary Surgery

In McCarthy 2022 et al., on 3D drill guide accuracy, how did CT and 3D analysis compare in assessing drill angles?

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Correct. A correlation coefficient of r = 0.77 indicated good agreement.
Incorrect. The correct answer is Strong correlation existed between CT and 3D analysis.
A correlation coefficient of r = 0.77 indicated good agreement.

🔍 Key Findings

  • 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
  • No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
  • 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
  • Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
  • 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
  • 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
  • Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
  • The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.

McCarthy

Veterinary Surgery

1

2022

Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

2022-1-VS-mccarthy-4

Article Title: Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

Journal: Veterinary Surgery

In De Moya 2023 et al., on femoral physeal/neck fracture repair, what was the most commonly reported complication of FGPP in this case series?

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Correct. Implant migration was reported in 2 of 5 complication cases, making it the most common.
Incorrect. The correct answer is Implant migration.
Implant migration was reported in 2 of 5 complication cases, making it the most common.

🔍 Key Findings

  • FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
  • Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
  • Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
  • Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
  • Median surgical time was 60 minutes, and no conversions to open surgery were needed.
  • Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
  • One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
  • FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.

De Moya

Veterinary Surgery

6

2023

Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-6-VS-demoya-3

Article Title: Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, which of the following best summarizes the accuracy comparison between SA and ST techniques?

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Correct. SA was 50% accurate; ST was 44% — not statistically different (p = .8).
Incorrect. The correct answer is No significant difference in accuracy.
SA was 50% accurate; ST was 44% — not statistically different (p = .8).

🔍 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-3

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

Journal: Veterinary Surgery

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