Your Custom Quiz

In Geier 2022 et al., on smoke evacuation in TPLO, what level of protection do standard surgical masks provide against ultrafine surgical smoke particles?

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Correct. Standard surgical masks are not designed to filter particles below 5 μm, offering minimal protection against surgical smoke.
Incorrect. The correct answer is Only protection against particles >5 μm.
Standard surgical masks are not designed to filter particles below 5 μm, offering minimal protection against surgical smoke.

🔍 Key Findings

  • Use of smoke evacuators reduced ultrafine particle concentrations by 56.4% during approach to the proximal tibia for TPLO in dogs.
  • Mean intraoperative particle concentrations were significantly higher in surgeries without smoke evacuation (1352 ppc vs. 763 ppc, P < .0001).
  • Maximum particle concentrations were six times higher without smoke evacuation (62,450 ppc vs. 10,100 ppc, P < .0001).
  • Particle counts increased above baseline regardless of evacuator use, confirming electrosurgery contributes substantially to airborne particles.
  • Surgeons noted reduced odor and health concerns when using the smoke evacuator, despite initial visibility limitations due to pencil attachment.
  • Standard surgical masks do not protect against ultrafine particles, underscoring the importance of smoke mitigation systems.
  • The smoke-evacuation unit did not eliminate all ultrafine particles, suggesting optimization (e.g., higher power setting) may be beneficial.
  • This is the first clinical veterinary study to measure surgical smoke reduction using evacuators during TPLO.

Geier

Veterinary Surgery

5

2022

The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs

2022-5-VS-geier-5

Article Title: The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs

Journal: Veterinary Surgery

In Philips 2025 et al., on radiographic IAIP detection, what was the reported sensitivity and specificity of radiography?

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Correct. Radiography showed high sensitivity (97.2%) but moderate specificity (67.6%) in this study.
Incorrect. The correct answer is 97.2% sensitivity, 67.6% specificity.
Radiography showed high sensitivity (97.2%) but moderate specificity (67.6%) in this study.

🔍 Key Findings

Overall accuracy of radiography to detect IAIP: 77.9%

Sensitivity: 97.2%
Specificity: 67.6%

False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating

Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)

Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)

Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)

No palpable abnormalities (e.g., crepitus) observed during ROM for any group

No significant difference in detection by specialty field or reviewer qualification

Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases

Philips

Veterinary Surgery

3

2025

Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

2025-3-VS-philips-3

Article Title: Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

Journal: Veterinary Surgery

In Nicetto 2024 et al., what key advantage does TRP offer over traditional trochleoplasty?

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Correct. TRP augments ridge height, avoiding groove cartilage damage typical in trochleoplasty.
Incorrect. The correct answer is Cartilage preservation.
TRP augments ridge height, avoiding groove cartilage damage typical in trochleoplasty.

🔍 Key Findings Summary

  • 48 dogs (60 stifles) underwent custom 3D-printed TRP implantation for patellar luxation
  • 24 treated with TRP alone; 36 with additional procedures (e.g., DFO, TTT)
  • Success rate: 59/60 corrected patellar tracking
  • Functional outcome: 57/60 full function, 2 acceptable, 1 unacceptable
  • Complication rate: 3 total (2 minor, 1 major recurrence)
  • TRP spares cartilage unlike trochleoplasty, offering implant-based ridge augmentation
  • No implant loosening or infection observed

Nicetto

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

2024-2-VCOT-nicetto-3

Article Title: Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Guevara 2024 et al., on implant placement accuracy, what was the rate of acceptable pin placement using 3D-printed guides?

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Correct. The 3DPG group had an acceptable placement rate of 87.5% vs 69.8% in FH group.
Incorrect. The correct answer is 87.5%.
The 3DPG group had an acceptable placement rate of 87.5% vs 69.8% in FH group.

🔍 Key Findings:

  • Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
  • Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
  • Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
  • Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
  • Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
  • Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
  • Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
  • Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.

Guevara

Veterinary Surgery

2

2024

Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

2024-2-VS-guevara-1

Article Title: Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

Journal: Veterinary Surgery

In Stoneburner 2024 et al., on MIS survey results, what was the most commonly performed MIS procedure among respondents?

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Correct. Most surgeons reported laparoscopic ovariectomy/hysterectomy as their most frequent MIS procedure.
Incorrect. The correct answer is Laparoscopic OVE/OHE.
Most surgeons reported laparoscopic ovariectomy/hysterectomy as their most frequent MIS procedure.

🔍 Key Findings

  • The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
  • In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
  • Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
  • Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
  • 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
  • MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
  • The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
  • Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.

Stoneburner

Veterinary Surgery

5

2024

Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

2024-5-VS-stoneburner-2

Article Title: Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

Journal: Veterinary Surgery

In Anderson 2025 et al., on wound drain configurations, which configuration had the highest mean volume of fluid retrieved?

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Correct. Perpendicular configuration achieved the highest fluid retrieval (11.35 ± 6.1 mL), though differences were not statistically significant.
Incorrect. The correct answer is Perpendicular configuration.
Perpendicular configuration achieved the highest fluid retrieval (11.35 ± 6.1 mL), though differences were not statistically significant.

🔍 Key Findings

  • Study Design: Cadaveric model using four large-breed dogs with 10x10 cm full-thickness wounds at four locations (shoulder, thorax, flank, thigh).
  • Configurations Tested: Diagonal, opposite, parallel, and perpendicular placements of wound infusion catheter and JP drain.
  • Fluid Retrieval:
    • No significant difference by configuration (p = .92) or location (p = .32).
    • Perpendicular configuration had the highest mean retrieval (11.35 mL, 56.8% of instilled volume).
    • Flank location had the lowest retrieval (7.2 mL, 35.9%).
  • Surface Area Coverage:
    • Parallel configuration achieved the highest SA coverage (83.4% ± 11.6%, p < .01).
    • Perpendicular was lowest.
  • Leakage:
    • No difference in leakage between configurations (p = .74) or locations (p = .10).
    • Leakage commonly occurred at drain or catheter entry points (93.8% of wounds).
  • Conclusion: Parallel drain configuration optimized fluid dispersion. Infusion-retrieval systems may allow for topical therapy delivery in closed wounds.

Anderson

Veterinary Surgery

2

2025

Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

2025-2-VS-anderson2-2

Article Title: Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

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 Shetler 2022 et al., on radial head OCD, what surgical technique was used after fragment removal?

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Correct. This technique promotes fibrocartilage healing and is standard after OCD flap removal.
Incorrect. The correct answer is Abrasion arthroplasty until bleeding bone exposed.
This technique promotes fibrocartilage healing and is standard after OCD flap removal.

🔍 Key Findings

  • Bilateral radial head OCD lesions were identified in a 6-month-old English Bulldog with elbow lameness.
  • Medial arthroscopic portals allowed only partial visualization of radial head lesions, insufficient for treatment.
  • Lateral arthroscopy portals provided excellent access for fragment removal and abrasion arthroplasty.
  • Histopathology confirmed OCD, showing cartilage degeneration and retained cartilaginous cores.
  • Dog showed complete resolution of lameness and no elbow pain at 5 months post-op.
  • Lesions were caudolateral on the radial head, with discoid elevation of cartilage and clefts.
  • Lateral approach avoids major neurovascular structures, reducing iatrogenic risk.
  • The authors suggest lateral elbow arthroscopy may have broader indications, including for medial compartment disease or synovial biopsies.

Shetler

Veterinary Surgery

8

2022

The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog

2022-8-VS-shetler-4

Article Title: The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog

Journal: Veterinary Surgery

In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had the same single bacterial species cultured at both time points?

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Correct. Only 1 out of 12 dogs (8.3%) had the same single bacteria (Staph schleiferi) at both TECA and dehiscence.
Incorrect. The correct answer is 8.3%.
Only 1 out of 12 dogs (8.3%) had the same single bacteria (Staph schleiferi) at both TECA and dehiscence.

🔍 Key Findings

  • Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
  • In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
  • Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
  • Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
  • Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
  • TECA cultures were not predictive of bacteria at incisional dehiscence.
  • 75% of dogs healed with either medical or surgical management.

Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.

Smith

Veterinary Surgery

3

2025

Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

2025-3-VS-smith-1

Article Title: Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

Journal: Veterinary Surgery

In Guevara 2024 et al., on implant placement accuracy, what was considered an acceptable placement grade using the modified Zdichavsky classification?

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Correct. Grades I and IIa were deemed acceptable; grades IIb, IIIa, and IIIb were unacceptable.
Incorrect. The correct answer is I and IIa.
Grades I and IIa were deemed acceptable; grades IIb, IIIa, and IIIb were unacceptable.

🔍 Key Findings:

  • Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
  • Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
  • Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
  • Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
  • Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
  • Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
  • Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
  • Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.

Guevara

Veterinary Surgery

2

2024

Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

2024-2-VS-guevara-4

Article Title: Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

Journal: Veterinary Surgery

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