Your Custom Quiz

In Fracka 2024 et al., on perioperative risk factors, what factor was present only in dogs with complications but excluded from the final model due to statistical instability?

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Correct. All dogs with prior aspiration pneumonia had complications, but it was not in the model due to instability.
Incorrect. The correct answer is History of aspiration pneumonia.
All dogs with prior aspiration pneumonia had complications, but it was not in the model due to instability.

🔍 Key Findings

  • Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
  • Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
  • Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
  • Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
  • History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
  • Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
  • FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
  • Bulldogs comprised 80% of population, with French Bulldogs most common (63%).

Fracka

Veterinary Surgery

4

2024

Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

2024-4-VS-fracka-5

Article Title: Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

Journal: Veterinary Surgery

In Kang 2023 et al., on 3DEP accuracy, what was the maximum acceptable screw intrusion depth into the spinal canal based on design?

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Correct. Drill stoppers were designed to limit screw penetration into the canal to 0.5 mm.
Incorrect. The correct answer is 0.5 mm.
Drill stoppers were designed to limit screw penetration into the canal to 0.5 mm.

2023-8-VS-kang-3

Article Title:

Journal:

In Guénégo 2025 et al., on AMA-based CCWO, what was the postoperative AMA angle achieved in most dogs?

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Correct. The AMA angle was reduced to 0° in most dogs, achieving axis alignment.
Incorrect. The correct answer is .
The AMA angle was reduced to 0° in most dogs, achieving axis alignment.

🔍 Key Findings

  • AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
  • Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
  • All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
  • AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
  • Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
  • Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
  • Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
  • Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.

Guénégo

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

2025-3-VCOT-guenego-1

Article Title: Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Adrian 2024 et al., on feline pelvic fracture stabilization, how did the median sacral index change from immediate postop to follow-up?

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Correct. Pelvic canal narrowing led to a median sacral index decrease of 5.7% at follow-up.
Incorrect. The correct answer is Decreased by ~5.7%.
Pelvic canal narrowing led to a median sacral index decrease of 5.7% at follow-up.

🔍 Key Findings

  • 20 cats with pelvic fractures treated with SOP plates and cortical screws
  • Full function reported in all patients per FMPI follow-up
  • Screw loosening in 3/20 SOP cases; implant removal in 3 cats
  • Median sacral index decrease at follow-up: 5.7%; mostly mild narrowing
  • Complications: 5 major (3 SOP removals, 2 trochanter osteotomy issues); 20 minor
  • SOP plate shown feasible even in challenging configurations; good functional outcomes

Adrian

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

2024-1-VCOT-adrian-3

Article Title: Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Kuvaldina 2023 et al., in Minimally invasive axillary lymphadenectomy in dogs, which technique was used for access in the minimally invasive procedure?

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Correct. A SILS port was used in all cadaveric and clinical endoscopic procedures to enable instrument triangulation.
Incorrect. The correct answer is Single-incision laparoscopic surgery (SILS) port.
A SILS port was used in all cadaveric and clinical endoscopic procedures to enable instrument triangulation.

🔍 Key Findings

  • A minimally invasive endoscopic technique was successfully developed for excisional biopsy of axillary lymph nodes in dogs.
  • The procedure was performed on 4 cadavers (6 limbs) and 3 clinical patients, with no major complications reported.
  • Mean cadaveric time: accessory axillary node 5.1 min; axillary node 33 min. One limb had a double axillary node.
  • In clinical cases, 2/3 were completed endoscopically; one required conversion to open due to node elevation difficulty.
  • Surgical times in clinical cases ranged from 35 to 58 minutes, depending on node accessibility and number.
  • Postoperative morbidity was minimal: no lymphedema, minor seroma or lameness resolved quickly.
  • The SILS port approach enabled effective access, though precise placement was critical to visualization.
  • This is the first reported veterinary endoscopic technique for axillary lymphadenectomy; potential for improved staging and reduced morbidity.

Kuvaldina

Veterinary Surgery

7

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-7-VS-kuvaldina-2

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, what recommendation did the authors make based on safety and accuracy data?

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Correct. Less than 50% accuracy and significant cartilage injury prompted authors to recommend image-guided injections.
Incorrect. The correct answer is Prefer image guidance to improve safety and accuracy.
Less than 50% accuracy and significant cartilage injury prompted authors to recommend image-guided injections.

🔍 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-5

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 Papacella-Beugger 2024 et al., which anatomical limitation required a custom reference array?

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Correct. Human trackers were too large for miniature dogs; a 3D-printed lightweight array was used instead:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Small spinous processes in miniature breeds.
Human trackers were too large for miniature dogs; a 3D-printed lightweight array was used instead:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • Cadaveric study using 3 miniature breed dogs (6 hemipelves) to assess spinal neuronavigation accuracy for lumbar plate fixation
  • 20 screws placed using CBCT-based navigation with real-time tracking
  • 85% (17/20) of screws were safely and accurately placed
  • Median deviation of screw entry points from plan: 1.8 mm
  • All 3 misplaced screws occurred in a single cadaver, attributed to inexperienced drill handling
  • Custom 3D-printed lightweight tracking array was necessary due to small spinous processes in miniature dogs
  • No iatrogenic canal perforations or vertebral damage in any specimen
  • Concludes neuronavigation offers precise, safe placement of spinal implants in small dogs, with minimal anatomic disruption

Papacella

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs

2024-6-VCOT-papacella-beugger-5

Article Title: Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Bresciani 2022 et al., on modified urethrostomy outcomes, what was the long-term continence status of cats post-mPPU?

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Correct. Urinary continence was achieved in all cases by final follow-up without ongoing medication.
Incorrect. The correct answer is Continence was restored fully in all cats.
Urinary continence was achieved in all cases by final follow-up without ongoing medication.

🔍 Key Findings

  • Modified prepubic urethrostomy (mPPU) was effective for managing proximal urethral obstructions in male cats.
  • All 8 cats regained voluntary urination within 24 hours postoperatively.
  • Early urinary incontinence and peristomal dermatitis occurred in all cats but were self-limiting.
  • Two cats (25%) required surgical revision due to stomal obstruction from weight gain and abdominal fat.
  • No intraoperative complications were reported in any of the 8 cats.
  • Follow-up (13–84 months) showed sustained urinary continence and owner satisfaction in all cases.
  • The rectus abdominis muscle tunnel likely increased outflow resistance, minimizing persistent incontinence.
  • Recurrent hematuria and dysuria occurred in 3 cats but were managed conservatively.

Bresciani

Veterinary Surgery

2

2022

Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats

2022-2-VS-bresciani-5

Article Title: Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats

Journal: Veterinary Surgery

In Hawker 2025 et al., on locking head inserts, what effect did LHI have on axial stiffness and displacement?

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Correct. No statistical differences in axial stiffness or deformation were noted between groups.
Incorrect. The correct answer is No significant effect.
No statistical differences in axial stiffness or deformation were noted between groups.

🔍 Key Findings

  • Adding Locking Head Inserts (LHI) to a 3.5-mm LCP had no effect on plate strain, stiffness, or deformation in an open fracture gap model.
  • Peak strain consistently occurred at the Combi-hole over the fracture gap, with values up to ~1837 µε.
  • No significant difference in strain was found across configurations with 0, 3, or 9 LHI (p = 0.847).
  • Construct stiffness and compressive displacement also remained unchanged regardless of LHI count (p = 0.311 and 0.069 respectively).
  • Study contradicted the hypothesis that LHI would reduce strain and increase stiffness under biologic loading.
  • Combi-hole design may limit the efficacy of LHI, as LHI only fill the locking portion, not the compression side where strain peaks.
  • Implant fatigue risk remains highest over unfilled screw holes, especially over fracture sites—confirming previous failure patterns.
  • Surgeons should consider alternative methods to reduce strain when facing high implant load scenarios.

Hawker

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model

2025-4-VCOT-hawker-3

Article Title: The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Bergen 2024 et al., on biliary stent use, what complication occurred only in cats long-term?

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Correct. Only cats developed ascending cholangiohepatitis during long-term follow-up.
Incorrect. The correct answer is Ascending cholangiohepatitis.
Only cats developed ascending cholangiohepatitis during long-term follow-up.

🔍 Key Findings Summary

  • Subjects: 11 animals (8 dogs, 3 cats)
  • Technique: Uncovered balloon-expandable metallic biliary stents (BEMBS)
  • Indications: Cholelithiasis, strictures, neoplasia, cholangiohepatitis, etc.
  • Success: Patency achieved in all animals surviving to discharge
  • Complications:
    • Short-term mortality: 2/11 (1 euthanized for SIRS, 1 unknown)
    • Long-term issues: cholangiohepatitis, choledocholithiasis, stent occlusion (in cats only)
  • Long-term patency:
    • Dogs: median 650.5 days
    • Cats: median 446 days
  • Stent removal possible even after >600 days in some cats
  • Clinical outcome: Viable alternative to plastic stents or cholecystoenterostomy

Bergen

Veterinary Surgery

2

2024

Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)

2024-2-VS-bergen-4

Article Title: Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)

Journal: Veterinary Surgery

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