Your Custom Quiz

In Lin 2025 et al., on surgical approaches to the radius, which benefit did CLA offer over CMA regarding ulna fracture fixation?

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Correct. CLA permitted ulna fixation via same skin incision, unlike CMA.
Incorrect. The correct answer is CLA allowed shared incision for ulna.
CLA permitted ulna fixation via same skin incision, unlike CMA.

🔍 Key Findings

  • Craniolateral approach (CLA) exposed significantly more radial surface area than craniomedial approach (CMA) (19.4 cm² vs. 13.8 cm²; p = 0.01).
  • Proximal width of exposure was greater in CLA, especially at 12.5% length (P2 level, p = 0.016), aiding plate placement.
  • No significant difference in exposed bone length between approaches.
  • CLA avoided major neurovascular structures, making dissection cleaner and safer proximally.
  • CMA consistently encountered median nerve/artery/vein, complicating proximal exposure.
  • CLA allowed better access to proximal radius for locking plate application, which may benefit MIPO techniques.
  • CLA also enables ulna fixation via the same incision, whereas CMA requires a separate skin incision.
  • Anatomical tilt of the proximal cranial surface favored CLA, requiring less plate contouring than CMA for proper fit.

Lin

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?

2025-3-VCOT-lin-4

Article Title: Does the Craniolateral Approach Provide Better Exposure to the Radius than the Craniomedial Approach for Internal Fracture Fixation in Dogs?

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Nash 2024 et al., on esophageal pH monitoring, how did proximal GER characteristics in nonbrachycephalic dogs compare to those in brachycephalic dogs?

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Correct. Brachycephalic dogs had significantly higher and longer-duration GER, highlighting their risk for complications like aspiration.
Incorrect. The correct answer is Proximal GER was less frequent and shorter in nonbrachycephalic dogs.
Brachycephalic dogs had significantly higher and longer-duration GER, highlighting their risk for complications like aspiration.

🔍 Key Findings

  • Esophageal pH-monitoring was well tolerated in all 35 nonbrachycephalic dogs, with no major adverse events reported.
  • Distal GER occurred in 80% of dogs, but events were typically brief and non-productive; proximal GER occurred in only 39%.
  • Upper reference limits for GER were 2.4 events/hour (distal) and 0.4 events/hour (proximal).
  • Cumulative acid exposure was minimal: upper limits were 2.3% (distal) and 0% (proximal).
  • Comparison with brachycephalic dogs shows significantly higher GER frequency and duration, validating the diagnostic utility of pH monitoring.
  • Transnasal probe placement under light anesthesia was safe and less morbid compared to percutaneous or conscious techniques.
  • No expelled or productive regurgitation occurred, despite some GER events, indicating efficient esophageal clearance in healthy dogs.
  • Diet and fasting duration may affect GER, but these were not controlled variables in this study.

Nash

Veterinary Surgery

8

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

2024-8-VS-nash-5

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

Journal: Veterinary Surgery

In Lomas 2025 et al., on DPO and dorsolateral subluxation, what was the mean DLS score immediately postoperatively?

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Correct. The mean DLS score increased from 36.1% pre-op to 71.4% immediately post-op, indicating improved femoral head coverage.
Incorrect. The correct answer is 71.4%.
The mean DLS score increased from 36.1% pre-op to 71.4% immediately post-op, indicating improved femoral head coverage.

🔍 Key Findings

  • DPO significantly improved femoral head coverage, increasing mean DLS from 36.1% to 71.4% postoperatively (p < 0.001).
  • No significant change in DLS between immediate postoperative and follow-up scans, suggesting stable surgical outcomes over time.
  • Greater plate angle (30°) yielded larger DLS improvement (mean increase: 39.8%) compared to 25° and 20° plates.
  • Only 3 hips had post-op DLS scores <55%, indicating most patients had lower risk of osteoarthritis progression.
  • No correlation found between DLS improvement and age, body weight, or side of surgery, suggesting broad applicability.
  • CT was used for DLS measurement in simulated weight-bearing, improving precision over radiographic methods.
  • Major limitations included small sample size, multiple surgeons, and variable sedation vs anesthesia during imaging.
  • DPO confirmed as effective for reducing dorsolateral subluxation, improving coxofemoral joint congruency in dysplastic dogs.

Lomas

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

2025-2-VCOT-lomas-1

Article Title: The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Rocheleau 2023 et al., on shoulder stabilization, what was the overall targeting accuracy of the intra-articular aiming device (IAD) during shoulder stabilization?

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Correct. Use of the intra-articular aiming device (IAD) resulted in an overall targeting accuracy of 88%.
Incorrect. The correct answer is 88%.
Use of the intra-articular aiming device (IAD) resulted in an overall targeting accuracy of 88%.

🔍 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-2

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

Journal: Veterinary Surgery

In Story 2024 et al., on eTPA osteotomy comparison, which group demonstrated **tibial shortening** as an outcome?

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Correct. Group B (TPLO + CCWO) was the only group associated with tibial shortening (−0.58% change in length).
Incorrect. The correct answer is TPLO + CCWO.
Group B (TPLO + CCWO) was the only group associated with tibial shortening (−0.58% change in length).

🔍 Key Findings

  • Population: 16 dogs (27 tibias), TPA >34°
  • Techniques analyzed:
    • Group A: CBLO + CCWO
    • Group B: TPLO + CCWO
    • Group C: mCCWO
    • Group D: PTNWO
  • Outcomes:
    • All groups achieved post-correction TPA < 14°.
    • Group A: Slight over-correction (mean TPA 10.47°); greatest mechanical axis shift.
    • Group B: Tibial shortening (~0.58%); least mechanical axis shift.
    • Group C: Lowest post-correction TPA (mean 4.76°); under-correction.
    • Group D: High accuracy, minimal shortening (mean 7.09° post).
  • Statistical Significance:
    • Significant differences in tibial length change and mCrDTA (mechanical axis shift) between groups (p <.05).
    • TPA correction accuracy: Group A (1.02), B (0.95), C (0.89), D (0.98).

Story

Veterinary Surgery

1

2024

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

2024-1-VS-story-2

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

Journal: Veterinary Surgery

In Espinel Rupérez 2023 et al., in Arthroscopic-assisted hip toggle stabilization in cats, what was the median total surgical time for AA-HTS?

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Correct. Median surgical time was 46.5 minutes, with ~7 minutes for arthroscopy and ~40 minutes for toggle placement.
Incorrect. The correct answer is 46.5 minutes.
Median surgical time was 46.5 minutes, with ~7 minutes for arthroscopy and ~40 minutes for toggle placement.

🔍 Key Findings

  • 14 joints from 7 cat cadavers underwent AA-HTS successfully.
  • Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
  • Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
  • Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
  • Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
  • 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
  • No neurovascular, intrapelvic, or major periarticular injuries occurred.
  • Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.

Espinel Rupérez

Veterinary Surgery

7

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-7-VS-espinel-5

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

In McLean 2024 et al., why might ECA not have correlated with rock-back in this study?

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Correct. Unlike biomechanical gap models, clinical compression may resist rotational forces from ECA:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Compression across osteotomy reduced interfragmentary motion.
Unlike biomechanical gap models, clinical compression may resist rotational forces from ECA:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 95 TPLO procedures reviewed retrospectively with follow-up radiographs
  • Rock-back defined as increase in tibial plateau angle (TPA) ≥2° from immediate post-op to recheck
  • 21% of stifles (20/95) experienced rock-back
  • Mean ΔTPA among rock-back cases = 3.2° ± 2.6°
  • No implant failures or tibial tuberosity fractures were reported in these cases
  • Plate inclination and exit cut angle (ECA) were not associated with increased risk of rock-back (p = 0.4 and 0.2)
  • Authors hypothesize that compression across osteotomy in vivo may mitigate torsional effects from ECA, unlike in gap-model studies
  • Emphasizes that rock-back is relatively common, even with well-placed implants

Mclean

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

2024-6-VCOT-mclean-5

Article Title: Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Devriendt 2022 et al., on EHPSS blood testing, which **combination** of tests yielded 100% sensitivity for confirming shunt closure?

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Correct. Combinations like SHA with MEGX T15 or SHA with postprandial SBA yielded 100% sensitivity with good specificity.
Incorrect. The correct answer is SHA + postprandial SBA.
Combinations like SHA with MEGX T15 or SHA with postprandial SBA yielded 100% sensitivity with good specificity.

🔍 Key Findings

  • Fasting ammonia (FA) was the most specific test (100%) for confirming EHPSS closure postoperatively.
  • Serum hyaluronic acid (SHA) and MEGX at 15 minutes post-lidocaine were the most sensitive tests (96.9% and 96.2%, respectively).
  • SHA combined with MEGX T15, or with FA or postprandial serum bile acids (SBA), provided 100% sensitivity with good specificity (72.4–82.8%).
  • SHA levels remained elevated in all dogs with persistent shunting, even when other tests were normal.
  • Paired SBA had moderate sensitivity (90%) and variable specificity (89%).
  • The L/MEGX test at 30 min was less useful than at 15 min for assessing closure.
  • Traditional SBA testing showed reduced utility postoperatively; normal values did not rule out persistent shunting.
  • Blood tests improved when combined, but imaging remains essential to definitively confirm EHPSS closure.

Devriendt

Veterinary Surgery

7

2022

Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment

2022-7-VS-devriendt-3

Article Title: Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment

Journal: Veterinary Surgery

In İnal 2025 et al., on feline high-rise trauma, which surface type was associated with significantly higher odds of injury?

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Correct. Cats falling on hard (concrete) surfaces had 7.98× greater odds of injury than those landing on soft surfaces
Incorrect. The correct answer is Concrete.
Cats falling on hard (concrete) surfaces had 7.98× greater odds of injury than those landing on soft surfaces

🔍 Key Findings

Sample: 373 cats with high-rise syndrome (HRS) from 2017–2020.
ATTS was the only significant predictor of survival (p < 0.001); each point increase decreased survival odds (OR = 0.46).
AUC for ATTS ROC curve: 0.857 (95% CI: 0.788–0.926).
Floor height, lesion type, and ground surface were not significantly associated with survival.
Odds of injury were 7.98× higher when landing on hard vs. soft surface (p < 0.001).
16.96× increased injury risk from the fourth vs. third floor (p = 0.008).
Cats with ATTS ≥7 had 62% mortality; median ATTS increased with floor height (r = 0.244, p < 0.001).
Thoracic and vertebral trauma were most common causes of death.
Only 32% of cats had the “classic” HRS triad (pneumothorax, epistaxis, hard palate fracture).

Inal

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

2025-1-VC-inal-4

Article Title: Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Miller 2024 et al., which postoperative complication occurred at a similar frequency between groups?

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Correct. Postoperative aspiration pneumonia occurred rarely and similarly (S: 4, FFP: 5; no significant difference).
Incorrect. The correct answer is Aspiration pneumonia.
Postoperative aspiration pneumonia occurred rarely and similarly (S: 4, FFP: 5; no significant difference).

🔍 Key Findings Summary

  • Sample: 124 dogs (64 S, 60 FFP); French Bulldogs most common (54/124)
  • Pre-op clinical signs: Exercise intolerance (34/124), stertor (22), regurgitation (7), vomiting (12)
  • Operative time (no concurrent procedure): Longer in FFP (75 vs 51 min, p = .02)
  • Anesthetic time: Longer in FFP (111 vs 80 min, p = .02)
  • Anesthetic complications: Similar rates (FFP 50, S 49; p = .30)
  • Post-op regurgitation: 27/124 (S: 17, FFP: 10; p = .18)
  • Post-op aspiration pneumonia: Rare (S: 4, FFP: 5)
  • Major complications: Rare (5/124); 2 dogs euthanized post-op (1 per group)
  • Revision surgery: Needed in 7/124 (3 S, 4 FFP)

Miller

Veterinary Surgery

1

2024

Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

2024-1-VS-miller-3

Article Title: Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

Journal: Veterinary Surgery

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