Your Custom Quiz

In Klever 2024 et al., what degree of cranial–caudal pelvic tilt was required before observers consistently perceived images as "tilted"?

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Correct. Only tilt >10° was consistently perceived as visibly tilted (sensitivity 0.76, specificity 1.0)
Incorrect. The correct answer is >10 degrees.
Only tilt >10° was consistently perceived as visibly tilted (sensitivity 0.76, specificity 1.0)

🔍 Key Findings

  • Dorsoventral radiographs artificially increase Norberg angle values by 3.2–5.8% and should be excluded.
  • Lateral pelvic tilt >2° causes asymmetric changes in Norberg angle; >3° results in significant side-specific changes.
  • Cranioventral-to-caudodorsal tilt >10° results in obvious radiographic tilt, but changes Norberg angle by only ~2%.
  • Tilted but subjectively acceptable images have minor impact and may still be usable for screening.
  • Norberg angle readings differed consistently between left/right hips — possibly due to operator handedness.

Klever

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements

2024-1-VCOT-klever-5

Article Title: Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Low 2025 et al., on machine-learning prediction, what was the performance accuracy of the PROSPECT model in predicting *surgical* complications?

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Correct. The model achieved 92.3% accuracy for predicting surgical complications.
Incorrect. The correct answer is 92.3%.
The model achieved 92.3% accuracy for predicting surgical complications.

🔍 Key Findings

  • Postoperative complications occurred in 20% of stifles, including 7.5% minor, 10.3% surgical, and 3.4% medical complications.
  • The PROSPECT machine-learning model achieved high predictive accuracy: 92.3% for surgical complications, 91.9% for minor, and 94.3% for medical.
  • Top predictive features included surgical technique, implant type, patient age, and surgeon identity.
  • Surgeon-specific variables influenced predictions, indicating operator experience and technique matter.
  • Engineered interaction features (e.g., breed × implant) were more predictive than raw clinical data alone.
  • Rottweiler, intact male status, and higher bodyweight were associated with increased complication risk; Labradors had decreased risk.
  • Model calibration was strong, especially for high and low probability predictions; midrange predictions were less reliable.
  • The model supports individualized, probabilistic risk assessment, which could inform client counseling and tailored postoperative care.

PROSPECT = Predicting Risk Of Surgical compli­cations aftEr CCWO and TPLO

Low

Veterinary Surgery

7

2025

Machine‐learning prediction of postoperative complications after high tibial osteotomy for canine cranial cruciate ligament disease

2025-7-VS-low-3

Article Title: Machine‐learning prediction of postoperative complications after high tibial osteotomy for canine cranial cruciate ligament disease

Journal: Veterinary Surgery

In Deprey 2022 et al., on gap fracture implants, what was the failure mode of the LCP constructs under axial compression?

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Correct. The LCP constructs failed by plate bending at the screw holes in compression testing.
Incorrect. The correct answer is Plate bending at open screw holes.
The LCP constructs failed by plate bending at the screw holes in compression testing.

🔍 Key Findings

  • NAS-ILN had significantly greater stiffness in both axial compression and 4-point bending compared to LCP constructs.
  • Ultimate load to failure was significantly higher for NAS-ILN in compression (804 N vs 328 N) and bending (25.7 Nm vs 16.3 Nm).
  • Torsional stiffness and angular deformation were similar, but NAS-ILN resisted higher torque to failure than LCP (22.5 Nm vs 19.1 Nm).
  • No slack was observed with the NAS-ILN construct, unlike older nail designs.
  • Failure modes differed: LCPs failed via plate bending; NAS-ILNs failed at the implant or bone near screw holes.
  • Titanium alloy and curved design of NAS-ILN provides better anatomic fit and more uniform stress distribution.
  • A third, perpendicular locking hole in NAS-ILN may enhance torsional stability but was not utilized in this study.
  • The curved, angle-stable design of NAS-ILN is a novel advancement in veterinary orthopedics.

Deprey

Veterinary Surgery

8

2022

Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

2022-8-VS-deprey-2

Article Title: Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

Journal: Veterinary Surgery

In Carvajal 2023 et al., on serum biomarkers post-THA, what was the significance of including only dogs with uncomplicated THA?

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Correct. The absence of complications allowed the study to generate clean baseline data.
Incorrect. The correct answer is It helped establish reference values in a normal recovery.
The absence of complications allowed the study to generate clean baseline data.

🔍 Key Findings

  • C-reactive protein (CRP) and serum amyloid A (SAA) levels remained low at 3 and 6 months after uncomplicated THA in dogs.
  • No significant differences were observed in CRP or SAA between preoperative, 3-month, and 6-month time points.
  • Mean CRP values were 3.8 mg/L pre-op, 0.8 mg/L at 3 months, and 1.4 mg/L at 6 months.
  • Mean SAA values were 13.9 mg/L pre-op, 14.1 mg/L at 3 months, and 18.4 mg/L at 6 months.
  • All dogs recovered normally with no complications or persistent signs of inflammation at follow-up.
  • Study establishes baseline CRP and SAA levels for dogs post-THA, useful for comparison in suspected PJI.
  • These markers may help differentiate periprosthetic joint infection (PJI) if values deviate from baseline post-THA.
  • NSAID therapy was discontinued by 6 months in all dogs, possibly reflecting decreased inflammation.

Carvajal

Veterinary Surgery

1

2023

Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

2023-1-VS-carvajal-3

Article Title: Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

Journal: Veterinary Surgery

In Hanlon 2022 et al., on short screw sacroiliac fixation, how did screw positioning affect neurovascular safety?

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Correct. All short screws were located lateral to the spinal canal, avoiding this risk entirely.
Incorrect. The correct answer is Short screws terminated lateral to the spinal canal.
All short screws were located lateral to the spinal canal, avoiding this risk entirely.

🔍 Key Findings

  • Two short screws (SLS or SPS) provided >2× peak load, yield load, and stiffness vs a single long screw (LLS) for SI joint stabilization.
  • No mechanical advantage was seen between the two short screw types (lag vs positional).
  • All short screws terminated lateral to the spinal canal, avoiding spinal impingement.
  • Ventral sacral foraminal impingement occurred in 3 short-screw cases (1 SPS, 2 SLS), all involving the caudal screw.
  • LLS group showed more abaxial displacement at osteotomy sites, suggesting inferior stabilization for concurrent pelvic fractures.
  • Short screw constructs had longer total screw length (48 mm) than LLS (40 mm), contributing to increased stiffness.
  • Positioning of caudal screw in a cranial/craniodorsal trajectory may help avoid nerve foraminal injury.
  • No significant difference in displacement at peak load among groups; stiffness and load capacity were the primary benefits.

Hanlon

Veterinary Surgery

7

2022

Mechanical evaluation of canine sacroiliac joint stabilization using two short screws

2022-7-VS-hanlon-3

Article Title: Mechanical evaluation of canine sacroiliac joint stabilization using two short screws

Journal: Veterinary Surgery

In Socha 2024 et al., which structure had the highest mean long T2* (T2*L) value on UTE MRI?

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Correct. The CdCL had the longest mean T2*L value at 7.06 ms, higher than CrCL and PL:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Caudal cruciate ligament.
The CdCL had the longest mean T2*L value at 7.06 ms, higher than CrCL and PL:contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • Normative ultrashort echo time (UTE) MRI T2* values were established for:
    • Patellar ligament (PL): T2*L = 4.65 ms
    • Cranial cruciate ligament (CrCL): T2*L = 5.99 ms
    • Caudal cruciate ligament (CdCL): T2*L = 7.06 ms
  • Statistically significant differences in T2*L values were found between:
    • PL vs. CrCL (p = 0.03)
    • PL vs. CdCL (p = 0.0097)
    • CrCL vs. CdCL (p = 0.03)
  • No significant differences in short T2* (T2*S) values across ligaments.
  • Study highlights potential of UTE MRI to detect early ligament changes even without physical instability.
  • May guide early diagnosis in partial CrCL rupture where standard MRI is limited.

Socha

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Ultrashort Echo Time Quantitative Magnetic Resonance Imaging of the Cruciate Ligaments in Normal Beagles

2024-2-VCOT-socha-1

Article Title: Ultrashort Echo Time Quantitative Magnetic Resonance Imaging of the Cruciate Ligaments in Normal Beagles

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Fink 2025 et al., on Roux-en-Y outcomes, which complication had the **lowest** reported incidence?

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Correct. Bile leakage was not reported in any animal postoperatively, making it the least observed complication.
Incorrect. The correct answer is Bile leakage.
Bile leakage was not reported in any animal postoperatively, making it the least observed complication.

🔍 Key Findings

  • Roux-en-Y procedures were successfully completed in all 11 cases (6 dogs, 5 cats), despite case complexity and disease severity.
  • Median survival post-discharge was longer in cats (365 days) vs. dogs (82 days), with better outcomes in non-neoplastic vs. neoplastic disease (192 vs. 5 days).
  • Complication rate was high, with septic peritonitis, dehiscence, and cardiac arrest as leading causes of postoperative death; mortality rate = 36%.
  • Dehiscence rate was 8.6% (2 of 23 anastomoses), considered lower than typical rates for GI anastomoses in high-risk patients.
  • Feeding tubes (gastrostomy/jejunostomy) were used in all cases, enabling early nutritional support and stomach decompression.
  • Postoperative nausea and vomiting were common but mostly self-limiting; managed with metoclopramide, cisapride, and antiemetics.
  • Choledochojejunostomy was preferred when common bile duct was dilated, offering a favorable size match and potentially reducing bile leakage.
  • Roux-en-Y reduced typical Billroth II complications (e.g., bile reflux, afferent loop syndrome, dumping syndrome), with none observed in discharged patients.

Fink

Veterinary Surgery

5

2025

Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series

2025-5-VS-fink-3

Article Title: Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series

Journal: Veterinary Surgery

In Clarke 2022 et al., on nasopharyngeal collapse severity, what explanation was proposed for lack of improvement in some dogs after surgery?

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Correct. Neuromuscular dysfunction was suggested as a possible reason why some dogs did not show improved nasopharyngeal patency post-op.
Incorrect. The correct answer is Inadequate airway dilator muscle function.
Neuromuscular dysfunction was suggested as a possible reason why some dogs did not show improved nasopharyngeal patency post-op.

🔍 Key Findings

  • Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
  • Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
  • 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
  • All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
  • Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
  • Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
  • Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
  • Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.

Clarke

Veterinary Surgery

6

2022

Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

2022-6-VS-clarke-5

Article Title: Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

Journal: Veterinary Surgery

In Levine 2025 et al., on thoracoscopic pericardiectomy, what was the main efficiency advantage of the ILR approach?

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Correct. ILR had a significantly shorter pericardiectomy time than PDR (p = .045).
Incorrect. The correct answer is Shorter operative time.
ILR had a significantly shorter pericardiectomy time than PDR (p = .045).

🔍 Key Findings

Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)

Approaches:

  • ILR = Intercostal in Left Lateral Recumbency (no OLV required)
  • PDR = Paraxiphoid in Dorsal Recumbency (traditional)

Outcomes:

  • Pericardiectomy time was shorter for ILR (p = .045)
  • Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
  • Visibility and cardiac exposure were superior in PDR group

Feasibility:

  • ILR approach was consistently successful in achieving partial pericardiectomy
  • Bilateral ventilation was adequate; no need for OLV

Clinical relevance:

  • ILR may improve efficiency when paired with TDL
  • PDR remains preferable for cases requiring maximal pericardial resection

Levine

Veterinary Surgery

1

2025

Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

2025-1-VS-levine-3

Article Title: Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

Journal: Veterinary Surgery

In Oramas 2025 et al., on laparoscopic liver lobectomy, what was the median total surgical time?

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Correct. Median total surgical time was 35.5 minutes (range 25.1–62.8).
Incorrect. The correct answer is 35.5 minutes.
Median total surgical time was 35.5 minutes (range 25.1–62.8).

🔍 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-5

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

Journal: Veterinary Surgery

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