Your Custom Quiz

In Wilson 2025 et al., on acetabular measurement accuracy, what was the main drawback of femoral head circle methods?

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Correct. FHC-based methods underestimated cup size by 2.4–3.6 mm.
Incorrect. The correct answer is Underestimated cup size.
FHC-based methods underestimated cup size by 2.4–3.6 mm.

🔍 Key Findings

Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:

  • ACVD/ACOLL (acetabular circle on VD or OLL view)
  • ALVD/ALOLL (acetabular line)
  • FHCVD/FHCOLL/FHCCCHB (femoral head circle)
Findings:
  • Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
  • FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
  • AC and AL methods had low bias (±0.5 mm) and better predictive value.
  • OA severity negatively affected the accuracy of all measurements (p < .05).
  • Highest predictive accuracy was ~49% using ACVD with rounding down protocol.

Wilson

Veterinary Surgery

1

2025

Evaluation of three acetabular measurement methods for total hip replacement in dogs

2025-1-VS-wilson-2

Article Title: Evaluation of three acetabular measurement methods for total hip replacement in dogs

Journal: Veterinary Surgery

In Farrugia 2025 et al., on BODPUO location effects, what was the observed outcome when the osteotomy was placed at 26% of ulna length?

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Correct. More proximal osteotomies (26%) achieved the greatest postoperative change in proximal ulna tilt.
Incorrect. The correct answer is Greatest change in ulna tilt (~18°).
More proximal osteotomies (26%) achieved the greatest postoperative change in proximal ulna tilt.

🔍 Key Findings

  • Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
  • Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
  • Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
  • Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
  • Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
  • Osteotomy length had no significant effect on change in angle.
  • Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
  • No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

Farrugia

Veterinary Surgery

6

2025

Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

2025-6-VS-farrugia-1

Article Title: Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

Journal: Veterinary Surgery

In Case 2024 et al., on feline pancreatectomy, what conclusion was made regarding long-term pancreatic function?

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Correct. Despite a drop in TLI, both endocrine and exocrine function remained clinically adequate long-term.
Incorrect. The correct answer is Function was preserved.
Despite a drop in TLI, both endocrine and exocrine function remained clinically adequate long-term.

🔍 Key Findings Summary

  • Success rate: All 9 cats underwent successful laparoscopic partial pancreatectomy.
  • Complications:
    • 1 minor intraoperative hemorrhage (Grade 1)
    • 1 sterile peritonitis (Grade 2) post-op, resolved conservatively
  • Pancreatic function:
    • fTLI decreased by 37% (p = .03), but stayed within normal limits
    • fPLI and A1C were unchanged
  • Resection details:
    • Mean weight: 3.0 ± 1.4 g
    • Mean surgical time: 59.7 ± 16.2 min
  • Follow-up: 250–446 days — all cats remained clinically healthy
  • Conclusion: Ultrasonic LPP is safe and effective in healthy cats, preserving endocrine/exocrine function

Case

Veterinary Surgery

2

2024

Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats

2024-2-VS-case-4

Article Title: Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats

Journal: Veterinary Surgery

In Lemmon 2025 et al., on synovitis severity scoring, what was concluded about the impact of bucket handle meniscal tears on synovitis severity?

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Correct. Meniscal tears were not significantly associated with synovitis grade.
Incorrect. The correct answer is They had no significant effect.
Meniscal tears were not significantly associated with synovitis grade.

🔍 Key Findings

Synovitis was present in 100% of canine stifles with CCL disease (n = 163).

The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).

Higher synovitis scores were significantly associated with:

  • Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
  • Longer duration of clinical signs (p < .001, OR = 1.27 per month)

Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.

Bucket handle meniscal tears were not associated with synovitis severity.

Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.

Lemmon

Veterinary Surgery

3

2025

Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

2025-3-VS-lemmon-4

Article Title: Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

Journal: Veterinary Surgery

In Farrugia 2025 et al., on BODPUO location effects, which of the following had **no significant association** with change in ulna angle?

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Correct. Osteotomy length did not influence postoperative change in ulna angle after adjusting for osteotomy location.
Incorrect. The correct answer is Osteotomy length.
Osteotomy length did not influence postoperative change in ulna angle after adjusting for osteotomy location.

🔍 Key Findings

  • Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
  • Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
  • Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
  • Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
  • Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
  • Osteotomy length had no significant effect on change in angle.
  • Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
  • No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

Farrugia

Veterinary Surgery

6

2025

Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

2025-6-VS-farrugia-4

Article Title: Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

Journal: Veterinary Surgery

In Espinel Rupérez 2023 et al., on feline hip stabilization, which of the following structures was most at risk of impingement due to excessively ventral toggle placement?

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Correct. The toggle was placed just dorsal to the obturator nerve in all joints, and excessively ventral placement may cause impingement.
Incorrect. The correct answer is Obturator nerve.
The toggle was placed just dorsal to the obturator nerve in all joints, and excessively ventral placement may cause impingement.

🔍 Key Findings

  • Arthroscopic-assisted hip toggle stabilization (AA-HTS) was successfully completed in all 14 feline cadaver joints.
  • Femoral and acetabular tunnel creation was feasible in all cases, though femoral tunnel placement had a higher rate of deviations.
  • Intraoperative complications occurred in 5/14 joints, mostly related to femoral tunnel creation and toggle lodging.
  • Minor articular cartilage injury (<10% total cartilage area) occurred in 10/14 joints, but no injury to neurovascular or intrapelvic structures.
  • Thirteen surgical technique deviations (8 major, 5 minor) were identified in 7 joints, all involving the femoral tunnel.
  • Toggle passage through the femoral tunnel was the most challenging step, being mildly difficult in 6 joints.
  • Postoperative CT and gross dissection confirmed all toggles and buttons were in correct position, without damage to major surrounding structures.
  • No deviations, complications, or cartilage injuries occurred in the last 4 joints, suggesting a learning curve effect.

Espinel Rupérez

Veterinary Surgery

6

2023

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

2023-6-VS-espinel-4

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

Journal: Veterinary Surgery

In Carvajal 2025 et al., on femoral stem breakage, what implant feature was shared by the majority of failed stems?

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Correct. 13 of 14 failed implants were BFX lateral bolt stems, highlighting a common feature among breakages.
Incorrect. The correct answer is Use of BFX lateral bolt stem.
13 of 14 failed implants were BFX lateral bolt stems, highlighting a common feature among breakages.

🔍 Key Findings

Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)

Implant factors:

  • 13/14 were BFX lateral bolt stems (sizes #5–7)
  • +9 necks used in 5/11 of 17 mm heads
  • 10/14 stems undersized based on radiographs
  • 10/13 dogs exceeded weight limits for implanted stem size

Malalignment:

  • 10/14 had varus alignment (median 3.9°)
  • 8/14 had insufficient proximodistal seating

Breakage site: Proximolateral shoulder in all cases

Revision outcomes:

  • 11 revised (7 CFX, 3 larger BFX, 1 collared)
  • 9/10 revised dogs regained full function
  • Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure

Histopathology:

  • Electron microscopy showed fatigue striations and incomplete bead fusion

Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.

Carvajal

Veterinary Surgery

3

2025

Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

2025-3-VS-carvajal-2

Article Title: Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

Journal: Veterinary Surgery

In Rocheleau 2024 et al., on arthroscopic meniscal suturing, what structure was repaired in all cases?

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Correct. All cases involved tears of the caudal horn of the medial meniscus.
Incorrect. The correct answer is Caudal horn of medial meniscus.
All cases involved tears of the caudal horn of the medial meniscus.

🔍 Key Findings

  • Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
  • All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
  • The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
  • No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
  • Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
  • Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
  • The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
  • The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.

Rocheleau

Veterinary Surgery

5

2024

Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

2024-5-VS-rocheleau-1

Article Title: Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

Journal: Veterinary Surgery

In Niida 2024 et al., on surgical residents and TPLO time, what trend was seen across the 3 years of residency training?

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Correct. TPLO duration dropped after YR-1 but remained stable between YR-2 and YR-3.
Incorrect. The correct answer is Improvement plateaued after YR-1.
TPLO duration dropped after YR-1 but remained stable between YR-2 and YR-3.

🔍 Key Findings

  • Resident involvement significantly increased TPLO surgery duration compared to cases performed by faculty surgeons (FS)-only. Residents required 54% more surgery time (GLSM, 153 min) than FS-only cases (GLSM, 99 min), representing a 1.54-fold increase.
  • The study did not report on short-term complication rates. No conclusions can be drawn from this source regarding complications between resident and faculty groups.
  • Bone plate contouring was not evaluated. The source does not provide data regarding contouring frequency or its comparison between groups.
  • Surgery duration significantly decreased after the first year of residency, but remained stable between second- and third-year residents. This was largely due to shorter tibial osteotomy durations, while arthroscopy times remained unchanged across residency years.
  • Meniscal treatment was performed in 80% of cases, and it was associated with increased surgical duration, but the study did not compare the frequency of medial meniscal release between resident and faculty cases.
  • The study did not evaluate osteotomy healing or revision surgery. Cases requiring immediate reoperation were excluded.
  • Bone union outcomes were not assessed at 8 weeks or any other time point.
  • The study concludes that resident participation significantly prolongs surgical time, but no data are provided regarding the effect on short-term clinical outcomes.

Niida

Veterinary Surgery

5

2024

The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs

2024-5-VS-niida-3

Article Title: The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs

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

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