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In Billas 2022 et al., on SSI risk after limb amputation, which variable was **not** associated with increased SSI risk?

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Correct. Only bipolar sealing device, trauma, infection, and non-clean wounds were significant predictors.
Incorrect. The correct answer is Use of sharp dissection.
Only bipolar sealing device, trauma, infection, and non-clean wounds were significant predictors.

🔍 Key Findings

  • 12.5% overall incidence of SSI after limb amputation, and 10.9% for clean procedures.
  • Bipolar vessel sealing device use for muscle transection significantly increased SSI risk (OR 2.5; P = .023).
  • Monopolar electrosurgery and sharp transection were not associated with increased SSI risk.
  • Non-clean wound classification increased SSI odds (OR 8.2; P = .003).
  • Amputation for infection (OR 5.7) or trauma (OR 4.5) significantly increased SSI risk compared to neoplasia.
  • Preoperative infections at distant sites did not significantly increase SSI risk.
  • Neither surgery/anesthesia duration, hypothermia, hypotension, nor skin closure method significantly affected SSI risk.
  • Study supports avoiding bipolar sealing devices for muscle transection in limb amputations to reduce SSI risk.

Billas

Veterinary Surgery

3

2022

Incidence of and risk factors for surgical site infection following canine limb amputation

2022-3-VS-billas-4

Article Title: Incidence of and risk factors for surgical site infection following canine limb amputation

Journal: Veterinary Surgery

In Clough 2022 et al., on CBLO-TTT construct testing, what was the most common mode of failure in the CBLO-TTT specimens?

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Correct. This mode occurred in most CBLO-TTT specimens, indicating a weakness at the tension band/k-wire interface.
Incorrect. The correct answer is Displacement of the tibial crest with untwisting of tension band.
This mode occurred in most CBLO-TTT specimens, indicating a weakness at the tension band/k-wire interface.

🔍 Key Findings

  • Combined CBLO-TTT did not reduce load to failure compared to CBLO or TTT alone (P = .81 and P = .12, respectively).
  • CBLO-TTT maintains construct strength without significant compromise compared to individual procedures.
  • Most common failure mode in CBLO-TTT was displacement of the tibial crest segment with k-wire pullout and tension band untwisting.
  • No fulcrum effect was seen in CBLO-TTT, unlike TPLO-TTT combinations, likely due to preservation of buttress effect.
  • Patellar ligament avulsion occurred in both CBLO and CBLO-TTT, but not as a clinical concern — possibly artifact from cadaver model.
  • Load-to-failure testing was static and unidirectional, not accounting for cyclic fatigue or in vivo healing.
  • Plate size and saw blade variation were based on clinical realism, introducing potential variability but not affecting outcomes.
  • Study suggests feasibility of simultaneous surgical correction of CCL rupture and MPL using CBLO-TTT in dogs.

Clough

Veterinary Surgery

3

2022

Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

2022-3-VS-clough-2

Article Title: Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

Journal: Veterinary Surgery

In Jenkins 2022 et al., on medial epicondylar fissure fracture, what was the most significant risk factor for developing MEFF?

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Correct. Larger screw size relative to condylar height (>41%) significantly increased MEFF risk (P = .004, OR 1.52).
Incorrect. The correct answer is Using screws with a size-to-condylar height ratio >41%.
Larger screw size relative to condylar height (>41%) significantly increased MEFF risk (P = .004, OR 1.52).

🔍 Key Findings

  • MEFF occurred in 11.4% (10/88 elbows) following medial-to-lateral transcondylar screw placement in dogs with HIF.
  • Screw size to condylar height ratio >41% significantly increased MEFF risk (P = .004, OR 1.52).
  • MEFF was not recognized intraoperatively in 60% of cases and was only seen on follow-up or retrospective imaging review.
  • Screw loosening was the most common complication (11.2%), observed both with and without MEFF.
  • MEFF tended to increase the risk of screw loosening (P = .06), but was not statistically significant.
  • Most MEFFs did not require treatment and healed radiographically by 14–17 weeks in monitored cases.
  • Shaft screws were used in all MEFF cases, but shaft vs cortical design was not significantly associated with MEFF.
  • The clinical impact of MEFF was minor in most cases, although long-term significance is unknown.

Jenkins

Veterinary Surgery

4

2022

Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure

2022-4-VS-jenkins-1

Article Title: Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure

Journal: Veterinary Surgery

In Israel 2022 et al., on cerclage wire in THR, what is the most appropriate placement location for the cerclage to prevent proximal femoral fractures?

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Correct. This location targets the area of greatest hoop strain and is essential for preventing fissures during press-fit implantation.
Incorrect. The correct answer is Proximal to the lesser trochanter and near the calcar.
This location targets the area of greatest hoop strain and is essential for preventing fissures during press-fit implantation.

🔍 Key Findings

  • No proximal femoral fractures occurred in any of the 184 hips with cerclage wire placement
  • Cerclage wire was well tolerated, with no failures or complications related to the wire
  • Application of a single cerclage wire took <10 minutes, was cost-effective, and required minimal instrumentation
  • 3 postoperative complications (1 fissure, 2 fractures) occurred distal to the cerclage site, near the stem tip, requiring plate/screw fixation
  • All dogs returned to normal activity, and all owners were satisfied with the outcome
  • Cerclage placement location is critical—must be proximal to the lesser trochanter and close to the calcar to resist hoop strain
  • Biomechanical evidence supports that cerclage wires improve resistance to hoop strain and subsidence of cementless stems
  • Press-fit cementless stems may settle, but when supported by cerclage, this does not result in fractures even in undersized implants

Israel

Veterinary Surgery

2

2022

Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

2022-2-VS-israel-2

Article Title: Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

Journal: Veterinary Surgery

In Welsh 2023 et al., on TTAF fixation methods, what was the primary mechanical benefit of two-pin fixation over single-pin fixation?

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Correct. Two-pin fixation had significantly greater stiffness (72 N/mm) and strength (639 N) than single-pin fixation (57 N/mm and 426 N).
Incorrect. The correct answer is Improved stiffness and strength.
Two-pin fixation had significantly greater stiffness (72 N/mm) and strength (639 N) than single-pin fixation (57 N/mm and 426 N).

🔍 Key Findings

  • Two-pin fixation had significantly greater strength (639 N) than single-pin fixation (426 N) in TTAF models (p = .003).
  • Stiffness was also higher with two-pin constructs (72 N/mm vs 57 N/mm); statistically significant (p = .029).
  • Both fixation types withstood loads greater than quadriceps force in dogs at a walk (240 N), indicating clinical viability.
  • Failure was most commonly due to pin bending or pullout (82%), with fewer cases of ligament tearing or epiphyseal fracture.
  • K-wire insertion angle (KWIA) did not significantly differ between fixation types (p = .13).
  • Single larger pins delivered ~68% of the strength and ~83% of the stiffness of two smaller vertically aligned pins.
  • Clinical implication: Two vertically aligned pins are biomechanically superior for TTAF fixation in canine models.
  • Study used mature cadavers, which may underestimate loads and stiffness compared to immature clinical cases.

Welsh

Veterinary Surgery

5

2023

Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model

2023-5-VS-welsh-1

Article Title: Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model

Journal: Veterinary Surgery

In Miller 2024 et al., how did anesthesia time compare between FFP and staphylectomy groups?

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Correct. Anesthetic time was significantly longer in the FFP group (median 111 min vs 80 min; p = .02).
Incorrect. The correct answer is Longer in FFP.
Anesthetic time was significantly longer in the FFP group (median 111 min vs 80 min; p = .02).

🔍 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-2

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

Journal: Veterinary Surgery

In Aertsens 2025 et al., on thoracic lift technique, what was the major intraoperative benefit of chest wall lift in both cats?

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Correct. Chest wall lift significantly expanded the intrathoracic space, facilitating thoracoscopic procedures.
Incorrect. The correct answer is Improved thoracoscopic working space.
Chest wall lift significantly expanded the intrathoracic space, facilitating thoracoscopic procedures.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-4

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

In Viljoen 2022 et al., on surgical hand prep protocols, what factor significantly influenced post-surgical contamination risk?

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Correct. Perforation of the thumb glove was a statistically significant factor contributing to higher CFU levels.
Incorrect. The correct answer is Glove perforation in the thumb.
Perforation of the thumb glove was a statistically significant factor contributing to higher CFU levels.

🔍 Key Findings

  • Pre-ABHR hand preparation lowered CFUs at 120 minutes post-gloving compared to ABHR alone (P = .001)
  • pH-neutral soap followed by ABHR outperformed ABHR alone despite being nonmedicated (P = .001)
  • CHX and BAC prewashes showed better immediate CFU reduction post-preparation than pHN (P = .012)
  • No significant difference in total log10 CFU reduction across all four groups over the full surgical period (P = .362)
  • Glove perforation in the thumb was a significant contamination factor (P = .036)
  • All dogs recovered without surgical site infections, though SSI incidence was not a primary outcome
  • Neutralizer validation lacking, so CHX results interpreted cautiously
  • Study supports a 1-minute hand wash with pH-neutral soap prior to ABHR as effective and safe

Viljoen

Veterinary Surgery

3

2022

Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students

2022-3-VS-viljoen-3

Article Title: Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students

Journal: Veterinary Surgery

In Thibault 2023 et al., on DPO for THR luxation, what was the reported impact of DPO on angle of lateral opening (ALO) and version angle (VA)?

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Correct. DPO resulted in a median 11° decrease in ALO and an 8° increase in VA.
Incorrect. The correct answer is ALO decreased and VA increased.
DPO resulted in a median 11° decrease in ALO and an 8° increase in VA.

2023-8-VS-thibault-3

Article Title:

Journal:

In Huels 2025 et al., on second-generation screw cup THA, what was the primary functional outcome observed in dogs following SCSL THA?

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Correct. 26 out of 30 hips had full functional recovery, including one revised for stem subsidence.
Incorrect. The correct answer is Full recovery in most hips.
26 out of 30 hips had full functional recovery, including one revised for stem subsidence.

🔍 Key Findings

  • Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
  • Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
  • No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
  • Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
  • Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
  • Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
  • Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
  • Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.

Huels

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

2025-2-VCOT-huels-5

Article Title: Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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