Your Custom Quiz

In Carwardine 2024 et al., on screw placement in HIF, what was the number needed to treat (NNT) for medial placement to prevent one complication?

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Correct. Placing 2.3 screws from medial to lateral prevented one complication compared to lateral placement.
Incorrect. The correct answer is 2.3.
Placing 2.3 screws from medial to lateral prevented one complication compared to lateral placement.

🔍 Key Findings

  • 73 elbows (52 dogs) underwent randomized medial or lateral transcondylar screw placement for HIF.
  • Lateral-to-medial placement resulted in a significantly higher rate of complications (62.2%) vs medial-to-lateral (19.4%) (p = .001).
  • Odds ratio for complications: 6.11 (95% CI: 2.13–17.52).
  • Most common complications: seromas (n = 13), surgical site infections (n = 16).
  • Implants with lower AMI/bodyweight were significantly associated with major complications (p = .037).
  • Only 4 procedures (5%) required revision surgery (major type I complications), with no difference by screw direction.
  • NNT = 2.3 for medial placement to prevent one complication.

Carwardine

Veterinary Surgery

2

2024

Medial versus lateral transcondylar screw placement for canine humeral intracondylar fissures: A randomized clinical trial

2024-2-VS-carwardine-2

Article Title: Medial versus lateral transcondylar screw placement for canine humeral intracondylar fissures: A randomized clinical trial

Journal: Veterinary Surgery

In Eiger 2024 et al., on NIRFA-ICG in axial flaps, what limitation most affected the visibility of OMO and THO flaps compared to CSE?

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Correct. OMO and THO vessels were deeper and often beneath panniculus, decreasing NIRFA visibility.
Incorrect. The correct answer is Deeper location of vasculature.
OMO and THO vessels were deeper and often beneath panniculus, decreasing NIRFA visibility.

🔍 Key Findings

  • Caudal superficial epigastric (CSE) flaps were most visible with NIRFA, scoring 4/4 VFP in 97% of evaluations.
  • CSE flap margins were altered in 65% of observations after NIRFA, showing the strongest influence on surgical planning.
  • Thoracodorsal (THO) and omocervical (OMO) flaps had lower visualization scores, with 60–81% of images scoring below 2.
  • Surgeons were 17–25 times more likely to adjust margins for CSE flaps versus OMO or THO based on fluorescence imaging.
  • Poor inter-rater agreement was found for OMO (ICC 0.49) and THO (ICC 0.35); CSE had near-perfect agreement, but ICC was low due to uniform high scoring.
  • Visualization was affected by flap depth and panniculus, making deeper vessels (OMO, THO) harder to see.
  • Surgeons often shortened flap length and reduced flap area when modifying based on NIRFA results.
  • Real-time angiosome visualization via NIRFA-ICG may reduce necrosis risk and improve patient-specific APF design.

Eiger

Veterinary Surgery

6

2024

Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

2024-6-VS-eiger-3

Article Title: Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

Journal: Veterinary Surgery

In Low 2024 et al., which factor was significantly associated with reduced postoperative complications?

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Correct. Age was inversely associated with complication risk (p = 0.0051, OR = 0.61):contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Older age at surgery.
Age was inversely associated with complication risk (p = 0.0051, OR = 0.61):contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 47 dogs (57 elbows) underwent TCS placement for HIF
  • Overall complication rate = 17.5%
    • Minor: seromas (7 elbows)
    • Major: septic arthritis (3 elbows) — all resolved with antibiotics
  • No screw failures, medial epicondylar fractures, or catastrophic outcomes noted
  • Long-term follow-up in 41 dogs (50 elbows):
    • 90% full function, 10% acceptable function
    • Mean follow-up = ~2.5 years
  • Increased age was significantly protective (p = 0.0051; OR = 0.61)
  • TCS placement method (freehand, guide, aiming device) significantly impacted screw angulation but not complication rate
  • Outcome not affected by presence of complications

Low

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure

2024-4-VCOT-low-2

Article Title: Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Monti 2025 et al., on lymph node fluorescence imaging, which factor was identified as a limitation of ICG uptake for sentinel lymph node identification?

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Correct. Lymphatic rerouting or blockage due to tumor invasion reduced ICG uptake in some nodes, limiting their intraoperative visualization.
Incorrect. The correct answer is Neoplastic obstruction of lymphatics.
Lymphatic rerouting or blockage due to tumor invasion reduced ICG uptake in some nodes, limiting their intraoperative visualization.

🔍 Key Findings

  • Laparoscopic ISLN removal using NIRF-ICG was feasible in 89% of dogs (16/18), demonstrating high procedural success with minimal invasiveness.
  • Median laparoscopic dissection time was only 12 minutes, suggesting efficiency of the NIRF-guided approach.
  • No postoperative complications were observed, and intraoperative complications occurred in only 2 dogs (11.1%), both requiring conversion to open surgery.
  • Metastatic disease was confirmed in 48% of patients (12/25 nodes), including cases where LNs appeared normal in size, highlighting the value of histologic evaluation.
  • NIRF-ICG enabled precise identification of small and mildly enlarged nodes, which are often missed during traditional imaging or palpation.
  • Fluorescent dye leakage following LN capsule rupture limited visibility and required surgical conversion, indicating a key limitation of the technique.
  • ICG signal was occasionally absent in metastatic LNs, likely due to lymphatic rerouting or obstruction, underscoring limitations in SLN identification.
  • The lateral approach allowed consistent access to ipsilateral MILN, IILN, and sacral LNs, though contralateral nodes were inaccessible with this method.

Monti

Veterinary Surgery

6

2025

Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

2025-6-VS-monti-3

Article Title: Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

Journal: Veterinary Surgery

In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the survival rate to hospital discharge?

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Correct. 18 of 23 cats survived to discharge, equating to a 78.3% survival rate.
Incorrect. The correct answer is 78.3%.
18 of 23 cats survived to discharge, equating to a 78.3% survival rate.

🔍 Key Findings

  • Cholelithiasis was the most common indication for cholecystectomy in cats.
  • Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
  • Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
  • 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
  • Vomiting was the most common short- and long-term complication, though most cats were medically managed.
  • Concurrent EHBDO was not a contraindication provided CBD patency was restored.
  • Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
  • Owner-reported outcomes were excellent in all cats that survived long-term.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-4

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In Wilson 2025 et al., on acetabular measurement accuracy, which pair of measurement methods showed the least bias in predicting final cup size?

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Correct. These methods had a mean prediction bias within ±0.5 mm of final cup size.
Incorrect. The correct answer is ACVD and ALVD.
These methods had a mean prediction bias within ±0.5 mm of final cup size.

🔍 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-5

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

Journal: Veterinary Surgery

In Banks 2023 et al., on TECA-LBO in brachycephalic dogs, which diagnostic imaging findings were significantly more common in EBBs?

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Correct. Otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%) were significantly more common in EBBs.
Incorrect. The correct answer is Brainstem changes and otitis interna.
Otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%) were significantly more common in EBBs.

🔍 Key Findings

  • Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
  • Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
  • EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
  • Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
  • Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
  • Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
  • MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
  • Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.

Banks

Veterinary Surgery

5

2023

Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

2023-5-VS-banks-4

Article Title: Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

Journal: Veterinary Surgery

In Adair 2023 et al., on PCCLm vs OC in dogs, which complication was significantly associated with PCCLm incision extension?

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Correct. SSII was significantly associated with incision extension in PCCLm cases (OR = 18.76, p = .027).
Incorrect. The correct answer is Surgical site infection/inflammation (SSII).
SSII was significantly associated with incision extension in PCCLm cases (OR = 18.76, p = .027).

🔍 Key Findings

  • PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
  • Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
  • PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
  • Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
  • Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
  • PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
  • Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
  • Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.

Adair

Veterinary Surgery

6

2023

Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

2023-6-VS-adair-3

Article Title: Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

Journal: Veterinary Surgery

In Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which two techniques demonstrated the most accurate achievement of their target TPA values?

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Correct. Groups A and D had the least variation from their target TPAs, with mean correction accuracy near 1.0.
Incorrect. The correct answer is CBLO + CCWO and PTNWO.
Groups A and D had the least variation from their target TPAs, with mean correction accuracy near 1.0.

🔍 Key Findings

  • All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
  • Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
  • Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
  • Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
  • Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
  • Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
  • All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
  • Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.

Story

Veterinary Surgery

8

2024

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

2024-8-VS-story-3

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

Journal: Veterinary Surgery

In Viitanen 2023 et al., on zygomatic sialoadenectomy, what was a cited benefit of intraoral approach in terms of postoperative management?

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Correct. IOA caused minimal external trauma, eliminating the need for E-collar in all clinical cases.
Incorrect. The correct answer is No need for Elizabethan collar.
IOA caused minimal external trauma, eliminating the need for E-collar in all clinical cases.

🔍 Key Findings

  • Intraoral approach (IOA) reduced surgical time compared to lateral orbitotomy (median: 42.0 vs 65.7 minutes, p = .005)
  • Ease of closure (Stage III) was better with IOA (p < .001), though gland removal (Stage II) was easier with LOA (p = .039)
  • Complete gland removal was achieved in 8/10 IOA vs 10/10 LOA cases in cadaveric study
  • All 3 clinical cases had uneventful recoveries post-IOA, including one carcinoma, with no intra- or short-term postoperative complications
  • LOA had superior surgical exposure, but was more invasive and time-consuming
  • IOA posed greater difficulty in complete gland removal in brachycephalic dogs, with remnant tissue noted in 2/10 cadavers
  • IOA avoids osteotomy, reducing potential complications like delayed union and postoperative pain
  • Cosmetic outcomes and healing were better with IOA, and no E-collar was required postoperatively

Viitanen

Veterinary Surgery

2

2023

Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

2023-2-VS-viitanen-3

Article Title: Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

Journal: Veterinary Surgery

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