Your Custom Quiz

In Danielski 2025 et al., on PUO complication reduction, what was the **overall complication rate** reported with IM pin and rhBMP-2 use?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The total complication rate was 7.4%, significantly lower than in prior studies.
Incorrect. The correct answer is 7.4%.
The total complication rate was 7.4%, significantly lower than in prior studies.

🔍 Key Findings

  • Combined intramedullary (IM) pin and rhBMP-2 use resulted in a low complication rate (7.4%) after proximal ulnar osteotomy (PUO).
  • Major complications occurred in 5.3% of cases (4 infections, 1 pin breakage with ulnar tilt requiring revision).
  • Minor complications occurred in 2.1% of cases (seroma, delayed union).
  • No cases of non-union were observed; 98.9% of limbs achieved radiographic healing by 6 weeks.
  • IM pin breakage was noted in 11.8% of limbs but did not affect healing outcomes.
  • Chondrodystrophic breeds made up 64.8% of the cohort and tolerated the procedure well.
  • Compared to prior studies, complication rates were substantially reduced with this technique (prior major: 13.9%; this study: 5.3%).
  • The use of rhBMP-2 likely enhanced early bone healing and provided biologic support, particularly important in breeds at higher risk of complications.

Danielski

Veterinary Surgery

6

2025

Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

2025-6-VS-danielski-2

Article Title: Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

Journal: Veterinary Surgery

In Butare-Smith 2022 et al., on cerclage knot biomechanics, which knot type demonstrated the highest resistance to cyclic loading before loosening?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Double-loop cerclage resisted up to 500,000 cycles at high loads, outperforming other configurations.
Incorrect. The correct answer is Double-loop cerclage.
Double-loop cerclage resisted up to 500,000 cycles at high loads, outperforming other configurations.

🔍 Key Findings

  • Double-loop cerclage resisted the highest peak load (805 N) and maintained tension longer than twist (488 N) and single-loop (397 N) configurations.
  • Double-loop cerclage sustained 500,000 cycles at 60–80% of peak load in some cases without loosening, outperforming other types.
  • Twist knots loosened rapidly, often within 10 cycles even at low loads (100–390 N).
  • Single-loop knots performed better than twist, with partial resistance up to 100,000 cycles at 160 N, but showed wide variability.
  • All loosening occurred before wire breakage, indicating clinical failure would happen from slack, not fracture.
  • Double-loop cerclage had highest initial tension (323 N) compared to single-loop (124 N) and twist (69 N).
  • Fatigue limit was not identified for twist, since they all loosened early at even 20% of peak load.
  • Clinical recommendation: double-loop cerclage is best for resisting repeated subfailure loading, ideal for fissure prevention or fragment stabilization.

Butare-Smith

Veterinary Surgery

2

2022

Double-loop cerclage resists greater loads for more cycles than twist and single-loop cerclage

2022-2-VS-butare-smith-1

Article Title: Double-loop cerclage resists greater loads for more cycles than twist and single-loop cerclage

Journal: Veterinary Surgery

In Banks 2024 et al., on CCWO outcomes, what was the **median postoperative TPA** in small dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Median postoperative TPA in small dogs was 7°, exceeding the target.
Incorrect. The correct answer is 7.0°.
Median postoperative TPA in small dogs was 7°, exceeding the target.

🔍 Key Findings

  • Oxley's modified CCWO did not achieve the target TPA of 5° in most cases, even with planning.
  • Mean planned TPA was 7.6°, higher than target, and consistent across dog sizes.
  • Postoperative TPAs were significantly higher in small dogs (median 7°) than in large dogs (median 4.5°).
  • Distalization >7.5 mm of the osteotomy from the patellar tendon led to increased under-correction of TPA.
  • Only dogs with preoperative TPA >35° achieved post-planning TPAs close to the 5° target.
  • Postoperative osteotomy positions were generally more distal than recommended (8.6 mm median).
  • Virtual plate fit was appropriate for all dogs at 5 mm or 7.5 mm positions, suggesting no need for excessive distalization.
  • Excessive correction leading to negative TPAs occurred in some cases, risking caudal cruciate ligament strain.

Banks

Veterinary Surgery

8

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-8-VS-banks-4

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

In Walker 2025 et al., on ventral slot guides, what slot dimension was significantly more accurate with guide use?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Guided slots were significantly closer to the intended length compared to freehand (p < .01 vs p = .722).
Incorrect. The correct answer is Slot length.
Guided slots were significantly closer to the intended length compared to freehand (p < .01 vs p = .722).

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

  • GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
  • FHVS produced significantly shorter slots than intended (p < .01)
  • No difference in surgical time (p = .071)
  • Shape ratio and slot divergence from midline were similar between groups (p > .4)
  • Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

Walker

Veterinary Surgery

3

2025

Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

2025-3-VS-walker-1

Article Title: Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

Journal: Veterinary Surgery

In Veytsman 2023 et al., on feline insulinoma outcomes, what percentage of cats were euglycemic or hyperglycemic immediately after surgery?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 90% of cats achieved immediate euglycemia or hyperglycemia postoperatively.
Incorrect. The correct answer is 90%.
90% of cats achieved immediate euglycemia or hyperglycemia postoperatively.

🔍 Key Findings

  • Surgical excision of insulinomas resulted in euglycemia or hyperglycemia in 90% of cats immediately post-op.
  • 18/20 cats (90%) survived to hospital discharge, with a median survival time of 863 days.
  • Younger age, metastasis at surgery, tumor invasion, and lower glucose levels were negative prognostic factors.
  • Two cats had stage III disease with metastasis; one lived 413 days post-op, suggesting some benefit to surgery even in advanced disease.
  • Postoperative hypoglycemia and seizure activity were associated with poorer outcomes; one cat euthanized due to seizures despite euglycemia.
  • Median disease-free interval (DFI) was 1052 days; for cats with metastasis, DFI dropped to 93 days.
  • Partial pancreatectomy was performed in 11 cats, nodulectomy in 10, and enucleation in 1; method of resection not linked to outcome.
  • Postoperative complications occurred in 25% of cats; most were manageable with supportive care.

Veytsman

Veterinary Surgery

1

2023

Retrospective study of 20 cats surgically treated for insulinoma

2023-1-VS-veytsman-1

Article Title: Retrospective study of 20 cats surgically treated for insulinoma

Journal: Veterinary Surgery

In Clarke 2022 et al., on nasopharyngeal collapse severity, which median percentage collapse was found in brachycephalic dogs preoperatively?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Median preoperative nasopharyngeal collapse in brachycephalic dogs was 65%, significantly higher than in controls.
Incorrect. The correct answer is 65%.
Median preoperative nasopharyngeal collapse in brachycephalic dogs was 65%, significantly higher than in controls.

🔍 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-1

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

Journal: Veterinary Surgery

In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, which instrument was most frequently used for gallbladder dissection?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Ligasure was used in 14 of 22 cats, making it the most common device for gallbladder dissection.
Incorrect. The correct answer is Ligasure.
Ligasure was used in 14 of 22 cats, making it the most common device for gallbladder dissection.

🔍 Key Findings

  • Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
  • Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
  • Median operating time was 41 minutes; median hospitalization was 3 days.
  • No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
  • Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
  • Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
  • Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
  • Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.

Poggi

Veterinary Surgery

5

2025

Laparoscopic cholecystectomy in 22 cats (2018–2024)

2025-5-VS-poggi-4

Article Title: Laparoscopic cholecystectomy in 22 cats (2018–2024)

Journal: Veterinary Surgery

In Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, which primary outcome showed a significant treatment effect?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. CPAP significantly improved the PaO₂/FiO₂ ratio, indicating better oxygenation.
Incorrect. The correct answer is PaO₂/FiO₂ ratio.
CPAP significantly improved the PaO₂/FiO₂ ratio, indicating better oxygenation.

🔍 Key Findings

  • CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
  • CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
  • Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
  • CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
  • Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
  • The study found no cases of hyperthermia; temperatures normalized over time in both groups.
  • Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
  • Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.

Araos

Veterinary Surgery

5

2024

Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

2024-5-VS-araos-1

Article Title: Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

Journal: Veterinary Surgery

In Dekerle 2022 et al., on ectopic ureter correction, what **was the 1-month postoperative continence rate** in the studied female dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 80% of dogs were continent at 1 month postoperatively without medical therapy.
Incorrect. The correct answer is 80%.
80% of dogs were continent at 1 month postoperatively without medical therapy.

🔍 Key Findings

  • Cystoscopic-guided laser ablation (CLA) was associated with significantly fewer minor complications (13%) than neoureterostomy (100%) (P < .01)
  • CLA resulted in significantly fewer recurrences of incontinence compared to neoureterostomy (0/7 vs 5/12; P < .05)
  • 80% of dogs achieved continence within 1 month postoperatively, with a median continence score of 10
  • Long-term continence was achieved in 88% of dogs, with or without adjunctive treatment, over a median of 66 months
  • Major complications occurred in only 8% of dogs, and all were successfully managed with surgical revision
  • Persistent ureteral remnants were seen only in neoureterostomy dogs, potentially contributing to incontinence recurrence
  • All dogs with incontinence recurrence responded to medical treatment, while only 1/5 with persistent incontinence after surgery did
  • CLA is recommended over open surgery for iEU correction, due to lower complication and recurrence rates

Dekerle

Veterinary Surgery

4

2022

Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

2022-4-VS-dekerle-2

Article Title: Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

Journal: Veterinary Surgery

In McCarthy 2022 et al., on 3D drill guide accuracy, what was the reported drill exit rate using free-hand drilling technique (FHDT)?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. FHDT resulted in 3 out of 15 drill tracts exiting the sacral corridor.
Incorrect. The correct answer is 20%.
FHDT resulted in 3 out of 15 drill tracts exiting the sacral corridor.

🔍 Key Findings

  • 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
  • No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
  • 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
  • Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
  • 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
  • 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
  • Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
  • The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.

McCarthy

Veterinary Surgery

1

2022

Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

2022-1-VS-mccarthy-2

Article Title: Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

Journal: Veterinary Surgery

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.