Your Custom Quiz

In Filho 2024 et al., what did %BW distribution analysis reveal in dogs with forelimb amputations?

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Correct. %BW distribution between high and low forelimb amputees was not statistically different:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is No difference between high and low amputation.
%BW distribution between high and low forelimb amputees was not statistically different:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 39 dogs (mostly post-trauma) with either forelimb or hindlimb amputations (high vs low)
  • No significant difference in %BW distribution between high vs low forelimb amputations
  • In hindlimb amputees:
    • High amputations → more overload on contralateral hindlimb (p = 0.01)
    • Low amputations → more even load split, slight preference for contralateral hindlimb and ipsilateral forelimb
  • Values derived from pressure-sensitive walkway confirmed with statistical significance
  • Useful implications for prosthesis selection and rehabilitation planning

Filho

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Gait Analysis of Amputee Dogs Using a Pressure-Sensitive Walkway

2024-4-VCOT-filho-2

Article Title: Gait Analysis of Amputee Dogs Using a Pressure-Sensitive Walkway

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Enright 2022 et al., on adrenalectomy outcomes, which of the following best describes the association between alpha-blocker use and intraoperative hypertension?

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Correct. Dogs receiving alpha-blockers had significantly higher systolic BP intraoperatively (median 170 mmHg vs. 142 mmHg; P = .01).
Incorrect. The correct answer is Alpha-blocker therapy was associated with higher intraoperative systolic BP.
Dogs receiving alpha-blockers had significantly higher systolic BP intraoperatively (median 170 mmHg vs. 142 mmHg; P = .01).

🔍 Key Findings

  • 83% of dogs survived to discharge after adrenalectomy for pheochromocytoma.
  • Median survival time post-discharge was 1169 days (3.2 years).
  • Preoperative alpha-blocker therapy (e.g., phenoxybenzamine) was not associated with improved survival.
  • Dogs receiving alpha-blockers had higher intraoperative systolic BP, with median values 170 mmHg vs. 142 mmHg in non-treated dogs (P = .01).
  • Intraoperative arrhythmias occurred in 30% of cases, with no difference between dogs receiving alpha-blockers and those not.
  • Histologic vascular invasion occurred in ~70% of tumors.
  • Tumor recurrence was suspected in 3 dogs, and metastasis in 8 dogs, though not histologically confirmed in most cases.
  • Postoperative complications included refractory hypotension, acute kidney injury, and hypertension persisting >48 hours in 10 dogs.

Enright

Veterinary Surgery

3

2022

Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy

2022-3-VS-enright-3

Article Title: Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy

Journal: Veterinary Surgery

In Redolfi 2024 et al., what implant configuration was most commonly used to stabilize the tibial tuberosity?

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Correct. 21/24 stifles had pin and tension band wire fixation of the tibial tuberosity
Incorrect. The correct answer is Pins and tension band wire.
21/24 stifles had pin and tension band wire fixation of the tibial tuberosity

🔍 Key Findings Summary

  • Study of 24 stifles in 22 dogs with concurrent CCLR and grade III–IV MPL treated via TPLO-TTT
  • Major complications: 4/24 (3 surgical site infections, 1 MPL reluxation); minor complications: 5/24
  • Long-term follow-up (median 27 months): 21/22 dogs sound, 23/24 stifles resolved
  • Patellar ligament thickening observed post-op in 4 cases, resolved with rehab
  • The only case of MPL reluxation involved untreated tibial torsion, suggesting case selection is critical

Redolfi

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

2024-1-VCOT-redolfi-5

Article Title: Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Karydas 2025 et al., on follow-up radiography, what is the recommended role of follow-up imaging in the absence of clinical signs?

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Correct. Routine radiographs were not justified without owner concerns or clinical abnormalities.
Incorrect. The correct answer is Not recommended unless clinical signs present.
Routine radiographs were not justified without owner concerns or clinical abnormalities.

🔍 Key Findings

139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:

  • Owner concerns (OR: 7.6)
  • Analgesic use at follow-up (OR: 7.9)
  • Lameness (OR: 5.9)
  • Abnormal clinical exam (OR: 44.8)
  • Radiographic abnormalities (OR: 51.9)

No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.

Karydas

Veterinary Surgery

2

2025

Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

2025-2-VS-karydas-5

Article Title: Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

Journal: Veterinary Surgery

In Almeida 2025 et al., on TPLO and partial CCL rupture, which factor was positively correlated with increased ligament thickness?

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Correct. Higher degree of tibial rotation correlated with more thickening (PLT).
Incorrect. The correct answer is Tibial plateau rotation.
Higher degree of tibial rotation correlated with more thickening (PLT).

🔍 Key Findings

  • Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
  • Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
  • Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
  • Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
  • No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
  • Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
  • Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
  • Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.

Almeida

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

2025-4-VCOT-almeida-3

Article Title: Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Anderson 2023 et al., on French Bulldogs with humeral condylar fractures, what fixation method was associated with the highest risk of major complications in French Bulldogs?

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Correct. This combination had a 7.62x higher risk of major complications (p = .009).
Incorrect. The correct answer is Transcondylar screw + K-wires.
This combination had a 7.62x higher risk of major complications (p = .009).

🔍 Key Findings

  • Lateral humeral condylar fractures (LHCF) were most common, comprising 63.6% of cases.
  • Transcondylar screw (TCS) + K-wire(s) fixation had a 7.62x higher risk of major complications compared to other methods (p = .009).
  • All cases of TCS migration occurred in the TCS + K-wire group; none occurred with plate fixation.
  • Overall complication rate was 40.9%, with 29.5% being major and requiring intervention.
  • Contralateral humeral intracondylar fissures (HIF) were found in 58.1% of French Bulldogs with CT data.
  • No significant association between age and presence of HIF, but fissure length increased with age (R = 0.47, p = .048).
  • Younger, lighter dogs had higher complication and screw migration rates, possibly due to softer bone and smaller condyles.
  • TCS + plate fixation had the lowest complication rate, suggesting biomechanical superiority.

Anderson

Veterinary Surgery

1

2023

Humeral condylar fractures and fissures in the French bulldog

2023-1-VS-anderson-2

Article Title: Humeral condylar fractures and fissures in the French bulldog

Journal: Veterinary Surgery

In Jeon 2025 et al., on distal femoral shortening, which **advantage of DFSO over subtrochanteric osteotomy** is highlighted in dogs?

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Correct. DFSO avoids disrupting critical proximal structures needed for stem fixation.
Incorrect. The correct answer is Preservation of proximal femoral anatomy for stable fixation.
DFSO avoids disrupting critical proximal structures needed for stem fixation.

🔍 Key Findings

  • Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
  • Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
  • Bone union was achieved in all cases post-DFSO, indicating good healing potential.
  • Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
  • One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
  • DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
  • Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
  • DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.

Jeon

Veterinary Surgery

6

2025

Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

2025-6-VS-jeon-5

Article Title: Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

Journal: Veterinary Surgery

In Gollnick 2024 et al., on TCTF risk with Arthrex STS in TPLO, what percentage of dogs developed transcortical tibial fractures?

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Correct. 42% (33/78) of dogs had radiographic evidence of TCTF following TPLO with Arthrex STS.
Incorrect. The correct answer is 42%.
42% (33/78) of dogs had radiographic evidence of TCTF following TPLO with Arthrex STS.

🔍 Key Findings

  • 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
  • TCTFs occurred exclusively distal to the osteotomy
  • 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
  • 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
  • Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
  • Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
  • Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
  • Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS

Gollnick

Veterinary Surgery

6

2024

Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

2024-6-VS-gollnick-1

Article Title: Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

Journal: Veterinary Surgery

In Danielski 2022 et al., on humero-anconeal incongruity, what arthroscopic finding was noted in all elbows with HIF but in none of the elbows without HIF?

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Correct. The lesion was exclusive to HIF-affected elbows, not observed in controls.
Incorrect. The correct answer is Humero-anconeal cartilage lesion.
The lesion was exclusive to HIF-affected elbows, not observed in controls.

🔍 Key Findings

  • A novel caudo-medial arthroscopic portal allowed visualization of previously undescribed cartilage lesions on the caudal medial humeral condyle.
  • A consistent focal cartilage lesion (HA lesion) was observed in 100% of elbows with HIF (21/21), but in none of the 31 elbows without HIF.
  • Lesions varied from indentations to full-thickness cartilage loss, typically elliptical and located just medial to the humeral condyle isthmus.
  • A clunk-like sensation and dynamic engagement of the anconeal process into the lesion were observed in 16/21 elbows with HIF during elbow manipulation.
  • In 5/21 elbows, engagement of the anconeal process led to observable widening of the HIF line, suggesting dynamic instability.
  • Findings support a novel concept of humero-anconeal incongruity as a contributor to the pathogenesis of HIF.
  • Spaniel breed was not a confounder—the lesion was only present in elbows with HIF, regardless of breed.
  • The study suggests potential for using arthroscopy as a screening tool for early detection of humero-anconeal incongruity and HIF risk.

Danielski

Veterinary Surgery

1

2022

Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings

2022-1-VS-danielski2-2

Article Title: Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings

Journal: Veterinary Surgery

In Devriendt 2022 et al., on EHPSS blood testing, which **two tests** had the highest sensitivity for detecting shunt closure?

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Correct. SHA (96.9%) and MEGX T15 (96.2%) were the most sensitive single tests for detecting EHPSS closure.
Incorrect. The correct answer is SHA and MEGX at 15 minutes.
SHA (96.9%) and MEGX T15 (96.2%) were the most sensitive single tests for detecting EHPSS closure.

🔍 Key Findings

  • Fasting ammonia (FA) was the most specific test (100%) for confirming EHPSS closure postoperatively.
  • Serum hyaluronic acid (SHA) and MEGX at 15 minutes post-lidocaine were the most sensitive tests (96.9% and 96.2%, respectively).
  • SHA combined with MEGX T15, or with FA or postprandial serum bile acids (SBA), provided 100% sensitivity with good specificity (72.4–82.8%).
  • SHA levels remained elevated in all dogs with persistent shunting, even when other tests were normal.
  • Paired SBA had moderate sensitivity (90%) and variable specificity (89%).
  • The L/MEGX test at 30 min was less useful than at 15 min for assessing closure.
  • Traditional SBA testing showed reduced utility postoperatively; normal values did not rule out persistent shunting.
  • Blood tests improved when combined, but imaging remains essential to definitively confirm EHPSS closure.

Devriendt

Veterinary Surgery

7

2022

Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment

2022-7-VS-devriendt-2

Article Title: Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment

Journal: Veterinary Surgery

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