Your Custom Quiz

In Gibson 2024 et al., on mediastinoscopy in dogs, what was the **overall complication rate** observed during the cadaveric procedures?

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Correct. Only minor grade 1 events (pleural tear and LN rupture) were reported, with no major complications.
Incorrect. The correct answer is Low with only two minor adverse events.
Only minor grade 1 events (pleural tear and LN rupture) were reported, with no major complications.

🔍 Key Findings

  • Mediastinoscopy was technically feasible in large-breed canine cadavers using a SILS port and standard laparoscopic instruments.
  • The left tracheobronchial lymph node (LTBLN) was successfully retrieved in all cadavers (7/7), while cranial mediastinal lymph nodes were retrieved in only 1/7.
  • Postprocedural pleural gas was observed in 4/7 cadavers, likely due to CO₂ insufflation.
  • Instrument limitations with a human-designed mediastinoscope led to preference for laparoscopic instruments and SILS port for improved access and visualization.
  • Complication rates were low, with only two minor (Grade 1) adverse events (pleural tear and LN rupture).
  • Obesity and mediastinal fat were cited as potential challenges to visualization and node retrieval.
  • NASA-TLX workload scores were lowest for tracheobronchial nodes, indicating these were the easiest to access.
  • The authors concluded this approach may facilitate minimally invasive biopsy or resection of cranial mediastinal masses in live dogs, but clinical trials are needed to validate safety and efficacy.

Gibson

Veterinary Surgery

5

2024

Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

2024-5-VS-gibson-4

Article Title: Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

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 Buote 2023 et al., on laparoscopic gastrectomy in cats, what percentage of stomach was resected in the cadaver model?

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Correct. Approximately 27.6% of the feline stomach was resected, much less than the 75–80% typically done in human bariatrics.
Incorrect. The correct answer is 28%.
Approximately 27.6% of the feline stomach was resected, much less than the 75–80% typically done in human bariatrics.

🔍 Key Findings

  • LVSG was feasible in 9/10 feline cadavers with successful stapled gastrectomy and minimal technical complications.
  • Stenosis at the incisura angularis occurred in 2/10 cadavers, associated with staple placement too close to the lesser curvature.
  • Leak testing was negative in 8 cadavers and both live cats, indicating effective staple sealing.
  • Mean stomach resection was ~28%, though less than human standards (~75–80%) for metabolic effects.
  • Surgery was performed safely in two live feline subjects, with no intraoperative or postoperative complications over a 6-month follow-up.
  • Technique refinements included orogastric tube placement and custom 3D-printed cannulas to improve staple line accuracy and avoid stenosis.
  • Tri-Staple purple cartridges provided graduated compression suited for feline gastric tissue thickness (~2.5 mm).
  • No need for staple line oversew in live cats; staple-only closure proved safe in this short-term study.

Buote

Veterinary Surgery

6

2023

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

2023-6-buote2-2

Article Title: Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Journal: Veterinary Surgery

In Muroi 2024 et al., on radius plate stress effects, how did the 1 mm and 3 mm elevated locking plate groups differ in equivalent stress versus intact controls?

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Correct. FEA with solid elements revealed higher equivalent stress in LP groups vs. intact, p < 0.05.
Incorrect. The correct answer is Both LP groups showed significantly higher equivalent stress.
FEA with solid elements revealed higher equivalent stress in LP groups vs. intact, p < 0.05.

🔍 Key Findings Summary

  • Finite element analysis compared intact radii vs. locking plates placed 1 mm or 3 mm above the bone
  • LP placement significantly reduced tensile (maximum principal) stress on cranial cortex, potentially causing implant-induced osteoporosis
  • Shell element findings:
    • Max principal stress significantly lower in both LP groups vs. intact (p < 0.05)
  • Solid element findings:
    • Equivalent stress higher and max principal stress lower in LP groups
  • Implication: Tension reduction may impair bone remodeling; implant design and placement height affect stress environment

Muroi

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

2024-3-VCOT-muroi-3

Article Title: Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Sherman 2023 et al., on minimally invasive ESF, how did intraoperative imaging affect surgery time?

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Correct. Intraoperative imaging shortened surgical time significantly (P = .046).
Incorrect. The correct answer is Decreased from 100 to 74 minutes.
Intraoperative imaging shortened surgical time significantly (P = .046).

🔍 Key Findings

  • 55 cases (49 dogs, 6 cats) with nonarticular tibial fractures were treated using linear ESF with a minimally invasive approach
  • All fractures achieved radiographic union; no unacceptable outcomes were reported
  • 40% complication rate, mostly minor (82%), primarily pin-tract morbidity; major complications (7%) included osteomyelitis and refracture
  • Open fractures had significantly more major complications than closed ones (P = .019)
  • Use of intraoperative imaging (72% cases) reduced surgery time but did not improve alignment (P > .05)
  • Median surgery time: 74 min with imaging vs. 100 min without (P = .046)
  • TPA was lower than normal in both dogs and cats, but did not correlate with poor outcomes
  • 62% had full clinical recovery, and 38% had acceptable outcomes at fixator removal

Sherman

Veterinary Surgery

2

2023

Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

2023-2-VS-sherman-5

Article Title: Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

Journal: Veterinary Surgery

In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had changes in antibiotic susceptibility when the same bacteria were isolated at both TECA and dehiscence?

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Correct. In 4 of 7 cases where the same bacteria were cultured, antibiotic susceptibility differed.
Incorrect. The correct answer is 57%.
In 4 of 7 cases where the same bacteria were cultured, antibiotic susceptibility differed.

🔍 Key Findings

  • Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
  • In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
  • Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
  • Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
  • Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
  • TECA cultures were not predictive of bacteria at incisional dehiscence.
  • 75% of dogs healed with either medical or surgical management.

Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.

Smith

Veterinary Surgery

3

2025

Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

2025-3-VS-smith-5

Article Title: Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

Journal: Veterinary Surgery

In Muroi 2025 et al., on refracture risk, what was the overall refracture rate in the study population of small-breed dogs?

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Correct. 10 of 181 limbs developed refracture, yielding an overall refracture rate of 5.5%.
Incorrect. The correct answer is 5.5%.
10 of 181 limbs developed refracture, yielding an overall refracture rate of 5.5%.

🔍 Key Findings

  • Refracture occurred in 5.5% of limbs, with higher incidence in the plate removal group (12.5%) vs. non-removal (3.5%).
  • In the non-plate removal group, refractures occurred at the most distal screw site, linked to greater screw position change during growth (OR 1.79, p=0.04).
  • Screw-to-bone diameter ratio (SBDR) >0.4 was a significant risk factor for refracture in the plate retention group.
  • In the plate removal group, refractures occurred at the original fracture site, associated with lower pixel value ratio (bone mineral density) and reduced radial thickness.
  • Implant-induced osteoporosis (IIO) beneath the plate likely contributed to refracture risk after plate removal.
  • Younger age at fracture (<6 months) was associated with higher refracture risk due to ongoing radial growth and shifting screw position.
  • No significant association was found between refracture and plate type (locking vs conventional), fixation method, or ulnar union.
  • Recommendations include careful SBDR sizing, motion restriction, and cautious plate removal decisions in growing dogs.

Muroi

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs

2025-2-VCOT-muroi-5

Article Title: A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Smith 2024 et al., on ergonomics and preferences in veterinary laparoscopy, what type of instrument handles were most associated with increased difficulty in laparoscopic procedures?

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Correct. Articulating handles were linked to more difficulty, especially with scissors and biopsy tools.
Incorrect. The correct answer is Articulating.
Articulating handles were linked to more difficulty, especially with scissors and biopsy tools.

🔍 Key Findings

  • Surgeons with smaller glove sizes experienced more difficulty using laparoscopic instruments, especially endoscopic staplers, cup biopsy forceps, and vessel sealing devices.
  • Endoscopic stapler was rated the most difficult instrument, with a median difficulty score of 4/10 and 25% usage difficulty.
  • Female surgeons reported significantly more difficulty with several instruments due to smaller glove size.
  • Reusable instruments were preferred over disposable ones for all tasks.
  • Pistol grips were preferred for grasping/retracting and fine dissection, while axial grips were preferred for suturing/knot tying.
  • Articulating handles were consistently associated with increased reported difficulty, especially with scissors and cup biopsy forceps.
  • Left-handed surgeons had more difficulty operating endoscopic staplers, suggesting limited design inclusivity.
  • Surgeons in academic settings reported more difficulty with laparoscopic maneuvers than those in private practice.

Smith

Veterinary Surgery

3

2024

Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy

2024-3-VS-smith-4

Article Title: Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy

Journal: Veterinary Surgery

In Kang 2024 et al., on sacroiliac fixation strength, which statement best describes screw placement accuracy in both groups?

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Correct. CT confirmed safe placement in all dogs; no breaches of spinal canal or sacral foramen
Incorrect. The correct answer is All screws stayed within sacral body.
CT confirmed safe placement in all dogs; no breaches of spinal canal or sacral foramen

🔍 Key Findings Summary

  • 20 cats with pelvic fractures treated using locking plates with only cortical screws
  • 28 fractures stabilized (ilium: 17, acetabulum: 6, ischium: 3, pubis: 2)
  • Implants: Primarily 1.5/2.0 mm LCPs or String-of-Pearls plates
  • Major complications in 2/20 cases (10%): sciatic entrapment, malunion requiring THA
  • Minor complications in 2/20 cases (10%): plate impingement, transient lameness
  • Clinical union in all cats by 8 weeks; all cats returned to full function
  • Authors conclude cortical screws alone can provide adequate fixation in feline pelvic fractures if screw purchase and bone quality are sufficient

Kang

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

2024-1-VCOT-kang-4

Article Title: Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Peycke 2022 et al., on CBLO in immature dogs, what was the **mean time to radiographic union** of the CBLO osteotomy?

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Correct. Mean healing time was 6 weeks (range 4–8), indicating rapid union typical in young animals.
Incorrect. The correct answer is 6 weeks.
Mean healing time was 6 weeks (range 4–8), indicating rapid union typical in young animals.

🔍 Key Findings

  • CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
  • Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
  • Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
  • Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
  • One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
  • CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
  • In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
  • No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.

Peycke

Veterinary Surgery

3

2022

Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

2022-3-VS-peycke-3

Article Title: Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

Journal: Veterinary Surgery

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