Your Custom Quiz

In Rocheleau 2023 et al., on shoulder stabilization, which complication was more common with bone anchor placement than with suture-toggle stabilization?

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Correct. Articular cartilage violation occurred in 2 bone anchor cases versus 1 suture-toggle case.
Incorrect. The correct answer is Violation of articular cartilage.
Articular cartilage violation occurred in 2 bone anchor cases versus 1 suture-toggle case.

🔍 Key Findings

  • Arthroscopically assisted stabilization with an IAD was feasible in cadaveric canine shoulders using both bone anchor and suture-toggle techniques.
  • Suture-toggle repair was successfully performed in all specimens, while bone anchors could not be deployed in 3/10 shoulders, indicating lower feasibility.
  • Median surgical time was shorter for the suture-toggle group (25.5 min) compared to the anchor group (37.3 min).
  • Postoperative abduction angles returned to baseline in the anchor group, while the suture-toggle group had slightly reduced angles, suggesting possible overtightening.
  • Violation of the articular surface occurred in 2 anchor specimens and 1 suture-toggle specimen, but none were considered likely to be clinically significant.
  • Overall targeting accuracy using the IAD was 88%, supporting its utility in guiding tunnel/anchor placement.
  • CT measurements showed acceptable bone stock and insertion angles, but anchor insertion angles were lower than optimal for mechanical pullout strength.
  • Suture-toggle technique was considered simpler and more consistent, with fewer complications and faster execution than anchor placement.

Rocheleau

Veterinary Surgery

4

2023

Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

2023-4-VS-rocheleau-4

Article Title: Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

Journal: Veterinary Surgery

In Frapwell 2026 et al., on humeral condyle morphology, how did HIF-associated morphology differ in non-spaniels versus controls?

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Correct. Non-spaniel breeds with HIF had similar changes as spaniels—greater axial angles and increased vertical condylar height.
Incorrect. The correct answer is Both axial angles and height increased.
Non-spaniel breeds with HIF had similar changes as spaniels—greater axial angles and increased vertical condylar height.

🔍 Key Findings

  • HIF-affected dogs had significantly greater angle A and B, indicating increased axial articular angulation of the medial and lateral humeral condyle (p < .001).
  • Vertical condylar height (lengths a and b) was significantly greater in HIF-affected dogs compared to controls (p = .007 and p < .001 respectively).
  • Angle G (dorsal plane medial condyle angle) was also significantly greater in HIF-affected dogs, suggesting altered medial humeral morphology (p < .001).
  • The angle between axial surfaces (A–B angle) was significantly more acute in HIF dogs (107.4° vs. 114.2°, p < .001), suggesting potential for increased shear force.
  • Springer Spaniels with HIF showed significantly greater angulation and vertical height than unaffected Springer controls (p < .001 to .007 across variables).
  • Morphological differences persisted across non-spaniel breeds, reinforcing that altered condylar geometry is not breed-restricted.
  • Authors propose that greater condylar angulation contributes to shear stress, orthogonal to the fissure, possibly contributing to HIF pathogenesis.
  • These morphologic alterations could inform future screening or preventive strategies, and may explain variable surgical outcomes and implant failure.

Frapwell

Veterinary Surgery

1

2026

Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure

2026-1-VS-frapwell-5

Article Title: Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure

Journal: Veterinary Surgery

In Walker 2025 et al., on ventral slot guides, which surgeon experience level performed all procedures?

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Correct. All ventral slots were performed by a single novice resident to assess usability of the guide.
Incorrect. The correct answer is Novice surgery resident.
All ventral slots were performed by a single novice resident to assess usability of the guide.

🔍 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-3

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

Journal: Veterinary Surgery

In Welsh 2023 et al., on TTAF fixation methods, what was the estimated quadriceps force at a walk used as a benchmark for load testing?

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Correct. 240 N was cited as the estimated quadriceps force during walking, used to benchmark construct strength.
Incorrect. The correct answer is 240 N.
240 N was cited as the estimated quadriceps force during walking, used to benchmark construct strength.

🔍 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-5

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

Journal: Veterinary Surgery

In Rocheleau 2025 et al., on infected total hip replacements, which pathogen was among the common isolates recovered?

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Correct. S. pseudointermedius, including methicillin-resistant strains, was commonly isolated.
Incorrect. The correct answer is Staphylococcus pseudointermedius.
S. pseudointermedius, including methicillin-resistant strains, was commonly isolated.

🔍 Key Findings

Study Design: Case series of 8 dogs with confirmed or suspected PJI after total hip replacement (THR)
Dogs were categorized into:

  • Curative intent (CI) group (n=5): short-duration infections, implant retention attempted
  • Non-curative intent (NCI) group (n=3): chronic infections, implants scheduled for removal or revision

Success Rate: 7 of 8 dogs had infection resolution, including 4 of 5 in the CI group
Sampling sensitivity:

  • Arthroscopic culture success was 80% in the CI group but only 33% in the NCI group
  • All explanted implants from NCI group yielded positive cultures

Common isolates: Staphylococcus pseudointermedius (including MRSP), S. epidermidis, Stenotrophomonas maltophilia, and E. coli
Ancillary treatments included:

  • Partial synovectomy, high-volume lavage (5–10 L), biofilm-depleting lavage, and/or amikacin-impregnated calcium sulfate beads

Mean follow-up: >1 year (mean 812 days); no signs of recurrence in successfully treated cases
Conclusions: Arthroscopic management of THR infections is feasible and effective in appropriately selected dogs. Success aligns with human literature when infection type is favorable (Type 1, 3, 4). Sensitivity of arthroscopic culture is higher in early/acute infections.

Rocheleau

Veterinary Surgery

4

2025

Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases

2025-4-VS-rocheleau-4

Article Title: Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases

Journal: Veterinary Surgery

In Crystal 2024 et al., on elbow osteotomies, which location of osteotomy provided better reduction of medial elbow pressure?

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Correct. More distal osteotomies (75%) significantly reduced medial elbow load more than mid-humeral ones (adjustment value 8.06, p = 0.026).
Incorrect. The correct answer is 75% humeral length.
More distal osteotomies (75%) significantly reduced medial elbow load more than mid-humeral ones (adjustment value 8.06, p = 0.026).

🔍 Key Findings Summary

  • Ex vivo cadaver study using 5 paired canine thoracic limbs
  • Compared medial opening wedge osteotomy (MOWO) and external rotational osteotomy (ERO) of the humerus
  • Measured pressure changes in the medial compartment using thin-film sensors
  • ERO significantly reduced peak pressure and pressure distribution in the medial elbow compartment (p < 0.05)
  • MOWO showed no significant pressure reduction relative to native state
  • Combined MOWO + ERO did not significantly improve over ERO alone
  • Findings support the biomechanical rationale for ERO as a surgical strategy to offload the medial compartment in cases like medial compartment disease (MCD)

Crystal

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

2024-4-VCOT-crystal-2

Article Title: Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Brincin 2023 et al., on radiographic follow-up post-MPL surgery, which factor was MOST strongly associated with a change in postoperative plan after MPL surgery?

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Correct. The odds of a change in management were 32× higher when both clinical concerns and radiographic abnormalities were present.
Incorrect. The correct answer is Clinician concern plus radiographic abnormality.
The odds of a change in management were 32× higher when both clinical concerns and radiographic abnormalities were present.

🔍 Key Findings

  • Routine follow-up radiographs after MPL surgery influenced management in only 3% of asymptomatic cases.
  • Isolated radiographic abnormalities were rare (3.3%) and even less likely to alter treatment unless accompanied by clinical concerns.
  • Dogs with both radiographic changes and clinical/owner concerns had 32× higher odds of a management change (OR 32.16, P < .001).
  • Lameness, NSAID use, or prior unplanned visits significantly increased the odds of altered post-op plans.
  • Owner-reported concerns alone led to a change in only 1.6% of cases without corroborating clinical findings.
  • Radiographic follow-up was deemed unnecessary in dogs without owner concerns or abnormal physical findings.
  • Hands-on clinical exam remains critical, though video-based rechecks may aid triage in uncomplicated cases.
  • The study supports selective radiographic follow-up, reducing unnecessary imaging, stress, and clinician workload.

Brincin

Veterinary Surgery

3

2023

The value of routine radiographic follow up in the postoperative management of canine medial patellar luxation

2023-3-VS-brincin-2

Article Title: The value of routine radiographic follow up in the postoperative management of canine medial patellar luxation

Journal: Veterinary Surgery

In Lopez Barroso 2026 et al., on sacroiliac screw accuracy, which component allowed the screw and washer to be delivered through the guide system?

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Correct. The sleeve served as a retractor and allowed passage of screw and washer through the guide.
Incorrect. The correct answer is Device sleeve.
The sleeve served as a retractor and allowed passage of screw and washer through the guide.

🔍 Key Findings

  • Mean SI joint reduction was 94.25%, exceeding the 90% target considered important to reduce screw loosening
  • Mean sacral width purchase was 82.52%, with all screws achieving >60%—a threshold for reducing implant loosening risk
  • All 20 screws were accurately placed within the sacral body, confirmed via CT or radiographs
  • A 3D-printed drill guide and table-bound system facilitated consistent screw placement via minimally invasive technique
  • Craniocaudal and dorsoventral angles were well controlled (mean CCA = –1.22°, DVA = 0.71°), demonstrating accurate trajectory
  • No intraoperative complications were reported; all pilot holes drilled on first attempt
  • Use of fluoroscopy and orthogonal imaging enhanced surgical accuracy and reduced malposition risk
  • The system permitted screw placement through a sleeve that doubled as a muscle retractor, allowing implant delivery without disruption

Lopez Barroso

Veterinary Surgery

1

2026

Accuracy of a table‐bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats

2026-1-VS-lopezbarroso-2

Article Title: Accuracy of a table‐bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats

Journal: Veterinary Surgery

In Horwood 2024 et al., on complications in luxoid hip dysplasia, what femoral morphological abnormality was frequently seen and may complicate stem placement?

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Correct. Valgus, medialization of the trochanter, and lateralized cortex were common in LH dogs and can complicate stem positioning.
Incorrect. The correct answer is Proximal femoral valgus.
Valgus, medialization of the trochanter, and lateralized cortex were common in LH dogs and can complicate stem positioning.

🔍 Key Findings

  • Luxoid hip dysplasia (LH) was present in 8% of THA cases and significantly increased risk of major complications (p < .001).
  • Intraoperative fissures/fractures were 3x more likely in LH dogs vs non-LH (39% vs 16%, p = .001).
  • Dorsal luxation was more frequent in LH dogs (28% vs 4%, p = .019).
  • Acetabular cup placement with ALO >35° was associated with luxation in LH dogs.
  • Morphologic abnormalities (e.g., femoral valgus, lateralization/medialization of cortices) were common in LH and may complicate implantation.
  • Despite higher risk, 94% of LH dogs achieved satisfactory outcomes after appropriate revisions.
  • Younger age and lighter weight characterized LH dogs (mean age 14.7 months vs 40.9 months, p < .001).
  • All LH dogs were treated with cementless stems; prophylactic cerclage was rarely used.

Horwood

Veterinary Surgery

4

2024

Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

2024-4-VS-horwood-4

Article Title: Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

Journal: Veterinary Surgery

In Matz 2022 et al., on stapler size comparison, what is the clinical significance of the finding that all stapler groups had ILPs exceeding 25 mmHg?

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Correct. The study used 25 mmHg as a reference threshold; all stapler groups exceeded this, suggesting functional closure under physiological conditions.
Incorrect. The correct answer is They exceed normal intraluminal pressures in dogs.
The study used 25 mmHg as a reference threshold; all stapler groups exceeded this, suggesting functional closure under physiological conditions.

🔍 Key Findings

  • No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
  • All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
  • Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
  • Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
  • No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
  • Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
  • One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
  • Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.

Matz

Veterinary Surgery

4

2022

Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

2022-4-VS-matz-4

Article Title: Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

Journal: Veterinary Surgery

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