Your Custom Quiz

In Adrian 2024 et al., on feline pelvic fracture stabilization, what was the most common grade of pelvic canal narrowing at follow-up?

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Correct. At follow-up, 12 of 16 cats with narrowing showed mild change in sacral index.
Incorrect. The correct answer is Mild narrowing (<10%).
At follow-up, 12 of 16 cats with narrowing showed mild change in sacral index.

🔍 Key Findings

  • 20 cats with pelvic fractures treated with SOP plates and cortical screws
  • Full function reported in all patients per FMPI follow-up
  • Screw loosening in 3/20 SOP cases; implant removal in 3 cats
  • Median sacral index decrease at follow-up: 5.7%; mostly mild narrowing
  • Complications: 5 major (3 SOP removals, 2 trochanter osteotomy issues); 20 minor
  • SOP plate shown feasible even in challenging configurations; good functional outcomes

Adrian

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

2024-1-VCOT-adrian-5

Article Title: Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Muroi 2024 et al., on radius plate stress effects, what clinical implication is suggested regarding implant-induced osteoporosis (IIO)?

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Correct. Study concludes IIO and bone changes may stem from reduced tension on plated cortex.
Incorrect. The correct answer is It may result from reduced cortical tension beneath LP.
Study concludes IIO and bone changes may stem from reduced tension on plated cortex.

🔍 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-5

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Woelfel 2022 et al., on cervical locked facets, what was the most common inciting cause?

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Correct. 9 out of 10 cases were due to external trauma from dog attacks.
Incorrect. The correct answer is Attacks by larger dogs.
9 out of 10 cases were due to external trauma from dog attacks.

🔍 Key Findings

  • Locked facet injuries in dogs involved unilateral dorsal displacement of the cranial articular process of the caudal vertebra, most commonly at C5/6 or C6/7.
  • All affected dogs were small/toy breeds, typically following trauma (most often attacks by larger dogs).
  • Neurologic severity ranged from ambulatory tetraparesis to tetraplegia, often with thoracic limb deficits more severe than pelvic limbs — suggesting a central cord syndrome-like pattern.
  • CT and MRI revealed axial rotation, subluxation, and articular process displacement; MRI showed T2 hyperintensity, nerve root impingement, and soft tissue changes.
  • Surgical treatment included ventral fixation with screws, pins, and PMMA, and one case required dorsal facetectomy for reduction.
  • Medical management, including external coaptation or rest, also resulted in functional recovery in select cases.
  • All dogs with follow-up data (8/8) had functional recovery, with nonambulatory dogs regaining ambulation in a median of 4 weeks.
  • No consistent differences in outcome were observed between surgical and nonsurgical management, suggesting locked facets may be biomechanically stable.

Woelfel

Veterinary Surgery

1

2022

Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

2022-1-VS-woelfel-3

Article Title: Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

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 Buote 2023 et al., on 3D-printed cannulas in feline laparoscopy, what technical issue occurred with the 3DPC during live surgery case 1?

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Correct. This occurred in case 1 and was resolved by adding a luer lock in case 2.
Incorrect. The correct answer is Insufflation port broke during connection.
This occurred in case 1 and was resolved by adding a luer lock in case 2.

🔍 Key Findings

  • 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
  • Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
  • Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
  • Live patients experienced no postoperative complications, including no incision site infections or discomfort.
  • Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
  • Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
  • Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
  • Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.

Buote

Veterinary Surgery

6

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-6-VS-buote-4

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

In Davies 2024 et al., on lymphaticovenous anastomosis, what is the proposed advantage of creating a TD to AV anastomosis over traditional TD ligation and cisterna chyli ablation?

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Correct. TD to AV connection reduces stimulus for collateral formation and may prevent leakage.
Incorrect. The correct answer is Direct lymphatic drainage to central veins.
TD to AV connection reduces stimulus for collateral formation and may prevent leakage.

🔍 Key Findings

  • Lymphaticovenous anastomosis (TD to AV) was successfully performed in all 8 feline cadavers using a microvascular anastomotic coupler (MAC).
  • Anastomotic patency was confirmed intraoperatively and postoperatively in 7/8 cats via contrast lymphography or retrograde venography.
  • Dissection and anastomosis took a median of 120 minutes, with minimal technical complications.
  • A 1.5 mm MAC was used in 6 cats, and a 2.0 mm in 2 cats; TD diameter ranged 1.0–1.5 mm, AV up to 2.25 mm.
  • Challenges included vessel twisting and luminal patency issues, resolved intraoperatively with minor adjustments (e.g., repeat pinning, tacking suture).
  • MAC use eliminated need for hand-suturing, lowering skill demands but requiring precise alignment.
  • Technique provides direct lymphatic-to-venous drainage, potentially reducing the stimulus for collateral vessel formation.
  • May serve as a future treatment option for feline idiopathic chylothorax, warranting further in vivo studies.

Davies

Veterinary Surgery

7

2024

Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

2024-7-VS-davies-5

Article Title: Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

Journal: Veterinary Surgery

In Danielski 2022 et al., on PAUL complications, what percentage of limbs experienced major complications?

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Correct. Major complications occurred in ~25.6% of treated limbs.
Incorrect. The correct answer is 25%.
Major complications occurred in ~25.6% of treated limbs.

🔍 Key Findings

  • Major complications occurred in 25.6% of limbs treated with PAUL, including non-union, implant failure, and infection requiring revision surgery.
  • Increased body weight was significantly associated with a higher risk of complications (7% increased risk per additional kg; p = .04).
  • Post-operative radiographic assessment was unreliable in predicting complications; inter-observer agreement was poor (kappa ≤ 0.12).
  • Expert evaluation of implant or reduction errors had low predictive value (k < 0.2) for postoperative complications.
  • Common major complications included non-union (6 limbs), screw breakage, and surgical site infections.
  • Implant removal was required in 11.5% of limbs, mostly due to non-union or infection.
  • Being a Labrador appeared protective on univariate analysis, but not on multivariate analysis after adjusting for weight.
  • Radiographs showing suboptimal plate placement or osteotomy reduction did not reliably correlate with actual complication occurrence.

Danielski

Veterinary Surgery

1

2022

Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

2022-1-VS-danielski-4

Article Title: Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

Journal: Veterinary Surgery

In Marchionatti 2022 et al., on antiseptic efficacy comparison, what methodological limitation was common across studies?

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Correct. Most studies lacked detail in randomization and blinding methods, leading to unclear risk of bias in multiple domains:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Unclear risk of bias due to insufficient reporting.
Most studies lacked detail in randomization and blinding methods, leading to unclear risk of bias in multiple domains:contentReference[oaicite:2]{index=2}

🔍 Key Findings

  • Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
  • No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
  • Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
  • Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
  • Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
  • Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
  • Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
  • Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.

Marchionatti

Veterinary Surgery

5

2022

Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

2022-5-VS-marchionatti-3

Article Title: Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

Journal: Veterinary Surgery

In Alvarez 2022 et al., on rehabilitation modalities, which statement best reflects the findings on photobiomodulation (PBM)?

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Correct. Only one of three PBM studies (Rogatko et al.) showed improved PVF; others showed no significant benefit despite low RoB.
Incorrect. The correct answer is Only one PBM study showed improved objective outcomes.
Only one of three PBM studies (Rogatko et al.) showed improved PVF; others showed no significant benefit despite low RoB.

🔍 Key Findings

  • Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
  • Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
  • Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
  • Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
  • Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
  • Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
  • No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
  • The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.

Alvarez

Veterinary Surgery

2

2022

Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

2022-2-VS-alvarez-4

Article Title: Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

Journal: Veterinary Surgery

In Jeong 2025 et al., on contoured saw guide vs jig, what was a key outcome in terms of osteotomy *inclination* on cadaver limbs?

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Correct. The contoured guide significantly reduced osteotomy inclination deviation, improving perpendicularity (p = .008).
Incorrect. The correct answer is Contoured guide showed more accurate inclination angle (1.2° vs. 4.3°)..
The contoured guide significantly reduced osteotomy inclination deviation, improving perpendicularity (p = .008).

🔍 Key Findings

  • TPLO with the contoured saw guide achieved more accurate osteotomy angles for both inclination and torsion in bone models and cadaveric limbs (p < .05).
  • Medial cortical damage was significantly lower with the contoured guide (247 vs. 1866 pixels in bone models; p < .001).
  • No significant difference in eccentricity (distance between actual and intended osteotomy center) was found between groups.
  • Postoperative tibial plateau angle (TPA) was similar between groups (6.4° vs. 7.6°; p = .15), though both were slightly higher than the target of 6°.
  • Deviation in medial mechanical proximal tibial angle (mMPTA) showed no significant group difference; valgus deformity occurred in both.
  • Osteotomy and device application times were similar between the contoured guide and jig-assisted TPLO.
  • The contoured guide eliminated the need for proximal jig pin, potentially reducing intra-articular pin risk.
  • The guide's multiple pin fixation system improved stability and alignment, supporting safer osteotomy on curved tibial surfaces.

Jeong

Veterinary Surgery

7

2025

Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

2025-7-VS-jeong-1

Article Title: Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

Journal: Veterinary Surgery

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