Your Custom Quiz

In Scharpf 2024 et al., what symmetry index (SI) threshold was considered indicative of normal limb loading?

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Correct. A symmetry index (SI) ≥ 0.9 was defined as normal for limb loading across all force parameters:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is 0.90.
A symmetry index (SI) ≥ 0.9 was defined as normal for limb loading across all force parameters:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
  • No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
  • Force plate analysis was more sensitive than visual lameness scoring.
  • Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
  • Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.

Scharpf

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

2024-2-VCOT-scharpf-3

Article Title: Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Huerta 2025 et al., on TPLO healing assessment, how did the 10-point scoring system compare to the 5-point system?

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Correct. The 10-point system had good consistency in 4/5 surgeons versus 3/5 for the 5-point system
Incorrect. The correct answer is Had better intraobserver consistency.
The 10-point system had good consistency in 4/5 surgeons versus 3/5 for the 5-point system

🔍 Key Findings

Population: 29 Boxer dogs and 29 age-matched Labrador Retrievers undergoing TPLO.
Scoring Systems Compared: 5-point vs. 10-point radiographic healing systems.
Healing Scores (Week 8):

  • Boxers: 5-point mean = 3.3; 10-point mean = 6.9
  • Labradors: 5-point mean = 3.6; 10-point mean = 7.5
  • Statistically significant difference (p = 0.0003 and p < 0.0001)

Osteotomy Gap ≥1 mm (present in 16.4%): Associated with significantly lower healing scores and increased recommendations for additional radiographic follow-up (p < 0.0001).
Observer Reliability:

  • Both systems = good interobserver consistency.
  • Slightly better intraobserver consistency with the 10-point scale.

Clinical Implication: Boxer dogs may need extended healing time or altered follow-up strategy after TPLO.

Huerta

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

2025-1-VC-Huerta-3

Article Title: Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

Journal: Veterinary and Comparative Orthopedics and Traumatology

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 Peycke 2022 et al., on CBLO in immature dogs, how many dogs developed **tibial recurvatum** due to over-rotation of the TPA during CBLO?

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Correct. One dog developed 10° recurvatum due to overcorrection to protect CrCL avulsion repair.
Incorrect. The correct answer is 1.
One dog developed 10° recurvatum due to overcorrection to protect CrCL avulsion repair.

🔍 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-5

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

Journal: Veterinary Surgery

In Duffy 2022 et al., on barbed suture oversew, what was the **most common leakage site** among all FEESA groups regardless of suture type?

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Correct. Over 80% of leakage in all groups occurred at the anastomotic crotch, not staple lines or suture holes.
Incorrect. The correct answer is Crotch of the anastomosis.
Over 80% of leakage in all groups occurred at the anastomotic crotch, not staple lines or suture holes.

🔍 Key Findings

  • Oversewing the transverse staple line using barbed suture showed no difference in initial (ILP) or maximum leakage pressure (MLP) compared to monofilament suture (p = .439 and .644).
  • Barbed suture repairs were ~18% faster (25 seconds faster; p < .001) than monofilament suture.
  • No difference was found between unidirectional and bidirectional barbed sutures in leakage resistance or repair time (p = .697).
  • Mean ILP and MLP were significantly higher in control jejunal segments (6.6x and 5.1x greater respectively; p < .001).
  • Leakage consistently occurred at the crotch of the FEESA in all oversew groups (>80%), not the staple line.
  • All oversewn techniques leaked at supraphysiologic pressures, indicating clinical safety against in vivo leakage.
  • No leakage was observed from barbed suture holes, addressing concerns of tissue trauma due to barb design.
  • The study supports barbed suture as a viable alternative to conventional monofilament suture for FEESA oversew in dogs.

Duffy

Veterinary Surgery

5

2022

Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

2022-5-VS-duffy-2

Article Title: Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

Journal: Veterinary Surgery

In Song 2024 et al., on CT vs cystoscopy for ectopic ureters in dogs, what did the authors conclude regarding CT's role in surgical planning?

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Correct. CT misclassified too many dogs to serve as the sole diagnostic tool; cystoscopy is recommended for confirmation.
Incorrect. The correct answer is CT should be confirmed with cystoscopy.
CT misclassified too many dogs to serve as the sole diagnostic tool; cystoscopy is recommended for confirmation.

🔍 Key Findings

  • CT correctly identified ectopic ureters in 91% of dogs, but missed 50% of normal ureters, limiting its negative predictive value.
  • Sensitivity for intramural ectopic ureters was 65%, while specificity was 71%, indicating moderate diagnostic performance.
  • Sensitivity for extramural ectopic ureters was only 29%, despite a high specificity of 97%.
  • CT was inaccurate in predicting ureteral orifice location, with sensitivity ranging from 0% to 76% depending on the site.
  • 26% of dogs were misclassified for cystoscopic laser ablation (CLA) eligibility based on CT findings alone.
  • Overall CT accuracy for CLA candidacy was 74%, but a significant minority would have been inappropriately treated.
  • Multivariate analysis found no predictive factors (e.g., colon distension, body weight) for when CT would be incorrect.
  • Authors recommend confirmatory cystoscopy to verify CT findings prior to treatment planning.

Song

Veterinary Surgery

3

2024

Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases

2024-3-VS-song-5

Article Title: Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases

Journal: Veterinary Surgery

In Miller 2024 et al., on SOP-LC mechanical testing, what torque value may help reduce clamp slippage during use?

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Correct. The study suggests that increasing torque from 2.5 to 3.0 Nm may improve clamp stability and reduce slippage.
Incorrect. The correct answer is 3.0 Nm.
The study suggests that increasing torque from 2.5 to 3.0 Nm may improve clamp stability and reduce slippage.

🔍 Key Findings Summary

  • No significant difference in mechanical properties between contoured vs non-contoured SOP-LC rods
  • Clamp configuration significantly influenced mechanical performance:
    • Single-side clamps → ↑ yield load, ↑ displacement, ↑ bending strength (p < 0.05)
    • Alternating-side clamps → ↑ initial torsional stiffness (p = 0.029)
  • Clamp slippage was evident only in torsional tests; screw loosening may be torque-dependent
  • Mild screw bending and construct offset suggest subtle instability
  • Recommends clamp configuration choice based on loading scenario
  • Suggests 3.0 Nm torque may be more effective than 2.5 Nm to prevent clamp slippage

Miller

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

2024-4-VCOT-miller-5

Article Title: Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Latifi 2022 et al., on forelimb fascial mapping, which fascial type was most frequently observed in the antebrachium of dogs?

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Correct. Type I fascia predominated in the antebrachium, although it thinned distally and became less reliable.
Incorrect. The correct answer is Type I fascia (discrete fascial sheet).
Type I fascia predominated in the antebrachium, although it thinned distally and became less reliable.

🔍 Key Findings

  • Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
  • Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
  • Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
  • Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
  • Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
  • Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
  • Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
  • Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.

Latifi

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

2022-1-VS-latifi-1

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

Journal: Veterinary Surgery

In Alvarez 2022 et al., on rehabilitation modalities, what was the outcome of the single study on low-intensity pulsed ultrasound (LIPUS)?

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Correct. The LIPUS study (Kieves 2018) showed no significant improvement in radiographic healing or TPI outcomes after TPLO.
Incorrect. The correct answer is It had no significant effect on healing or function.
The LIPUS study (Kieves 2018) showed no significant improvement in radiographic healing or TPI outcomes after TPLO.

🔍 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-5

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

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic vertical sleeve gastrectomy (LVSG), on LVSG, which device was primarily used for stomach transection?

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Correct. Endo GIA staplers with purple TriStaple cartridges were used in both live cats.
Incorrect. The correct answer is Endo GIA stapler with TriStaple cartridge.
Endo GIA staplers with purple TriStaple cartridges were used in both live cats.

🔍 Key Findings

  • LVSG was successfully performed in 9/10 cadavers and both live cats, demonstrating procedural feasibility.
  • Mean stomach resected was 27.6% of total weight in cadavers, with no leaks in 8/8 tested or either live patient.
  • Mean surgical time: 110.4 min (cadavers) and 115 min (live cats); no intra- or postoperative complications observed.
  • Stenosis near the incisura occurred in 2 cadavers; attributed to staple placement too close to the lesser curvature.
  • 3D printed cannulas (3DPCs) improved ergonomics and were used in 6/10 cadavers and both live procedures.
  • Live cats lost 21–24% body weight over 3 months, with full return to pre-surgical BCS and no GI complications.
  • Orogastric tube and proper tensioning were critical in preventing gastric stenosis during staple placement.
  • No reinforcement or oversew was used on the staple line; TriStaple cartridges provided reliable closure.

Buote

Veterinary Surgery

7

2023

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

2023-7-VS-buote2-4

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

Journal: Veterinary Surgery

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