Your Custom Quiz

In Kang 2022 et al., on 3D scaffold reconstruction, what was the Hounsfield Unit (HU) measurement trend in the scaffold area over time?

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Correct. HU values rose over time, indicating progressive tissue ingrowth (though not full bone regeneration).
Incorrect. The correct answer is Increased from 20.4 to ~98.
HU values rose over time, indicating progressive tissue ingrowth (though not full bone regeneration).

🔍 Key Findings

  • Patient-specific 3D-printed PCL/β-TCP scaffold enabled successful zygomatic arch reconstruction in a dog.
  • Complete surgical resection of a zygomatic parosteal osteosarcoma was achieved, with a 0.3 mm histologically clean margin.
  • Post-op imaging showed progressive tissue ingrowth into the scaffold, with Hounsfield Units increasing from 20.4 to 97.8 over 10 months.
  • No complications (e.g., infection, displacement) or tumor recurrence were noted at 16-month follow-up.
  • Use of a patient-specific osteotomy guide improved anatomical fit and facilitated precise excision and implant placement.
  • Facial symmetry and orbital stability were maintained throughout follow-up.
  • The scaffold remained structurally stable despite limited bone regeneration, suggesting connective tissue filled the defect.
  • Topical mitomycin C was applied intraoperatively for possible anti-neoplastic effect, but efficacy remains unclear.

Kang

Veterinary Surgery

8

2022

Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog

2022-8-VS-kang-4

Article Title: Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog

Journal: Veterinary Surgery

In İnal 2025 et al., on feline high-rise trauma, what was the area under the ROC curve (AUC) for ATTS in predicting mortality?

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Correct. The AUC was 0.857, indicating good predictive performance for ATTS
Incorrect. The correct answer is 0.86.
The AUC was 0.857, indicating good predictive performance for ATTS

🔍 Key Findings

Sample: 373 cats with high-rise syndrome (HRS) from 2017–2020.
ATTS was the only significant predictor of survival (p < 0.001); each point increase decreased survival odds (OR = 0.46).
AUC for ATTS ROC curve: 0.857 (95% CI: 0.788–0.926).
Floor height, lesion type, and ground surface were not significantly associated with survival.
Odds of injury were 7.98× higher when landing on hard vs. soft surface (p < 0.001).
16.96× increased injury risk from the fourth vs. third floor (p = 0.008).
Cats with ATTS ≥7 had 62% mortality; median ATTS increased with floor height (r = 0.244, p < 0.001).
Thoracic and vertebral trauma were most common causes of death.
Only 32% of cats had the “classic” HRS triad (pneumothorax, epistaxis, hard palate fracture).

Inal

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

2025-1-VC-inal-2

Article Title: Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Marturello 2023 et al., on 3D-printed humeral models, what clinical application is most **justified by this study’s findings**?

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Correct. High accuracy in the humeral condyle suggests 3D-printed models are ideal for planning articular fracture repairs.
Incorrect. The correct answer is Preoperative fracture reduction of humeral condyle.
High accuracy in the humeral condyle suggests 3D-printed models are ideal for planning articular fracture repairs.

🔍 Key Findings

  • 3D-printed models using desktop printers (FDM, LFS) showed submillimetric accuracy, comparable to or better than industrial-grade PJP printers.
  • Bone size had a greater effect on print accuracy than printer type, especially in proximal humerus regions.
  • The humeral condyle region showed the greatest model accuracy, with mean differences under 0.5 mm, regardless of printer.
  • Models tended to be slightly smaller than cadaveric bones, potentially due to systematic underestimation during printing.
  • FDM printer provided the highest accuracy at the humeral condyle in medium-sized bones (+0.09 mm).
  • LFS printer produced prints faster and more reliably than FDM, although both had comparable dimensional accuracy.
  • Statistically significant differences existed, but all were submillimetric and unlikely to impact surgical outcomes.
  • Desktop printers are suitable for surgical planning, including plate pre-contouring and patient-specific instrumentation.

Marturello

Veterinary Surgery

1

2023

Accuracy of anatomic 3‐dimensionally printed canine humeral models

2023-1-VS-marturello-5

Article Title: Accuracy of anatomic 3‐dimensionally printed canine humeral models

Journal: Veterinary Surgery

In Danielski 2025 et al., on PUO complication reduction, what was the study's implication for **chondrodystrophic breeds**?

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Correct. Despite being 64.8% of the cohort, these breeds showed excellent outcomes.
Incorrect. The correct answer is They tolerated the technique well.
Despite being 64.8% of the cohort, these breeds showed excellent outcomes.

🔍 Key Findings

  • Combined intramedullary (IM) pin and rhBMP-2 use resulted in a low complication rate (7.4%) after proximal ulnar osteotomy (PUO).
  • Major complications occurred in 5.3% of cases (4 infections, 1 pin breakage with ulnar tilt requiring revision).
  • Minor complications occurred in 2.1% of cases (seroma, delayed union).
  • No cases of non-union were observed; 98.9% of limbs achieved radiographic healing by 6 weeks.
  • IM pin breakage was noted in 11.8% of limbs but did not affect healing outcomes.
  • Chondrodystrophic breeds made up 64.8% of the cohort and tolerated the procedure well.
  • Compared to prior studies, complication rates were substantially reduced with this technique (prior major: 13.9%; this study: 5.3%).
  • The use of rhBMP-2 likely enhanced early bone healing and provided biologic support, particularly important in breeds at higher risk of complications.

Danielski

Veterinary Surgery

6

2025

Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

2025-6-VS-danielski-5

Article Title: Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

Journal: Veterinary Surgery

In Lomas 2025 et al., on DPO and dorsolateral subluxation, what was the mean DLS score immediately postoperatively?

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Correct. The mean DLS score increased from 36.1% pre-op to 71.4% immediately post-op, indicating improved femoral head coverage.
Incorrect. The correct answer is 71.4%.
The mean DLS score increased from 36.1% pre-op to 71.4% immediately post-op, indicating improved femoral head coverage.

🔍 Key Findings

  • DPO significantly improved femoral head coverage, increasing mean DLS from 36.1% to 71.4% postoperatively (p < 0.001).
  • No significant change in DLS between immediate postoperative and follow-up scans, suggesting stable surgical outcomes over time.
  • Greater plate angle (30°) yielded larger DLS improvement (mean increase: 39.8%) compared to 25° and 20° plates.
  • Only 3 hips had post-op DLS scores <55%, indicating most patients had lower risk of osteoarthritis progression.
  • No correlation found between DLS improvement and age, body weight, or side of surgery, suggesting broad applicability.
  • CT was used for DLS measurement in simulated weight-bearing, improving precision over radiographic methods.
  • Major limitations included small sample size, multiple surgeons, and variable sedation vs anesthesia during imaging.
  • DPO confirmed as effective for reducing dorsolateral subluxation, improving coxofemoral joint congruency in dysplastic dogs.

Lomas

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

2025-2-VCOT-lomas-1

Article Title: The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Anderson 2023 et al., on French Bulldogs with humeral condylar fractures, which fracture configuration was most common?

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Correct. LHCF was the most frequent, representing 63.6% of fractures.
Incorrect. The correct answer is Lateral condylar fracture.
LHCF was the most frequent, representing 63.6% of fractures.

🔍 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-1

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

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on MIPO with 3D-printed bone models, what was the tradeoff of using the FRS compared with IMP reduction?

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Correct. FRS increased surgical time (median 43 vs. 29 min, *P = .011*) while reducing fluoroscopy.
Incorrect. The correct answer is FRS was slower but required less fluoroscopy.
FRS increased surgical time (median 43 vs. 29 min, *P = .011*) while reducing fluoroscopy.

🔍 Key Findings

  • Precontoured plates based on 3D-printed femurs produced accurate femoral alignment (median deviations <3 mm or <3° in all planes).
  • Both fracture reduction system (FRS) and intramedullary pin (IMP) methods achieved near-anatomic alignment in cadaveric femoral fractures.
  • FRS required fewer fluoroscopic images (median 7 vs. 26, P = .001), but longer surgical time (median 43 vs. 29 min, P = .011).
  • Sagittal plane alignment: FRS led to mild increased recurvatum (median 2.9°), but still within near-anatomic limits (<5°).
  • Axial alignment: Both groups achieved near-anatomic torsion (<10°), though one IMP case had acceptable (not near-anatomic) alignment.
  • Custom drill guides and FRS improved fluoroscopy efficiency but were cumbersome and time-consuming to use. Authors do not recommend current prototype for clinical use.
  • Clinical significance: 3D printed models allow accurate precontouring, reducing intra-op plate adjustment; custom guides may reduce radiation exposure for the surgical team.

Scheuermann

Veterinary Surgery

7

2023

Minimally invasive plate osteosynthesis of femoral fractures with 3D-printed bone models and custom surgical guides: A cadaveric study in dogs

2023-7-VS-scheuermann-2

Article Title: Minimally invasive plate osteosynthesis of femoral fractures with 3D-printed bone models and custom surgical guides: A cadaveric study in dogs

Journal: Veterinary Surgery

In Downey 2023 et al., on thoracoscopic lobectomy, what complication occurred in the dog that did not survive?

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Correct. The only fatality occurred in a brachycephalic dog with respiratory compromise under anesthesia.
Incorrect. The correct answer is Respiratory arrest due to BOAS.
The only fatality occurred in a brachycephalic dog with respiratory compromise under anesthesia.

🔍 Key Findings

  • Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
  • 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
  • OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
  • Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
  • Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
  • Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
  • Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
  • Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.

Downey

Veterinary Surgery

7

2023

Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

2023-7-VS-downey-4

Article Title: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

Journal: Veterinary Surgery

In Horwood 2024 et al., on complications in luxoid hip dysplasia, what proportion of LH dogs had satisfactory outcomes following revision of major complications?

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Correct. 17 out of 18 LH dogs had satisfactory outcomes post-revision.
Incorrect. The correct answer is 94%.
17 out of 18 LH dogs had satisfactory outcomes post-revision.

🔍 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-5

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

Journal: Veterinary Surgery

In Hertel 2025 et al., on portal venotomy for insulinoma, what was the primary reason the authors selected portal venotomy instead of en bloc vessel resection?

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Correct. CT imaging and intraoperative palpation showed the thrombus was mobile, making direct venotomy feasible.
Incorrect. The correct answer is Because the thrombus was mobile and not firmly adhered to the vessel wall.
CT imaging and intraoperative palpation showed the thrombus was mobile, making direct venotomy feasible.

🔍 Key Findings

  • Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
  • Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
  • No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
  • Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
  • Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
  • Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
  • Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
  • Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.

Hertel

Veterinary Surgery

5

2025

Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

2025-5-VS-hertel-1

Article Title: Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

Journal: Veterinary Surgery

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