Your Custom Quiz

In Davies 2024 et al., on lymphaticovenous anastomosis, what was the main technical issue encountered during pinning to the MAC?

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Correct. Poor luminal visibility required repeat pinning in one cat to ensure flow through the TD.
Incorrect. The correct answer is Luminal patency difficulty during vessel pinning.
Poor luminal visibility required repeat pinning in one cat to ensure flow through the TD.

🔍 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-2

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

Journal: Veterinary Surgery

In Mullen 2024 et al., on NIRF for GDV, which region showed significantly lower fluorescence intensity in nonviable gastric tissue?

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Correct. Fundic fluorescence was significantly reduced in nonviable tissue (4.33%) vs viable GDV cases (38.17%).
Incorrect. The correct answer is Fundus.
Fundic fluorescence was significantly reduced in nonviable tissue (4.33%) vs viable GDV cases (38.17%).

🔍 Key Findings

  • NIRF altered surgical strategy in 3 of 20 GDV dogs, identifying necrosis not appreciated subjectively.
  • Fundic fluorescence <10% indicated histologically confirmed gastric necrosis.
  • In 1 dog, NIRF revealed nonviability despite the surgeon’s impression of viability.
  • Staple line fluorescence resembled viable tissue in the only stapled gastrectomy, suggesting preservation of perfusion.
  • GDV dogs (even “viable”) showed lower fluorescence vs. healthy controls, indicating subclinical vascular compromise.
  • Histology confirmed full-thickness necrosis in all 4 dogs with NIRF-defined nonviability.
  • Pre-op lactate was significantly higher in nonviable GDV dogs (8.55 vs 4.89 mmol/L, p=0.03).
  • No complications were reported from ICG use; imaging was safe and repeatable.

Mullen

Veterinary Surgery

4

2024

Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

2024-4-VS-mullen-1

Article Title: Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

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 Pilot 2022 et al., on closure methods in sternotomy, what was the overall rate of closure-related complications observed in dogs?

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Correct. This multi-institutional study found a 14.1% complication rate after median sternotomy closure.
Incorrect. The correct answer is 14.1%.
This multi-institutional study found a 14.1% complication rate after median sternotomy closure.

🔍 Key Findings

  • Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
  • No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
  • Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
  • Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
  • Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
  • Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
  • Infection rate was low (2.7%), and not significantly different between wire and suture.
  • Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.

Pilot

Veterinary Surgery

6

2022

Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

2022-6-VS-pilot-1

Article Title: Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

Journal: Veterinary Surgery

In Kang 2022 et al., on 3D scaffold reconstruction, which material was combined with polycaprolactone (PCL) to enhance osteoconductivity?

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Correct. β-TCP was used to improve hydrophilicity and bone regeneration potential of PCL.
Incorrect. The correct answer is Beta-tricalcium phosphate.
β-TCP was used to improve hydrophilicity and bone regeneration potential of PCL.

🔍 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-1

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 Kimura 2025 et al., on mini-THA in <4 kg dogs, which implant strategy was used to reduce risk of femoral fracture during THA in small dogs?

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Correct. Prophylactic screws and plates were used in cases with instability or over-reaming to prevent fracture:contentReference[oaicite:4]{index=4}.
Incorrect. The correct answer is Use of prophylactic bicortical screw and plate.
Prophylactic screws and plates were used in cases with instability or over-reaming to prevent fracture:contentReference[oaicite:4]{index=4}.

🔍 Key Findings

  • Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
  • Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
  • Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
  • Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
  • Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
  • Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
  • No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
  • CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.

Kimura

Veterinary Surgery

6

2025

Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

2025-6-VS-kimura-5

Article Title: Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

Journal: Veterinary Surgery

In Deprey 2022 et al., on gap fracture implants, which of the following best explains the improved biomechanical performance of the NAS-ILN?

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Correct. NAS-ILN advantages include central positioning, threaded angle-stable screw fixation, and use of titanium alloy.
Incorrect. The correct answer is Central bone alignment, angle-stability, and titanium alloy material.
NAS-ILN advantages include central positioning, threaded angle-stable screw fixation, and use of titanium alloy.

🔍 Key Findings

  • NAS-ILN had significantly greater stiffness in both axial compression and 4-point bending compared to LCP constructs.
  • Ultimate load to failure was significantly higher for NAS-ILN in compression (804 N vs 328 N) and bending (25.7 Nm vs 16.3 Nm).
  • Torsional stiffness and angular deformation were similar, but NAS-ILN resisted higher torque to failure than LCP (22.5 Nm vs 19.1 Nm).
  • No slack was observed with the NAS-ILN construct, unlike older nail designs.
  • Failure modes differed: LCPs failed via plate bending; NAS-ILNs failed at the implant or bone near screw holes.
  • Titanium alloy and curved design of NAS-ILN provides better anatomic fit and more uniform stress distribution.
  • A third, perpendicular locking hole in NAS-ILN may enhance torsional stability but was not utilized in this study.
  • The curved, angle-stable design of NAS-ILN is a novel advancement in veterinary orthopedics.

Deprey

Veterinary Surgery

8

2022

Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

2022-8-VS-deprey-5

Article Title: Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

Journal: Veterinary Surgery

In Aly 2024 et al., on simulator training for feline OHE, what was the difference in incidence of rescue analgesia between groups?

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Correct. Rescue analgesia was administered less frequently in the SIM group (5%) than the NO-SIM group (15%) (p = .03).
Incorrect. The correct answer is 5% vs 15%.
Rescue analgesia was administered less frequently in the SIM group (5%) than the NO-SIM group (15%) (p = .03).

🔍 Key Findings

  • This study evaluated whether high-fidelity surgical simulator training improved live animal and student outcomes in a feline OHE teaching lab involving 186 cats and 146 students.
  • Simulator training significantly improved surgical performance and outcomes:
    • Live surgery was 6 minutes shorter on average in the SIM group vs. NO-SIM (115 ± 21 min vs. 121 ± 16 min, p = .04).
    • Pain scores ≥5/20 occurred in 1% of SIM group cats vs. 15% of NO-SIM group cats (p < .01).
    • Rescue analgesia was needed less frequently in the SIM group (5% vs. 15%, p = .03).
    • Student confidence was significantly higher in the SIM group (median 7/10 vs. 6/10, p < .01).
  • The simulator used a realistic abdominal model with friable tissues and required performance of a full OHE procedure.
  • The study design was nonrandomized, grouped by class year, with limitations including lack of blinding during pain assessment in year two.
  • Authors concluded that pre-lab simulator competency improves both animal welfare and student confidence, recommending it as a prerequisite for live surgical training.

Aly

Veterinary Surgery

6

2024

Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory

2024-6-VS-aly-2

Article Title: Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory

Journal: Veterinary Surgery

In Allaith 2023 et al., on THR outcomes, what statistically significant change was observed in postoperative LOAD scores?

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Correct. Postoperative LOAD scores improved significantly from 21 to 11 (P < .0001), showing better mobility.
Incorrect. The correct answer is They decreased from 21 to 11.
Postoperative LOAD scores improved significantly from 21 to 11 (P < .0001), showing better mobility.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

  • 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
  • Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
  • Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
  • Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
  • Most common complications: Luxation, femoral fracture, and aseptic loosening.
  • BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
  • Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
  • Owner satisfaction was high, with 88% rating outcome as very good or good.

Allaith

Veterinary Surgery

2

2023

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

2023-2-VS-allaith-4

Article Title: Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

Journal: Veterinary Surgery

In Adair 2023 et al., on PCCLm vs. open cystotomy, what factor increased the odds of surgical site infection/inflammation in the PCCLm group?

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Correct. Incision extension (not for other procedures) increased SSII risk (OR 18.76, p = .027).
Incorrect. The correct answer is Incision extension for exposure.
Incision extension (not for other procedures) increased SSII risk (OR 18.76, p = .027).

🔍 Key Findings

  • PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
  • Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
  • PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
  • Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
  • Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
  • PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
  • Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
  • Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.

Adair

Veterinary Surgery

6

2023

Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

2023-7-VS-adair-4

Article Title: Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

Journal: Veterinary Surgery

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