Your Custom Quiz

In Loh 2024 et al., on treatment outcomes for CvHL in dogs, what was the most common etiology?

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Correct. Low-trauma events caused 82.9% of CvHL cases, unlike CdHL which is often MVA-related.
Incorrect. The correct answer is Low-trauma accidents.
Low-trauma events caused 82.9% of CvHL cases, unlike CdHL which is often MVA-related.

🔍 Key Findings

  • Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
  • Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
  • Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
  • Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
  • Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
  • Ehmer sling is not recommended due to high failure and complication rates (60.6%).
  • Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
  • No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).

Loh

Veterinary Surgery

4

2024

Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

2024-4-VS-loh-4

Article Title: Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

Journal: Veterinary Surgery

In Saitoh 2025 et al., on CTS stabilization, which of the following was used in the majority of stabilization procedures?

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Correct. 8 of 12 dogs underwent synthetic ligament reconstruction as the primary repair method.
Incorrect. The correct answer is Synthetic ligament reconstruction.
8 of 12 dogs underwent synthetic ligament reconstruction as the primary repair method.

🔍 Key Findings

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

  • 3 dogs = primary ligamentous repair
  • 8 dogs = synthetic ligament reconstruction
  • 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

  • All 10 dogs had improved or resolved lameness.
  • All 5 farm dogs returned to work (most at full or substantial capacity).
  • Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

Saitoh

Veterinary Surgery

1

2025

Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

2025-1-VS-saitoh-5

Article Title: Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

Journal: Veterinary Surgery

In Adrian 2024 et al., on feline pelvic fracture stabilization, how did the median sacral index change from immediate postop to follow-up?

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Correct. Pelvic canal narrowing led to a median sacral index decrease of 5.7% at follow-up.
Incorrect. The correct answer is Decreased by ~5.7%.
Pelvic canal narrowing led to a median sacral index decrease of 5.7% at follow-up.

🔍 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-3

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 de Moya 2023 et al., on FGPP of femoral capital physeal/neck fractures, which factor was most associated with poor outcomes requiring salvage procedures?

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Correct. Dogs presenting >15 days post-injury with remodeling had higher risk of implant failure and malunion.
Incorrect. The correct answer is Chronicity with radiographic remodeling.
Dogs presenting >15 days post-injury with remodeling had higher risk of implant failure and malunion.

🔍 Key Findings

  • 11 dogs, 13 fractures (mostly Salter-Harris type I) were repaired with FGPP using Kirschner wires.
  • 10/13 fractures achieved satisfactory healing with good limb function at ~43 days median follow-up.
  • Major complications occurred in 5 dogs: intra-articular pin placement, implant migration (2), implant failure with nonunion, and malunion.
  • 2 dogs presenting >15 days post-injury with radiographic remodeling were poor candidates → higher risk of nonunion/malunion.
  • Preoperative displacement was mostly mild (10/13 fractures); these had better outcomes than chronic or severely displaced cases.
  • Median surgical time: 60 minutes (range 45–75), all performed percutaneously without conversion to open.
  • Elective pin removal was performed in 5 cases; migration occurred with both short and long cut wires.
  • Femoral neck resorption (“apple-coring”) was rare (2/10 healed cases) and thought to be less frequent than after ORIF due to reduced vascular disruption.

de Moya

Veterinary Surgery

7

2023

Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-7-VS-demoya-2

Article Title: Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

In Perez Neto 2025 et al., on hip resurfacing arthroplasty, approximately how many times body weight did prosthetic femurs withstand before failure?

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Correct. Despite reduced load tolerance vs. controls, prosthetic femurs still exceeded ~6× body weight capacity.
Incorrect. The correct answer is 6.2×.
Despite reduced load tolerance vs. controls, prosthetic femurs still exceeded ~6× body weight capacity.

🔍 Key Findings

  • In an ex vivo study of 20 canine femur pairs, implantation of a novel hip resurfacing arthroplasty (HRA) prosthesis reduced maximum load (ML) by 22% and load at collapse (LC) by 27% vs. intact controls (p ≤ 0.05).
  • Displacement at maximum load (DML), displacement at collapse (DC), and stiffness (k) were not significantly different between prosthesis and control groups.
  • Both groups showed similar failure patterns, with 92% failing at the femoral neck.
  • All prosthetic femurs still withstood ~6.2× body weight — exceeding estimated in vivo peak loads (~1.64× BW).
  • Prosthesis positioning (neutral vs valgus) had no significant effect on biomechanical outcomes.
  • Implant design preserved more metaphyseal bone stock than total hip replacement, possibly explaining the smaller load reduction compared to other short-stem prostheses.
  • The press-fit cobalt–chromium design with conical stem allowed full contact and stress distribution over the femoral head/neck.
  • Authors conclude the device has adequate immediate biomechanical strength for clinical use, though long-term in vivo studies are needed.

Perez Neto

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study

2025-4-VCOT-perezneto-4

Article Title: Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Peycke 2022 et al., on CBLO in immature dogs, what was a **benefit of using K-wires** for tibial apophysis stabilization in CBLO?

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Correct. Unlike CCS, K-wires allowed continued growth of the tibial tuberosity apophysis.
Incorrect. The correct answer is Preserved apophyseal growth.
Unlike CCS, K-wires allowed continued growth of the tibial tuberosity apophysis.

🔍 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-4

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

Journal: Veterinary Surgery

In Thibault 2023 et al., on DPO for THR luxation, what was the reported impact of DPO on angle of lateral opening (ALO) and version angle (VA)?

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Correct. DPO resulted in a median 11° decrease in ALO and an 8° increase in VA.
Incorrect. The correct answer is ALO decreased and VA increased.
DPO resulted in a median 11° decrease in ALO and an 8° increase in VA.

🔍 Key Findings

  • Double pelvic osteotomy (DPO) reduced angle of lateral opening (ALO) by a median of 11° (p ≤ .001).
  • Despite ALO correction, THR reluxation occurred in 5/11 dogs, often within 7 days post-DPO.
  • Post-DPO ALO remained elevated (median 56°), with only 2 dogs achieving the recommended 35–45° range.
  • Explantation was required in 7/11 dogs (5 aseptic loosenings, 2 infections), suggesting poor long-term implant survival.
  • Dogs with luxoid hips were more likely to fail, even with corrected ALO, emphasizing soft tissue instability as a risk factor.
  • Compared to TPO (23° correction), DPO yielded a smaller ALO correction, possibly due to older dog population and less elastic pelvis.
  • No ventral luxation occurred post-DPO, unlike in TPO studies, likely due to more conservative ALO reduction.
  • Authors do not recommend routine DPO for THR luxation due to high complication and failure rates.

Thibault

Veterinary Surgery

8

2023

Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs

2023-8-VS-thibault-3

Article Title: Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs

Journal: Veterinary Surgery

In Danielski 2024 et al., on PUO effect on HIF, which of the following postoperative complication rates was reported for major HIF-related issues?

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Correct. Four out of 51 elbows experienced major complications related to fissure healing (7.8%).
Incorrect. The correct answer is 7.8%.
Four out of 51 elbows experienced major complications related to fissure healing (7.8%).

🔍 Key Findings Summary

  • Sample: 51 elbows from 35 spaniel dogs
  • Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
  • Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
  • Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
  • Complications:
    • Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
    • Minor: 3 cases (5.8%) due to IM pin migration
  • Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
  • PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
  • Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)

Danielski

Veterinary Surgery

2

2024

Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

2024-2-VS-danielski-3

Article Title: Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

Journal: Veterinary Surgery

In Ferreira 2025 et al., on heated pneumoperitoneum in dogs, how soon after surgery began did the nonheated group show a temperature drop?

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Correct. The nonheated group showed a statistically significant temperature reduction just 5 minutes after the start of surgery.
Incorrect. The correct answer is 5 minutes.
The nonheated group showed a statistically significant temperature reduction just 5 minutes after the start of surgery.

🔍 Key Findings

  • Heated CO₂ insufflation reduced perioperative hypothermia during laparoscopic ovariectomy compared to nonheated CO₂.
  • Final body temperature was significantly higher in the heated group (36.03°C) than in the nonheated group (34.93°C).
  • Temperature reduction correlated with surgical duration only in the nonheated group (p < .05).
  • Heated CO₂ delayed temperature drop, occurring after 20 minutes vs. 5 minutes in nonheated cases.
  • No significant differences between groups in anesthetic, surgical, or insufflation times.
  • All dogs recovered uneventfully and were discharged the same day.
  • Heated CO₂ may offer greater benefit in longer procedures or in small-sized dogs prone to hypothermia.
  • No adverse effects were attributed to heated gas use in this clinical trial.

Ferreira

Veterinary Surgery

5

2025

Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

2025-5-VS-ferreira-2

Article Title: Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

Journal: Veterinary Surgery

In Peterson 2022 et al., on crescent guide in TPLO, what was the outcome of comparing osteotomy accuracy among the three devices?

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Correct. There were no significant differences in DOE, coronal angulation, or axial angulation among the devices in both bone models and cadavers.
Incorrect. The correct answer is No significant differences in accuracy were found.
There were no significant differences in DOE, coronal angulation, or axial angulation among the devices in both bone models and cadavers.

🔍 Key Findings

  • Crescent guide use resulted in significantly less medial cortical damage (mean 3.8 mm²) than the radial saw guide (35.7 mm²) and standard jig (51.3 mm²) in bone models.
  • No significant difference in osteotomy accuracy (distance of eccentricity, coronal or axial angulation) among crescent guide, radial guide, or standard jig in either bone models or cadavers.
  • Device application time was shortest with the crescent guide and longest for the radial saw guide.
  • Osteotomy time was fastest with the crescent guide compared to the radial saw guide (P = .015).
  • Participants rated the crescent guide easier to apply than both the radial saw guide (P < .005) and the standard jig (P = .015).
  • 5 of 6 novice participants preferred the crescent guide over the other devices for performing TPLO.
  • Subjective ease of osteotomy performance was higher with the crescent guide vs. radial guide (P < .001).
  • Crescent guide does not assist in fragment stabilization or plateau rotation unlike a standard TPLO jig.

Peterson

Veterinary Surgery

3

2022

Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

2022-3-VS-peterson-2

Article Title: Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

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