Your Custom Quiz

In Kimura 2025 et al., on mini-THA in <4 kg dogs, what statistically significant change was observed in HCPI scores from baseline to 1 year?

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Correct. Statistical analysis showed HCPI dropped from 19.8 to 2.3 (p = 0.0141), with all domains improving except vocalization:contentReference[oaicite:1]{index=1}.
Incorrect. The correct answer is Significant improvement in all but vocalization.
Statistical analysis showed HCPI dropped from 19.8 to 2.3 (p = 0.0141), with all domains improving except vocalization:contentReference[oaicite:1]{index=1}.

🔍 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-2

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

Journal: Veterinary Surgery

In Scheuermann 2024 et al., on 3D-printed reduction systems, what percentage of dogs in the 3D-MIPO group had near-anatomic or acceptable fracture reductions?

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Correct. All fractures in the 3D-MIPO group had near-anatomic or acceptable reduction, whereas the c-MIPO group had two unacceptable reductions.
Incorrect. The correct answer is 100%.
All fractures in the 3D-MIPO group had near-anatomic or acceptable reduction, whereas the c-MIPO group had two unacceptable reductions.

🔍 Key Findings

  • The study was a historic case-control trial comparing custom 3D-printed VSP-guided MIPO (3D-MIPO) to conventional MIPO (c-MIPO) in dogs with diaphyseal tibial fractures.
  • Surgical time was significantly shorter in the 3D-MIPO group (117 min vs. 151 min; p = .014), and fluoroscopy use was dramatically reduced (11 vs. 37 images; p < .001).
  • All 3D-MIPO reductions were acceptable or near-anatomic; 2 c-MIPO dogs had unacceptable reductions.
  • Tibial length, frontal, and sagittal alignment post-op were similar between groups; no significant difference in anatomic restoration (p > .1).
  • Radiographic union occurred in all dogs by 3 months. Time to union was similar between groups (3D-MIPO: 67 days vs. c-MIPO: 53 days; p = .207).
  • Postoperative complication rate was higher in 3D-MIPO (27% vs. 14%), including 2 major infections requiring implant removal.
  • 3D-MIPO required more pre-op time (~23 hours longer from presentation to surgery; p = .002), partly due to guide printing/sterilization.
  • Improved surgical efficiency and more consistent reductions were noted in the 3D-MIPO group, supporting its clinical utility despite increased pre-op logistics.

Scheuermann

Veterinary Surgery

6

2024

Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study

2024-6-VS-scheuermann2-3

Article Title: Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study

Journal: Veterinary Surgery

In Hernon 2023 et al., on flushing the CBD, what was the effect of common bile duct flushing on postoperative hepatobiliary markers in dogs undergoing cholecystectomy?

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Correct. Flushing the CBD did not produce any additional benefit in hepatobiliary markers compared to cholecystectomy alone.
Incorrect. The correct answer is It had no significant impact on postoperative markers.
Flushing the CBD did not produce any additional benefit in hepatobiliary markers compared to cholecystectomy alone.

🔍 Key Findings

  • Flushing the common bile duct (CBD) during cholecystectomy did not result in improved hepatobiliary markers compared to no flushing.
  • Cholecystectomy alone significantly reduced ALP, ALT, GGT, bilirubin, and cholesterol 3 days postoperatively (p < .05 for all).
  • Survival to discharge was 90.3%, with no survival difference between flushed and non-flushed groups.
  • Postoperative pancreatitis occurred in 12.9% of dogs, evenly distributed between groups, suggesting flushing did not increase risk.
  • Most common complication was regurgitation (29%), not significantly different between groups.
  • Free abdominal fluid had low sensitivity (29%) but moderate specificity (73%) for gallbladder rupture.
  • No difference in duration of hospitalization or postoperative complications between groups.
  • Gallbladder rupture rate was 12.9%, lower than previously reported in literature.

Hernon

Veterinary Surgery

5

2023

The effect of flushing of the common bile duct on hepatobiliary markers and short‐term outcomes in dogs undergoing cholecystectomy for the management of gall bladder mucocele: A randomized controlled prospective study

2023-5-VS-hernon-1

Article Title: The effect of flushing of the common bile duct on hepatobiliary markers and short‐term outcomes in dogs undergoing cholecystectomy for the management of gall bladder mucocele: A randomized controlled prospective study

Journal: Veterinary Surgery

In Knudsen 2024 et al., on CTA diagnosis, what was the approximate percentage of menisci correctly classified in second readings?

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Correct. Second readings yielded ~90% correct classification rate.
Incorrect. The correct answer is 90%.
Second readings yielded ~90% correct classification rate.

🔍 Key Findings

  • Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
  • Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
  • Training effect was evident, as less experienced observers improved between first and second readings.
  • Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
  • CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
  • Approximately 90% of menisci were correctly classified in second readings.
  • No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
  • CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.

Knudsen

Veterinary Surgery

8

2024

Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

2024-8-VS-knudsen-3

Article Title: Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

Journal: Veterinary Surgery

In Welsh 2023 et al., on TTAF fixation methods, what was the primary mechanical benefit of two-pin fixation over single-pin fixation?

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Correct. Two-pin fixation had significantly greater stiffness (72 N/mm) and strength (639 N) than single-pin fixation (57 N/mm and 426 N).
Incorrect. The correct answer is Improved stiffness and strength.
Two-pin fixation had significantly greater stiffness (72 N/mm) and strength (639 N) than single-pin fixation (57 N/mm and 426 N).

🔍 Key Findings

  • Two-pin fixation had significantly greater strength (639 N) than single-pin fixation (426 N) in TTAF models (p = .003).
  • Stiffness was also higher with two-pin constructs (72 N/mm vs 57 N/mm); statistically significant (p = .029).
  • Both fixation types withstood loads greater than quadriceps force in dogs at a walk (240 N), indicating clinical viability.
  • Failure was most commonly due to pin bending or pullout (82%), with fewer cases of ligament tearing or epiphyseal fracture.
  • K-wire insertion angle (KWIA) did not significantly differ between fixation types (p = .13).
  • Single larger pins delivered ~68% of the strength and ~83% of the stiffness of two smaller vertically aligned pins.
  • Clinical implication: Two vertically aligned pins are biomechanically superior for TTAF fixation in canine models.
  • Study used mature cadavers, which may underestimate loads and stiffness compared to immature clinical cases.

Welsh

Veterinary Surgery

5

2023

Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model

2023-5-VS-welsh-1

Article Title: Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model

Journal: Veterinary Surgery

In Butare-Smith 2022 et al., on cerclage knot biomechanics, what was the peak load resisted by double-loop cerclage in single-load testing?

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Correct. Double-loop cerclage resisted a mean peak load of 805 N, the highest among all groups.
Incorrect. The correct answer is 805 N.
Double-loop cerclage resisted a mean peak load of 805 N, the highest among all groups.

🔍 Key Findings

  • Double-loop cerclage resisted the highest peak load (805 N) and maintained tension longer than twist (488 N) and single-loop (397 N) configurations.
  • Double-loop cerclage sustained 500,000 cycles at 60–80% of peak load in some cases without loosening, outperforming other types.
  • Twist knots loosened rapidly, often within 10 cycles even at low loads (100–390 N).
  • Single-loop knots performed better than twist, with partial resistance up to 100,000 cycles at 160 N, but showed wide variability.
  • All loosening occurred before wire breakage, indicating clinical failure would happen from slack, not fracture.
  • Double-loop cerclage had highest initial tension (323 N) compared to single-loop (124 N) and twist (69 N).
  • Fatigue limit was not identified for twist, since they all loosened early at even 20% of peak load.
  • Clinical recommendation: double-loop cerclage is best for resisting repeated subfailure loading, ideal for fissure prevention or fragment stabilization.

Butare-Smith

Veterinary Surgery

2

2022

Double-loop cerclage resists greater loads for more cycles than twist and single-loop cerclage

2022-2-VS-butare-smith-4

Article Title: Double-loop cerclage resists greater loads for more cycles than twist and single-loop cerclage

Journal: Veterinary Surgery

In Wood 2024 et al., on knot security and locking throws, what was the effect of a single locking throw on holding strength?

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Correct. Adding a single locking throw increased the holding strength for all five knots tested.
Incorrect. The correct answer is Increased in all knots.
Adding a single locking throw increased the holding strength for all five knots tested.

🔍 Key Findings

  • Adding a single locking throw significantly increased holding security for specific knots, including the surgeon's throw (p = .0001) and square throw (p = .0002).
  • For the Miller's throw (p = .166) and strangle throw (p = .808), no significant improvement was observed with a locking throw.
  • After locking throw addition, all five knots leaked at similar pressures (p = .5233), and these pressures exceeded physiologic arterial pressures.
  • Surgeon's throw without a locking throw had the lowest leak pressure (62.5 ± 46.2 mm Hg), below physiologic arterial values.
  • The square throw without locking also leaked below physiologic pressures (148.7 ± 109.4 mm Hg), though it outperformed the surgeon's throw.
  • Miller’s and strangle throws performed significantly better than square or surgeon’s throws without locking, achieving leak pressures >200 mm Hg.
  • All knots used 2-0 polyglyconate monofilament (Maxon); no comparisons across suture types or sizes were performed.
  • Authors concluded that correct tensioning and locking throw addition are key to safe vascular ligation. Miller’s, strangle, or slip knots are preferred for challenging surgical fields.

Wood

Veterinary Surgery

4

2024

Influence of a single locking throw on the in vitro holding security of five friction knots using two monofilament suture materials in a canine model

2024-4-VS-wood-3

Article Title: Influence of a single locking throw on the in vitro holding security of five friction knots using two monofilament suture materials in a canine model

Journal: Veterinary Surgery

In Ciammaichella 2025 et al., on lymphadenectomy complications, which factor was significantly associated with intraoperative complications?

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Correct. Enlarged LNs were significantly associated with increased risk of intraoperative hemorrhage (p = .030).
Incorrect. The correct answer is Lymph node size.
Enlarged LNs were significantly associated with increased risk of intraoperative hemorrhage (p = .030).

🔍 Key Findings

  • Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
  • Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
  • Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
  • Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
  • Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
  • No significant predictors retained significance in multivariate analysis
  • Use of methylene blue was associated with fewer complications, although not statistically significant
  • Complication rates did not result in mortality, and all were manageable; MST was 374 days

Ciammaichella

Veterinary Surgery

7

2025

Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

2025-7-VS-ciammaichella-2

Article Title: Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

Journal: Veterinary Surgery

In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had the same single bacterial species cultured at both time points?

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Correct. Only 1 out of 12 dogs (8.3%) had the same single bacteria (Staph schleiferi) at both TECA and dehiscence.
Incorrect. The correct answer is 8.3%.
Only 1 out of 12 dogs (8.3%) had the same single bacteria (Staph schleiferi) at both TECA and dehiscence.

🔍 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-1

Article Title: Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, which technique showed a significantly lower rate of iatrogenic cartilage injury?

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Correct. ST injections had a significantly lower IACI rate (11% vs 50%, p = .007).
Incorrect. The correct answer is Supratubercular (ST) approach.
ST injections had a significantly lower IACI rate (11% vs 50%, p = .007).

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-2

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

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