Your Custom Quiz

In Downey 2023 et al., on lung lobectomy for pulmonary consolidation, what percentage of thoracoscopic lung lobectomies (TL) required conversion to open or assisted procedures?

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Correct. Four of nine TL procedures required conversion, resulting in a 44% conversion rate.
Incorrect. The correct answer is 44%.
Four of nine TL procedures required conversion, resulting in a 44% conversion rate.

🔍 Key Findings

  • Thoracoscopic (TL) and thoracoscopic-assisted (TAL) lobectomy were performed in 12 dogs with non-neoplastic pulmonary consolidation.
  • 44% (4/9) of TL cases required conversion, most often due to pleural adhesions or poor visualization — a higher rate than for neoplastic lobectomies.
  • Surgical mortality was 8.3% (1/12 dogs), with death attributed to unaddressed BOAS, not surgical complications.
  • All 11 surviving dogs had no recurrence of clinical signs at a median 24-month follow-up.
  • Perioperative complications occurred in 58% (7/12): pneumothorax (2), hemorrhage (3), wound dehiscence (1), progressive pneumonia (1).
  • One-lung ventilation (OLV) was successful in 78% of TL dogs but may be harder to achieve in brachycephalic breeds.
  • Most dogs had infectious pneumonia (10/12), with bacterial causes identified in 8; fungal and viral etiologies were less common.
  • Hospitalization was short, with median stays of 3–4 days depending on approach and conversion status.

Downey

Veterinary Surgery

6

2023

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

2023-6-VS-downey-2

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 Scott 2025 et al., on acetabular cup revision, what was the most common indication for revision surgery?

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Correct. Seven of the nine dogs underwent revision due to prosthetic luxation, most commonly ventral.
Incorrect. The correct answer is Luxation.
Seven of the nine dogs underwent revision due to prosthetic luxation, most commonly ventral.

🔍 Key Findings

Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)

Revision Indications:

  • 7 luxations (5 ventral, 2 craniodorsal)
  • 1 femoral stem fracture
  • 1 aseptic stem loosening

Implants:

  • 8 BFX cups, 1 Helica; all revised to BFX
  • 7/9 required a larger cup than original

Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted

Complications:

  • 1 recurrent luxation
  • 1 low-grade infection with possible metallic debris-associated osteolysis
  • 2 femoral fissures managed intraoperatively

Outcomes:

  • Good to excellent function in 6/6 dogs available at median 621 days
  • Minimal complications with success in re-osteointegration of new cup

Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing

Scott

Veterinary Surgery

3

2025

Revision of osteointegrated acetabular cup prostheses in nine dogs

2025-3-VS-scott-1

Article Title: Revision of osteointegrated acetabular cup prostheses in nine dogs

Journal: Veterinary Surgery

In Crystal 2024 et al., on elbow osteotomies, which osteotomy angle resulted in the greatest reduction of medial compartment load?

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Correct. Increasing osteotomy angle significantly decreased medial compartment load, with 20° yielding the greatest reduction.
Incorrect. The correct answer is 20°.
Increasing osteotomy angle significantly decreased medial compartment load, with 20° yielding the greatest reduction.

🔍 Key Findings Summary

  • Ex vivo cadaver study using 5 paired canine thoracic limbs
  • Compared medial opening wedge osteotomy (MOWO) and external rotational osteotomy (ERO) of the humerus
  • Measured pressure changes in the medial compartment using thin-film sensors
  • ERO significantly reduced peak pressure and pressure distribution in the medial elbow compartment (p < 0.05)
  • MOWO showed no significant pressure reduction relative to native state
  • Combined MOWO + ERO did not significantly improve over ERO alone
  • Findings support the biomechanical rationale for ERO as a surgical strategy to offload the medial compartment in cases like medial compartment disease (MCD)

Crystal

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

2024-4-VCOT-crystal-1

Article Title: Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Carvajal 2023 et al., on serum biomarkers post-THA, what is the clinical implication of stable CRP and SAA levels postoperatively?

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Correct. Deviations from baseline in future cases could suggest infection.
Incorrect. The correct answer is It may help screen for PJIs.
Deviations from baseline in future cases could suggest infection.

🔍 Key Findings

  • C-reactive protein (CRP) and serum amyloid A (SAA) levels remained low at 3 and 6 months after uncomplicated THA in dogs.
  • No significant differences were observed in CRP or SAA between preoperative, 3-month, and 6-month time points.
  • Mean CRP values were 3.8 mg/L pre-op, 0.8 mg/L at 3 months, and 1.4 mg/L at 6 months.
  • Mean SAA values were 13.9 mg/L pre-op, 14.1 mg/L at 3 months, and 18.4 mg/L at 6 months.
  • All dogs recovered normally with no complications or persistent signs of inflammation at follow-up.
  • Study establishes baseline CRP and SAA levels for dogs post-THA, useful for comparison in suspected PJI.
  • These markers may help differentiate periprosthetic joint infection (PJI) if values deviate from baseline post-THA.
  • NSAID therapy was discontinued by 6 months in all dogs, possibly reflecting decreased inflammation.

Carvajal

Veterinary Surgery

1

2023

Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

2023-1-VS-carvajal-4

Article Title: Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

Journal: Veterinary Surgery

In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, what was the overall recurrence rate reported for dogs treated with ventral slot decompression?

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Correct. The study reported a 25% recurrence rate overall, with all recurrences in the non-fenestrated group.
Incorrect. The correct answer is 25%.
The study reported a 25% recurrence rate overall, with all recurrences in the non-fenestrated group.

🔍 Key Findings

  • Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
  • Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
  • 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
  • Medical management was effective in 92.9% of recurrence cases.
  • Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
  • Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
  • Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
  • No major complications or deaths linked directly to PF in initial surgeries.

Berthomé

Veterinary Surgery

6

2025

Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

2025-6-VS-berthome-1

Article Title: Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

Journal: Veterinary Surgery

In Scharpf 2024 et al., which statement best reflects the authors' conclusion on subtotal coronoidectomy?

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Correct. Authors concluded that despite improvement in vertical and propulsive forces, braking forces and SIs remained impaired at 26 weeks:contentReference[oaicite:5]{index=5}
Incorrect. The correct answer is It improves force metrics but braking deficits persist.
Authors concluded that despite improvement in vertical and propulsive forces, braking forces and SIs remained impaired at 26 weeks:contentReference[oaicite:5]{index=5}

🔍 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-5

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 Moreira 2024 et al., on predictive equations for TPA correction, which of the following is true regarding the Oxley mCCWO technique?

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Correct. The Oxley mCCWO did not require caudal translation for cortical alignment, unlike others.
Incorrect. The correct answer is It achieved cranial cortical alignment without requiring caudal translation.
The Oxley mCCWO did not require caudal translation for cortical alignment, unlike others.

🔍 Key Findings

  • A linear relationship was observed between wedge angle and tibial plateau angle (TPA) correction across all four CCWO techniques.
  • All techniques produced predictable TPA corrections using linear regression-derived equations, allowing wedge angle extrapolation to achieve a target postoperative TPA of 5°.
  • TLA shift (tibial long axis) increased with wedge angle and influenced final TPA; greatest in Frederick & Cross method.
  • Tibial shortening (mTL%) varied by technique, being most severe (up to 40.9%) in traditional Slocum & Devine CCWO and least in newer techniques (7.5–12%).
  • The Oxley mCCWO technique showed lower TLA shift compared to the Frederick & Cross and Christ techniques, though similar to Slocum & Devine; tibial shortening was more pronounced than other modified techniques at wedge angles ≤40°.
  • Techniques varied in craniocaudal translation and wedge apex positioning, influencing planning accuracy and mechanical axis alignment.
  • The corrective wedge angle equations reliably predicted TPA within 4–6° across varied tibial conformations.
  • The study supports equation-based planning over static TPA–5° subtraction to reduce risk of under- or over-correction.

Moreira

Veterinary Surgery

8

2024

Predicting tibial plateau angles following four different types of cranial closing wedge ostectomy

2024-8-VS-moreira-5

Article Title: Predicting tibial plateau angles following four different types of cranial closing wedge ostectomy

Journal: Veterinary Surgery

In Banks 2024 et al., what ostectomy position was associated with the most accurate postoperative TPA?

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Correct. Accuracy in achieving target TPA was best when the ostectomy was placed ≤7.5 mm from patellar tendon origin.
Incorrect. The correct answer is ≤7.5 mm from patellar tendon origin.
Accuracy in achieving target TPA was best when the ostectomy was placed ≤7.5 mm from patellar tendon origin.

🔍 Key Findings Summary

  • Study Design: Retrospective study of 100 radiographs using in silico and clinical data
  • Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
  • Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
  • Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
  • Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
  • Increased distalizationgreater under-correction of TPA (p = .01)
  • Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
  • Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA

Banks

Veterinary Surgery

1

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-1-VS-banks-5

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, which instrument was most frequently used for gallbladder dissection?

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Correct. Ligasure was used in 14 of 22 cats, making it the most common device for gallbladder dissection.
Incorrect. The correct answer is Ligasure.
Ligasure was used in 14 of 22 cats, making it the most common device for gallbladder dissection.

🔍 Key Findings

  • Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
  • Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
  • Median operating time was 41 minutes; median hospitalization was 3 days.
  • No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
  • Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
  • Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
  • Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
  • Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.

Poggi

Veterinary Surgery

5

2025

Laparoscopic cholecystectomy in 22 cats (2018–2024)

2025-5-VS-poggi-4

Article Title: Laparoscopic cholecystectomy in 22 cats (2018–2024)

Journal: Veterinary Surgery

In Banks 2024 et al., what patient factor was associated with higher preoperative and postoperative TPAs?

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Correct. Small dogs had significantly higher pre- and postoperative TPAs than large dogs.
Incorrect. The correct answer is Small body size.
Small dogs had significantly higher pre- and postoperative TPAs than large dogs.

🔍 Key Findings Summary

  • Study Design: Retrospective study of 100 radiographs using in silico and clinical data
  • Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
  • Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
  • Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
  • Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
  • Increased distalizationgreater under-correction of TPA (p = .01)
  • Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
  • Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA

Banks

Veterinary Surgery

1

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-1-VS-banks-4

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

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