Your Custom Quiz

In Silveira 2022 et al., on GTO in canine THR, which scenario was considered a suitable indication for performing a greater trochanter osteotomy?

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Correct. GTO was used specifically in cases with severely medialized trochanters or fixed luxations limiting broach access.
Incorrect. The correct answer is Severe medialization of the greater trochanter or chronic craniodorsal hip luxation.
GTO was used specifically in cases with severely medialized trochanters or fixed luxations limiting broach access.

🔍 Key Findings

  • GTO enabled successful cementless THR in dogs with severe medialization of the greater trochanter or chronic craniodorsal hip luxation.
  • All 5 hips had acceptable long-term outcomes (median follow-up: 48 months) with full function and no persistent complications.
  • Only one major complication occurred—a luxation unrelated to the GTO and successfully corrected with cup revision.
  • GTO facilitated femoral canal access and gluteal preservation, reducing risk of iatrogenic injury during broaching.
  • All GTOs healed radiographically (4 by 6 weeks, 1 by 12 weeks), with no cases of nonunion or implant migration.
  • No complications related to GTO or PTBW fixation (pins + tension band) were observed in any dog.
  • Surgical planning included templating both THR and GTO to ensure ideal alignment and reduce fracture risk.
  • GTO may be especially valuable in luxoid hip dysplasia phenotypes or chronically fixed luxations.

Silveira

Veterinary Surgery

2

2022

Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

2022-2-VS-silveira-4

Article Title: Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on femoral MIPO alignment, which reduction system resulted in longer surgical times?

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Correct. FRS procedures were significantly longer than IMP (median 43 vs 29 min; P = .011).
Incorrect. The correct answer is Fracture Reduction System (FRS).
FRS procedures were significantly longer than IMP (median 43 vs 29 min; P = .011).

🔍 Key Findings

  • Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
  • Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
  • Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
  • Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
  • FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
  • Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
  • Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
  • Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.

Scheuermann

Veterinary Surgery

6

2023

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

2023-6-VS-scheuermann-2-d8236

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 Gollnick 2024 et al., on TCTF risk with Arthrex STS in TPLO, which factor most contributed to serious tibial fracture following TCTF?

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Correct. Both major complications were associated with angulated cortical screws in the distal plate holes.
Incorrect. The correct answer is Angled cortical screw in distal hole.
Both major complications were associated with angulated cortical screws in the distal plate holes.

🔍 Key Findings

  • 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
  • TCTFs occurred exclusively distal to the osteotomy
  • 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
  • 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
  • Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
  • Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
  • Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
  • Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS

Gollnick

Veterinary Surgery

6

2024

Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

2024-6-VS-gollnick-3

Article Title: Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

Journal: Veterinary Surgery

In Silveira 2022 et al., on GTO in canine THR, what was the cause of the one reported post-operative complication?

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Correct. Luxation occurred in one dog due to undersized cup/head and soft tissue laxity, not GTO failure.
Incorrect. The correct answer is Post-operative luxation related to soft tissue tension loss.
Luxation occurred in one dog due to undersized cup/head and soft tissue laxity, not GTO failure.

🔍 Key Findings

  • GTO enabled successful cementless THR in dogs with severe medialization of the greater trochanter or chronic craniodorsal hip luxation.
  • All 5 hips had acceptable long-term outcomes (median follow-up: 48 months) with full function and no persistent complications.
  • Only one major complication occurred—a luxation unrelated to the GTO and successfully corrected with cup revision.
  • GTO facilitated femoral canal access and gluteal preservation, reducing risk of iatrogenic injury during broaching.
  • All GTOs healed radiographically (4 by 6 weeks, 1 by 12 weeks), with no cases of nonunion or implant migration.
  • No complications related to GTO or PTBW fixation (pins + tension band) were observed in any dog.
  • Surgical planning included templating both THR and GTO to ensure ideal alignment and reduce fracture risk.
  • GTO may be especially valuable in luxoid hip dysplasia phenotypes or chronically fixed luxations.

Silveira

Veterinary Surgery

2

2022

Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

2022-2-VS-silveira-5

Article Title: Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

Journal: Veterinary Surgery

In Logothetou 2024 et al., on SPF complications, which flap type had the lowest complication rate on univariable analysis?

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Correct. Advancement flaps were associated with a significantly lower complication rate on univariable analysis.
Incorrect. The correct answer is Advancement flap.
Advancement flaps were associated with a significantly lower complication rate on univariable analysis.

🔍 Key Findings

  • Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
  • Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
  • Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
  • Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
  • Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
  • Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
  • Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
  • Closure technique did not significantly influence complication severity, though staple use was numerically worse.

Logothetou

Veterinary Surgery

3

2024

Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

2024-3-VS-logothetou-4

Article Title: Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic vertical sleeve gastrectomy (LVSG), on LVSG, what percentage of the stomach was resected by weight in cadaveric specimens?

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Correct. The mean resected stomach weight was 27.6% of total weight in cadaveric procedures.
Incorrect. The correct answer is 27.6%.
The mean resected stomach weight was 27.6% of total weight in cadaveric procedures.

🔍 Key Findings

  • LVSG was successfully performed in 9/10 cadavers and both live cats, demonstrating procedural feasibility.
  • Mean stomach resected was 27.6% of total weight in cadavers, with no leaks in 8/8 tested or either live patient.
  • Mean surgical time: 110.4 min (cadavers) and 115 min (live cats); no intra- or postoperative complications observed.
  • Stenosis near the incisura occurred in 2 cadavers; attributed to staple placement too close to the lesser curvature.
  • 3D printed cannulas (3DPCs) improved ergonomics and were used in 6/10 cadavers and both live procedures.
  • Live cats lost 21–24% body weight over 3 months, with full return to pre-surgical BCS and no GI complications.
  • Orogastric tube and proper tensioning were critical in preventing gastric stenosis during staple placement.
  • No reinforcement or oversew was used on the staple line; TriStaple cartridges provided reliable closure.

Buote

Veterinary Surgery

7

2023

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

2023-7-VS-buote2-2

Article Title: Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Journal: Veterinary Surgery

In Eiger 2024 et al., on NIRFA-ICG in axial flaps, what percentage of CSE flap evaluations led to margin changes based on NIRFA visualization?

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Correct. Margins for the CSE flap were changed in 65% of evaluations after viewing NIRFA-ICG images.
Incorrect. The correct answer is 65%.
Margins for the CSE flap were changed in 65% of evaluations after viewing NIRFA-ICG images.

🔍 Key Findings

  • Caudal superficial epigastric (CSE) flaps were most visible with NIRFA, scoring 4/4 VFP in 97% of evaluations.
  • CSE flap margins were altered in 65% of observations after NIRFA, showing the strongest influence on surgical planning.
  • Thoracodorsal (THO) and omocervical (OMO) flaps had lower visualization scores, with 60–81% of images scoring below 2.
  • Surgeons were 17–25 times more likely to adjust margins for CSE flaps versus OMO or THO based on fluorescence imaging.
  • Poor inter-rater agreement was found for OMO (ICC 0.49) and THO (ICC 0.35); CSE had near-perfect agreement, but ICC was low due to uniform high scoring.
  • Visualization was affected by flap depth and panniculus, making deeper vessels (OMO, THO) harder to see.
  • Surgeons often shortened flap length and reduced flap area when modifying based on NIRFA results.
  • Real-time angiosome visualization via NIRFA-ICG may reduce necrosis risk and improve patient-specific APF design.

Eiger

Veterinary Surgery

6

2024

Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

2024-6-VS-eiger-2

Article Title: Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

Journal: Veterinary Surgery

In Young 2023 et al., on minimally invasive parathyroidectomy, which complication led to the only reported postoperative death?

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Correct. One dog died postoperatively from clinical hypocalcemia due to non-compliance with prescribed calcitriol.
Incorrect. The correct answer is Clinical hypocalcemia.
One dog died postoperatively from clinical hypocalcemia due to non-compliance with prescribed calcitriol.

🔍 Key Findings

  • Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
  • Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
  • Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
  • Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
  • Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
  • Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
  • Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
  • One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.

Young

Veterinary Surgery

1

2023

Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

2023-1-VS-young-4

Article Title: Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

Journal: Veterinary Surgery

In Lederer 2025 et al., on MIPO vs ORPS, what was the median surgical time difference between the techniques?

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Correct. MIPO had a median surgical time of 130 min vs 85 min for ORPS (p < .001).
Incorrect. The correct answer is 45 minutes longer for MIPO.
MIPO had a median surgical time of 130 min vs 85 min for ORPS (p < .001).

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

  • Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
  • Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
  • Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
  • Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
  • Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

Lederer

Veterinary Surgery

4

2025

Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

2025-4-VS-lederer-3

Article Title: Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

Journal: Veterinary Surgery

In Hernon 2023 et al., on flushing the CBD, what was the observed survival to discharge rate across both study groups?

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Correct. 28 out of 31 dogs survived to discharge, yielding a survival rate of 90.3%.
Incorrect. The correct answer is 90.3%.
28 out of 31 dogs survived to discharge, yielding a survival rate of 90.3%.

🔍 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-2

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

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