Your Custom Quiz

In Dekerle 2022 et al., on ectopic ureter correction, **what factor was significantly associated with recurrence of incontinence** after neoureterostomy?

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Correct. All recurrence cases after neoureterostomy had persistent ureteral remnants.
Incorrect. The correct answer is Ureteral remnant distal to ligation.
All recurrence cases after neoureterostomy had persistent ureteral remnants.

🔍 Key Findings

  • Cystoscopic-guided laser ablation (CLA) was associated with significantly fewer minor complications (13%) than neoureterostomy (100%) (P < .01)
  • CLA resulted in significantly fewer recurrences of incontinence compared to neoureterostomy (0/7 vs 5/12; P < .05)
  • 80% of dogs achieved continence within 1 month postoperatively, with a median continence score of 10
  • Long-term continence was achieved in 88% of dogs, with or without adjunctive treatment, over a median of 66 months
  • Major complications occurred in only 8% of dogs, and all were successfully managed with surgical revision
  • Persistent ureteral remnants were seen only in neoureterostomy dogs, potentially contributing to incontinence recurrence
  • All dogs with incontinence recurrence responded to medical treatment, while only 1/5 with persistent incontinence after surgery did
  • CLA is recommended over open surgery for iEU correction, due to lower complication and recurrence rates

Dekerle

Veterinary Surgery

4

2022

Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

2022-4-VS-dekerle-4

Article Title: Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

Journal: Veterinary Surgery

In Meltzer 2022 et al., on femoral implant selection, what was the most common major complication reported?

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Correct. Luxation was the most common complication, occurring in 8 of 135 THRs.
Incorrect. The correct answer is Coxofemoral luxation.
Luxation was the most common complication, occurring in 8 of 135 THRs.

🔍 Key Findings

  • Hybrid implants were used in older, heavier dogs with lower canal flare index (CFI) compared to cementless types.
  • CFI <1.8 was associated with higher risk of femoral fracture or stem subsidence with cementless implants.
  • Total complication rate was 14%, with catastrophic complications in only 1.5%—lower than reported in other studies.
  • No significant difference in complication rates across implant types (BFX, BFX-C, hybrid).
  • Femur fractures were rare (2.9%), lower than in prior studies, and successfully managed with cerclage/plate fixation.
  • Coxofemoral luxation was the most common complication (8 cases); all occurred within 62 days post-op, mostly resolved with revision.
  • Collared BFX stems did not significantly reduce complications, though they may limit stem subsidence.
  • An implant selection algorithm was proposed, using age ≥7 years, weight ≥45 kg, and CFI <1.8 to guide cemented vs. cementless stem use.

Meltzer

Veterinary Surgery

2

2022

Case factors for selection of femoral component type in canine hip arthroplasty using a modular system

2022-2-VS-meltzer-3

Article Title: Case factors for selection of femoral component type in canine hip arthroplasty using a modular system

Journal: Veterinary Surgery

In Welsh 2025 et al., on orthogonal plating, which configuration had the highest axial stiffness during static load testing?

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Correct. OP3.0 had the highest stiffness (1772 ± 117 N/mm), showing a clear correlation between implant size and stiffness.
Incorrect. The correct answer is OP3.0.
OP3.0 had the highest stiffness (1772 ± 117 N/mm), showing a clear correlation between implant size and stiffness.

🔍 Key Findings

  • Compared unilateral plating (UP) vs orthogonal plating (OP) with 2.0, 2.4, and 3.0 mm plates (OP2.0, OP2.4, OP3.0).
  • Model: acetal homopolymer (Delrin) rod with 29 mm fixed fracture gap, loaded axially (4–196 N, 90,000 cycles).
  • OP constructs had 2.5–4.1x higher strength and 3.0–4.2x higher stiffness than UP constructs (p < .0002).
  • UP had 3.5–4.1x higher gap strain than OP groups (p < .0075).
  • All OP groups exceeded 1000 N max load before failure (vs 424 N for UP).
  • Greater implant size in OP groups further increased performance.
  • All constructs survived fatigue loading; 3.5 mm plates showed deformation, especially UP; OP plates remained intact.

Welsh

Veterinary Surgery

4

2025

Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

2025-4-VS-welsh-1

Article Title: Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

Journal: Veterinary Surgery

In Scott 2025 et al., on acetabular cup revision, what type of tools were required to remove the osteointegrated cups?

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Correct. Removal required both high-speed burring and controlled osteotomy to disengage the stable cup.
Incorrect. The correct answer is High-speed burr and modular osteotome.
Removal required both high-speed burring and controlled osteotomy to disengage the stable cup.

🔍 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-2

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

Journal: Veterinary Surgery

In Katz 2022 et al., on meniscal flounce sign, which of the following was recommended despite the flounce sign's diagnostic value?

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Correct. Authors emphasized flounce should complement, not replace, probing for full evaluation.
Incorrect. The correct answer is Probing of the meniscus.
Authors emphasized flounce should complement, not replace, probing for full evaluation.

🔍 Key Findings

  • A positive meniscal flounce sign was associated with normal menisci in 95.5% of cases, demonstrating strong predictive value.
  • Absence of the meniscal flounce sign was associated with meniscal tears in 92.7% of cases.
  • Overall diagnostic accuracy of the flounce sign was 94.6%, with 96.6% sensitivity and 90.5% specificity.
  • Most tears in flounce-negative stifles were bucket-handle tears (73.8%), while radial tears were present in some flounce-positive stifles.
  • Radial tears did not consistently eliminate the flounce sign, suggesting they may not disrupt meniscal fiber tension sufficiently.
  • All procedures were arthroscopically performed, with probing and visualization of the medial meniscus' caudal pole.
  • Flounce sign should complement, not replace, probing—especially as some tear types (e.g., radial) may not abolish the sign.
  • Limb positioning and joint distraction may affect flounce visibility, introducing minor observer variability.

Katz

Veterinary Surgery

2

2022

The significance of the meniscal flounce sign in canine stifle arthroscopy

2022-2-VS-katz-5

Article Title: The significance of the meniscal flounce sign in canine stifle arthroscopy

Journal: Veterinary Surgery

In Schmutterer 2024 et al., on stifle flexion angle effects, how did the center of force shift during increased stifle flexion?

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Correct. Center of force moved significantly more caudal with increased flexion, especially at the medial meniscus (p = 0.003)
Incorrect. The correct answer is Shifted caudally.
Center of force moved significantly more caudal with increased flexion, especially at the medial meniscus (p = 0.003)

🔍 Key Findings Summary

  • Biomechanical study on 14 hindlimbs from Retrievers (cadaveric)
  • Three stifle flexion angles tested: 125°, 135°, and 145°
  • Contact Force Ratio (CFR) was significantly higher at 125° and 135° than at 145° (p < 0.001)
  • Center of force shifted caudally with increasing flexion — especially in medial meniscus
  • Lateral meniscus peak pressure was significantly higher at 125° than 145° (p = 0.049)
  • Mean pressures on lateral meniscus decreased with extension, while medial meniscus pressure remained constant
  • Relevance: Helps interpret meniscal load in early cruciate disease and in surgical modeling

Schmutterer

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

2024-3-VCOT-schmutterer-2

Article Title: Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Janas 2024 et al., on ARC outcomes in cats, what was the most serious postoperative complication observed?

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Correct. Postoperative seizures were the most serious complication, resulting in 1/20 mortality.
Incorrect. The correct answer is Seizures.
Postoperative seizures were the most serious complication, resulting in 1/20 mortality.

🔍 Key Findings:

  • Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
  • Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
  • Short-term outcomes (18 cats):
    • Excellent: 14
    • Good: 2
    • Poor: 2
  • Long-term outcomes (18 cats):
    • Excellent: 15
    • Good: 1
    • Poor: 2
  • Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
  • Preoperative blindness resolved in most cats.
  • Mean follow-up duration: Median 8 years.

Janas

Veterinary Surgery

2

2024

Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

2024-2-VS-janas-3

Article Title: Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic sleeve gastrectomy in cats, which complication occurred in 2 cadavers due to stapling too close to the lesser curvature?

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Correct. Two cadavers had stenosis due to resection lines ≤1.5 cm from the lesser curvature.
Incorrect. The correct answer is Stenosis at incisura.
Two cadavers had stenosis due to resection lines ≤1.5 cm from the lesser curvature.

🔍 Key Findings

  • LVSG was feasible in 9/10 feline cadavers and both live cats, with no intra- or postoperative complications in live cases.
  • Two cadavers developed suspected stenosis due to staple lines too close to the lesser curvature; avoided with orogastric tube placement in later cases.
  • No evidence of gastric leakage in any cadavers (8/10 tested) or live patients after methylene blue leak tests.
  • Mean surgical time was ~110 min cadavers / 115 min live, and 27.6% of stomach mass was resected.
  • Both live cats recovered uneventfully, lost 21–24% body weight over 3 months, and had no GI complications at 6-month follow-up.
  • Orogastric tube and tension on the greater curvature were critical to avoid staple line misplacement or stenosis.
  • No oversew of the staple line was needed, and unreinforced staples showed no leakage in live patients.
  • Future studies needed to assess metabolic outcomes and ideal staple sizing and closure techniques.

Buote

Veterinary Surgery

6

2023

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

2023-6-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 Zann 2023 et al., on proximal humeral OC, what was the median LOAD score reported by owners during follow-up?

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Correct. Median aggregate LOAD score was 6, indicating mild disability.
Incorrect. The correct answer is 6.
Median aggregate LOAD score was 6, indicating mild disability.

🔍 Key Findings

  • All dogs developed progressive osteoarthritis (OA) after surgical debridement of proximal humeral OC.
  • Ipsilateral muscle atrophy and reduced shoulder range of motion were common, particularly in unilaterally affected dogs.
  • Arthroscopically, lesions showed incomplete cartilage infilling even years after surgery, averaging only ~37% infilling.
  • Synovitis was present in all joints, with moderate-to-severe hypertrophy and vascularity scores.
  • CT identified OC lesions as deeper and wider than radiography, and all affected joints had more advanced OA than contralateral limbs (P = .001 radiograph, P = .005 CT).
  • Kinetic gait analysis showed no significant differences in peak vertical force or impulse, but a subtle 4.4% asymmetric load reduction on the operated limb.
  • Median LOAD score was 6, indicating mild owner-perceived disability despite measurable clinical and imaging abnormalities.
  • Cartilage infilling was incomplete in all cases, with no lesion exceeding 60% restoration, raising questions about the healing potential of debridement alone.

Zann

Veterinary Surgery

6

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-6-VS-zann-4-aada3

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

In Miller 2024 et al., on SOP-LC mechanical testing, what torque value may help reduce clamp slippage during use?

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Correct. The study suggests that increasing torque from 2.5 to 3.0 Nm may improve clamp stability and reduce slippage.
Incorrect. The correct answer is 3.0 Nm.
The study suggests that increasing torque from 2.5 to 3.0 Nm may improve clamp stability and reduce slippage.

🔍 Key Findings Summary

  • No significant difference in mechanical properties between contoured vs non-contoured SOP-LC rods
  • Clamp configuration significantly influenced mechanical performance:
    • Single-side clamps → ↑ yield load, ↑ displacement, ↑ bending strength (p < 0.05)
    • Alternating-side clamps → ↑ initial torsional stiffness (p = 0.029)
  • Clamp slippage was evident only in torsional tests; screw loosening may be torque-dependent
  • Mild screw bending and construct offset suggest subtle instability
  • Recommends clamp configuration choice based on loading scenario
  • Suggests 3.0 Nm torque may be more effective than 2.5 Nm to prevent clamp slippage

Miller

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

2024-4-VCOT-miller-5

Article Title: Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion

Journal: Veterinary and Comparative Orthopedics and Traumatology

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