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In Allaith 2023 et al., on THR outcomes, which implant types were associated with increased complications following femoral head and neck excision?

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Correct. Multivariable analysis showed significantly increased complications using BFX and Helica implants for revision after femoral head and neck excision.
Incorrect. The correct answer is BioMedtrix BFX and Helica.
Multivariable analysis showed significantly increased complications using BFX and Helica implants for revision after femoral head and neck excision.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

  • 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
  • Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
  • Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
  • Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
  • Most common complications: Luxation, femoral fracture, and aseptic loosening.
  • BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
  • Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
  • Owner satisfaction was high, with 88% rating outcome as very good or good.

Allaith

Veterinary Surgery

2

2023

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

2023-2-VS-allaith-2

Article Title: Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

Journal: Veterinary Surgery

In Kwok 2023 et al., on BFX lateral bolt THR in dogs, which type of complication most often led to prosthesis explantation?

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Correct. 4 of 5 explants were due to acetabular cup issues, not femoral stem failure.
Incorrect. The correct answer is Acetabular cup complications.
4 of 5 explants were due to acetabular cup issues, not femoral stem failure.

🔍 Key Findings

  • 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
  • Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
  • Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
  • Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
  • Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
  • Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
  • Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
  • Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.

Kwok

Veterinary Surgery

1

2023

Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

2023-1-VS-kwok-5

Article Title: Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

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 Bilmont 2025 et al., on cup version comparison, what was the typical degree of underestimation when using truncated face version to infer open face version?

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Correct. Open face version consistently exceeded truncated face version by 14–22°, depending on inclination and pelvic extension.
Incorrect. The correct answer is 14–22 degrees.
Open face version consistently exceeded truncated face version by 14–22°, depending on inclination and pelvic extension.

🔍 Key Findings

  • Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
  • Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
  • Truncated face version is an unreliable surrogate for open face version.
  • Accurate interpretation of cup version should include both truncated face version and inclination.
  • Canine 3D pelvic model and CT-based simulation used for all measurements.

Bilmont

Veterinary Surgery

1

2025

Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

2025-1-VS-bilmont-1

Article Title: Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

Journal: Veterinary Surgery

In Walker 2025 et al., on ventral slot guides, what slot dimension was significantly more accurate with guide use?

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Correct. Guided slots were significantly closer to the intended length compared to freehand (p < .01 vs p = .722).
Incorrect. The correct answer is Slot length.
Guided slots were significantly closer to the intended length compared to freehand (p < .01 vs p = .722).

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

  • GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
  • FHVS produced significantly shorter slots than intended (p < .01)
  • No difference in surgical time (p = .071)
  • Shape ratio and slot divergence from midline were similar between groups (p > .4)
  • Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

Walker

Veterinary Surgery

3

2025

Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

2025-3-VS-walker-1

Article Title: Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

Journal: Veterinary Surgery

In Marchionatti 2022 et al., on antiseptic efficacy comparison, what was the finding of the meta-analysis regarding SSI incidence with chlorhexidine vs povidone-iodine protocols?

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Correct. Meta-analysis showed no statistical difference in postoperative SSI between protocols (RR 0.90; P = 0.82):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is There was no significant difference in SSI incidence between protocols.
Meta-analysis showed no statistical difference in postoperative SSI between protocols (RR 0.90; P = 0.82):contentReference[oaicite:0]{index=0}

🔍 Key Findings

  • Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
  • No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
  • Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
  • Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
  • Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
  • Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
  • Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
  • Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.

Marchionatti

Veterinary Surgery

5

2022

Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

2022-5-VS-marchionatti-1

Article Title: Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

Journal: Veterinary Surgery

In Nicetto 2024 et al., how much of the patellar craniocaudal thickness does the TRP extraosseous component aim to cover in the sagittal plane?

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Correct. TRP height was designed to cover 40% of the patellar thickness to optimize tracking.
Incorrect. The correct answer is 40%.
TRP height was designed to cover 40% of the patellar thickness to optimize tracking.

🔍 Key Findings Summary

  • 48 dogs (60 stifles) underwent custom 3D-printed TRP implantation for patellar luxation
  • 24 treated with TRP alone; 36 with additional procedures (e.g., DFO, TTT)
  • Success rate: 59/60 corrected patellar tracking
  • Functional outcome: 57/60 full function, 2 acceptable, 1 unacceptable
  • Complication rate: 3 total (2 minor, 1 major recurrence)
  • TRP spares cartilage unlike trochleoplasty, offering implant-based ridge augmentation
  • No implant loosening or infection observed

Nicetto

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

2024-2-VCOT-nicetto-4

Article Title: Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Vodnarek 2024 et al., on nasopharyngeal fluoroscopy, what was the **main limitation** of grading using ΔL thresholds?

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Correct. Using cutoffs to categorize continuous data increases variability and may misclassify similar clinical states.
Incorrect. The correct answer is It introduces arbitrary cutoffs.
Using cutoffs to categorize continuous data increases variability and may misclassify similar clinical states.

🔍 Key Findings

  • Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
  • Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
    • Functional method
    • Anatomically adjusted method
  • Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
  • Outcomes:
    • Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
    • Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
    • Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
    • ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.

Vodnarek

Veterinary Surgery

1

2024

Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

2024-1-VS-vodnarek-4

Article Title: Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

Journal: Veterinary Surgery

In Dalton 2023 et al., on acetabular fracture repair, what was the most likely advantage of using locking screws during the procedure?

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Correct. Locking screws provided fixed-angle stability that helped maintain reduction despite longer working length and lack of compression.
Incorrect. The correct answer is Facilitated reduction due to fixed angle mechanics.
Locking screws provided fixed-angle stability that helped maintain reduction despite longer working length and lack of compression.

🔍 Key Findings

  • Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
  • All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
  • Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
  • Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
  • Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
  • Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
  • Use of locking screws improved reduction fidelity, particularly across a broad plate span.
  • 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.

Dalton

Veterinary Surgery

6

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-6-VS-dalton-2-323a1

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

In Curuci 2024 et al., on double-cut TPLO, how many stifles achieved radiographic union by 60 days?

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Correct. Union was achieved in 17/18 stifles by 60 days, with the last by 90 days:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is 17 of 18.
Union was achieved in 17/18 stifles by 60 days, with the last by 90 days:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
  • Mean TPA correction: from 39.4° to 6.3°
  • Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
  • Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
  • Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
  • The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO

Curuci

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

2024-6-VCOT-curuci-2

Article Title: Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

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