Your Custom Quiz

In Kokkinos 2025 et al., on THR age effects, which variable remained significantly associated with complications on multivariable analysis?

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Correct. Only age <6 months was statistically associated with increased complication risk on multivariable analysis.
Incorrect. The correct answer is Age at surgery.
Only age <6 months was statistically associated with increased complication risk on multivariable analysis.

🔍 Key Findings

  • Study population: 116 dogs underwent cementless THR; grouped by age:
    • Group A: ≤6 months (n = 27)
    • Group B: >6 to ≤12 months (n = 41)
    • Group C: >12 months (n = 48)
  • Overall perioperative complication rate: 31.9% (37/116)
    • Group A: 22.2%
    • Group B: 26.8%
    • Group C: 41.7%
  • No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
  • Luxation was significantly more common in dogs >12 months:
    • Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
  • Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
  • Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
  • No infections or aseptic loosening observed during the 8-week follow-up.

Kokkinos

Veterinary Surgery

3

2025

The influence of age at total hip replacement on perioperative complications in dogs

2025-3-VS-kokkinos-3

Article Title: The influence of age at total hip replacement on perioperative complications in dogs

Journal: Veterinary Surgery

In Haine 2022 et al., on outcomes in canine limb tumors, which lateral surgical margin width significantly reduced R1 margin rates?

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Correct. Only 7% had R1 margins with 6–10 mm margins versus 55% for 0–5 mm.
Incorrect. The correct answer is 6–10 mm.
Only 7% had R1 margins with 6–10 mm margins versus 55% for 0–5 mm.

🔍 Key Findings

  • Fewer R1 margins (tumor on ink) were achieved in mast cell tumors (MCTs) when using 6–10 mm lateral margins versus 0–5 mm (7% vs. 55%; _P_ = .049).
  • For soft tissue sarcomas (STSs), no benefit was seen in margin completeness between 0–5 mm vs. 6–10 mm lateral margins (41% vs. 43% R1).
  • Overall R1 rates were 26% for MCTs and 42% for STSs following PNE.
  • R scheme (“tumor on ink” = R1) had better interobserver agreement (83%) compared to ≤1 mm margin criteria (68% agreement).
  • Complication rate was moderate (26%), but no surgeries required revision.
  • Local recurrence/metastasis occurred in 14% of dogs, with 60% of those having R1 margins.
  • Adjunctive therapy was considered clinically indicated in 46% of 0–5 mm margin cases vs. 24% of 6–10 mm cases.
  • Histologic grade and tumor size were not predictive of margin completeness.

Haine

Veterinary Surgery

7

2022

Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

2022-7-VS-haine-2

Article Title: Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

Journal: Veterinary Surgery

In Beamon 2022 et al., on calcanean tunnel orientation, which failure mode was most commonly observed across all groups?

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Correct. Suture pull-through occurred in 67% of cases, with no statistical difference among groups.
Incorrect. The correct answer is Suture pull-through.
Suture pull-through occurred in 67% of cases, with no statistical difference among groups.

🔍 Key Findings

  • No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
  • Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
  • Most common failure mode was suture pull-through (67%), with no significant difference between groups.
  • Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
  • All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
  • The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
  • TT constructs showed more tendon distortion at the repair interface during loading.
  • Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.

Beamon

Veterinary Surgery

4

2022

Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

2022-4-VS-beamon-2

Article Title: Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

Journal: Veterinary Surgery

In Carrera 2024 et al., what was the average time to radiographic bone healing following early MPL surgery?

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Correct. Mean time to healing was 55 ± 24 days, consistent across osteotomy techniques:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is 55 days.
Mean time to healing was 55 ± 24 days, consistent across osteotomy techniques:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
  • Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
  • Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
  • Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
  • No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
  • One complication due to domestic trauma, not surgical failure.
  • Early surgery appeared to preserve alignment and prevent deformity progression.

Carrera

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

2024-2-VCOT-carrera-3

Article Title: Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Scheuermann 2024 et al., on 3D-printed reduction guides for tibial fractures, what was the most common plane for angular pin-guide placement error?

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Correct. Axial plane showed the highest angular discrepancies for both proximal and distal pin guides.
Incorrect. The correct answer is Axial.
Axial plane showed the highest angular discrepancies for both proximal and distal pin guides.

🔍 Key Findings

  • The study was a prospective clinical trial evaluating the efficacy of a three-dimensional (3D)-printed, patient-specific reduction system for aligning diaphyseal tibial fractures stabilized using minimally invasive plate osteosynthesis (MIPO) in fifteen client-owned dogs.
  • Virtual surgical planning (VSP) and fabrication were feasible within a clinically relevant timeframe, with a mean of 50.7 hours. Surgical efficiency improved with experience.
  • Pin-guide placement was accurate, with median translational discrepancies of 2.7 mm (proximal) and 2.9 mm (distal), and angular discrepancies highest in the axial plane.
  • The proximal guide was easier to apply (median Likert score: 8) than the distal guide (median: 6).
  • The 3D-printed system enabled near-anatomic reduction in 87% of cases and acceptable reduction in the remaining 13%; no unacceptable reductions occurred.
  • Postoperative alignment and tibial length were well-restored, with all dogs within 5° or 5 mm of contralateral measurements.
  • Temporary circular fixation was occasionally used to assist reduction and improve alignment.
  • Precontoured plates fit easily, with a median Likert score of 9; total surgical time was shorter than conventional MIPO at the institution.
  • The study lacked a control group but builds on prior cadaveric feasibility work.

Scheuermann

Veterinary Surgery

6

2024

Efficacy of virtual surgical planning and a three‐dimensional‐printed surgical guide for canine segmental mandibular reconstruction in a cadaver model

2024-6-VS-scheuermann1-1

Article Title: Efficacy of virtual surgical planning and a three‐dimensional‐printed surgical guide for canine segmental mandibular reconstruction in a cadaver model

Journal: Veterinary Surgery

In Fitzpatrick 2024 et al., on ESF for pelvic fractures in cats, what was reported regarding the need for revision surgery?

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Correct. No revision surgeries (e.g., hip replacement or FHO) were required in this series.
Incorrect. The correct answer is No cases required revision surgery.
No revision surgeries (e.g., hip replacement or FHO) were required in this series.

🔍 Key Findings

  • External skeletal fixation (ESF) was successfully applied to a variety of pelvic fracture types in cats, including sacroiliac luxations and ilial body fractures.
  • All fractures achieved radiographic union within 9 weeks, even in comminuted or complex configurations.
  • No intraoperative or long-term complications were reported during the study period.
  • Implant loosening was observed radiographically in 13% of cases, with 8% of pins found to be loose at frame removal.
  • ESF enabled indirect fracture reduction using components as handles, with a limited open approach minimizing soft tissue disruption.
  • No iatrogenic neurological deficits were observed, supporting safe pin placement near neurovascular structures, although some cats presented with pre-existing neurologic signs.
  • No cases required revision surgery, and all cats underwent stabilization solely with ESF as per study inclusion criteria.
  • Postoperative hospitalization ranged from 2 to 5 days, though no comparison to other fixation types was evaluated.

Fitzpatrick

Veterinary Surgery

7

2024

External skeletal fixation for the treatment of pelvic fractures in cats

2024-7-VS-fitzpatrick-5

Article Title: External skeletal fixation for the treatment of pelvic fractures in cats

Journal: Veterinary Surgery

In Horwood 2024 et al., on complications in luxoid hip dysplasia, which intraoperative complication was significantly more common in LH dogs compared to non-LH dogs?

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Correct. Intraoperative fissure/fracture occurred in 39% of LH dogs vs 16% in non-LH dogs (p = .001).
Incorrect. The correct answer is Femoral fissure or fracture.
Intraoperative fissure/fracture occurred in 39% of LH dogs vs 16% in non-LH dogs (p = .001).

🔍 Key Findings

  • Luxoid hip dysplasia (LH) was present in 8% of THA cases and significantly increased risk of major complications (p < .001).
  • Intraoperative fissures/fractures were 3x more likely in LH dogs vs non-LH (39% vs 16%, p = .001).
  • Dorsal luxation was more frequent in LH dogs (28% vs 4%, p = .019).
  • Acetabular cup placement with ALO >35° was associated with luxation in LH dogs.
  • Morphologic abnormalities (e.g., femoral valgus, lateralization/medialization of cortices) were common in LH and may complicate implantation.
  • Despite higher risk, 94% of LH dogs achieved satisfactory outcomes after appropriate revisions.
  • Younger age and lighter weight characterized LH dogs (mean age 14.7 months vs 40.9 months, p < .001).
  • All LH dogs were treated with cementless stems; prophylactic cerclage was rarely used.

Horwood

Veterinary Surgery

4

2024

Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

2024-4-VS-horwood-1

Article Title: Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

Journal: Veterinary Surgery

In Thompson 2024 et al., on cyanoacrylate enterotomy sealants, how did the maximum intraluminal pressure (MIP) compare between the handsewn (HSE) and HS + CE groups?

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Correct. The HSE and HS + CE groups had comparable MIP values (p = .19).
Incorrect. The correct answer is No significant difference.
The HSE and HS + CE groups had comparable MIP values (p = .19).

🔍 Key Findings

  • Highest initial leak pressure (ILP) observed in the handsewn + cyanoacrylate (HS + CE) group: 83.3 ± 4.6 mmHg (p < .001 vs. others).
  • Lowest ILP: cyanoacrylate-only group (CE): 18.6 ± 3.5 mmHg.
  • No significant MIP difference between handsewn (HSE) and HS + CE groups (p = .19); CE had significantly lower MIP (22.7 mmHg).
  • Leak location:
    • HSE: 60% from suture holes
    • CE: 100% from incisional line
    • HS + CE: 60% from incisional line, 40% from suture holes
  • Authors conclude cyanoacrylate augmentation significantly increases ILP and could reduce enterotomy leakage risk.

Thompson

Veterinary Surgery

2

2024

Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

2024-2-VS-thompson-3

Article Title: Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

Journal: Veterinary Surgery

In Fracka 2024 et al., on perioperative risk factors, which surgical technique was associated with a significantly higher odds of complicated recovery?

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Correct. Staphylectomy was associated with a 59-fold increased risk of complications compared to FFP (p = .0002).
Incorrect. The correct answer is Staphylectomy.
Staphylectomy was associated with a 59-fold increased risk of complications compared to FFP (p = .0002).

🔍 Key Findings

  • Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
  • Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
  • Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
  • Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
  • History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
  • Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
  • FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
  • Bulldogs comprised 80% of population, with French Bulldogs most common (63%).

Fracka

Veterinary Surgery

4

2024

Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

2024-4-VS-fracka-1

Article Title: Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

Journal: Veterinary Surgery

In Levine 2025 et al., on thoracoscopic pericardiectomy, which statement best describes cardiac exposure between groups?

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Correct. PDR approach offered more comprehensive cardiac visibility.
Incorrect. The correct answer is PDR had superior cardiac exposure.
PDR approach offered more comprehensive cardiac visibility.

🔍 Key Findings

Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)

Approaches:

  • ILR = Intercostal in Left Lateral Recumbency (no OLV required)
  • PDR = Paraxiphoid in Dorsal Recumbency (traditional)

Outcomes:

  • Pericardiectomy time was shorter for ILR (p = .045)
  • Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
  • Visibility and cardiac exposure were superior in PDR group

Feasibility:

  • ILR approach was consistently successful in achieving partial pericardiectomy
  • Bilateral ventilation was adequate; no need for OLV

Clinical relevance:

  • ILR may improve efficiency when paired with TDL
  • PDR remains preferable for cases requiring maximal pericardial resection

Levine

Veterinary Surgery

1

2025

Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

2025-1-VS-levine-4

Article Title: Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

Journal: Veterinary Surgery

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