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In Davis 2025 et al., on modified anal sacculectomy, what was the most common complication grade reported postoperatively?

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Correct. Grade 1 complications (minor, self-limiting signs like scooting or inappropriate defecation) occurred in 32% of dogs.
Incorrect. The correct answer is Grade 1.
Grade 1 complications (minor, self-limiting signs like scooting or inappropriate defecation) occurred in 32% of dogs.

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-1

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

In Kokkinos 2025 et al., on THR age effects, what best describes the clinical recommendation based on the study findings?

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Correct. Due to higher complication rates in young dogs, surgeons are advised to exercise caution in elective early-age THR.
Incorrect. The correct answer is Early-age THR should be approached with caution.
Due to higher complication rates in young dogs, surgeons are advised to exercise caution in elective early-age THR.

🔍 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-5

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

Journal: Veterinary Surgery

In Trefny 2025 et al., on plate length and stiffness, what was the measured effect of plate length on plate strain?

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Correct. Strain was significantly lower for 12-hole than 6-hole plates at all ROIs.
Incorrect. The correct answer is 12-hole plates had the lowest strain.
Strain was significantly lower for 12-hole than 6-hole plates at all ROIs.

🔍 Key Findings

  • 12-hole LCPs (80% plate–bone ratio) showed significantly higher construct stiffness than 6-, 8-, or 10-hole plates in both compression and tension bending.
  • Strain on the plate was significantly lower in 12-hole vs 6-hole plates at all regions of interest (ROIs), especially around the fracture gap.
  • No incremental increases in stiffness or decreases in strain were observed between 6-, 8-, and 10-hole plates—only when comparing to 12-hole plates.
  • Bone model strain adjacent to the plate end was significantly lower for 10- and 12-hole plates vs 6-hole plates under both loading conditions.
  • The threshold effect suggests biomechanical benefits only emerge beyond a plate–bone ratio of ~80%.
  • Working length increased from 9.4 mm (6-hole) to 13 mm (others), potentially influencing strain/stiffness differences.
  • Four-point bending was used, as it replicates the most biomechanically relevant force on plated long bones.
  • Clinical implication: Longer plates may reduce plate strain and peri-implant bone strain, potentially lowering risk of fatigue failure or stress risers.

Trefny

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate

2025-2-VCOT-trefny-2

Article Title: Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Ritson 2025 et al., on feline hilar lobectomy sealants, what was the **design benefit** of the double-shank (DS) titanium clip?

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Correct. The DS clip's dual shanks prevent clip scissoring and improve tissue grip.
Incorrect. The correct answer is Compression with reduced scissoring risk.
The DS clip's dual shanks prevent clip scissoring and improve tissue grip.

🔍 Key Findings

  • No leakage occurred using pretied ligature loops (PLL) or double-shank (DS) titanium clips up to 40 cm H₂O airway pressure.
  • 1/10 stapled lobes leaked at supraphysiologic pressure (40 cm H₂O), but this was not statistically significant (p = .33).
  • All techniques sealed effectively under physiologic and supraphysiologic pressures in cadaveric feline lungs.
  • PLL and DS clips required less working space than staplers, making them more practical for small thoracic cavities.
  • DS titanium clips offer enhanced security due to dual shanks and tissue-gripping design, reducing clip slippage.
  • Leak testing was cyclic and submerged, simulating physiologic ventilation and allowing robust evaluation.
  • Stapling failure occurred along the staple line, highlighting risks of air leakage due to staple misalignment or poor hilar access.
  • PLL and DS clips may be cost-effective and efficient alternatives for open or minimally invasive feline lung lobectomy.

Ritson

Veterinary Surgery

7

2025

Ex vivo comparative evaluation of feline hilar lung lobectomy using linear stapler, pretied ligature loop, and double-shank titanium clips

2025-7-VS-ritson-3

Article Title: Ex vivo comparative evaluation of feline hilar lung lobectomy using linear stapler, pretied ligature loop, and double-shank titanium clips

Journal: Veterinary Surgery

In Fidelis 2025 et al., on suture eyelet geometry, which two anchors most frequently showed **suture failure at the mid-section**?

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Correct. Sutures in raised eyelet anchors (Jorvet and IMEX) commonly failed at the mid-section, indicating cutting or abrasion.
Incorrect. The correct answer is Jorvet and IMEX.
Sutures in raised eyelet anchors (Jorvet and IMEX) commonly failed at the mid-section, indicating cutting or abrasion.

🔍 Key Findings

  • Raised eyelets caused more suture mid-section failures than embedded eyelets, suggesting wear or cutting against the anchor.
  • No significant effect of cyclic loading on failure load (Fmax) was found for any anchor group.
  • Anika anchor showed the least reduction in suture strength relative to the reference (eyebolt screw), indicating a favorable design.
  • All sutures failed via suture breakage, not anchor pullout, indicating suture fatigue was the primary failure mode.
  • Sutures in raised eyelets more often failed at the mid-section, while those in embedded eyelets failed at the knot.
  • IMEX and Jorvet anchors showed significantly reduced Fmax compared to eyebolt screws.
  • Loading direction and anchor design likely affect wear and ultimate failure, particularly in dynamic in vivo conditions.
  • Future designs should aim for embedded, smooth eyelets that can accommodate larger suture sizes without increasing wear.

Fidelis

Veterinary Surgery

6

2025

Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

2025-6-VS-fidelis-3

Article Title: Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

Journal: Veterinary Surgery

In Fracka 2024 et al., on perioperative risk factors, what factor was present only in dogs with complications but excluded from the final model due to statistical instability?

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Correct. All dogs with prior aspiration pneumonia had complications, but it was not in the model due to instability.
Incorrect. The correct answer is History of aspiration pneumonia.
All dogs with prior aspiration pneumonia had complications, but it was not in the model due to instability.

🔍 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-5

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 Thompson 2024 et al., on cyanoacrylate enterotomy sealants, which group had the lowest maximum intraluminal pressure (MIP)?

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Correct. The CE group had the lowest MIP (mean 22.7 mmHg), significantly lower than suture-based groups.
Incorrect. The correct answer is Cyanoacrylate only.
The CE group had the lowest MIP (mean 22.7 mmHg), significantly lower than suture-based groups.

🔍 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-4

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

Journal: Veterinary Surgery

In Miller 2024 et al., on staple vs. hand-sewn feline GI techniques, how did HSE compare to SSE in terms of construct completion time and leak resistance?

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Correct. HSE took 8x longer than SSE but had much higher leak pressure tolerance.
Incorrect. The correct answer is HSE was slower but more secure.
HSE took 8x longer than SSE but had much higher leak pressure tolerance.

🔍 Key Findings

  • Skin staple anastomosis (SSA) had comparable leak pressures to hand-sewn anastomosis (HSA) but required half the time to complete.
  • Skin staple enterotomy (SSE) had significantly lower leak pressures than hand-sewn enterotomy (HSE) and failed in 12/20 constructs during pressure testing.
  • HSE constructs took 8× longer to complete than SSE, but had much higher intraluminal pressure tolerance.
  • All SSE constructs leaked from the center, with 35% leaking immediately and 60% showing catastrophic failure.
  • SSA leakage occurred at the center in 40% of constructs, likely due to a learning curve in early samples.
  • All constructs had higher pressures than normal physiologic intestinal pressure (4.0 mmHg ±2.0), except some SSEs with immediate leaks.
  • Authors recommend SSA as a viable alternative with appropriate training but do not recommend SSE using the tested technique in live cats.
  • Staple size and placement technique are key factors; smaller or more precisely placed staples may reduce leak risk.

Miller

Veterinary Surgery

4

2024

Performance time and leak pressure of hand-sewn and skin staple intestinal anastomoses and enterotomies in cadaveric cats

2024-4-VS-miller-4

Article Title: Performance time and leak pressure of hand-sewn and skin staple intestinal anastomoses and enterotomies in cadaveric cats

Journal: Veterinary Surgery

In Kershaw 2025 et al., on PSG vs AD, how many joint penetrations occurred in the PSG group during cadaveric screw placement?

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Correct. All 7 PSG placements avoided joint penetration, compared to 3/7 joint penetrations in the AD group.
Incorrect. The correct answer is 0.
All 7 PSG placements avoided joint penetration, compared to 3/7 joint penetrations in the AD group.

🔍 Key Findings

  • 3D-printed patient-specific guides (PSGs) significantly improved accuracy of drill hole entry (p < 0.001) and exit (p = 0.044) compared to commercial aiming devices (AD).
  • Zero joint penetrations occurred with PSGs, whereas 3 of 7 AD-guided screws were predicted to penetrate the joint (p = 0.19).
  • Variance in exit point and drill angle was significantly lower in PSG group, suggesting more consistent results.
  • One PSG case failed due to improper guide seating, but this was corrected with improved soft tissue clearance.
  • PSGs enabled safer trajectories despite use by novice surgeons, emphasizing their value in less experienced hands.
  • Drill holes placed with ADs deviated more cranially and distally, increasing the risk of articular violation.
  • Use of PSGs allowed for tighter clustering of drill trajectories, especially in the cranial–caudal axis.
  • Subjective feedback favored PSGs for ease of use and ergonomic design, despite requiring slightly larger incisions.

Kershaw

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus

2025-5-VCOT-kershaw-2

Article Title: Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Israel 2022 et al., on cerclage wire in THR, what was the reported incidence of proximal femoral fractures in dogs with cerclage placement?

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Correct. Cerclage wire placement proximal to the lesser trochanter prevented proximal femoral fractures in all 184 hips reviewed.
Incorrect. The correct answer is None.
Cerclage wire placement proximal to the lesser trochanter prevented proximal femoral fractures in all 184 hips reviewed.

🔍 Key Findings

  • No proximal femoral fractures occurred in any of the 184 hips with cerclage wire placement
  • Cerclage wire was well tolerated, with no failures or complications related to the wire
  • Application of a single cerclage wire took <10 minutes, was cost-effective, and required minimal instrumentation
  • 3 postoperative complications (1 fissure, 2 fractures) occurred distal to the cerclage site, near the stem tip, requiring plate/screw fixation
  • All dogs returned to normal activity, and all owners were satisfied with the outcome
  • Cerclage placement location is critical—must be proximal to the lesser trochanter and close to the calcar to resist hoop strain
  • Biomechanical evidence supports that cerclage wires improve resistance to hoop strain and subsidence of cementless stems
  • Press-fit cementless stems may settle, but when supported by cerclage, this does not result in fractures even in undersized implants

Israel

Veterinary Surgery

2

2022

Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

2022-2-VS-israel-1

Article Title: Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

Journal: Veterinary Surgery

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