Your Custom Quiz

In Guevara 2024 et al., on implant placement accuracy, what was considered an acceptable placement grade using the modified Zdichavsky classification?

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Correct. Grades I and IIa were deemed acceptable; grades IIb, IIIa, and IIIb were unacceptable.
Incorrect. The correct answer is I and IIa.
Grades I and IIa were deemed acceptable; grades IIb, IIIa, and IIIb were unacceptable.

🔍 Key Findings:

  • Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
  • Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
  • Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
  • Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
  • Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
  • Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
  • Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
  • Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.

Guevara

Veterinary Surgery

2

2024

Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

2024-2-VS-guevara-4

Article Title: Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on femoral MIPO alignment, what was a noted limitation of the prototype FRS?

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Correct. Authors noted the system was bulky, time-consuming, and difficult to use clinically in its current form.
Incorrect. The correct answer is It was cumbersome and inefficient.
Authors noted the system was bulky, time-consuming, and difficult to use clinically in its current form.

🔍 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-5-d2296

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 İnal 2025 et al., on feline high-rise trauma, which factor was most predictive of nonsurvival?

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Correct. ATTS was the only variable significantly associated with survival; each 1-point increase increased nonsurvival odds by 0.46×
Incorrect. The correct answer is Animal Trauma Triage Score (ATTS).
ATTS was the only variable significantly associated with survival; each 1-point increase increased nonsurvival odds by 0.46×

🔍 Key Findings

Sample: 373 cats with high-rise syndrome (HRS) from 2017–2020.
ATTS was the only significant predictor of survival (p < 0.001); each point increase decreased survival odds (OR = 0.46).
AUC for ATTS ROC curve: 0.857 (95% CI: 0.788–0.926).
Floor height, lesion type, and ground surface were not significantly associated with survival.
Odds of injury were 7.98× higher when landing on hard vs. soft surface (p < 0.001).
16.96× increased injury risk from the fourth vs. third floor (p = 0.008).
Cats with ATTS ≥7 had 62% mortality; median ATTS increased with floor height (r = 0.244, p < 0.001).
Thoracic and vertebral trauma were most common causes of death.
Only 32% of cats had the “classic” HRS triad (pneumothorax, epistaxis, hard palate fracture).

Inal

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

2025-1-VC-inal-1

Article Title: Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Petazzoni 2022 et al., on DPO in older dogs, what was the primary clinical outcome 8 weeks postoperatively?

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Correct. All dogs showed resolution of pain and lameness by 8 weeks.
Incorrect. The correct answer is No lameness and no pain on hip extension.
All dogs showed resolution of pain and lameness by 8 weeks.

🔍 Key Findings

  • DPO improved joint congruity and clinical signs in dogs ≥10 months old with minimal osteoarthritis.
  • Median Norberg angle increased by 21.8% 1 year postoperatively (from 87° to 106°; p < .01).
  • Femoral head coverage increased significantly, with PC rising 66.7% and LHC by 162.5% at 1 year (p < .01).
  • No significant change in pelvic canal width postoperatively, suggesting pelvic conformation was preserved.
  • All ilial osteotomies healed with complete osseous bridging by 8 weeks; 7/11 pubic osteotomies achieved full healing.
  • No intraoperative or postoperative complications were reported, including implant failure.
  • Locking plates and additional ventral plating were used in select cases and may have contributed to implant stability.
  • DPO may be extended to older dogs with suitable hip morphology and minimal OA, expanding traditional age criteria.

Petazzoni

Veterinary Surgery

2

2022

Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months

2022-2-VS-petazzoni-5

Article Title: Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months

Journal: Veterinary Surgery

In Dobberstein 2022 et al., on NSAID ulcer repair, which of the following was a significant predictor or trend for postoperative mortality?

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Correct. Vasopressor use showed a strong trend toward increased mortality (P = .0545; OR = 9.033).
Incorrect. The correct answer is Postoperative use of vasopressors.
Vasopressor use showed a strong trend toward increased mortality (P = .0545; OR = 9.033).

🔍 Key Findings

  • Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
  • NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
  • All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
  • No significant association between ulcer size or location and postoperative survival.
  • Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
  • Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
  • Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
  • Median follow-up of 444 days showed long-term survival was achievable post-primary repair.

Dobberstein

Veterinary Surgery

7

2022

Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

2022-7-VS-dobberstein-3

Article Title: Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

Journal: Veterinary Surgery

In Cheon 2025 et al., on guide accuracy in DFO, what was a notable advantage of the patient-specific guide?

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Correct. Patient-specific guides allowed preoperative simulation and precise planning.
Incorrect. The correct answer is Simulated pre-op corrections.
Patient-specific guides allowed preoperative simulation and precise planning.

🔍 Key Findings

  • Both patient-specific and universal guides yielded correction errors <2°, with no statistically significant difference in accuracy.
  • Universal guide corrected aLDFA up to 24° and AA up to 20°, addressing multiplanar deformities effectively.
  • Patient-specific guides allowed for preoperative simulation, providing more stable pin placement and potentially aiding less-experienced surgeons.
  • Universal guide eliminated the need for CT-based customization, reducing time and cost.
  • Cadaver and bone model trials showed consistent accuracy, validating both methods in vitro and ex vivo.
  • No significant differences in outcome when correcting uniplanar (aLDFA) vs biplanar (aLDFA + AA) deformities.
  • Universal guide's fixed size presented limitations in small dogs, potentially requiring multiple size options.
  • Universal guide showed potential for standard use, offering repeatable outcomes with minimal prep despite needing precise intraoperative placement.

Cheon

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

2025-3-VCOT-cheon-3

Article Title: Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Danielski 2022 et al., on PAUL complications, what was the inter-observer agreement (kappa) for predicting complications from radiographs?

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Correct. Kappa values were as low as 0.11, indicating poor agreement between experts.
Incorrect. The correct answer is 0.11.
Kappa values were as low as 0.11, indicating poor agreement between experts.

🔍 Key Findings

  • Major complications occurred in 25.6% of limbs treated with PAUL, including non-union, implant failure, and infection requiring revision surgery.
  • Increased body weight was significantly associated with a higher risk of complications (7% increased risk per additional kg; p = .04).
  • Post-operative radiographic assessment was unreliable in predicting complications; inter-observer agreement was poor (kappa ≤ 0.12).
  • Expert evaluation of implant or reduction errors had low predictive value (k < 0.2) for postoperative complications.
  • Common major complications included non-union (6 limbs), screw breakage, and surgical site infections.
  • Implant removal was required in 11.5% of limbs, mostly due to non-union or infection.
  • Being a Labrador appeared protective on univariate analysis, but not on multivariate analysis after adjusting for weight.
  • Radiographs showing suboptimal plate placement or osteotomy reduction did not reliably correlate with actual complication occurrence.

Danielski

Veterinary Surgery

1

2022

Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

2022-1-VS-danielski-5

Article Title: Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

Journal: Veterinary Surgery

In Allaith 2023 et al., on THR outcomes, what statistically significant change was observed in postoperative LOAD scores?

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Correct. Postoperative LOAD scores improved significantly from 21 to 11 (P < .0001), showing better mobility.
Incorrect. The correct answer is They decreased from 21 to 11.
Postoperative LOAD scores improved significantly from 21 to 11 (P < .0001), showing better mobility.

🔍 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-4

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

Journal: Veterinary Surgery

In Woelfel 2022 et al., on cervical locked facets, what was the most consistent outcome in dogs with follow-up?

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Correct. 8/8 dogs with outcome data regained ambulation, whether treated surgically or medically.
Incorrect. The correct answer is Functional recovery in most dogs regardless of treatment.
8/8 dogs with outcome data regained ambulation, whether treated surgically or medically.

🔍 Key Findings

  • Locked facet injuries in dogs involved unilateral dorsal displacement of the cranial articular process of the caudal vertebra, most commonly at C5/6 or C6/7.
  • All affected dogs were small/toy breeds, typically following trauma (most often attacks by larger dogs).
  • Neurologic severity ranged from ambulatory tetraparesis to tetraplegia, often with thoracic limb deficits more severe than pelvic limbs — suggesting a central cord syndrome-like pattern.
  • CT and MRI revealed axial rotation, subluxation, and articular process displacement; MRI showed T2 hyperintensity, nerve root impingement, and soft tissue changes.
  • Surgical treatment included ventral fixation with screws, pins, and PMMA, and one case required dorsal facetectomy for reduction.
  • Medical management, including external coaptation or rest, also resulted in functional recovery in select cases.
  • All dogs with follow-up data (8/8) had functional recovery, with nonambulatory dogs regaining ambulation in a median of 4 weeks.
  • No consistent differences in outcome were observed between surgical and nonsurgical management, suggesting locked facets may be biomechanically stable.

Woelfel

Veterinary Surgery

1

2022

Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

2022-1-VS-woelfel-5

Article Title: Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

Journal: Veterinary Surgery

In Moore 2023 et al., on Divisional outcomes in canine liver mass resection, what was the effect of thoracic incision extension on postoperative complications?

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Correct. Thoracic extension (e.g., sternotomy) significantly increased the odds of postoperative complications.
Incorrect. The correct answer is 9.1x increased odds of complications.
Thoracic extension (e.g., sternotomy) significantly increased the odds of postoperative complications.

🔍 Key Findings

  • Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
  • Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
  • Mortality rate was 6.5% overall, with no significant association with liver lobe location.
  • Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
  • Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
  • Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
  • Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
  • Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.

Moore

Veterinary Surgery

4

2023

Association between divisional location and short-term outcome of liver mass resection in 124 dogs

2023-4-VS-moore-4

Article Title: Association between divisional location and short-term outcome of liver mass resection in 124 dogs

Journal: Veterinary Surgery

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