Your Custom Quiz

In Heald 2022 et al., on PED wound therapy, which bacterial species was isolated from the dog prior to treatment?

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Correct. Punch biopsy in the dog identified these two species before PED treatment.
Incorrect. The correct answer is Staphylococcus pseudintermedius and Streptococcus canis.
Punch biopsy in the dog identified these two species before PED treatment.

🔍 Key Findings

  • Electroceutical dressing (PED) promoted complete healing of chronic wounds in both a dog and a cat previously unresponsive to standard therapies.
  • Infection clearance occurred in both animals by the end of PED therapy, as shown by negative culture results.
  • In the dog, wound area reduced by ~4.2× over 10 days; healing completed by day 67 with no further antibiotic therapy.
  • In the cat, wound area reduced by ~2.5× over 17 days; healing completed by day 47 without systemic antibiotics.
  • PEDs function via direct current (DC) stimulation, believed to generate hypochlorous acid (HOCl) with antibacterial properties.
  • No side effects or adverse tissue reactions were observed in either case, supporting biocompatibility.
  • Multidrug-resistant organisms (e.g., S. pseudintermedius, S. canis, S. epidermidis) were eradicated by PED treatment.
  • PED therapy may reduce reliance on antibiotics and surgery, offering a novel adjunct for chronic, infected wounds.

Heald

Veterinary Surgery

3

2022

Electroceutical treatment of infected chronic wounds in a dog and a cat

2022-3-VS-heald-3

Article Title: Electroceutical treatment of infected chronic wounds in a dog and a cat

Journal: Veterinary Surgery

In Israel 2023 et al., on povidone-iodine lavage, which of the following was *not* a complication noted in PrePIL cases?

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Correct. None of these complications were reported in the PrePIL group, indicating good clinical safety.
Incorrect. The correct answer is All of the above.
None of these complications were reported in the PrePIL group, indicating good clinical safety.

🔍 Key Findings

  • No infections (0/102) occurred in cases where preclosure povidone-iodine lavage (PrePIL) was used, compared to 21/2111 (0.99%) with saline lavage.
  • Break-even cost for PrePIL was calculated at $49.74, while the actual cost was only $2.07, confirming strong cost-effectiveness.
  • No adverse reactions or healing complications were reported in the 102 PrePIL cases.
  • The PrePIL protocol used 0.35% povidone-iodine for 3 minutes before closure, followed by sterile saline lavage.
  • Majority of THRs (97%) used cementless fixation (BFX) in PrePIL group; only 3 cases used CFX components.
  • Surgeries followed consistent perioperative antibiotic protocols, making PrePIL the only major protocol variable.
  • Antibiotics were not added to lavage, aligning with WHO and CDC guidelines for antimicrobial stewardship.
  • The infection reduction with PrePIL supports routine use in total hip replacement to reduce periprosthetic joint infections.

Israel

Veterinary Surgery

1

2023

Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis

2023-1-VS-israel-4

Article Title: Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis

Journal: Veterinary Surgery

In Scharpf 2024 et al., on arthroscopic MCD treatment, which ground reaction force parameter did **not** normalize by 26 weeks?

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Correct. Braking force (FY+) and related impulses remained subnormal at 26 weeks, despite improvement in other GRF metrics:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Braking force (FY+).
Braking force (FY+) and related impulses remained subnormal at 26 weeks, despite improvement in other GRF metrics:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
  • No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
  • Force plate analysis was more sensitive than visual lameness scoring.
  • Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
  • Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.

Scharpf

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

2024-2-VCOT-scharpf-1

Article Title: Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Hawker 2025 et al., on locking head inserts, what did the authors conclude regarding high-strain construct scenarios?

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Correct. LHI did not reduce strain in this model; authors recommend considering other methods for high load conditions.
Incorrect. The correct answer is Consider alternate strain-reduction strategies.
LHI did not reduce strain in this model; authors recommend considering other methods for high load conditions.

🔍 Key Findings

  • Adding Locking Head Inserts (LHI) to a 3.5-mm LCP had no effect on plate strain, stiffness, or deformation in an open fracture gap model.
  • Peak strain consistently occurred at the Combi-hole over the fracture gap, with values up to ~1837 µε.
  • No significant difference in strain was found across configurations with 0, 3, or 9 LHI (p = 0.847).
  • Construct stiffness and compressive displacement also remained unchanged regardless of LHI count (p = 0.311 and 0.069 respectively).
  • Study contradicted the hypothesis that LHI would reduce strain and increase stiffness under biologic loading.
  • Combi-hole design may limit the efficacy of LHI, as LHI only fill the locking portion, not the compression side where strain peaks.
  • Implant fatigue risk remains highest over unfilled screw holes, especially over fracture sites—confirming previous failure patterns.
  • Surgeons should consider alternative methods to reduce strain when facing high implant load scenarios.

Hawker

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model

2025-4-VCOT-hawker-5

Article Title: The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Lotsikas 2025 et al., on stifle distraction portal, what was the mean time required to place the thrust lever using the proximal lateral portal?

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Correct. Mean placement time for the lever was 37.25 seconds (range 17–122 s).
Incorrect. The correct answer is 37 seconds.
Mean placement time for the lever was 37.25 seconds (range 17–122 s).

🔍 Key Findings

Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:

  • No damage to the long digital extensor tendon (LDE) with this portal
  • VSTL could be placed without removing the arthroscope
  • Portal creation time ~37 seconds (faster than previously reported)

Cartilage impact:

  • Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
  • No difference in IACI between 5- and 10-minute lever durations
  • Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)

Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use

Lotsikas

Veterinary Surgery

3

2025

Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

2025-3-VS-lotsikas-3

Article Title: Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

Journal: Veterinary Surgery

In Townsend 2024 et al., on 3D osteotomy accuracy, what percentage of PSG osteotomies were within 5° of the target?

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Correct. 84% of PSG osteotomies were within 5° of the target, compared to 50% for freehand.
Incorrect. The correct answer is 84%.
84% of PSG osteotomies were within 5° of the target, compared to 50% for freehand.

🔍 Key Findings:

  • Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
  • Osteotomy types (3 groups):
    1. 30° uniplanar frontal wedge
    2. Oblique (30° frontal, 15° sagittal)
    3. Single oblique (30° frontal, 15° sagittal, 30° external rotation)
  • Comparison: 3D PSG vs Freehand (FH)
  • Main Outcomes:
    • PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
    • 84% of PSG osteotomies were within 5° of target vs 50% of FH.
  • Significant improvements with PSG in:
    • Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
    • Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
  • Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
  • No difference in osteotomy location (mm) between methods.
  • Clinical relevance: PSG more consistent and accurate, especially for complex cuts.

Townsend

Veterinary Surgery

2

2024

Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

2024-2-VS-townsend-2

Article Title: Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

Journal: Veterinary Surgery

In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the reported perioperative mortality rate?

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Correct. The mortality rate was lower than historical reports but still significant at 21.7%.
Incorrect. The correct answer is 21.7%.
The mortality rate was lower than historical reports but still significant at 21.7%.

🔍 Key Findings

  • Cholelithiasis was the most common indication for cholecystectomy in cats.
  • Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
  • Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
  • 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
  • Vomiting was the most common short- and long-term complication, though most cats were medically managed.
  • Concurrent EHBDO was not a contraindication provided CBD patency was restored.
  • Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
  • Owner-reported outcomes were excellent in all cats that survived long-term.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-2

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In Aldrich 2023 et al., on liposomal bupivacaine in TPLO, how was analgesic success defined?

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Correct. Success was defined as not requiring rescue opioids within 48h post-op.
Incorrect. The correct answer is No need for rescue analgesia over 48 hours.
Success was defined as not requiring rescue opioids within 48h post-op.

🔍 Key Findings

  • Liposomal bupivacaine (LB) infiltration did not reduce the need for rescue analgesia compared with placebo in dogs undergoing TPLO.
  • CMPS-SF pain scores were not significantly different between LB and placebo groups at any postoperative time point.
  • % body weight distribution (%BWdist) to the operated limb did not differ significantly between treatment groups across all time points.
  • No correlation was found between CMPS-SF scores and %BWdist, suggesting these metrics assess different aspects of postoperative pain.
  • Postoperative carprofen administration was standardized, and LB did not provide additional detectable analgesic benefit.
  • Three-layer infiltration technique (joint capsule, fascia, subcutis) was used consistently across all cases.
  • Adverse events were minor and comparable between LB and placebo groups.
  • Post hoc analysis suggested a much larger sample size (58–436 dogs) would be needed to detect significant differences in %BWdist.

Aldrich

Veterinary Surgery

5

2023

Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery

2023-5-VS-aldrich-2

Article Title: Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery

Journal: Veterinary Surgery

In McCarthy 2022 et al., on 3D drill guide accuracy, what was the advantage of 3D-GDT in terms of drill end point deviation?

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Correct. End point deviation was significantly reduced in all axes with 3D-GDT.
Incorrect. The correct answer is Lower deviation in craniocaudal, dorsoventral, and 3D linear distances.
End point deviation was significantly reduced in all axes with 3D-GDT.

🔍 Key Findings

  • 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
  • No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
  • 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
  • Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
  • 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
  • 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
  • Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
  • The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.

McCarthy

Veterinary Surgery

1

2022

Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

2022-1-VS-mccarthy-3

Article Title: Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

Journal: Veterinary Surgery

In Fracka 2025 et al., on cementless knee replacement, which implant-related finding was noted at necropsy?

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Correct. The post-mortem exam found mild polyethylene wear but no loosening, metallosis, or migration【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is Mild polyethylene wear at the tibial insert caudal edge.
The post-mortem exam found mild polyethylene wear but no loosening, metallosis, or migration【57†Veterinary Surgery†L1-L20】

🔍 Key Findings

Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.

Clinical function:

  • Improved ROM from 90° pre-op to 120° post-op.
  • Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
  • No visible lameness by 14 weeks.

Implant performance:

  • No complications at any follow-up points.
  • No osteolysis, loosening, or metallosis at 6-year necropsy.

Wear evaluation:

  • Mild UHMWPE insert wear, localized to caudal edges.

Histologic findings:

  • Robust osseointegration at implant-bone interface.
  • Fibrous tissue only in areas lacking porous coating.

Conclusion:

  • Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
  • Support for considering early surgical intervention in severe stifle OA.

Fracka

Veterinary Surgery

3

2025

Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

2025-3-VS-fracka-3

Article Title: Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

Journal: Veterinary Surgery

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