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In Espinel Rupérez 2023 et al., on hip toggle stabilization, which intraoperative complication occurred most frequently?

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Correct. K-wire complications (loss or misplacement) occurred in multiple joints, highlighting it as the most frequent issue.
Incorrect. The correct answer is K-wire misplacement or loss during drilling.
K-wire complications (loss or misplacement) occurred in multiple joints, highlighting it as the most frequent issue.

🔍 Key Findings

  • Arthroscopic-assisted hip toggle stabilization (AA-HTS) was successfully completed in all 14 feline cadaver joints.
  • Femoral and acetabular tunnel creation was feasible in all cases, though femoral tunnel placement had a higher rate of deviations.
  • Intraoperative complications occurred in 5/14 joints, mostly related to femoral tunnel creation and toggle lodging.
  • Minor articular cartilage injury (<10% total cartilage area) occurred in 10/14 joints, but no injury to neurovascular or intrapelvic structures.
  • Thirteen surgical technique deviations (8 major, 5 minor) were identified in 7 joints, all involving the femoral tunnel.
  • Toggle passage through the femoral tunnel was the most challenging step, being mildly difficult in 6 joints.
  • Postoperative CT and gross dissection confirmed all toggles and buttons were in correct position, without damage to major surrounding structures.
  • No deviations, complications, or cartilage injuries occurred in the last 4 joints, suggesting a learning curve effect.

Espinel Rupérez

Veterinary Surgery

6

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-6-VS-espinel-1-79b9d

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

In Kalmukov 2022 et al., on cell salvage efficacy, what was the mean percentage of red blood cell mass (rbcM) recovered using direct suction?

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Correct. Direct suction recovered a mean of 88.43% of the red blood cell mass.
Incorrect. The correct answer is 88.4%.
Direct suction recovered a mean of 88.43% of the red blood cell mass.

🔍 Key Findings

  • Direct suction salvaged more red blood cell mass (rbcM) than swab washing: 88.43% vs 84.74% (p = .015)
  • Swab washing still achieved high recovery (84.74%), making it a viable adjunct when suction is not possible
  • No significant difference in post-salvage PCV between methods (~34% for Su and ~33.9% for Sw)
  • Total salvaged blood volume was significantly higher using direct suction (143 mL vs 139.8 mL; p < .001)
  • Leukocytes are removed during salvage, potentially lowering risk of cytokine-mediated transfusion reactions
  • Expired pRBCs were used, but device still achieved high RBC recovery, supporting clinical utility
  • Swab washing via manual agitation may cause more RBC destruction than direct suction
  • Cell salvage may avoid complications of allogeneic transfusions, like storage lesions and immunologic reactions

Kalmukov

Veterinary Surgery

8

2022

Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

2022-8-VS-kalmukov-1

Article Title: Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

Journal: Veterinary Surgery

In Giansetto 2022 et al., on preputial urethrostomy, why was the urethra passed through the linea alba during surgery?

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Correct. Passing the urethra through the linea alba reduced anastomotic tension compared to paramedian tunneling.
Incorrect. The correct answer is To minimize anastomotic tension.
Passing the urethra through the linea alba reduced anastomotic tension compared to paramedian tunneling.

🔍 Key Findings

  • Modified preputial urethrostomy without penile amputation was successfully performed in 4 male dogs with urethral stenosis or trauma.
  • The technique involved anastomosis of the pelvic urethra to the preputial mucosa via caudal celiotomy, avoiding perineal urethrostomy complications.
  • No cases of skin scalding or stoma stenosis were reported during short- and long-term follow-up.
  • Two dogs developed mild urinary incontinence, particularly when excited; one improved with phenylpropanolamine.
  • The approach preserved local anatomy, avoiding penile amputation, osteotomies, and preputial dissection.
  • Postoperative urinary catheterization was used to protect the anastomosis, although optimal duration remains debated.
  • Surgical access via the linea alba minimized tension at the anastomosis site and avoided complications from paramedian approaches.
  • This technique may serve as a viable alternative to prepubic urethrostomy, reducing urine-related skin complications and improving cosmetic outcome.

Giansetto

Veterinary Surgery

8

2022

Preputial urethrostomy with preservation of the local anatomy in 4 dogs

2022-8-VS-giansetto-4

Article Title: Preputial urethrostomy with preservation of the local anatomy in 4 dogs

Journal: Veterinary Surgery

In Rocheleau 2023 et al., on shoulder stabilization, what was the primary advantage of the suture-toggle technique compared to bone anchors?

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Correct. Suture-toggle stabilization was successful in all specimens and had fewer technical issues than the bone anchor group.
Incorrect. The correct answer is Simpler technique with fewer failures.
Suture-toggle stabilization was successful in all specimens and had fewer technical issues than the bone anchor group.

🔍 Key Findings

  • Arthroscopically assisted stabilization with an IAD was feasible in cadaveric canine shoulders using both bone anchor and suture-toggle techniques.
  • Suture-toggle repair was successfully performed in all specimens, while bone anchors could not be deployed in 3/10 shoulders, indicating lower feasibility.
  • Median surgical time was shorter for the suture-toggle group (25.5 min) compared to the anchor group (37.3 min).
  • Postoperative abduction angles returned to baseline in the anchor group, while the suture-toggle group had slightly reduced angles, suggesting possible overtightening.
  • Violation of the articular surface occurred in 2 anchor specimens and 1 suture-toggle specimen, but none were considered likely to be clinically significant.
  • Overall targeting accuracy using the IAD was 88%, supporting its utility in guiding tunnel/anchor placement.
  • CT measurements showed acceptable bone stock and insertion angles, but anchor insertion angles were lower than optimal for mechanical pullout strength.
  • Suture-toggle technique was considered simpler and more consistent, with fewer complications and faster execution than anchor placement.

Rocheleau

Veterinary Surgery

4

2023

Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

2023-4-VS-rocheleau-1

Article Title: Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

Journal: Veterinary Surgery

In Isono 2025 et al., on tibial malalignment in MPL, which statistical trend was observed in toy poodles with grade 3 MPL?

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Correct. Toy poodles with grade 3 MPL had higher PTMTA than normals, indicating breed-specific severity.
Incorrect. The correct answer is Significantly higher PTMTA compared to normals.
Toy poodles with grade 3 MPL had higher PTMTA than normals, indicating breed-specific severity.

🔍 Key Findings

  • Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
  • PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
  • Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
  • DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
  • PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
  • Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
  • Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
  • Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.

Isono

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

2025-4-VCOT-isono-4

Article Title: Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Case 2024 et al., on feline pancreatectomy, what conclusion was made regarding long-term pancreatic function?

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Correct. Despite a drop in TLI, both endocrine and exocrine function remained clinically adequate long-term.
Incorrect. The correct answer is Function was preserved.
Despite a drop in TLI, both endocrine and exocrine function remained clinically adequate long-term.

🔍 Key Findings Summary

  • Success rate: All 9 cats underwent successful laparoscopic partial pancreatectomy.
  • Complications:
    • 1 minor intraoperative hemorrhage (Grade 1)
    • 1 sterile peritonitis (Grade 2) post-op, resolved conservatively
  • Pancreatic function:
    • fTLI decreased by 37% (p = .03), but stayed within normal limits
    • fPLI and A1C were unchanged
  • Resection details:
    • Mean weight: 3.0 ± 1.4 g
    • Mean surgical time: 59.7 ± 16.2 min
  • Follow-up: 250–446 days — all cats remained clinically healthy
  • Conclusion: Ultrasonic LPP is safe and effective in healthy cats, preserving endocrine/exocrine function

Case

Veterinary Surgery

2

2024

Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats

2024-2-VS-case-4

Article Title: Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats

Journal: Veterinary Surgery

In Glenn 2024 et al., on client-based SSI surveillance, which major limitation was noted in detecting deep or implant-associated infections?

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Correct. Algorithms required wound healing problems, which may exclude deep infections not presenting externally.
Incorrect. The correct answer is Algorithms relied on superficial wound signs only.
Algorithms required wound healing problems, which may exclude deep infections not presenting externally.

🔍 Key Findings

  • Algorithm 3 had the highest overall accuracy (95.5%) in diagnosing SSIs from client questionnaires.
  • Active surveillance identified 19.4% more SSIs compared to passive surveillance alone.
  • SSI rate was 8.22% across 754 surgeries; 33.9% of SSIs required revision surgery.
  • Client-based responses were 37.9% more frequent than those from referring veterinarians.
  • Deep/implant SSIs could be missed if not associated with visible wound healing problems.
  • Two late SSIs (after 90 days) occurred, both linked to implant surgeries.
  • Algorithm 1 was the most sensitive (87.1%) but less specific; useful for screening.
  • Algorithm 2 had the highest specificity (97.9%); useful as a “rule-in” diagnostic method.

Glenn

Veterinary Surgery

8

2024

Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

2024-8-VS-glenn-5

Article Title: Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

Journal: Veterinary Surgery

In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), what was the TPP-related mortality in the study cohort?

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Correct. No patient died due to TPP; one cat was euthanized due to unrelated trauma.
Incorrect. The correct answer is 0%.
No patient died due to TPP; one cat was euthanized due to unrelated trauma.

🔍 Key Findings

  • Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
  • TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
  • Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
  • Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
  • All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
  • Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
  • One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
  • Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.

González Montaño

Veterinary Surgery

4

2023

Traumatic pulmonary pseudocysts in nine dogs and two cats

2023-4-VS-gonzalezmontano-5

Article Title: Traumatic pulmonary pseudocysts in nine dogs and two cats

Journal: Veterinary Surgery

In Matz 2022 et al., on stapler size comparison, what was the primary location of leakage observed in nearly all specimens?

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Correct. Leakage was noted at the staple line in 23 of 24 specimens, supporting its primary role in integrity testing.
Incorrect. The correct answer is At the staple line.
Leakage was noted at the staple line in 23 of 24 specimens, supporting its primary role in integrity testing.

🔍 Key Findings

  • No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
  • All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
  • Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
  • Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
  • No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
  • Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
  • One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
  • Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.

Matz

Veterinary Surgery

4

2022

Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

2022-4-VS-matz-2

Article Title: Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

Journal: Veterinary Surgery

In Wilson 2025 et al., on acetabular measurement accuracy, what factor significantly reduced measurement accuracy across all methods?

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Correct. Higher OA severity was associated with greater prediction error (p < .05).
Incorrect. The correct answer is Osteoarthritis severity.
Higher OA severity was associated with greater prediction error (p < .05).

🔍 Key Findings

Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:

  • ACVD/ACOLL (acetabular circle on VD or OLL view)
  • ALVD/ALOLL (acetabular line)
  • FHCVD/FHCOLL/FHCCCHB (femoral head circle)
Findings:
  • Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
  • FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
  • AC and AL methods had low bias (±0.5 mm) and better predictive value.
  • OA severity negatively affected the accuracy of all measurements (p < .05).
  • Highest predictive accuracy was ~49% using ACVD with rounding down protocol.

Wilson

Veterinary Surgery

1

2025

Evaluation of three acetabular measurement methods for total hip replacement in dogs

2025-1-VS-wilson-3

Article Title: Evaluation of three acetabular measurement methods for total hip replacement in dogs

Journal: Veterinary Surgery

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