Your Custom Quiz

In Adair 2023 et al., on PCCLm vs. open cystotomy, what was the most common reason for converting PCCLm to OC?

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Correct. Most PCCLm to OC conversions (4/5) were due to difficulty retrieving numerous stones.
Incorrect. The correct answer is Too numerous stones to retrieve with cystoscope.
Most PCCLm to OC conversions (4/5) were due to difficulty retrieving numerous stones.

🔍 Key Findings

  • PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
  • Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
  • PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
  • Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
  • Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
  • PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
  • Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
  • Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.

Adair

Veterinary Surgery

6

2023

Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

2023-7-VS-adair-2

Article Title: Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on canine femoral MIPO, which reduction method resulted in significantly fewer intraoperative fluoroscopy images?

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Correct. The FRS group required significantly fewer fluoroscopic images (median 7 vs 26; P = .001).
Incorrect. The correct answer is Fracture reduction system (FRS).
The FRS group required significantly fewer fluoroscopic images (median 7 vs 26; P = .001).

🔍 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-1

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 Cortina 2023 et al., on modified TTT outcomes for MPL in dogs, what was the owner-reported satisfaction rate from long-term follow-up surveys?

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Correct. All owners who responded to surveys indicated they would choose the surgery again; satisfaction was reported as 100%.
Incorrect. The correct answer is 100%.
All owners who responded to surveys indicated they would choose the surgery again; satisfaction was reported as 100%.

🔍 Key Findings

  • m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
  • Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
  • Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
  • Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
  • Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
  • All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
  • Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
  • Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.

Cortina

Veterinary Surgery

5

2023

Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs

2023-5-VS-cortina-5

Article Title: Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs

Journal: Veterinary Surgery

In Anderson 2023 et al., on French Bulldogs with humeral condylar fractures, which fixation method was associated with **no** cases of transcondylar screw (TCS) migration?

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Correct. No migration was observed in the TCS + plate group.
Incorrect. The correct answer is TCS + plate.
No migration was observed in the TCS + plate group.

🔍 Key Findings

  • Lateral humeral condylar fractures (LHCF) were most common, comprising 63.6% of cases.
  • Transcondylar screw (TCS) + K-wire(s) fixation had a 7.62x higher risk of major complications compared to other methods (p = .009).
  • All cases of TCS migration occurred in the TCS + K-wire group; none occurred with plate fixation.
  • Overall complication rate was 40.9%, with 29.5% being major and requiring intervention.
  • Contralateral humeral intracondylar fissures (HIF) were found in 58.1% of French Bulldogs with CT data.
  • No significant association between age and presence of HIF, but fissure length increased with age (R = 0.47, p = .048).
  • Younger, lighter dogs had higher complication and screw migration rates, possibly due to softer bone and smaller condyles.
  • TCS + plate fixation had the lowest complication rate, suggesting biomechanical superiority.

Anderson

Veterinary Surgery

1

2023

Humeral condylar fractures and fissures in the French bulldog

2023-1-VS-anderson-3

Article Title: Humeral condylar fractures and fissures in the French bulldog

Journal: Veterinary Surgery

In Adams 2022 et al., on C-section survival rates, what was the neonatal survival to discharge rate in puppies from elective procedures?

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Correct. Neonatal survival after elective C-section was 99.2%, significantly higher than emergency cases.
Incorrect. The correct answer is 99.2%.
Neonatal survival after elective C-section was 99.2%, significantly higher than emergency cases.

🔍 Key Findings

  • Neonatal survival to discharge was 93.1% overall, with no significant difference between brachycephalic (94.8%) and nonbrachycephalic (91.8%) breeds.
  • Elective C-section significantly improved neonatal survival (99.2%) compared to emergency C-section (87.1%) (p < .001).
  • Larger C-section litter size was positively associated with survival (p = .004; OR 1.57), whereas total litter size had no effect.
  • Maternal heart rate and stage of labor were associated with neonatal mortality in univariable analysis, but not multivariable.
  • Brachycephalism alone was not a risk factor for neonatal mortality (p = .221) in multivariable analysis.
  • Emergency C-section was the strongest predictor of neonatal mortality (OR 4.75), regardless of breed.
  • Multidisciplinary team approach likely contributed to high survival rates, emphasizing importance of coordinated care.
  • Historical factors such as primiparity and maternal age were not associated with mortality in this cohort.

Adams

Veterinary Surgery

7

2022

Risk factors for neonatal mortality prior to hospital discharge in brachycephalic and nonbrachycephalic dogs undergoing cesarean section

2022-7-VS-adams-3

Article Title: Risk factors for neonatal mortality prior to hospital discharge in brachycephalic and nonbrachycephalic dogs undergoing cesarean section

Journal: Veterinary Surgery

In Sandberg 2024 et al., which significant ROM change was observed at the shoulder joint?

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Correct. Shoulder frontal plane ROM increased by 22% during walk (p = 0.0292) with harness use:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Increase in frontal plane ROM.
Shoulder frontal plane ROM increased by 22% during walk (p = 0.0292) with harness use:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • Tactical harness use altered kinematics in all forelimb joints
  • Elbow most affected: increased extension, internal rotation, abduction at walk and trot
  • Carpus: reduced flexion, increased abduction at walk
  • Shoulder: least affected, but showed reduced flexion and increased abduction during walk
  • Only significant ROM increases:
    • Shoulder frontal plane (22%)
    • Elbow transverse plane (19%) at walk
  • Results suggest potential functional limitations from harness use during duty

Sandberg

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Influence of Wearing a Tactical Harness on Three-Dimensional Thoracic Limb Kinematics

2024-2-VCOT-sandberg-2

Article Title: Influence of Wearing a Tactical Harness on Three-Dimensional Thoracic Limb Kinematics

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Lederer 2025 et al., on MIPO vs ORPS, which surgeon-related variable significantly influenced fixation technique choice?

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Correct. Choice of MIPO vs ORPS was significantly influenced by attending surgeon (p < .001).
Incorrect. The correct answer is Attending surgeon identity.
Choice of MIPO vs ORPS was significantly influenced by attending surgeon (p < .001).

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

  • Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
  • Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
  • Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
  • Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
  • Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

Lederer

Veterinary Surgery

4

2025

Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

2025-4-VS-lederer-5

Article Title: Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

Journal: Veterinary Surgery

In Radke 2022 et al., on outcome measure validation, which of the following instruments was noted to have **inconsistent factor analysis results** across validation studies?

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Correct. CBPI’s factor analysis yielded inconsistent structures across studies, questioning construct stability.
Incorrect. The correct answer is Canine Brief Pain Inventory (CBPI).
CBPI’s factor analysis yielded inconsistent structures across studies, questioning construct stability.

🔍 Key Findings

  • CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
  • COI scored highest in development rigor and evidence quality among evaluated OROMs.
  • Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
  • LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
  • CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
  • All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
  • Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
  • Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).

Radke

Veterinary Surgery

2

2022

Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

2022-2-VS-radke-3

Article Title: Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

Journal: Veterinary Surgery

In Korchek 2025 et al., on fracture gap risk, how did absence of external coaptation affect implant failure risk?

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Correct. Absence of external coaptation was significantly associated with implant failure (OR = 10.1, p = .04).
Incorrect. The correct answer is It increased the risk of implant failure.
Absence of external coaptation was significantly associated with implant failure (OR = 10.1, p = .04).

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

  • 27% in cases with fracture gap
  • 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

  • OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

  • OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

  • OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

Korchek

Veterinary Surgery

2

2025

Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

2025-2-VS-korchek-4

Article Title: Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

Journal: Veterinary Surgery

In Downey 2023 et al., on thoracoscopic lobectomy in dogs, what was the most common histopathologic diagnosis?

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Correct. 10 of 12 dogs had pulmonary consolidation caused by infectious pneumonia.
Incorrect. The correct answer is Infectious pneumonia.
10 of 12 dogs had pulmonary consolidation caused by infectious pneumonia.

🔍 Key Findings

  • Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
  • 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
  • OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
  • Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
  • Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
  • Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
  • Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
  • Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.

Downey

Veterinary Surgery

7

2023

Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

2023-7-VS-downey-1

Article Title: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

Journal: Veterinary Surgery

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