Your Custom Quiz

In Holman 2024 et al., what was concluded about the standard lateral approach for shoulder arthroscopy in dogs?

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Correct. Study concluded <75% of medial shoulder stabilizers were visible via lateral arthroscopy.
Incorrect. The correct answer is Visualizes less than 75% of key structures.
Study concluded <75% of medial shoulder stabilizers were visible via lateral arthroscopy.

🔍 Key Findings

  • 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
  • 58% of the medial glenohumeral ligament's cranial border was within view.
  • 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
  • Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
  • Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.

Holman

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

2024-1-VCOT-holman-5

Article Title: Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Miller 2024 et al., on surgical comparison of staphylectomy vs. FFP, which breed most frequently underwent a folded flap palatoplasty?

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Correct. Among 54 French Bulldogs in the study, a slight majority received FFP (53.7%) compared to staphylectomy.
Incorrect. The correct answer is French Bulldog.
Among 54 French Bulldogs in the study, a slight majority received FFP (53.7%) compared to staphylectomy.

🔍 Key Findings

  • FFP resulted in longer median surgery (75 min) and anesthesia (111 min) durations than S (51 min and 80 min, respectively).
  • No significant difference in anesthetic complications, regurgitation, aspiration pneumonia, or hospitalization time between S and FFP.
  • Major complications were rare (4%) and equally distributed between procedures; included tracheostomy and euthanasia due to severe airway disease.
  • Postoperative oxygen use was common (52% of dogs) but not significantly different between procedures.
  • FFP dogs more often had laryngeal collapse (especially Grade 1: 68% vs. 32% in S dogs).
  • Most dogs (85%) had concurrent nares surgery, with caudal wedge resection more frequent in FFP dogs.
  • Few dogs needed revision soft palate surgery (7/124 total); similar between groups.
  • Postoperative clinical signs improved across both procedures; regurgitation was the most persistent sign post-op.

Miller

Veterinary Surgery

8

2024

Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

2024-8-VS-miller-4

Article Title: Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

Journal: Veterinary Surgery

In Haine 2022 et al., on outcomes in canine limb tumors, which scheme demonstrated greater interobserver agreement?

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Correct. The R scheme showed 83% agreement versus 68% with the ≤1 mm scheme.
Incorrect. The correct answer is The R classification scheme.
The R scheme showed 83% agreement versus 68% with the ≤1 mm scheme.

🔍 Key Findings

  • Fewer R1 margins (tumor on ink) were achieved in mast cell tumors (MCTs) when using 6–10 mm lateral margins versus 0–5 mm (7% vs. 55%; _P_ = .049).
  • For soft tissue sarcomas (STSs), no benefit was seen in margin completeness between 0–5 mm vs. 6–10 mm lateral margins (41% vs. 43% R1).
  • Overall R1 rates were 26% for MCTs and 42% for STSs following PNE.
  • R scheme (“tumor on ink” = R1) had better interobserver agreement (83%) compared to ≤1 mm margin criteria (68% agreement).
  • Complication rate was moderate (26%), but no surgeries required revision.
  • Local recurrence/metastasis occurred in 14% of dogs, with 60% of those having R1 margins.
  • Adjunctive therapy was considered clinically indicated in 46% of 0–5 mm margin cases vs. 24% of 6–10 mm cases.
  • Histologic grade and tumor size were not predictive of margin completeness.

Haine

Veterinary Surgery

7

2022

Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

2022-7-VS-haine-1

Article Title: Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

Journal: Veterinary Surgery

In Low 2025 et al., on machine-learning outcomes in IVDE, which model achieved the highest predictive performance for ambulation recovery?

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Correct. XGBoost had the highest AUC (0.9502) and accuracy (89.1%) in this cohort.
Incorrect. The correct answer is XGBoost.
XGBoost had the highest AUC (0.9502) and accuracy (89.1%) in this cohort.

🔍 Key Findings

The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).

Ambulatory recovery occurred in 53.1% of dogs (86/162).

The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.

Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.

Top predictive features (by SHAP analysis) included:

  1. T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
  2. Use of fenestration (presence associated with better recovery)
  3. Hospitalization duration
  4. Imaging modality used
  5. Duration of nonambulatory status

Machine learning provided better insight into prognostic factors than traditional statistical methods.

Low

Veterinary Surgery

4

2025

Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

2025-4-VS-low-2

Article Title: Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

Journal: Veterinary Surgery

In Scharpf 2024 et al., what symmetry index (SI) threshold was considered indicative of normal limb loading?

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Correct. A symmetry index (SI) ≥ 0.9 was defined as normal for limb loading across all force parameters:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is 0.90.
A symmetry index (SI) ≥ 0.9 was defined as normal for limb loading across all force parameters:contentReference[oaicite:3]{index=3}

🔍 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-3

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 Buote 2023 et al., on feline laparoscopic cannulas, which material was ultimately used to create **autoclavable cannulas** for use in live patients?

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Correct. Autoclavable, biocompatible resin (Dental SG) was used to print cannulas for live patient use:contentReference[oaicite:3]{index=3}.
Incorrect. The correct answer is Dental SG print resin.
Autoclavable, biocompatible resin (Dental SG) was used to print cannulas for live patient use:contentReference[oaicite:3]{index=3}.

🔍 Key Findings

  • 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
  • Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
  • Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
  • Live patients experienced no postoperative complications, including no incision site infections or discomfort.
  • Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
  • Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
  • Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
  • Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.

Buote

Veterinary Surgery

6

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-6-VS-buote-4-207e4

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

In Pilot 2022 et al., on closure methods in sternotomy, what was concluded regarding closure technique choice in large dogs?

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Correct. Dog size increased risk of complications, but closure method did not alter this risk.
Incorrect. The correct answer is Closure material choice does not affect risk in large dogs.
Dog size increased risk of complications, but closure method did not alter this risk.

🔍 Key Findings

  • Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
  • No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
  • Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
  • Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
  • Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
  • Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
  • Infection rate was low (2.7%), and not significantly different between wire and suture.
  • Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.

Pilot

Veterinary Surgery

6

2022

Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

2022-6-VS-pilot-5

Article Title: Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

Journal: Veterinary Surgery

In Mullins 2023 et al., on thoracolumbar pin placement, which technique had zero intraoperative technique deviations?

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Correct. 3DPGs had no intraoperative technique deviations, whereas 6 deviations occurred using the FHP technique.
Incorrect. The correct answer is 3D-printed drill guides (3DPG).
3DPGs had no intraoperative technique deviations, whereas 6 deviations occurred using the FHP technique.

🔍 Key Findings

  • Both free-hand probing (FHP) and 3D-printed guides (3DPG) enabled accurate spinal pin placement, with 87.5% vs 96.4% of pins graded as optimal (Grade I).
  • 3DPGs had fewer intraoperative deviations (0/56 pins) compared to 6/56 with the FHP technique.
  • No pins using either method fully breached the medial vertebral canal (Grade IIb) — a critical safety outcome.
  • Pins placed using 3DPGs required less time overall (mean 2.6 min) than FHP (mean 4.5 min).
  • FHP required specific experience and has a learning curve, whereas 3DPG use requires CAD software and 3D printing access.
  • FHP had more lateral canal violations (Grade IIIa: 4/56 vs 0/56 for 3DPG), suggesting slightly less precision.
  • Both techniques were safe, and all deviations were recognized and corrected intraoperatively.
  • 3DPGs may offer practical advantages in clinical settings lacking surgical expertise, while FHP allows immediate intervention without 3D printing delay.

Mullins

Veterinary Surgery

5

2023

Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study

2023-5-VS-mullins-1

Article Title: Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study

Journal: Veterinary Surgery

In Jeon 2025 et al., on distal femoral shortening, what was the **outcome regarding neurovascular complications** post-DFSO?

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Correct. Despite >4 cm displacement in some cases, no neurovascular damage was reported after DFSO.
Incorrect. The correct answer is No neurovascular complications were observed.
Despite >4 cm displacement in some cases, no neurovascular damage was reported after DFSO.

🔍 Key Findings

  • Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
  • Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
  • Bone union was achieved in all cases post-DFSO, indicating good healing potential.
  • Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
  • One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
  • DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
  • Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
  • DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.

Jeon

Veterinary Surgery

6

2025

Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

2025-6-VS-jeon-4

Article Title: Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips

Journal: Veterinary Surgery

In Rocheleau 2023 et al., on shoulder stabilization, which stabilization technique showed a statistically significant reduction in abduction angle postoperatively?

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Correct. Postoperative abduction angles were slightly lower than baseline in the suture-toggle group, suggesting some overtightening.
Incorrect. The correct answer is Suture-toggle.
Postoperative abduction angles were slightly lower than baseline in the suture-toggle group, suggesting some overtightening.

🔍 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-3

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

Journal: Veterinary Surgery

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