Your Custom Quiz

In Fracka 2025 et al., on cementless knee replacement, what postoperative improvement in stifle range of motion (ROM) was documented?

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Correct. ROM improved from 90° preoperatively to 120° postoperatively over 6 weeks【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is From 90° to 120°.
ROM improved from 90° preoperatively to 120° postoperatively over 6 weeks【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-1

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

Journal: Veterinary Surgery

In Schneider 2025 et al., on axillary LN extirpation, which statement best reflects the accuracy of cytology for staging ALNs?

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Correct. Four LNs had false-negative cytology but were later confirmed metastatic on histopathology, highlighting limitations of cytology.
Incorrect. The correct answer is It misclassified 4 metastatic nodes as non-metastatic.
Four LNs had false-negative cytology but were later confirmed metastatic on histopathology, highlighting limitations of cytology.

🔍 Key Findings

  • Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
  • Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
  • No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
  • Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
  • Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
  • Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
  • False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
  • The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.

Schneider

Veterinary Surgery

6

2025

Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs

2025-6-VS-schneider-5

Article Title: Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs

Journal: Veterinary Surgery

In Bush 2023 et al., on canine salivary gland carcinoma, what was the concordance rate between incisional biopsy and final excisional histopathology?

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Correct. Only 38.4% of incisional biopsies were completely concordant with final excisional histology.
Incorrect. The correct answer is 38%.
Only 38.4% of incisional biopsies were completely concordant with final excisional histology.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

  • Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
  • Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
  • Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
  • Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
  • Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
  • Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
  • Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
  • Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

Bush

Veterinary Surgery

3

2023

Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

2023-3-VS-bush-5

Article Title: Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

Journal: Veterinary Surgery

In Mullen 2023 et al., on microvascular perfusion, what conclusion was drawn about handsewn versus stapled enterectomies?

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Correct. Microvascular density and PBR adjacent to the suture or staple line did not significantly differ between techniques.
Incorrect. The correct answer is No significant difference in perfusion metrics was observed.
Microvascular density and PBR adjacent to the suture or staple line did not significantly differ between techniques.

🔍 Key Findings

  • Microvascular density at the site of foreign body obstruction was significantly lower in obstructed dogs compared to healthy controls.
  • PBR (perfused boundary region) was paradoxically lower in obstructed dogs, indicating that PBR may not reliably correlate with tissue viability in this context.
  • No significant difference in microvascular perfusion between subjectively viable vs nonviable intestines, suggesting subjective assessment is unreliable.
  • No difference in perfusion parameters between handsewn and stapled enterectomies, indicating both techniques preserve vascular health equally.
  • Stapled enterectomy using green TA staples is safe and did not impair intestinal perfusion at the anastomosis site.
  • SDF videomicroscopy is feasible intraoperatively and can differentiate healthy from diseased intestine in dogs.
  • Surgeons' subjective evaluations led to potentially unnecessary enterectomies, as microvascular parameters did not differ.
  • No cases of dehiscence or mortality, suggesting both surgical approaches are effective when applied properly.

Mullen

Veterinary Surgery

4

2023

A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health

2023-4-VS-mullen-3

Article Title: A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health

Journal: Veterinary Surgery

In Sunlight 2022 et al., on Protein C monitoring, which variable was **not** significantly associated with ultimate clinical status?

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Correct. Only postoperative PC correlated with clinical status; preoperative PC was not predictive.
Incorrect. The correct answer is Preoperative PC.
Only postoperative PC correlated with clinical status; preoperative PC was not predictive.

🔍 Key Findings

  • Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
  • Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
  • Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
  • Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
  • Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
  • Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
  • PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
  • Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.

Sunlight

Veterinary Surgery

1

2022

Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

2022-1-VS-sunlight-2

Article Title: Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

Journal: Veterinary Surgery

In Cruciani 2025 et al., on portal placement, which pain scoring tool showed significant postoperative improvement?

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Correct. Canine Brief Pain Inventory (CBPI) scores significantly improved from pre-op to final follow-up.
Incorrect. The correct answer is CBPI.
Canine Brief Pain Inventory (CBPI) scores significantly improved from pre-op to final follow-up.

🔍 Key Findings

  • Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
  • Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
  • Outcomes:
    • Good to excellent mid-to-long-term outcomes in 11/14 dogs.
    • Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
    • Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
    • No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
  • Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
  • Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
  • Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).

Cruciani

Veterinary Surgery

1

2025

A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

2025-1-VS-cruciani-4

Article Title: A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

Journal: Veterinary Surgery

In de la Oliva 2024 et al., what was the prevalence of contralateral HIF in French Bulldogs with humeral condylar fracture?

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Correct. Contralateral intracondylar fissure was identified in 36 out of 89 French Bulldogs (40.4%):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is 40.4%.
Contralateral intracondylar fissure was identified in 36 out of 89 French Bulldogs (40.4%):contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • 89 French Bulldogs with HCF; 40.4% (36/89) had contralateral HIF
  • Prophylactic transcondylar screws placed in 20/36 HIF; no complications in these
  • Complication rate for HCF repair = 13.4% (6.7% minor, 6.7% major)
  • Most complications occurred with Kirschner wire fixation
  • Short-term outcome: Bone healing observed in all, but 14/45 had persistent intracondylar gap
  • Long-term outcomes (n=27):
    • Excellent = 66.7%
    • Good = 29.6%
    • Fair = 3.7%
  • Complication-free dogs significantly more likely to have excellent/good outcomes (p = 0.007)

Delaoliva

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome

2024-3-VCOT-delaoliva-1

Article Title: Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Cruciani 2025 et al., on portal placement, what was the primary reason for modifying the arthroscopic portal?

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Correct. Placing the portal on the same side as the lesion facilitated easier removal of osteochondral fragments.
Incorrect. The correct answer is To improve fragment access and removal.
Placing the portal on the same side as the lesion facilitated easier removal of osteochondral fragments.

🔍 Key Findings

  • Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
  • Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
  • Outcomes:
    • Good to excellent mid-to-long-term outcomes in 11/14 dogs.
    • Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
    • Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
    • No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
  • Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
  • Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
  • Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).

Cruciani

Veterinary Surgery

1

2025

A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

2025-1-VS-cruciani-3

Article Title: A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

Journal: Veterinary Surgery

In Dalton 2023 et al., on acetabular fracture repair, what was the median postoperative fracture gap reported in canine cadavers?

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Correct. The median postoperative fracture gap was consistently less than 2 mm in all cadaver specimens, demonstrating precise fracture reduction.
Incorrect. The correct answer is <2 mm.
The median postoperative fracture gap was consistently less than 2 mm in all cadaver specimens, demonstrating precise fracture reduction.

🔍 Key Findings

  • Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
  • All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
  • Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
  • Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
  • Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
  • Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
  • Use of locking screws improved reduction fidelity, particularly across a broad plate span.
  • 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.

Dalton

Veterinary Surgery

6

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-6-VS-dalton-1-91d41

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

In Murphy 2024 et al., which factor was associated with decreased odds of contralateral CCLR per month?

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Correct. Each 1-month increase in age decreased the odds of contralateral rupture by 2% (OR 0.98, p=0.003).
Incorrect. The correct answer is Age.
Each 1-month increase in age decreased the odds of contralateral rupture by 2% (OR 0.98, p=0.003).

🔍 Key Findings Summary

  • Prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg was 19.1%, notably lower than previous studies (33–50%).
  • Median time to contralateral CCLR was 12.9 months.
  • Older age reduced risk — 2% decrease per month of age (p=0.003).
  • Golden Retrievers and Labradors had significantly lower risk (p=0.028 and p=0.007, respectively).
  • No effect found from TPA, meniscal injury, or comorbidities (e.g., hip dysplasia, hypothyroidism).

Murphy

Veterinary and Comparative Orthopedics and Traumatology

1

2024

The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older

2024-1-VCOT-murphy-3

Article Title: The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older

Journal: Veterinary and Comparative Orthopedics and Traumatology

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