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In Brisimi 2022 et al., on tracheal anastomosis tension, where did failure most commonly occur?

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Correct. All constructs failed by tearing through the annular ligament near the dorsal ring.
Incorrect. The correct answer is Suture pullthrough at annular ligament.
All constructs failed by tearing through the annular ligament near the dorsal ring.

🔍 Key Findings

  • Tracheal anastomoses in immature dogs failed at significantly lower distraction forces (44.91 ± 59.03 N) than in adults (149.31 ± 45.36 N; _P_ = .007).
  • Immature tracheae tolerated significantly more elongation before failure (39.75 ± 5.45%) than adult tracheae (30.57 ± 7.19%; _P_ = .0012).
  • All constructs failed by suture tearing through the annular ligament, primarily near the dorsal tracheal ring.
  • Overlapping of tracheal ends was seen in 50% of specimens across both age groups, suggesting limitations in tissue apposition with the chosen technique.
  • Simple continuous pattern using 2-0 polypropylene was used; this pattern provides superior tensile strength compared to simple interrupted, but apposition may be suboptimal.
  • Tracheal elasticity in immature dogs may allow longer resections, but the lower tensile strength necessitates reinforcement.
  • Annular ligament-cartilage technique with 4-mm suture spacing showed variable results; smaller bites and nylon suture may improve outcomes.
  • Ex vivo setup using frozen-thawed tracheae is a limitation, but prior studies support comparability with fresh tissue.

Brisimi

Veterinary Surgery

5

2022

Influence of age on resistance to distraction after tracheal anastomoses in dogs: An ex vivo study

2022-5-VS-brisimi-3

Article Title: Influence of age on resistance to distraction after tracheal anastomoses in dogs: An ex vivo study

Journal: Veterinary Surgery

In Brincin 2023 et al., on radiographic follow-up post-MPL surgery, which factor was MOST strongly associated with a change in postoperative plan after MPL surgery?

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Correct. The odds of a change in management were 32× higher when both clinical concerns and radiographic abnormalities were present.
Incorrect. The correct answer is Clinician concern plus radiographic abnormality.
The odds of a change in management were 32× higher when both clinical concerns and radiographic abnormalities were present.

🔍 Key Findings

  • Routine follow-up radiographs after MPL surgery influenced management in only 3% of asymptomatic cases.
  • Isolated radiographic abnormalities were rare (3.3%) and even less likely to alter treatment unless accompanied by clinical concerns.
  • Dogs with both radiographic changes and clinical/owner concerns had 32× higher odds of a management change (OR 32.16, P < .001).
  • Lameness, NSAID use, or prior unplanned visits significantly increased the odds of altered post-op plans.
  • Owner-reported concerns alone led to a change in only 1.6% of cases without corroborating clinical findings.
  • Radiographic follow-up was deemed unnecessary in dogs without owner concerns or abnormal physical findings.
  • Hands-on clinical exam remains critical, though video-based rechecks may aid triage in uncomplicated cases.
  • The study supports selective radiographic follow-up, reducing unnecessary imaging, stress, and clinician workload.

Brincin

Veterinary Surgery

3

2023

The value of routine radiographic follow up in the postoperative management of canine medial patellar luxation

2023-3-VS-brincin-2

Article Title: The value of routine radiographic follow up in the postoperative management of canine medial patellar luxation

Journal: Veterinary Surgery

In Janas 2024 et al., on ARC outcomes in cats, what best describes the relationship between seizures and postoperative bloodwork?

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Correct. Some cats continued to have seizures despite normal bile acids and chemistry.
Incorrect. The correct answer is Seizures persisted despite normal bloodwork.
Some cats continued to have seizures despite normal bile acids and chemistry.

🔍 Key Findings:

  • Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
  • Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
  • Short-term outcomes (18 cats):
    • Excellent: 14
    • Good: 2
    • Poor: 2
  • Long-term outcomes (18 cats):
    • Excellent: 15
    • Good: 1
    • Poor: 2
  • Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
  • Preoperative blindness resolved in most cats.
  • Mean follow-up duration: Median 8 years.

Janas

Veterinary Surgery

2

2024

Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

2024-2-VS-janas-5

Article Title: Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

Journal: Veterinary Surgery

In Peycke 2022 et al., on CBLO in immature dogs, what was the most common **complication** from improper screw placement in CBLO?

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Correct. Two dogs developed valgus deformities from screws breaching the distal lateral portion of the proximal tibial physis.
Incorrect. The correct answer is Valgus deformity.
Two dogs developed valgus deformities from screws breaching the distal lateral portion of the proximal tibial physis.

🔍 Key Findings

  • CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
  • Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
  • Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
  • Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
  • One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
  • CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
  • In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
  • No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.

Peycke

Veterinary Surgery

3

2022

Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

2022-3-VS-peycke-2

Article Title: Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

Journal: Veterinary Surgery

In Adams 2024 et al., on canine tibial plateau fractures, what factor contributed to the implant yield in Case 2?

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Correct. The authors note that reduced stability due to the concurrent fibular fracture likely contributed to implant yield.
Incorrect. The correct answer is Concurrent fibular fracture reducing construct stability.
The authors note that reduced stability due to the concurrent fibular fracture likely contributed to implant yield.

🔍 Key Findings

  • Tibial plateau fractures (TPF) are rare in dogs, but can be surgically stabilized with good outcomes even in complex trauma cases.
  • Lateral TPFs (Unger type 41-B1) were approached via caudolateral arthrotomy, with elevation of the lateral meniscus for visualization and use of lag screws and K-wires for fixation.
  • Medial TPF (Unger type 41-B2) was addressed via medial parapatellar approach using K-wires and a figure-of-eight tension band.
  • One minor complication occurred: implant yield at 2 weeks in a case with a concurrent fibular fracture, resulting in a 0.8 mm step defect.
  • No major complications were recorded, and all dogs achieved clinical union with full function by 8–10 weeks.
  • Long-term owner-reported outcomes (LOAD scores) were excellent (5/52), indicating minimal osteoarthritis or chronic pain.
  • Concurrent fibular fractures may increase risk of implant failure and should influence implant selection (e.g., considering buttress plating).
  • Arthroscopic-assisted techniques may be applicable in select cases, but open reduction was preferred due to fragment displacement or concurrent injuries.

Adams

Veterinary Surgery

6

2024

Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases

2024-6-VS-adams-5

Article Title: Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases

Journal: Veterinary Surgery

In Miller 2024 et al., on surgical comparison of staphylectomy vs. FFP, which of the following was true regarding anesthetic complications?

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Correct. Despite similar complication rates between groups, hypothermia and hypotension were most frequently reported.
Incorrect. The correct answer is Hypothermia and hypotension were the most common types.
Despite similar complication rates between groups, hypothermia and hypotension were most frequently reported.

🔍 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-3

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

Journal: Veterinary Surgery

In Zann 2023 et al., In Long-term outcomes after proximal humeral OC debridement in dogs, what was a consistent finding in all shoulders treated surgically for proximal humeral osteochondrosis?

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Correct. All surgically treated shoulders developed OA and synovitis, with incomplete cartilage infilling.
Incorrect. The correct answer is Moderate-to-severe synovitis.
All surgically treated shoulders developed OA and synovitis, with incomplete cartilage infilling.

🔍 Key Findings

  • 20 dogs (26 shoulders) evaluated at mean 3.5 years post-surgery after arthroscopic or open debridement.
  • Ipsilateral muscle atrophy and decreased range of motion (↓ extension, ↓ flexion) in affected limbs compared to contralateral healthy shoulders.
  • All treated shoulders developed osteoarthritis, confirmed radiographically, by CT, and arthroscopically.
  • Moderate to severe synovitis was present in all shoulders; lesions showed patchy, incomplete cartilage infilling even up to 8.9 years post-op.
  • Kinetic gait analysis showed no significant differences in PVF/VI between affected and unaffected limbs, despite mild lameness clinically.
  • Owners reported good to very good mobility (median LOAD = 6), often underestimating clinical lameness.
  • CT detected larger lesion dimensions than radiographs (wider, deeper defects).
  • Despite progression of OA, surgical debridement was associated with satisfactory long-term function, though not prevention of degenerative changes.

Zann

Veterinary Surgery

7

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-7-VS-zann-1

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

In Banse 2022 et al., on skill retention methods, how did performance outcomes compare between SI and MI groups 3–4 weeks after instruction?

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Correct. After two supervised practice sessions, both SI and MI groups achieved comparable performance levels.
Incorrect. The correct answer is Performance was similar between both groups.
After two supervised practice sessions, both SI and MI groups achieved comparable performance levels.

🔍 Key Findings

  • Spaced instruction (SI) improved immediate performance on the first learned skill compared to massed instruction (MI) in both LSU and LMU cohorts.
  • Cognitive load was higher in MI students at LMU, particularly in physical demand, effort, and frustration, while LSU showed no significant cognitive load differences.
  • Skill performance differences disappeared after 2 weeks of supervised practice, regardless of instructional format.
  • Time to complete skills improved over time, but this did not always correlate with improved checklist or global rating scores.
  • Intrinsic cognitive load increased when teaching more complex or related surgical tasks in the same session.
  • Initial skill complexity and prior exposure may influence effectiveness of spaced vs massed instruction.
  • Supervised practice sessions are critical to eliminate initial skill disparities between instructional methods.
  • Massed instruction may still be acceptable if followed by scheduled practice opportunities.

Banse

Veterinary Surgery

7

2022

Teaching veterinary surgical skills: Comparison of massed versus spaced instruction

2022-7-VS-banse-3

Article Title: Teaching veterinary surgical skills: Comparison of massed versus spaced instruction

Journal: Veterinary Surgery

In Evers 2023 et al., on needle arthroscopy, which meniscal tear was missed by needle arthroscopy?

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Correct. The only miss was a stable nondisplaced medial tear—likely subtle on visualization.
Incorrect. The correct answer is A stable nondisplaced medial meniscal tear.
The only miss was a stable nondisplaced medial tear—likely subtle on visualization.

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for detecting medial meniscal tears using standard arthroscopy (SA) as the reference.
  • NA correctly identified meniscal status in 25/26 dogs, missing only one stable nondisplaced tear.
  • NA took less time than SA: 8 ± 3 min vs. 15 ± 9 min (P = .0041).
  • Visibility scores were significantly lower with NA than SA for all meniscal horns (medial and lateral) .
  • Probing difficulty was greater with NA, especially for the lateral meniscus (P = .0017).
  • NA caused no measurable morbidity: lameness scores were unchanged before and after the procedure (P = .25).
  • NA was possible in sedated dogs, though 10/26 required additional anesthesia due to delays.
  • NA missed 1 lateral tear, likely due to reduced access and lack of shaving compared to SA.

Evers

Veterinary Surgery

7

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-7-VS-evers-4

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

In Levine 2025 et al., on thoracoscopic pericardiectomy, which approach avoided the need for one-lung ventilation?

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Correct. ILR enabled bilateral ventilation and avoided the need for OLV.
Incorrect. The correct answer is Intercostal in left lateral recumbency (ILR).
ILR enabled bilateral ventilation and avoided the need for OLV.

🔍 Key Findings

Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)

Approaches:

  • ILR = Intercostal in Left Lateral Recumbency (no OLV required)
  • PDR = Paraxiphoid in Dorsal Recumbency (traditional)

Outcomes:

  • Pericardiectomy time was shorter for ILR (p = .045)
  • Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
  • Visibility and cardiac exposure were superior in PDR group

Feasibility:

  • ILR approach was consistently successful in achieving partial pericardiectomy
  • Bilateral ventilation was adequate; no need for OLV

Clinical relevance:

  • ILR may improve efficiency when paired with TDL
  • PDR remains preferable for cases requiring maximal pericardial resection

Levine

Veterinary Surgery

1

2025

Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

2025-1-VS-levine-2

Article Title: Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

Journal: Veterinary Surgery

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