Your Custom Quiz

In Lomas 2025 et al., on hybrid THR in cats, what postoperative complication was **not observed** in any of the 17 hips treated?

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Correct. No cases of postoperative hip luxation were observed, despite variable implant angles.
Incorrect. The correct answer is Hip luxation.
No cases of postoperative hip luxation were observed, despite variable implant angles.

🔍 Key Findings

  • Hybrid THR in cats showed no major complications across 17 hips in 15 cats, including 2 bilateral cases.
  • Postoperative radiographs confirmed stable implant positioning with no loosening, migration, or dislocation in follow-up imaging.
  • Mean owner satisfaction was high, with a mean short-form feline musculoskeletal pain index (sf-FMPI) score of 2/36 at a mean follow-up of 438 days.
  • SCFE (slipped capital femoral epiphysis) was the most common indication, seen in 13/17 hips.
  • Partial tenotomy of rectus femoris origin resolved intraoperative medial patella luxation in 3 cases—no cats required surgical correction later.
  • A micro BFX cup allowed for increased acetabular offset, possibly reducing luxation risk even when using a +0 femoral head offset.
  • Hybrid THR was successfully used as a revision for failed CFX THR due to recurrent luxation—implants remained stable post-revision.
  • Use of oversized cups (12 mm) with shallow seating or medial breach still resulted in stable outcomes, suggesting good implant fixation even with reduced bone stock.

Lomas

Veterinary Surgery

6

2025

Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

2025-6-VS-lomas-5

Article Title: Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

Journal: Veterinary Surgery

In Papacella-Beugger 2024 et al., what was the median deviation of screw entry points?

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Correct. The median entry point deviation from plan was 1.8 mm (range: 0.3–3.7 mm):contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is 1.8 mm.
The median entry point deviation from plan was 1.8 mm (range: 0.3–3.7 mm):contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • Cadaveric study using 3 miniature breed dogs (6 hemipelves) to assess spinal neuronavigation accuracy for lumbar plate fixation
  • 20 screws placed using CBCT-based navigation with real-time tracking
  • 85% (17/20) of screws were safely and accurately placed
  • Median deviation of screw entry points from plan: 1.8 mm
  • All 3 misplaced screws occurred in a single cadaver, attributed to inexperienced drill handling
  • Custom 3D-printed lightweight tracking array was necessary due to small spinous processes in miniature dogs
  • No iatrogenic canal perforations or vertebral damage in any specimen
  • Concludes neuronavigation offers precise, safe placement of spinal implants in small dogs, with minimal anatomic disruption

Papacella

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs

2024-6-VCOT-papacella-beugger-2

Article Title: Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Kennedy 2024 et al., which neurovascular structure was penetrated in 10% of shoulders during portal placement?

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Correct. The omobrachial vein was penetrated by the egress needle in 2/20 shoulders (10%):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Omobrachial vein.
The omobrachial vein was penetrated by the egress needle in 2/20 shoulders (10%):contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • 20 shoulders from 11 medium-to-large breed dogs evaluated
  • Lateral portals used: middle arthroscopic, caudal instrument, cranial egress
  • Musculotendinous lesions unavoidable, but small (18G needle); seen in deltoideus (90%), infraspinatus, teres minor, etc.
  • Neurovascular safety:
    • Caudal portal was closest to axillary artery/nerve branches (as close as 7 mm)
    • Only 2/20 shoulders (10%) had omobrachial vein penetrated
  • Cartilage injuries (IACI) occurred in 65%, primarily minor linear defects; use of guarded cannulas and distractors suggested for minimization
  • Supports overall safety of lateral shoulder arthroscopy with portal placement awareness

Kennedy

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations

2024-4-VCOT-kennedy-1

Article Title: Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Drudi 2022 et al., on CAL vs TAL outcomes, which technique resulted in a significantly greater increase in rima glottidis area at both postoperative time points?

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Correct. CAL showed a greater rima glottidis area increase than TAL at both immediate and 15-day assessments.
Incorrect. The correct answer is Cricoarytenoid lateralization (CAL).
CAL showed a greater rima glottidis area increase than TAL at both immediate and 15-day assessments.

🔍 Key Findings

  • Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
  • TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
  • No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
  • All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
  • CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
  • Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
  • Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
  • Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.

Drudi

Veterinary Surgery

3

2022

Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis

2022-3-VS-drudi-1

Article Title: Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis

Journal: Veterinary Surgery

In Low 2025 et al., on gonadectomy and CrCLD, what was the quality of evidence rated using the GRADE framework?

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Correct. The authors rated the overall certainty in the evidence as "moderate" due to risks of bias and inconsistency, despite large sample size and robust statistics.
Incorrect. The correct answer is Moderate.
The authors rated the overall certainty in the evidence as "moderate" due to risks of bias and inconsistency, despite large sample size and robust statistics.

🔍 Key Findings

Increased risk with gonadectomy:

  • Pooled OR for CrCLD:
    • Females: 2.29 (95% CI: 1.77–2.95)
    • Males: 2.12 (95% CI: 1.67–2.69)

Early gonadectomy (≤1 year) further increased risk:

  • OR vs >1 year:
    • Females: 3.39
    • Males: 3.13

Late gonadectomy (>1 year) had no significant difference vs intact dogs.

Breed-specific findings:

  • Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
  • Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)

Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)

Low

Veterinary Surgery

2

2025

The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

2025-2-VS-low-4

Article Title: The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

Journal: Veterinary Surgery

In Wylie 2025 et al., on femoral implant accuracy, what was the overall effect of internal brace augmentation on pivot shift grades at 6 weeks?

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Correct. At 6-week follow-up, 90.9% of stifles showed improvement in pivot shift grade, regardless of implant positioning accuracy.
Incorrect. The correct answer is Pivot shift grades improved in over 90% of stifles.
At 6-week follow-up, 90.9% of stifles showed improvement in pivot shift grade, regardless of implant positioning accuracy.

🔍 Key Findings

  • Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
  • Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
  • Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
  • SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
  • Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
  • No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
  • Minor and major complications were low and not significantly different between implant types.
  • A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.

Wylie

Veterinary Surgery

7

2025

Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

2025-7-VS-wylie-3

Article Title: Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

Journal: Veterinary Surgery

In Clarke 2022 et al., on nasopharyngeal collapse severity, which diagnostic modality was used to quantify pharyngeal collapse in awake dogs?

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Correct. Fluoroscopy was used to measure nasopharyngeal dimensions during respiration.
Incorrect. The correct answer is Fluoroscopy.
Fluoroscopy was used to measure nasopharyngeal dimensions during respiration.

🔍 Key Findings

  • Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
  • Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
  • 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
  • All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
  • Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
  • Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
  • Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
  • Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.

Clarke

Veterinary Surgery

6

2022

Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

2022-6-VS-clarke-2

Article Title: Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

Journal: Veterinary Surgery

In Duffy 2022 et al., on crotch suture techniques, why are two simple interrupted sutures (TCS) or SCCS considered superior to a single suture (SICS)?

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Correct. TCS and SCCS better distribute tension at the crotch, reducing leakage risk.
Incorrect. The correct answer is They improve tension distribution at the crotch.
TCS and SCCS better distribute tension at the crotch, reducing leakage risk.

🔍 Key Findings

  • Augmenting FEESA with two simple interrupted crotch sutures (TCS) or simple continuous crotch suture (SCCS) significantly increased initial leakage pressure (ILP) compared to no suture or a single suture (NCS, SICS).
  • SCCS had the highest ILP (47.6 mm Hg), followed by TCS (37.8 mm Hg), SICS (33.0 mm Hg), and NCS (27.1 mm Hg).
  • All crotch suture types increased maximal leakage pressure (MLP) compared to no crotch suture.
  • Leakage from the crotch occurred most commonly in NCS (67%) and SICS (50%), but only 8% with TCS and 0% with SCCS.
  • SCCS was the only technique where leakage never occurred at the crotch site.
  • SCCS had the highest MLP (100.6 mm Hg), supporting its use in clinical settings with high-risk patients.
  • Intraluminal pressures during leakage in NCS constructs were sometimes below normal physiologic pressures, emphasizing risk of leakage without crotch suture.
  • The transverse staple line never leaked in any group, indicating the crotch is the primary weak point.

Duffy

Veterinary Surgery

4

2022

Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs

2022-4-VS-duffy-5

Article Title: Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs

Journal: Veterinary Surgery

In Viitanen 2023 et al., on zygomatic sialoadenectomy, what was a cited benefit of intraoral approach in terms of postoperative management?

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Correct. IOA caused minimal external trauma, eliminating the need for E-collar in all clinical cases.
Incorrect. The correct answer is No need for Elizabethan collar.
IOA caused minimal external trauma, eliminating the need for E-collar in all clinical cases.

🔍 Key Findings

  • Intraoral approach (IOA) reduced surgical time compared to lateral orbitotomy (median: 42.0 vs 65.7 minutes, p = .005)
  • Ease of closure (Stage III) was better with IOA (p < .001), though gland removal (Stage II) was easier with LOA (p = .039)
  • Complete gland removal was achieved in 8/10 IOA vs 10/10 LOA cases in cadaveric study
  • All 3 clinical cases had uneventful recoveries post-IOA, including one carcinoma, with no intra- or short-term postoperative complications
  • LOA had superior surgical exposure, but was more invasive and time-consuming
  • IOA posed greater difficulty in complete gland removal in brachycephalic dogs, with remnant tissue noted in 2/10 cadavers
  • IOA avoids osteotomy, reducing potential complications like delayed union and postoperative pain
  • Cosmetic outcomes and healing were better with IOA, and no E-collar was required postoperatively

Viitanen

Veterinary Surgery

2

2023

Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

2023-2-VS-viitanen-3

Article Title: Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

Journal: Veterinary Surgery

In Carrera 2024 et al., what was the only complication reported in the 5-patient case series?

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Correct. This was unrelated to the surgical procedure itself and occurred during recovery:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Femoral fracture after trauma.
This was unrelated to the surgical procedure itself and occurred during recovery:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
  • Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
  • Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
  • Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
  • No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
  • One complication due to domestic trauma, not surgical failure.
  • Early surgery appeared to preserve alignment and prevent deformity progression.

Carrera

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

2024-2-VCOT-carrera-5

Article Title: Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

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