Your Custom Quiz

In Kang 2022 et al., on 3D scaffold reconstruction, which material was combined with polycaprolactone (PCL) to enhance osteoconductivity?

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Correct. β-TCP was used to improve hydrophilicity and bone regeneration potential of PCL.
Incorrect. The correct answer is Beta-tricalcium phosphate.
β-TCP was used to improve hydrophilicity and bone regeneration potential of PCL.

🔍 Key Findings

  • Patient-specific 3D-printed PCL/β-TCP scaffold enabled successful zygomatic arch reconstruction in a dog.
  • Complete surgical resection of a zygomatic parosteal osteosarcoma was achieved, with a 0.3 mm histologically clean margin.
  • Post-op imaging showed progressive tissue ingrowth into the scaffold, with Hounsfield Units increasing from 20.4 to 97.8 over 10 months.
  • No complications (e.g., infection, displacement) or tumor recurrence were noted at 16-month follow-up.
  • Use of a patient-specific osteotomy guide improved anatomical fit and facilitated precise excision and implant placement.
  • Facial symmetry and orbital stability were maintained throughout follow-up.
  • The scaffold remained structurally stable despite limited bone regeneration, suggesting connective tissue filled the defect.
  • Topical mitomycin C was applied intraoperatively for possible anti-neoplastic effect, but efficacy remains unclear.

Kang

Veterinary Surgery

8

2022

Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog

2022-8-VS-kang-1

Article Title: Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog

Journal: Veterinary Surgery

In Davis 2025 et al., on modified anal sacculectomy, what was the most common complication grade reported postoperatively?

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Correct. Grade 1 complications (minor, self-limiting signs like scooting or inappropriate defecation) occurred in 32% of dogs.
Incorrect. The correct answer is Grade 1.
Grade 1 complications (minor, self-limiting signs like scooting or inappropriate defecation) occurred in 32% of dogs.

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-1

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

In Otero Balda 2025 et al., on Short-term outcomes after feline cPSS surgery, which of the following was **not** significantly associated with 30-day survival in PANS-affected cats?

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Correct. Shunt type (extrahepatic vs. intrahepatic) was not significantly linked to 30-day survival in this study.
Incorrect. The correct answer is Shunt morphology.
Shunt type (extrahepatic vs. intrahepatic) was not significantly linked to 30-day survival in this study.

🔍 Key Findings

  • 78% of cats that developed postattenuation neurologic signs (PANS) after congenital portosystemic shunt (cPSS) surgery survived to 30 days.
  • Postattenuation seizures (PAS) were associated with significantly decreased 30-day survival (50% vs. 78%; OR: 0.015, p = .005).
  • Treatment of PANS with propofol was a negative prognostic factor (OR: 0.112, p = .0008).
  • Generalized PAS accounted for most seizure cases and were more frequently fatal than focal or unknown-type seizures.
  • Pretreatment with levetiracetam (LEV1 protocol) showed a trend toward improved survival (100% vs. 60.6% in untreated cats), though not statistically significant (p = .06).
  • Shunt morphology, method of attenuation, and study period (early vs. late) were not significantly associated with 30-day survival.
  • Electrolyte, glucose, and ammonia abnormalities were not strongly linked to survival outcomes in this study.
  • Majority of PAS-related deaths were due to uncontrolled generalized seizures or euthanasia because of severity.

Otero Balda

Veterinary Surgery

5

2025

Prognostic factors for short‐term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts

2025-5-VS-otero-4

Article Title: Prognostic factors for short‐term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts

Journal: Veterinary Surgery

In Schmutterer 2024 et al., what was the observed peak pressure in the lateral meniscus at 125° flexion?

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Correct. Lateral meniscus peak pressure was 1.2 MPa at 125°, higher than at 145° (1.0 MPa), p = 0.049
Incorrect. The correct answer is 1.2 MPa.
Lateral meniscus peak pressure was 1.2 MPa at 125°, higher than at 145° (1.0 MPa), p = 0.049

🔍 Key Findings Summary

  • Biomechanical study on 14 hindlimbs from Retrievers (cadaveric)
  • Three stifle flexion angles tested: 125°, 135°, and 145°
  • Contact Force Ratio (CFR) was significantly higher at 125° and 135° than at 145° (p < 0.001)
  • Center of force shifted caudally with increasing flexion — especially in medial meniscus
  • Lateral meniscus peak pressure was significantly higher at 125° than 145° (p = 0.049)
  • Mean pressures on lateral meniscus decreased with extension, while medial meniscus pressure remained constant
  • Relevance: Helps interpret meniscal load in early cruciate disease and in surgical modeling

Schmutterer

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

2024-3-VCOT-schmutterer-3

Article Title: Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Heikkilä 2024 et al., on COPLA scaffold evaluation, what was the key finding at 1.5 years postoperatively?

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Correct. At 1.5 years, both groups had a high prevalence of OA with no significant difference between COPLA and Control shoulders (64% vs. 60%):contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is No significant group differences in OA prevalence.
At 1.5 years, both groups had a high prevalence of OA with no significant difference between COPLA and Control shoulders (64% vs. 60%):contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 22 dogs (36 shoulders) with shoulder OCD randomly assigned to COPLA scaffold (n=19) or Control (n=17) group
  • At 6 months: Significantly fewer dogs in COPLA group had OA (14% vs. 67%; p = 0.019)
  • At 1.5 years: OA prevalence increased in both groups with no significant difference (COPLA: 64%, Control: 60%)
  • HCPI (pain index) increased significantly at 1 week post-op in COPLA dogs only (p = 0.001), but later normalized
  • Static weight-bearing improved only in unilaterally operated COPLA limbs (p = 0.015)
  • One dog in COPLA group had a fragment dislodge requiring arthroscopic removal
  • Overall, COPLA scaffold may provide short-term benefit in OA reduction, but long-term outcomes were similar

Heikkila

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

2024-6-VCOT-heikkila-2

Article Title: Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Price 2024 et al., on left-sided TD ligation in dogs, where were all thoracic duct branches located in cadaveric dissections?

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Correct. All TD branches in cadavers were lateral to the esophagus, simplifying access.
Incorrect. The correct answer is Left side of esophagus.
All TD branches in cadavers were lateral to the esophagus, simplifying access.

🔍 Key Findings

  • Left fourth intercostal thoracotomy allowed successful thoracic duct (TD) ligation in 9/10 canine cadavers.
  • 10/13 clinical cases had a single TD branch at the left fourth intercostal space, indicating lower anatomical complexity.
  • All TD branches at this site were lateral to the esophagus, simplifying surgical access.
  • Unilateral subphrenic pericardiectomy was successfully performed via the same incision in 10/10 cadavers.
  • Fewer TD branches at the fourth intercostal space than traditional caudal sites may reduce the risk of missed collaterals.
  • In contrast, traditional caudal TD ligation sites had up to 5 branches, requiring broader dissection.
  • No cadaver had right-sided TD branches, reducing surgical complexity at the studied location.
  • Contrast-confirmed ligation was effective in 90% (9/10) cadavers on CT imaging.

Price

Veterinary Surgery

3

2024

Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

2024-3-VS-price-2

Article Title: Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

Journal: Veterinary Surgery

In Walker 2022 et al., on TPLO mRUST scoring, which metric demonstrated the highest inter-rater reliability?

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Correct. The TPLO mRUST system had an inter-rater ICC of 0.56 vs 0.33 for subjective evaluation.
Incorrect. The correct answer is TPLO mRUST scoring system.
The TPLO mRUST system had an inter-rater ICC of 0.56 vs 0.33 for subjective evaluation.

🔍 Key Findings

  • TPLO mRUST scoring showed improved inter-rater reliability (ICC = 0.56) compared to subjective evaluation (Kappa = 0.33).
  • Intra-rater reliability was similar for both methods (TPLO mRUST: 0.73, subjective: 0.72).
  • TPLO mRUST scores ≥10/12 strongly correlated with radiographic union, as subjectively assessed (99% agreement).
  • No significant difference in healing between first and second TPLO sides (P = .09), countering assumptions about load-bearing impact.
  • Higher initial lameness scores and younger age were associated with higher TPLO mRUST scores, suggesting more robust healing in those groups.
  • Postoperative complications were linked to lower TPLO mRUST scores, indicating impaired healing.
  • Medial cortex was excluded from scoring due to plate obstruction, validating use of only 3 cortices for scoring.
  • The TPLO mRUST system may standardize healing assessment, reducing subjective bias across specialties.

Walker

Veterinary Surgery

8

2022

Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing

2022-8-VS-walker-1

Article Title: Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing

Journal: Veterinary Surgery

In Wang 2025 et al., on TPLO osteotomy alignment, what conclusion was drawn about fluoroscopy's impact on surgical variability?

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Correct. Fluoroscopy led to a more consistent and narrow range of postoperative TPAs, reducing variability in surgical outcomes.
Incorrect. The correct answer is Fluoroscopy reduces variability in TPA outcomes.
Fluoroscopy led to a more consistent and narrow range of postoperative TPAs, reducing variability in surgical outcomes.

🔍 Key Findings

  • Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of (range: 0–4.5°), showing excellent accuracy.
  • The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
  • Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
  • Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
  • Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
  • Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
  • Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
  • Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.

Wang

Veterinary Surgery

7

2025

Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

2025-7-VS-wang-5

Article Title: Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

Journal: Veterinary Surgery

In Brisimi 2022 et al., on tracheal anastomosis tension, which statement is true?

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Correct. Immature tracheae sustained more elongation (39.75%) than adult tracheae (30.57%).
Incorrect. The correct answer is Immature dogs had higher elongation before failure.
Immature tracheae sustained more elongation (39.75%) than adult tracheae (30.57%).

🔍 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-2

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

Journal: Veterinary Surgery

In Fracka 2023 et al., on patient-specific guides, which of the following was significantly improved in tibial alignment when using PSGs versus generic guides?

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Correct. PSGs significantly reduced frontal plane alignment error compared to generic guides (p = .036).
Incorrect. The correct answer is Frontal plane alignment.
PSGs significantly reduced frontal plane alignment error compared to generic guides (p = .036).

🔍 Key Findings

  • 3D-printed patient-specific guides (PSGs) improved tibial cut alignment in the frontal plane compared to generic guides (mean error 1.03° vs 2.41°, p = .036).
  • All tibial cuts using PSGs were within 3° of target alignment, while 2/8 of the generic group were outliers.
  • PSGs significantly improved sagittal alignment of both distal (p = .018) and cranial (p = .043) femoral cuts.
  • No significant difference was found in varus-valgus femoral alignment or closing angle between PSG and generic guide groups.
  • Tibial sagittal slope alignment was not significantly different between groups.
  • PSGs provided better intraoperative usability, including improved visibility, no loosening, and ease of use.
  • Femoral sizing and component fit were equivalent between PSGs and generic guides, ensuring proper prosthesis alignment.
  • PSGs may offer training advantages for novice surgeons, especially in anatomically complex or deformed joints.

Fracka

Veterinary Surgery

5

2023

3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement

2023-5-VS-fracka-1

Article Title: 3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement

Journal: Veterinary Surgery

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