Your Custom Quiz

In De Moya 2023 et al., on femoral pinning outcomes, which major complication required revision or salvage surgery?

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Correct. This complication caused progressive DJD and required femoral head ostectomy.
Incorrect. The correct answer is Intra-articular pin placement.
This complication caused progressive DJD and required femoral head ostectomy.

🔍 Key Findings

  • FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
  • Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
  • Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
  • Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
  • Median surgical time was 60 minutes, and no conversions to open surgery were needed.
  • Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
  • One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
  • FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.

De Moya

Veterinary Surgery

6

2023

Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-6-VS-demoya-2-bc569

Article Title: Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

In Danielski 2025 et al., on PUO complication reduction, which statement best describes the **healing outcome**?

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Correct. Radiographic healing was confirmed in 92/93 limbs, with only one delayed case.
Incorrect. The correct answer is 98.9% of limbs achieved healing by 6 weeks.
Radiographic healing was confirmed in 92/93 limbs, with only one delayed case.

🔍 Key Findings

  • Combined intramedullary (IM) pin and rhBMP-2 use resulted in a low complication rate (7.4%) after proximal ulnar osteotomy (PUO).
  • Major complications occurred in 5.3% of cases (4 infections, 1 pin breakage with ulnar tilt requiring revision).
  • Minor complications occurred in 2.1% of cases (seroma, delayed union).
  • No cases of non-union were observed; 98.9% of limbs achieved radiographic healing by 6 weeks.
  • IM pin breakage was noted in 11.8% of limbs but did not affect healing outcomes.
  • Chondrodystrophic breeds made up 64.8% of the cohort and tolerated the procedure well.
  • Compared to prior studies, complication rates were substantially reduced with this technique (prior major: 13.9%; this study: 5.3%).
  • The use of rhBMP-2 likely enhanced early bone healing and provided biologic support, particularly important in breeds at higher risk of complications.

Danielski

Veterinary Surgery

6

2025

Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

2025-6-VS-danielski-3

Article Title: Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

Journal: Veterinary Surgery

In Welsh 2025 et al., on orthogonal plating, what was the failure load for the OP2.0 construct?

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Correct. The OP2.0 construct failed at 1068 ± 62 N compared to 424 N in UP constructs.
Incorrect. The correct answer is 1068 N.
The OP2.0 construct failed at 1068 ± 62 N compared to 424 N in UP constructs.

🔍 Key Findings

  • Compared unilateral plating (UP) vs orthogonal plating (OP) with 2.0, 2.4, and 3.0 mm plates (OP2.0, OP2.4, OP3.0).
  • Model: acetal homopolymer (Delrin) rod with 29 mm fixed fracture gap, loaded axially (4–196 N, 90,000 cycles).
  • OP constructs had 2.5–4.1x higher strength and 3.0–4.2x higher stiffness than UP constructs (p < .0002).
  • UP had 3.5–4.1x higher gap strain than OP groups (p < .0075).
  • All OP groups exceeded 1000 N max load before failure (vs 424 N for UP).
  • Greater implant size in OP groups further increased performance.
  • All constructs survived fatigue loading; 3.5 mm plates showed deformation, especially UP; OP plates remained intact.

Welsh

Veterinary Surgery

4

2025

Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

2025-4-VS-welsh-3

Article Title: Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

Journal: Veterinary Surgery

In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had changes in antibiotic susceptibility when the same bacteria were isolated at both TECA and dehiscence?

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Correct. In 4 of 7 cases where the same bacteria were cultured, antibiotic susceptibility differed.
Incorrect. The correct answer is 57%.
In 4 of 7 cases where the same bacteria were cultured, antibiotic susceptibility differed.

🔍 Key Findings

  • Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
  • In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
  • Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
  • Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
  • Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
  • TECA cultures were not predictive of bacteria at incisional dehiscence.
  • 75% of dogs healed with either medical or surgical management.

Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.

Smith

Veterinary Surgery

3

2025

Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

2025-3-VS-smith-5

Article Title: Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

Journal: Veterinary Surgery

In Lee 2022 et al., on TPLO accuracy, what was the main benefit of using the 3D-printed saw guide in bone models?

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Correct. The 3D-printed guide significantly reduced medial cortical damage in bone models (P < .001).
Incorrect. The correct answer is Reduced medial cortex damage.
The 3D-printed guide significantly reduced medial cortical damage in bone models (P < .001).

🔍 Key Findings

  • 3D-printed TPLO guides significantly reduced osteotomy inclination angle in both bone models and cadaver limbs compared to jig alone (P < .001).
  • Torsional deformities were lower when the 3D-printed guide was used in bone models (P < .001), but not significantly different in cadavers.
  • Angular deformities were significantly reduced in cadavers using 3D-printed guides (P < .001).
  • Proximal jig pin angulation was more accurate with the guide in cadavers (P < .001); not significant in bone models.
  • Medial cortex damage was substantially reduced in bone models when the 3D-printed guide was used (P < .001).
  • Postoperative tibial plateau angle (TPA) did not differ significantly between groups, suggesting that clinical alignment can still be achieved without the guide.
  • Clinical significance of improved metrics is uncertain, but improved precision may reduce surgical complications.
  • 3D guide design allowed direct placement of jig and bone plate, potentially improving workflow and safety.

Lee

Veterinary Surgery

6

2022

Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study

2022-6-VS-lee-1

Article Title: Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

In Kuvaldina 2023 et al., on endoscopic axillary lymphadenectomy, what was the reported complication rate in clinical cases?

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Correct. Clinical cases were largely complication-free, aside from minor, transient issues.
Incorrect. The correct answer is No major complications were encountered; some mild lameness and seroma were observed.
Clinical cases were largely complication-free, aside from minor, transient issues.

🔍 Key Findings

  • Endoscopic excisional biopsy of axillary lymph nodes was successfully performed in cadavers and clinical dogs with minimal complications.
  • The technique used a SILS port and CO₂ insufflation through a small incision between the latissimus dorsi and superficial pectorals.
  • In 4 cadavers (6 limbs), mean time to remove axillary nodes was 33 minutes, and single nodes were found in 5/6 limbs.
  • In 3 clinical dogs, the procedure was successful in 2 cases; 1 required conversion to open surgery due to difficulty manipulating the node.
  • Accessory axillary nodes were successfully excised when present, located adherent to deep latissimus dorsi.
  • No cases developed lymphedema, pneumothorax, or major complications postoperatively.
  • Subjective benefits included better visualization, reduced dissection, and less postoperative morbidity than open techniques.
  • Study suggests MIS lymphadenectomy may improve staging accuracy and reduce complications, though larger studies are needed.

Kuvaldina

Veterinary Surgery

6

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-6-VS-kuvaldina-2-6a5c5

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

In Bondonny 2024 et al., which of the following statements is TRUE about antirotational pin placement?

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Correct. Correct antirotational pin placement required crossing the IM pin proximal to the fracture line:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is It crossed the intramedullary pin proximal to the fracture.
Correct antirotational pin placement required crossing the IM pin proximal to the fracture line:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • Retrospective study of 33 fractures in 31 cats with Salter–Harris I or II distal femoral fractures
  • Used 1 intramedullary Steinmann pin + 1 laterally placed antirotational pin
  • 96.9% achieved full functional outcome at mid-term follow-up
  • No implant migration or removal required
  • Minor complications: 2 seromas; Major: 3 (patellar luxation [2], osteomyelitis [1])
  • Growth plate remained open in 27.3% of cases at 6–8 weeks post-op

Bondonny

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management

2024-2-VCOT-bondonny-4

Article Title: Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Aertsens 2025 et al., on thoracic lift technique, what was the primary physiologic improvement observed in Cat 1 following lift device application?

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Correct. PaO₂ improved from 179.4 mmHg to 306.3 mmHg after thoracic lift was applied in Cat 1.
Incorrect. The correct answer is Improved oxygenation (PaO₂ increase).
PaO₂ improved from 179.4 mmHg to 306.3 mmHg after thoracic lift was applied in Cat 1.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-1

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

In Huels 2025 et al., on second-generation screw cup THA, which implant component was responsible for most major complications?

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Correct. 6 out of 7 major complications were related to the femoral implant, not the acetabular cup.
Incorrect. The correct answer is Femoral stem.
6 out of 7 major complications were related to the femoral implant, not the acetabular cup.

🔍 Key Findings

  • Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
  • Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
  • No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
  • Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
  • Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
  • Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
  • Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
  • Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.

Huels

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

2025-2-VCOT-huels-2

Article Title: Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Chitty 2025 et al., on tibial fracture fixation in immature dogs, what was the major complication rate observed in the external fixation group?

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Correct. Major complications occurred in 52.8% of dogs treated with external skeletal fixation.
Incorrect. The correct answer is 52.8%.
Major complications occurred in 52.8% of dogs treated with external skeletal fixation.

🔍 Key Findings

Internal fixation (IF) group (n=59):

  • Complication rate: 20.3%
  • Major complications: 15.3%
  • Longer time to discharge if complications occurred (median: 12.5 weeks)

External skeletal fixation (ESF) group (n=36):

  • Complication rate: 55.6% (p < .001 vs IF)
  • Major complications: 52.8%
  • Most common issue: pin tract morbidity

Multivariable analysis:

  • Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
  • Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)

Fixation choice influenced by age:

  • Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)

Breed & fracture distribution:

  • Common breeds: Labrador, Border Collie, Whippet
  • Common fracture sites: middle and proximal third of tibia

Chitty

Veterinary Surgery

4

2025

Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

2025-4-VS-chitty-1

Article Title: Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

Journal: Veterinary Surgery

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