Your Custom Quiz

In Ferreira 2025 et al., on tibial torsion measurement, which method had the highest interobserver reproducibility?

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Correct. The new method had an interobserver ICC of 0.83, higher than the traditional method (0.52).
Incorrect. The correct answer is 3D tomographic method described in this study.
The new method had an interobserver ICC of 0.83, higher than the traditional method (0.52).

🔍 Key Findings

Objective: Validate a new 3D CT-based method for measuring tibial torsion in dogs with MPL, comparing it to a traditional method.

Sample: 40 tibiae from client-owned dogs with MPL (primarily small-breed).

Repeatability (intraobserver):

  • New method: ICC = 0.99 → excellent agreement

Reproducibility (interobserver):

  • New method: ICC = 0.83 → high agreement
  • Traditional method: ICC = 0.52 → moderate agreement

Torsion angle measurements:

  • New method avg: 16.00° ± 8.77
  • Traditional method avg: 8.76° ± 4.92

Conclusion: The new method is more repeatable, reproducible, and provides higher torsion values than the traditional Aper method, especially reliable for small-breed dogs.

Ferreira

Veterinary Surgery

3

2025

Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation

2025-3-VS-ferreira-1

Article Title: Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation

Journal: Veterinary Surgery

In McLean 2024 et al., why might ECA not have correlated with rock-back in this study?

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Correct. Unlike biomechanical gap models, clinical compression may resist rotational forces from ECA:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Compression across osteotomy reduced interfragmentary motion.
Unlike biomechanical gap models, clinical compression may resist rotational forces from ECA:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 95 TPLO procedures reviewed retrospectively with follow-up radiographs
  • Rock-back defined as increase in tibial plateau angle (TPA) ≥2° from immediate post-op to recheck
  • 21% of stifles (20/95) experienced rock-back
  • Mean ΔTPA among rock-back cases = 3.2° ± 2.6°
  • No implant failures or tibial tuberosity fractures were reported in these cases
  • Plate inclination and exit cut angle (ECA) were not associated with increased risk of rock-back (p = 0.4 and 0.2)
  • Authors hypothesize that compression across osteotomy in vivo may mitigate torsional effects from ECA, unlike in gap-model studies
  • Emphasizes that rock-back is relatively common, even with well-placed implants

Mclean

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

2024-6-VCOT-mclean-5

Article Title: Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Williams 2024 et al., on adrenaline use in maxillary nerve blocks, what adverse cardiovascular effects were observed due to adrenaline?

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Correct. No dogs developed tachycardia, arrhythmia, tachypnea, or hypertension.
Incorrect. The correct answer is No significant adverse effects.
No dogs developed tachycardia, arrhythmia, tachypnea, or hypertension.

🔍 Key Findings

  • The addition of adrenaline (0.00198%) to bilateral maxillary nerve blocks significantly reduced intraoperative hemorrhage in dogs undergoing sharp staphylectomy (median reduction: 77.1%).
  • Normalized hemorrhage (g/kg) and total hemorrhage (g) were significantly lower in the adrenaline group (p = .021 and p = .013, respectively).
  • Surgeon-assessed hemorrhage scores were also significantly lower in the adrenaline group (median 2 vs. 3; p = .029), indicating improved surgical visibility.
  • No adverse effects (e.g. tachycardia, arrhythmia, or hypertension) were observed with adrenaline administration.
  • A standardized intraoral approach to the maxillary nerve block was used with 0.5 mL per side regardless of dog size.
  • Breed effect observed: English Bulldogs had higher normalized hemorrhage, possibly due to anatomical variation or underdosing relative to size.
  • Adrenaline may also prolong local anesthetic action and reduce blood aspiration risks, though this was not directly measured.
  • The study supports the routine inclusion of adrenaline in maxillary nerve blocks for staphylectomy in BOAS patients to improve surgical field and reduce bleeding.

Williams

Veterinary Surgery

8

2024

Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

2024-8-VS-williams-4

Article Title: Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

Journal: Veterinary Surgery

In Bounds 2023 et al., on feline hip arthroscopy, what tool improved visualization of the dorsal acetabular rim during hip arthroscopy?

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Correct. Elevating the dorsal joint capsule with a blunt probe improved DAR visibility.
Incorrect. The correct answer is Blunt probe.
Elevating the dorsal joint capsule with a blunt probe improved DAR visibility.

🔍 Key Findings

  • Feline hip arthroscopy using a supratrochanteric lateral portal was feasible in all cadaveric hips studied.
  • All relevant intra-articular structures (femoral head, acetabulum, round ligament, joint capsule, transverse acetabular ligament, dorsal acetabular rim) were consistently visualized.
  • Optimal limb positioning (neutral abduction, 90° extension) significantly aided joint distraction and visualization.
  • Minor iatrogenic cartilage injury (ICI) occurred in all hips, typically partial-thickness abrasions; one hip had a full-thickness lesion.
  • Portal placement did not damage the sciatic nerve or caudal gluteal artery, with a mean distance of 4.3 ± 2 mm between the cannula and nerve.
  • Probe use improved visualization of the dorsal joint capsule and dorsal acetabular rim, though not essential.
  • Joint evaluation was also successful in hips with DJD, suggesting technique feasibility even in diseased joints.
  • Muscle trauma was minimal, with only mild impingement in a few specimens and no gross nerve or vessel injury.

Bounds

Veterinary Surgery

8

2023

Feasibility of feline coxofemoral arthroscopy using a supratrochanteric lateral portal: A cadaveric study

2023-8-VS-bounds-4

Article Title: Feasibility of feline coxofemoral arthroscopy using a supratrochanteric lateral portal: A cadaveric study

Journal: Veterinary Surgery

In You 2025 et al., on barbed sutures for lung lobectomy, what was the main advantage of barbed sutures compared to traditional sutures?

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Correct. Barbed sutures significantly reduced bronchial ligation time vs traditional sutures (10.7 vs 14.1 minutes, p < .01).
Incorrect. The correct answer is Reduced ligation time.
Barbed sutures significantly reduced bronchial ligation time vs traditional sutures (10.7 vs 14.1 minutes, p < .01).

🔍 Key Findings

  • Barbed sutures showed comparable leakage pressure to traditional sutures and stapling devices (p = .36).
  • No bronchial leaks occurred at physiological pressure (<20 cmH₂O) in any group.
  • Leakage at supraphysiologic pressure (20–80 cmH₂O) occurred in 90% of stapler, 80% of traditional, and 60% of barbed suture closures.
  • Barbed sutures reduced ligation time significantly compared to traditional sutures (10.7 vs. 14.1 minutes, p < .01).
  • Staplers remained fastest, with mean ligation time of 2.4 minutes.
  • No knot failure or suture breakage was observed in barbed or traditional suture groups.
  • Leakage in barbed sutures occurred mostly at the loop effector zone, but remained within acceptable limits.
  • Barbed sutures may offer an effective alternative when staplers are unavailable, impractical, or cost-prohibitive.

You

Veterinary Surgery

7

2025

Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

2025-7-VS-you-2

Article Title: Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

Journal: Veterinary Surgery

In Cheon 2025 et al., on guide accuracy in DFO, what was the overall mean angular correction error found using both patient-specific and universal guides?

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Correct. Mean errors were under 2° for both guide types, with no statistical difference.
Incorrect. The correct answer is Less than 2°.
Mean errors were under 2° for both guide types, with no statistical difference.

🔍 Key Findings

  • Both patient-specific and universal guides yielded correction errors <2°, with no statistically significant difference in accuracy.
  • Universal guide corrected aLDFA up to 24° and AA up to 20°, addressing multiplanar deformities effectively.
  • Patient-specific guides allowed for preoperative simulation, providing more stable pin placement and potentially aiding less-experienced surgeons.
  • Universal guide eliminated the need for CT-based customization, reducing time and cost.
  • Cadaver and bone model trials showed consistent accuracy, validating both methods in vitro and ex vivo.
  • No significant differences in outcome when correcting uniplanar (aLDFA) vs biplanar (aLDFA + AA) deformities.
  • Universal guide's fixed size presented limitations in small dogs, potentially requiring multiple size options.
  • Universal guide showed potential for standard use, offering repeatable outcomes with minimal prep despite needing precise intraoperative placement.

Cheon

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

2025-3-VCOT-cheon-1

Article Title: Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Mayhew 2023 et al., on BOAS surgery effects, what percentage of dogs were considered “non-responders” based on owner scoring?

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Correct. Approximately 25–30% of dogs had minimal to no improvement based on owner reports.
Incorrect. The correct answer is 25–30%.
Approximately 25–30% of dogs had minimal to no improvement based on owner reports.

🔍 Key Findings

  • Owner-reported regurgitation improved after CMS, especially post-eating and during activity (P = .012 and P = .002)
  • No significant improvement in VFSS measures of SHH or GER postoperatively (P > .05 for all comparisons)
  • Laryngeal ventriculectomy and soft palate resection were performed in all dogs, alaplasty in 14/16
  • Aspiration pneumonia occurred in 1 dog immediately post-op and resolved with treatment
  • Post-op esophagoscopy results varied, with persistent esophagitis in some cases
  • Clinical response was variable, with ~25–30% of dogs being “non-responders” based on owner scoring
  • 13/16 dogs showed partial or full clinical improvement, despite no change in objective SHH/GER indicators
  • Final follow-up at median 36.5 months showed some dogs still on medical therapy; one underwent further surgery

Mayhew

Veterinary Surgery

2

2023

Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs

2023-2-VS-mayhew-2

Article Title: Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs

Journal: Veterinary Surgery

In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), how did the number of suture bites compare between the UBS and conventional groups?

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Correct. UBS group used significantly fewer suture bites (median 14 vs. 19; p = .012).
Incorrect. The correct answer is UBS required fewer suture bites.
UBS group used significantly fewer suture bites (median 14 vs. 19; p = .012).

🔍 Key Findings

  • Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
  • UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
  • UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
  • Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
  • No suture breakage or urethral narrowing occurred in either group.
  • Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
  • Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
  • UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.

Monnet

Veterinary Surgery

5

2023

Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

2023-5-VS-monnet-4

Article Title: Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

Journal: Veterinary Surgery

In Dickerson 2023 et al., on surgical outcomes in hepatic abscessation, what proportion of dogs developed intraoperative hypotension?

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Correct. Intraoperative hypotension occurred in 32 of 36 dogs (89%).
Incorrect. The correct answer is 89%.
Intraoperative hypotension occurred in 32 of 36 dogs (89%).

🔍 Key Findings

  • Liver lobectomy was the most common treatment (27/36 dogs), with multiple lobes removed in ~1/3 of cases.
  • Septic peritonitis was present in 21/23 sampled dogs, making it a frequent complication.
  • Perioperative complications occurred in 21/36 dogs, including aspiration pneumonia, pancreatitis, and acute kidney injury.
  • Intraoperative hypotension was common (32/36), often requiring vasopressors or colloids.
  • Mortality prior to discharge was 21% (8/38), with deaths related to sepsis, aspiration pneumonia, and multi-organ dysfunction.
  • Median survival time was 638 days in dogs surviving to discharge.
  • No recurrence of hepatic abscessation was observed in the surviving population.
  • E. coli and Clostridium spp. were the most commonly cultured organisms, often as single-agent infections.

Dickerson

Veterinary Surgery

1

2023

Outcome in 38 dogs surgically treated for hepatic abscessation

2023-1-VS-dickerson-5

Article Title: Outcome in 38 dogs surgically treated for hepatic abscessation

Journal: Veterinary Surgery

In David 2024 et al., on single-port cryptorchidectomy, which location was chosen for laparoscopic port placement?

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Correct. A 12-mm cannula was placed cranial to the prepuce in the ventral midline.
Incorrect. The correct answer is Prepubic midline.
A 12-mm cannula was placed cranial to the prepuce in the ventral midline.

🔍 Key Findings

  • Single-port laparoscopic-assisted cryptorchidectomy (SP-LAC) was feasible in 13/14 dogs with abdominal cryptorchidism.
  • Median surgical time was 17 min for unilateral and 27 min for bilateral cryptorchidectomy.
  • All testes were successfully exteriorized through a 15-mm mini-celiotomy in most dogs; only 2 needed slight enlargement.
  • One major complication occurred (testicular artery hemorrhage, requiring conversion to open surgery).
  • Two minor complications involved trocar-related issues (splenic capsule laceration, capnoretroperitoneum).
  • No incisional complications were reported postoperatively; some dogs had mild dermatitis at the clipped site.
  • The technique requires only one surgeon and no advanced tools beyond a single-port endoscope.
  • Low-pressure capnoperitoneum (6 mmHg) was adequate for visualization in most cases.

David

Veterinary Surgery

3

2024

Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

2024-3-VS-david-4

Article Title: Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

Journal: Veterinary Surgery

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