Your Custom Quiz

In Thibault 2023 et al., on DPO for THR luxation, what major limitation of DPO was discussed compared to TPO?

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Correct. DPO reduced ALO less effectively than TPO due to plate design and patient skeletal maturity.
Incorrect. The correct answer is Limited reduction in ALO.
DPO reduced ALO less effectively than TPO due to plate design and patient skeletal maturity.

🔍 Key Findings

  • Double pelvic osteotomy (DPO) reduced angle of lateral opening (ALO) by a median of 11° (p ≤ .001).
  • Despite ALO correction, THR reluxation occurred in 5/11 dogs, often within 7 days post-DPO.
  • Post-DPO ALO remained elevated (median 56°), with only 2 dogs achieving the recommended 35–45° range.
  • Explantation was required in 7/11 dogs (5 aseptic loosenings, 2 infections), suggesting poor long-term implant survival.
  • Dogs with luxoid hips were more likely to fail, even with corrected ALO, emphasizing soft tissue instability as a risk factor.
  • Compared to TPO (23° correction), DPO yielded a smaller ALO correction, possibly due to older dog population and less elastic pelvis.
  • No ventral luxation occurred post-DPO, unlike in TPO studies, likely due to more conservative ALO reduction.
  • Authors do not recommend routine DPO for THR luxation due to high complication and failure rates.

Thibault

Veterinary Surgery

8

2023

Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs

2023-8-VS-thibault-5

Article Title: Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs

Journal: Veterinary Surgery

In Fitzpatrick 2024 et al., on ESF for pelvic fractures in cats, what was the typical postoperative hospitalization time?

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Correct. Cats were hospitalized for 2–5 days after ESF surgery.
Incorrect. The correct answer is 2–5 days.
Cats were hospitalized for 2–5 days after ESF surgery.

🔍 Key Findings

  • External skeletal fixation (ESF) was successfully applied to a variety of pelvic fracture types in cats, including sacroiliac luxations and ilial body fractures.
  • All fractures achieved radiographic union within 9 weeks, even in comminuted or complex configurations.
  • No intraoperative or long-term complications were reported during the study period.
  • Implant loosening was observed radiographically in 13% of cases, with 8% of pins found to be loose at frame removal.
  • ESF enabled indirect fracture reduction using components as handles, with a limited open approach minimizing soft tissue disruption.
  • No iatrogenic neurological deficits were observed, supporting safe pin placement near neurovascular structures, although some cats presented with pre-existing neurologic signs.
  • No cases required revision surgery, and all cats underwent stabilization solely with ESF as per study inclusion criteria.
  • Postoperative hospitalization ranged from 2 to 5 days, though no comparison to other fixation types was evaluated.

Fitzpatrick

Veterinary Surgery

7

2024

External skeletal fixation for the treatment of pelvic fractures in cats

2024-7-VS-fitzpatrick-4

Article Title: External skeletal fixation for the treatment of pelvic fractures in cats

Journal: Veterinary Surgery

In Schneider 2025 et al., on axillary LN extirpation, which anatomical landmark was critical for reliably locating the axillary lymph node?

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Correct. This landmark served as a consistent reference point in all cases for locating the LN during lateral approach.
Incorrect. The correct answer is Costochondral junction of the first rib.
This landmark served as a consistent reference point in all cases for locating the LN during lateral approach.

🔍 Key Findings

  • Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
  • Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
  • No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
  • Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
  • Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
  • Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
  • False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
  • The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.

Schneider

Veterinary Surgery

6

2025

Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs

2025-6-VS-schneider-1

Article Title: Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs

Journal: Veterinary Surgery

In Vodnarek 2024 et al., on nasopharyngeal collapse grading, what ΔL value range defined **partial collapse**?

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Correct. Partial collapse was defined as a dynamic change ratio (ΔL) between 0.5 and less than 1.
Incorrect. The correct answer is ΔL ≥ 0.5 and < 1.
Partial collapse was defined as a dynamic change ratio (ΔL) between 0.5 and less than 1.

🔍 Key Findings

  • Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
  • Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
    • Functional method
    • Anatomically adjusted method
  • Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
  • Outcomes:
    • Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
    • Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
    • Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
    • ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.

Vodnarek

Veterinary Surgery

1

2024

Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

2024-1-VS-vodnarek-1

Article Title: Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

Journal: Veterinary Surgery

In Carvajal 2025 et al., on femoral stem breakage, which patient factor was frequently present in failed cases?

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Correct. 10 of 13 dogs were heavier than manufacturer guidelines for the implanted stem size.
Incorrect. The correct answer is Dogs exceeding weight guidelines for stem size.
10 of 13 dogs were heavier than manufacturer guidelines for the implanted stem size.

🔍 Key Findings

Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)

Implant factors:

  • 13/14 were BFX lateral bolt stems (sizes #5–7)
  • +9 necks used in 5/11 of 17 mm heads
  • 10/14 stems undersized based on radiographs
  • 10/13 dogs exceeded weight limits for implanted stem size

Malalignment:

  • 10/14 had varus alignment (median 3.9°)
  • 8/14 had insufficient proximodistal seating

Breakage site: Proximolateral shoulder in all cases

Revision outcomes:

  • 11 revised (7 CFX, 3 larger BFX, 1 collared)
  • 9/10 revised dogs regained full function
  • Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure

Histopathology:

  • Electron microscopy showed fatigue striations and incomplete bead fusion

Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.

Carvajal

Veterinary Surgery

3

2025

Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

2025-3-VS-carvajal-3

Article Title: Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

Journal: Veterinary Surgery

In McCarthy 2022 et al., on 3D drill guide accuracy, what was the primary finding regarding drill angle deviation in the 3D-GDT group versus FHDT?

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Correct. 3D-GDT significantly reduced deviation in both planes, supporting increased accuracy.
Incorrect. The correct answer is Craniocaudal and dorsoventral angles were significantly lower with 3D-GDT.
3D-GDT significantly reduced deviation in both planes, supporting increased accuracy.

🔍 Key Findings

  • 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
  • No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
  • 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
  • Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
  • 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
  • 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
  • Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
  • The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.

McCarthy

Veterinary Surgery

1

2022

Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

2022-1-VS-mccarthy-1

Article Title: Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

Journal: Veterinary Surgery

In Cruciani 2025 et al., on portal placement, what was the most common complication following surgery?

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Correct. Synovial cysts occurred in 4 of 13 dogs with follow-up data; all were considered minor complications.
Incorrect. The correct answer is Synovial cyst formation.
Synovial cysts occurred in 4 of 13 dogs with follow-up data; all were considered minor complications.

🔍 Key Findings

  • Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
  • Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
  • Outcomes:
    • Good to excellent mid-to-long-term outcomes in 11/14 dogs.
    • Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
    • Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
    • No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
  • Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
  • Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
  • Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).

Cruciani

Veterinary Surgery

1

2025

A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

2025-1-VS-cruciani-1

Article Title: A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

Journal: Veterinary Surgery

In Ellis 2024 et al., what conclusion was drawn regarding sclerosis seen on elbow CT in Guide Dogs?

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Correct. Higher HU values (suggestive of sclerosis) in Guide Dogs were not linked to elbow pathology and may reflect breed variation:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is It should be interpreted with caution.
Higher HU values (suggestive of sclerosis) in Guide Dogs were not linked to elbow pathology and may reflect breed variation:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • 86 elbows assessed: 32 Guide Dogs, 11 Border Collies
  • Guide Dogs showed significantly higher HU values in:
    • MCP: min (p = 0.022), mean (p < 0.01), max (p < 0.01)
    • Humeral trochlea: mean (p < 0.01), max (p < 0.01)
  • Results imply breed-associated HU variation, not necessarily pathologic sclerosis
  • Relevance: Important to avoid false positives for elbow dysplasia during CT-based breeding screens
  • Good interobserver agreement for mean HU values (ICC ~0.82–0.90)

Ellis

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies

2024-3-VCOT-ellis-4

Article Title: Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Jeong 2025 et al., on contoured saw guide vs jig, what was a key outcome in terms of osteotomy *inclination* on cadaver limbs?

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Correct. The contoured guide significantly reduced osteotomy inclination deviation, improving perpendicularity (p = .008).
Incorrect. The correct answer is Contoured guide showed more accurate inclination angle (1.2° vs. 4.3°)..
The contoured guide significantly reduced osteotomy inclination deviation, improving perpendicularity (p = .008).

🔍 Key Findings

  • TPLO with the contoured saw guide achieved more accurate osteotomy angles for both inclination and torsion in bone models and cadaveric limbs (p < .05).
  • Medial cortical damage was significantly lower with the contoured guide (247 vs. 1866 pixels in bone models; p < .001).
  • No significant difference in eccentricity (distance between actual and intended osteotomy center) was found between groups.
  • Postoperative tibial plateau angle (TPA) was similar between groups (6.4° vs. 7.6°; p = .15), though both were slightly higher than the target of 6°.
  • Deviation in medial mechanical proximal tibial angle (mMPTA) showed no significant group difference; valgus deformity occurred in both.
  • Osteotomy and device application times were similar between the contoured guide and jig-assisted TPLO.
  • The contoured guide eliminated the need for proximal jig pin, potentially reducing intra-articular pin risk.
  • The guide's multiple pin fixation system improved stability and alignment, supporting safer osteotomy on curved tibial surfaces.

Jeong

Veterinary Surgery

7

2025

Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

2025-7-VS-jeong-1

Article Title: Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

Journal: Veterinary Surgery

In McKay 2023 et al., on patellar tendon augmentation, what was the most common mode of failure in the suprapatellar TBW group?

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Correct. Wire unraveling was the most frequent failure in the suprapatellar group (67%).
Incorrect. The correct answer is Wire unraveling.
Wire unraveling was the most frequent failure in the suprapatellar group (67%).

🔍 Key Findings

  • Combined transpatellar + suprapatellar TBW technique yielded higher yield, peak, and failure loads than either technique alone.
  • Construct stiffness was significantly higher in the combined group (61.2 N/mm) vs transpatellar (46.8 N/mm) and suprapatellar (28.5 N/mm).
  • Lower incidence of gap formation in the combined group: only 22% had 1 mm gap vs 61% (transpatellar) and 39% (suprapatellar).
  • Load to 3 mm gap was significantly higher in the combined group (p = .036), suggesting superior early repair site stability.
  • Failure modes varied: suprapatellar most often failed via wire unraveling (67%), transpatellar via suture pull-through (67%); combined group had lower incidence of both.
  • Patella fractures were observed only in the combined group (11%), likely due to transosseous tunnel stress.
  • Wire unraveling was a predominant failure mode in suprapatellar (67%) and combined (39%) groups, but core suture pull-through was more common in the transpatellar group (67%); failure occurred by unraveling, not cyclic breakage.
  • Study supports TBW augmentation to reduce load on primary repair and improve biomechanical durability of patellar tendon repairs.

McKay

Veterinary Surgery

8

2023

Biomechanical evaluation of three adjunctive methods of orthopedic tension band-wire fixation to augment simulated patella tendon repairs in dogs

2023-8-VS-mckay-2

Article Title: Biomechanical evaluation of three adjunctive methods of orthopedic tension band-wire fixation to augment simulated patella tendon repairs in dogs

Journal: Veterinary Surgery

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