Your Custom Quiz

In Farrugia 2025 et al., on BODPUO location effects, which variable most significantly predicted the postoperative change in proximal ulna angle?

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Correct. Regression modeling showed a strong linear relationship between osteotomy location and ulna tilt change (r = 0.73).
Incorrect. The correct answer is Location of ulna osteotomy.
Regression modeling showed a strong linear relationship between osteotomy location and ulna tilt change (r = 0.73).

🔍 Key Findings

  • Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
  • Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
  • Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
  • Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
  • Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
  • Osteotomy length had no significant effect on change in angle.
  • Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
  • No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

Farrugia

Veterinary Surgery

6

2025

Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

2025-6-VS-farrugia-2

Article Title: Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

Journal: Veterinary Surgery

In Kikuchi 2025 et al., on arthroscopic MMI in toy breeds, which variable was **not** part of the final regression model predicting MMI?

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Correct. The final model included body weight, lameness score, and CrCL status. Breed and age were excluded in multivariate analysis.
Incorrect. The correct answer is Age.
The final model included body weight, lameness score, and CrCL status. Breed and age were excluded in multivariate analysis.

🔍 Key Findings

  • Medial meniscus injury (MMI) occurred in 36.3% of stifles with CrCLR in toy breed dogs (<5 kg)
  • Complete CrCLR was significantly associated with MMI (15.3% of complete vs. 3.4% of partial)
  • Severe lameness (grade 3) increased the likelihood of MMI compared to mild lameness (grade 1)
  • Higher body weight, even within the toy breed range, was positively associated with MMI
  • Yorkshire Terriers had the highest MMI incidence (55.6%), but this was not a significant independent factor due to multicollinearity
  • Arthroscopy identified more meniscal damage (including small radial tears and bucket-handle lesions) than gross examination might detect
  • MMI was classified as mild (radial tear) or severe (bucket-handle or flap) with implications for partial meniscectomy
  • Arthroscopy was used in all cases, underscoring its utility in small-breed stifle assessment

Kikuchi

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Incidence of Medial Meniscus Injury Detected by Arthroscopy in Toy Breed Dogs

2025-5-VCOT-kikuchi-4

Article Title: Incidence of Medial Meniscus Injury Detected by Arthroscopy in Toy Breed Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Zann 2023 et al., In Long-term outcomes after proximal humeral OC debridement in dogs, what difference was noted in affected limbs compared to contralateral limbs in unilaterally affected dogs?

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Correct. OC limbs showed measurable atrophy and reduced ROM compared to contralateral healthy limbs.
Incorrect. The correct answer is Decreased brachial circumference and extension.
OC limbs showed measurable atrophy and reduced ROM compared to contralateral healthy limbs.

🔍 Key Findings

  • 20 dogs (26 shoulders) evaluated at mean 3.5 years post-surgery after arthroscopic or open debridement.
  • Ipsilateral muscle atrophy and decreased range of motion (↓ extension, ↓ flexion) in affected limbs compared to contralateral healthy shoulders.
  • All treated shoulders developed osteoarthritis, confirmed radiographically, by CT, and arthroscopically.
  • Moderate to severe synovitis was present in all shoulders; lesions showed patchy, incomplete cartilage infilling even up to 8.9 years post-op.
  • Kinetic gait analysis showed no significant differences in PVF/VI between affected and unaffected limbs, despite mild lameness clinically.
  • Owners reported good to very good mobility (median LOAD = 6), often underestimating clinical lameness.
  • CT detected larger lesion dimensions than radiographs (wider, deeper defects).
  • Despite progression of OA, surgical debridement was associated with satisfactory long-term function, though not prevention of degenerative changes.

Zann

Veterinary Surgery

7

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-7-VS-zann-4

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

In Welsh 2023 et al., on TTAF fixation methods, which of the following variables did **not significantly differ** between single- and two-pin constructs?

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Correct. The KWIA values were not statistically different between groups (p = .13).
Incorrect. The correct answer is Kirschner wire insertion angle (KWIA).
The KWIA values were not statistically different between groups (p = .13).

🔍 Key Findings

  • Two-pin fixation had significantly greater strength (639 N) than single-pin fixation (426 N) in TTAF models (p = .003).
  • Stiffness was also higher with two-pin constructs (72 N/mm vs 57 N/mm); statistically significant (p = .029).
  • Both fixation types withstood loads greater than quadriceps force in dogs at a walk (240 N), indicating clinical viability.
  • Failure was most commonly due to pin bending or pullout (82%), with fewer cases of ligament tearing or epiphyseal fracture.
  • K-wire insertion angle (KWIA) did not significantly differ between fixation types (p = .13).
  • Single larger pins delivered ~68% of the strength and ~83% of the stiffness of two smaller vertically aligned pins.
  • Clinical implication: Two vertically aligned pins are biomechanically superior for TTAF fixation in canine models.
  • Study used mature cadavers, which may underestimate loads and stiffness compared to immature clinical cases.

Welsh

Veterinary Surgery

5

2023

Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model

2023-5-VS-welsh-4

Article Title: Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model

Journal: Veterinary Surgery

In Schuenemann 2025 et al., on biceps tenodesis, which complication occurred with the use of the tendon clamp?

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Correct. The one case using a tendon clamp developed seroma and later abscess, resolving after treatment.
Incorrect. The correct answer is Seroma and abscess.
The one case using a tendon clamp developed seroma and later abscess, resolving after treatment.

🔍 Key Findings

  • Case series of 6 shoulders in 5 working/sporting dogs. Conditions treated: 3 partial biceps ruptures, 3 luxations with fraying.
  • All treated with biceps tenodesis using a bioabsorbable anchor (Weldix 2.3 mm).
  • All dogs returned to function (some to high-level sports); lameness resolved within 1–5 weeks.
  • No implant-related complications with anchor-only cases. One dog had seroma and later infection but recovered.
  • Tendon clamp (used in 2 cases) caused irritation in one dog → resolved after removal.
  • CT follow-up confirmed integrity; drill holes filled with bone.
  • Median LOAD score: 12; higher in older dogs or with concurrent conditions.
  • Authors suggest tenodesis offers more stability and faster return to function than tenotomy in working dogs.
  • Larger, controlled studies are recommended.

Schuenemann

Veterinary Surgery

4

2025

Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technology: Results in six clinical cases (5 dogs)

2025-4-VS-schuenemann-3

Article Title: Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technology: Results in six clinical cases (5 dogs)

Journal: Veterinary Surgery

In Curuci 2024 et al., on double-cut TPLO, how many stifles achieved radiographic union by 60 days?

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Correct. Union was achieved in 17/18 stifles by 60 days, with the last by 90 days:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is 17 of 18.
Union was achieved in 17/18 stifles by 60 days, with the last by 90 days:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
  • Mean TPA correction: from 39.4° to 6.3°
  • Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
  • Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
  • Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
  • The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO

Curuci

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

2024-6-VCOT-curuci-2

Article Title: Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Walker 2025 et al., on ventral slot guides, what was the impact on slot position variability when using the 3D guide?

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Correct. Use of the guide cut variability in slot position by more than half.
Incorrect. The correct answer is Reduced from 63% to 29%.
Use of the guide cut variability in slot position by more than half.

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

  • GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
  • FHVS produced significantly shorter slots than intended (p < .01)
  • No difference in surgical time (p = .071)
  • Shape ratio and slot divergence from midline were similar between groups (p > .4)
  • Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

Walker

Veterinary Surgery

3

2025

Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

2025-3-VS-walker-2

Article Title: Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

Journal: Veterinary Surgery

In Walter de Bruyn 2024 et al., what was the impact of orthogonal plate addition on torsional stiffness in medium and long working lengths?

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Correct. Torsional stiffness increased significantly for MWL and LWL after adding orthogonal plates:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Increased significantly.
Torsional stiffness increased significantly for MWL and LWL after adding orthogonal plates:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • Primary 3.5-mm LCP used with short (SWL), medium (MWL), and long (LWL) working lengths
  • Addition of orthogonal 2.7-mm LCP resulted in:
    • Significantly higher bending stiffness for SWL, MWL, and LWL (p < 0.0001)
    • Higher torsional stiffness for MWL and LWL (not for SWL)
    • Significantly lower strain across all working lengths in bending (p < 0.01)
  • Working length inversely related to construct stiffness and directly to plate strain
  • Orthogonal plates eliminated stiffness differences across working lengths in bending
  • Suggests orthogonal plates can improve implant fatigue life and allow compensation when short working lengths are unachievable

Walterdebruyn

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model

2024-4-VCOT-walterdebruyn-3

Article Title: Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Wilson 2025 et al., on acetabular measurement accuracy, what factor significantly reduced measurement accuracy across all methods?

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Correct. Higher OA severity was associated with greater prediction error (p < .05).
Incorrect. The correct answer is Osteoarthritis severity.
Higher OA severity was associated with greater prediction error (p < .05).

🔍 Key Findings

Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:

  • ACVD/ACOLL (acetabular circle on VD or OLL view)
  • ALVD/ALOLL (acetabular line)
  • FHCVD/FHCOLL/FHCCCHB (femoral head circle)
Findings:
  • Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
  • FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
  • AC and AL methods had low bias (±0.5 mm) and better predictive value.
  • OA severity negatively affected the accuracy of all measurements (p < .05).
  • Highest predictive accuracy was ~49% using ACVD with rounding down protocol.

Wilson

Veterinary Surgery

1

2025

Evaluation of three acetabular measurement methods for total hip replacement in dogs

2025-1-VS-wilson-3

Article Title: Evaluation of three acetabular measurement methods for total hip replacement in dogs

Journal: Veterinary Surgery

In Haine 2022 et al., on outcomes in canine limb tumors, which scheme demonstrated greater interobserver agreement?

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Correct. The R scheme showed 83% agreement versus 68% with the ≤1 mm scheme.
Incorrect. The correct answer is The R classification scheme.
The R scheme showed 83% agreement versus 68% with the ≤1 mm scheme.

🔍 Key Findings

  • Fewer R1 margins (tumor on ink) were achieved in mast cell tumors (MCTs) when using 6–10 mm lateral margins versus 0–5 mm (7% vs. 55%; _P_ = .049).
  • For soft tissue sarcomas (STSs), no benefit was seen in margin completeness between 0–5 mm vs. 6–10 mm lateral margins (41% vs. 43% R1).
  • Overall R1 rates were 26% for MCTs and 42% for STSs following PNE.
  • R scheme (“tumor on ink” = R1) had better interobserver agreement (83%) compared to ≤1 mm margin criteria (68% agreement).
  • Complication rate was moderate (26%), but no surgeries required revision.
  • Local recurrence/metastasis occurred in 14% of dogs, with 60% of those having R1 margins.
  • Adjunctive therapy was considered clinically indicated in 46% of 0–5 mm margin cases vs. 24% of 6–10 mm cases.
  • Histologic grade and tumor size were not predictive of margin completeness.

Haine

Veterinary Surgery

7

2022

Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

2022-7-VS-haine-1

Article Title: Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

Journal: Veterinary Surgery

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