Your Custom Quiz

In Neal 2023 et al., on transcondylar screw placement, which variable significantly influenced screw trajectory deviation regardless of method used?

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Correct. Residents had significantly more deviation (3.4° vs 2.5°) than diplomates, p = .0366.
Incorrect. The correct answer is Surgeon experience.
Residents had significantly more deviation (3.4° vs 2.5°) than diplomates, p = .0366.

🔍 Key Findings

  • Aiming device provided comparable trajectory accuracy to fluoroscopy, especially in right limbs (1.9° vs. 3.4°, p = .0128).
  • Eccentricity (deviation from condylar center) was lower with fluoroscopy (3.1 mm vs 4.2 mm, p = .0017), making fluoroscopy more precise.
  • Odds of joint infringement were 8× higher with the aiming device, though not statistically significant (p = .0575).
  • Residents had greater screw trajectory deviation than diplomates (p = .0366), highlighting impact of experience.
  • Aiming device procedures took less time than fluoroscopy in some scenarios, particularly for right limbs with right-handed surgeons.
  • Fluoroscopic procedures had more pin/drill attempts, increasing risk of glove puncture and potential aseptic breaks.
  • Mean deviation angles in both groups (<3.5°) were within acceptable range to avoid intracondylar fracture gap.
  • Cadaver model used large-breed, healthy adult dogs, not small-breed immature dogs, limiting generalizability.

Neal

Veterinary Surgery

4

2023

The effect of an aiming device on the accuracy of humeral transcondylar screw placement

2023-4-VS-neal-4

Article Title: The effect of an aiming device on the accuracy of humeral transcondylar screw placement

Journal: Veterinary Surgery

In Mullins 2023 et al., on thoracolumbar pin placement, what was the **mean duration** for pin placement using the 3DPG technique?

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Correct. Pin placement with 3DPGs took significantly less time, averaging 2.6 minutes compared to 4.5 with FHP.
Incorrect. The correct answer is 2.6 minutes.
Pin placement with 3DPGs took significantly less time, averaging 2.6 minutes compared to 4.5 with FHP.

🔍 Key Findings

  • Both free-hand probing (FHP) and 3D-printed guides (3DPG) enabled accurate spinal pin placement, with 87.5% vs 96.4% of pins graded as optimal (Grade I).
  • 3DPGs had fewer intraoperative deviations (0/56 pins) compared to 6/56 with the FHP technique.
  • No pins using either method fully breached the medial vertebral canal (Grade IIb) — a critical safety outcome.
  • Pins placed using 3DPGs required less time overall (mean 2.6 min) than FHP (mean 4.5 min).
  • FHP required specific experience and has a learning curve, whereas 3DPG use requires CAD software and 3D printing access.
  • FHP had more lateral canal violations (Grade IIIa: 4/56 vs 0/56 for 3DPG), suggesting slightly less precision.
  • Both techniques were safe, and all deviations were recognized and corrected intraoperatively.
  • 3DPGs may offer practical advantages in clinical settings lacking surgical expertise, while FHP allows immediate intervention without 3D printing delay.

Mullins

Veterinary Surgery

5

2023

Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study

2023-5-VS-mullins-3

Article Title: Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study

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 Gollnick 2024 et al., on TCTF risk with Arthrex STS in TPLO, what strategy is recommended to reduce risk of TCTF with angled STS screws?

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Correct. Using a tap before placing STS (especially when angulation is required) may reduce TCTF development.
Incorrect. The correct answer is Use of a tap before screw insertion.
Using a tap before placing STS (especially when angulation is required) may reduce TCTF development.

🔍 Key Findings

  • 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
  • TCTFs occurred exclusively distal to the osteotomy
  • 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
  • 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
  • Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
  • Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
  • Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
  • Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS

Gollnick

Veterinary Surgery

6

2024

Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

2024-6-VS-gollnick-5

Article Title: Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

Journal: Veterinary Surgery

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 Longo 2023 et al., on CT trochlear measurements, what difference in FTGA was observed between small and medium/large breed dogs without MPL?

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Correct. Small breed dogs without MPL had significantly greater (shallower) FTGA than medium/large breeds, suggesting breed-specific anatomy.
Incorrect. The correct answer is FTGA was greater (shallower) in SB dogs.
Small breed dogs without MPL had significantly greater (shallower) FTGA than medium/large breeds, suggesting breed-specific anatomy.

🔍 Key Findings

  • Dogs with MPL had significantly shallower femoral trochlear grooves compared to controls, based on CT-measured femoral trochlear groove angle (FTGA).
  • FTGA >134° in small breeds (SB) and >128° in medium/large breeds (MLB) were associated with MPL and can serve as surgical thresholds for considering trochleoplasty.
  • FTA and FTRIA measurements were less reliable, showing lower sensitivity/specificity than FTGA.
  • Inter-rater reliability for FTGA was excellent (ICC > 0.9), supporting its use in clinical decision-making.
  • FTGA differed significantly between SB and MLB dogs, suggesting anatomical variation influences MPL predisposition.
  • Dogs with MPL but with FTGA below threshold may not benefit from trochleoplasty, supporting individualized surgical planning.
  • CT provides more precise and reproducible evaluation of trochlear morphology than radiography or ultrasound.
  • The study introduces a CT protocol using P25 and P50 reference points for consistent FTGA measurement.

Longo

Veterinary Surgery

3

2023

Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation

2023-3-VS-longo-4

Article Title: Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation

Journal: Veterinary Surgery

In Barrett 2023 et al., on complication grading systems, which grading system demonstrated **greater detail** and less subjectivity in defining complication types?

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Correct. The aCD system includes more specific definitions and examples, offering **greater discrimination** and reduced subjectivity.
Incorrect. The correct answer is aCD 5-point system.
The aCD system includes more specific definitions and examples, offering **greater discrimination** and reduced subjectivity.

🔍 Key Findings

  • Cook system had good reliability across all cases (ICC = 0.848), even when complications, sequelae, and failure-to-cure were included.
  • aCD system had excellent reliability when excluding sequelae/failure-to-cure cases (ICC = 0.975) but only moderate reliability when including them (ICC = 0.620).
  • Majority of complications (60–63%) were graded as Grade 3 in the aCD system, corresponding to surgical or anesthetic intervention.
  • Cook system classified most cases (78–81%) as major complications.
  • Assessors had difficulty distinguishing sequelae from Grade 1 complications, and failure-to-cure from Grades 1–2, reducing aCD reliability.
  • The aCD system offers more resolution (5 grades vs. 3) and less subjectivity through objective definitions.
  • Novel terminology (e.g., sequelae, failure to cure) in the aCD system may hinder its uptake without proper training.
  • Reclassifying expected events (e.g., swelling, bruising) as sequelae could significantly reduce reported complication rates in other studies.

Barrett

Veterinary Surgery

1

2023

Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs

2023-1-VS-barrett-3

Article Title: Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs

Journal: Veterinary Surgery

In Korchek 2025 et al., on fracture gap risk, what effect did prolonged external coaptation (>1 week) have on outcomes?

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Correct. Prolonged external coaptation was associated with bandage-related complications such as skin wounds and osteopenia (OR = 5.4, p = .04).
Incorrect. The correct answer is It was significantly associated with major and minor non-implant complications.
Prolonged external coaptation was associated with bandage-related complications such as skin wounds and osteopenia (OR = 5.4, p = .04).

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

  • 27% in cases with fracture gap
  • 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

  • OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

  • OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

  • OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

Korchek

Veterinary Surgery

2

2025

Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

2025-2-VS-korchek-2

Article Title: Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

Journal: Veterinary Surgery

In Filho 2024 et al., what was the %BW carried by the contralateral limb in low forelimb amputees?

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Correct. Low forelimb amputees carried 55.5% of their BW on the contralateral limb:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is 55.5%.
Low forelimb amputees carried 55.5% of their BW on the contralateral limb:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 39 dogs (mostly post-trauma) with either forelimb or hindlimb amputations (high vs low)
  • No significant difference in %BW distribution between high vs low forelimb amputations
  • In hindlimb amputees:
    • High amputations → more overload on contralateral hindlimb (p = 0.01)
    • Low amputations → more even load split, slight preference for contralateral hindlimb and ipsilateral forelimb
  • Values derived from pressure-sensitive walkway confirmed with statistical significance
  • Useful implications for prosthesis selection and rehabilitation planning

Filho

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Gait Analysis of Amputee Dogs Using a Pressure-Sensitive Walkway

2024-4-VCOT-filho-3

Article Title: Gait Analysis of Amputee Dogs Using a Pressure-Sensitive Walkway

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Evers 2022 et al., on bone-to-tendon plate fixation, what was the purpose of using human placental matrix (hPM)?

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Correct. hPM was used for its pro-angiogenic and regenerative properties, despite uncertain efficacy in this case.
Incorrect. The correct answer is To stimulate angiogenesis and support healing.
hPM was used for its pro-angiogenic and regenerative properties, despite uncertain efficacy in this case.

🔍 Key Findings

  • Bone-to-tendon plate fixation allowed successful stabilization of a highly comminuted calcaneus fracture in a dog with fragments too small for traditional fixation.
  • The plate was sutured to the common calcaneal tendon using a figure-of-8 pattern, bypassing the need for screw fixation into small proximal fragments.
  • Radiographic union was achieved by 17 weeks, though considered delayed, with the dog returning to normal function by 36 weeks post-op.
  • A second surgery was required to replace the tendon-anchored plate with a calcaneus-only plate due to skin ulceration and implant prominence.
  • Implant-associated infection was suspected; cultures confirmed Staphylococcus pseudintermedius, managed with doxycycline and clindamycin.
  • Use of human placental matrix (hPM) and both autogenous and allogenic bone grafts supported healing, though their specific contribution remains uncertain.
  • Postoperative complications included delayed union and skin ulceration, emphasizing challenges of implant design and soft tissue management.
  • This is the first report of using a bone-to-tendon plate for a calcaneus fracture in dogs and demonstrates its potential in cases where traditional methods are not viable.

Evers

Veterinary Surgery

5

2022

Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

2022-5-VS-evers-3

Article Title: Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

Journal: Veterinary Surgery

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