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In Korchek 2025 et al., on fracture gap risk, which postoperative finding was most strongly associated with implant failure in toy breed dogs with radius/ulna fractures?

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Correct. Implant failure was significantly associated with a postoperative fracture gap in the caudal cortex, with an OR of 23.0 and p = .004.
Incorrect. The correct answer is Presence of a fracture gap in the caudal cortex.
Implant failure was significantly associated with a postoperative fracture gap in the caudal cortex, with an OR of 23.0 and p = .004.

🔍 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-1

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 Karlin 2026 et al., on acetabular cup radiography, which parameter measured using the cup position assessment device (CPAD) demonstrated near-perfect agreement with the known value?

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Correct. The study found that CPAD measurement of ALO had near-perfect correlation with known values (Lin’s Rc = 0.994) and no significant difference statistically.
Incorrect. The correct answer is Angle of lateral opening (ALO).
The study found that CPAD measurement of ALO had near-perfect correlation with known values (Lin’s Rc = 0.994) and no significant difference statistically.

🔍 Key Findings

  • CPAD accurately measured angle of lateral opening (ALO) on sagittal radiographs with near-perfect agreement (Lin’s Rc = 0.994) compared with known angles.
  • No significant difference between measured and true ALO values was detected (p = 0.655), supporting accuracy of the device for this parameter.
  • Mean ALO measurement error was only 0.14° ± 1.18°, indicating high precision of the CPAD method.
  • Open-face version measurements were significantly inaccurate compared with known values (p < 0.0001).
  • Mean error in version measurement was 9.5° ± 6.31°, showing only moderate agreement (Rc = 0.424).
  • Measurement error in version likely resulted from radiographic superimposition of the V-axis bar with the cup edge, making bar endpoints difficult to identify.
  • CPAD accuracy for ALO (~1.18°) is nearly five times better than previous radiographic techniques, which typically achieve ~5° accuracy.
  • Intraoperative fluoroscopic use of CPAD may allow real-time adjustment of cup orientation, potentially reducing luxation risk after canine THA.

Karlin

Veterinary and Comparative Orthopaedics and Traumatology

2

2026

In Vitro Evaluation of a Device to Assess Acetabular Cup Position by Sagittal Plane Radiography

2026-2-vcot-karlin-1

Article Title: In Vitro Evaluation of a Device to Assess Acetabular Cup Position by Sagittal Plane Radiography

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Low 2025 et al., on gonadectomy and CrCLD, what was the pooled odds ratio for male Labrador retrievers that were gonadectomized versus intact?

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Correct. Male Labrador retrievers had a significantly increased risk of CrCLD following gonadectomy, with a pooled OR of 2.13.
Incorrect. The correct answer is 2.13 (95% CI: 1.53–2.98).
Male Labrador retrievers had a significantly increased risk of CrCLD following gonadectomy, with a pooled OR of 2.13.

🔍 Key Findings

Increased risk with gonadectomy:

  • Pooled OR for CrCLD:
    • Females: 2.29 (95% CI: 1.77–2.95)
    • Males: 2.12 (95% CI: 1.67–2.69)

Early gonadectomy (≤1 year) further increased risk:

  • OR vs >1 year:
    • Females: 3.39
    • Males: 3.13

Late gonadectomy (>1 year) had no significant difference vs intact dogs.

Breed-specific findings:

  • Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
  • Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)

Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)

Low

Veterinary Surgery

2

2025

The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

2025-2-VS-low-3

Article Title: The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

Journal: Veterinary Surgery

In Knudsen 2024 et al., on CTA diagnosis, what was the maximum reported sensitivity of multidetector CTA for detecting meniscal lesions?

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Correct. Sensitivity reached 100% in second readings by some observers.
Incorrect. The correct answer is 100%.
Sensitivity reached 100% in second readings by some observers.

🔍 Key Findings

  • Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
  • Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
  • Training effect was evident, as less experienced observers improved between first and second readings.
  • Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
  • CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
  • Approximately 90% of menisci were correctly classified in second readings.
  • No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
  • CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.

Knudsen

Veterinary Surgery

8

2024

Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

2024-8-VS-knudsen-1

Article Title: Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

Journal: Veterinary Surgery

In Barrett 2026 et al., on scapula plating biomechanics, how did displacement compare between constructs?

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Correct. Double plating reduced displacement (−0.48 mm vs −0.81 mm; p < .0001), indicating improved stability under load.
Incorrect. The correct answer is Lower in double plate constructs.
Double plating reduced displacement (−0.48 mm vs −0.81 mm; p < .0001), indicating improved stability under load.

🔍 Key Findings

  • Double plate fixation significantly increased construct stiffness (563.7 vs 392.8 N/mm; p < .0001), supporting superior biomechanical stability
  • Displacement was significantly reduced with double plating (−0.48 mm vs −0.81 mm; p < .0001), indicating improved resistance to cyclic loading
  • No difference in primary plate strain between single and double constructs, suggesting load-sharing did not reduce plate stress
  • Caudolateral placement of the second plate enhances biomechanical advantage by increasing moment arm and resisting tensile forces
  • Cyclic loading model (7200 cycles) simulated 1 hour of walking, making findings clinically relevant to early postoperative activity
  • Strain across fracture gap was lower in double plate constructs (~4.3% vs ~6.9%), supporting improved conditions for fracture healing
  • No construct failures occurred, but actuator slippage occurred only in double plate group, highlighting potential testing/artifact considerations
  • Clinical implication: double plating may allow earlier weightbearing and reduce need for external coaptation, improving recovery outcomes

Barrett

Veterinary Surgery

3

2026

Double plate fixation improves stiffness in a comminuted canine scapula fracture gap model compared to single plate fixation

2026-3-vs-barrett-2

Article Title: Double plate fixation improves stiffness in a comminuted canine scapula fracture gap model compared to single plate fixation

Journal: Veterinary Surgery

In Peng 2025 et al., on topical amikacin gel, what maximum topical dose per kg was administered?

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Correct. The highest dose applied to any dog was 24.9 mg/kg, nearing the systemic recommended maximum【90†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is 24.9 mg/kg.
The highest dose applied to any dog was 24.9 mg/kg, nearing the systemic recommended maximum【90†Veterinary Surgery†L1-L20】

🔍 Key Findings

Objective: Determine if topical 45 mg/mL amikacin in CMC gel leads to systemic absorption in dogs with wounds.

Dogs enrolled: 11 client-owned dogs, with 31 applications of the gel.

Serum findings:

  • Only 5 of 153 samples were above the 2.5 µg/mL quantification limit
  • All values remained <5 µg/mL, the presumed toxicity threshold
  • No correlation was found between dose-related parameters (mg, mg/kg, mg/cm²) and serum amikacin levels

Peak concentrations were observed at ~2 hours post-application, declining rapidly thereafter

No nephrotoxicity observed, and most values were below detection

Conclusion: Topical amikacin gel appears safe at doses up to 24.9 mg/kg, with minimal systemic absorption

Peng

Veterinary Surgery

3

2025

Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

2025-3-VS-peng2-4

Article Title: Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

Journal: Veterinary Surgery

In Filho 2024 et al., what was the primary cause of limb amputation in the study population?

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Correct. 38 out of 39 amputations were due to vehicular trauma:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Motor vehicle accident.
38 out of 39 amputations were due to vehicular trauma:contentReference[oaicite:4]{index=4}

🔍 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-5

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Nagahiro 2023 et al., on quadriceps-femoral mismatch, how did the PLL/PL ratio (indicator of patella alta) relate to QML/FL or MPL severity?

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Correct. PLL/PL ratio did not correlate with quadriceps length or severity of MPL in small breed dogs.
Incorrect. The correct answer is PLL/PL was not associated with QML/FL or MPL severity.
PLL/PL ratio did not correlate with quadriceps length or severity of MPL in small breed dogs.

🔍 Key Findings

  • Quadriceps muscle length/femoral length ratio (QML/FL) was significantly lower in dogs with grade IV MPL than grades I–III (p ≤ .002).
  • Shortened QML was associated with increased femoral torsion angle (FTA) and increased aLDFA, indicating correlation with femoral deformity.
  • QML/FL increased with age, possibly due to muscular development or reduced deformity in older dogs (p = .004).
  • Grade IV MPL dogs had QML/FL < 0.87, the lower normal limit based on healthy beagles, suggesting clinically significant muscle shortening.
  • PLL/PL ratio (used to diagnose patella alta) was not associated with QML/FL or MPL severity in small breeds.
  • QML/FL can help preoperatively identify candidates for femoral shortening ostectomy, improving femoropatellar alignment.
  • Multivariate regression model confirmed QML/FL is independently influenced by age, FTA, and aLDFA (R² = 0.45).
  • CT-based 3D measurements enabled objective, noninvasive quantification of femoral and muscle alignment parameters.

Nagahiro

Veterinary Surgery

4

2023

Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation

2023-4-VS-nagahiro-4

Article Title: Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation

Journal: Veterinary Surgery

In Evers 2022 et al., on bone-to-tendon plate fixation, what was the final functional outcome for the patient at 8.5 months?

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Correct. The dog returned to normal function without lameness, though tendon thickening remained.
Incorrect. The correct answer is Full function with mild thickening of tendon.
The dog returned to normal function without lameness, though tendon thickening remained.

🔍 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-5

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

Journal: Veterinary Surgery

In Knell 2026 et al., on feline stifle luxation, which implant system was used for cranial cruciate ligament reconstruction?

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Correct. The cranial cruciate ligament and lateral collateral ligament deficiencies were reconstructed using a Mini TightRope technique.
Incorrect. The correct answer is Mini TightRope construct.
The cranial cruciate ligament and lateral collateral ligament deficiencies were reconstructed using a Mini TightRope technique.

🔍 Key Findings

  • Coaptationless multiligament reconstruction restored stifle stability in all 23 cats, allowing immediate postoperative weight bearing without external immobilization.
  • Successful outcome was achieved in 22/23 cats (95.7%), with only one case requiring arthrodesis after recurrent instability.
  • Reconstruction of the caudal cruciate ligament (CdCrL) proved critical, as 3 of 4 caudal subluxation complications occurred when the CdCrL was not reconstructed initially.
  • Major complications occurred in 26.6% (6/23) and consisted primarily of caudal tibial subluxation (4 cases) and medial patellar luxation (2 cases).
  • Revision surgery successfully restored function in most complications, with stable joints and excellent FMPI scores after revision.
  • Excellent functional outcomes were reported, with FMPI scores ranging from 0.95–1.0 at 6 months and lameness absent in nearly all cats.
  • Early mobilization without postoperative immobilization preserved range of motion, with minimal osteoarthritis progression observed over 6 months.
  • Internal brace principles using TightRope constructs, knotless anchors, and UHMWPE sutures provided strong multiplanar stabilization, supporting immediate limb use and favorable clinical outcomes.

Knell

Veterinary Surgery

4

2026

A multiligament, internal brace, coaptationless stifle reconstruction technique for feline stifle luxation

2026-4-vs-knell-3

Article Title: A multiligament, internal brace, coaptationless stifle reconstruction technique for feline stifle luxation

Journal: Veterinary Surgery

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