
Your Custom Quiz
In İnal 2025 et al., on supracutaneous locking plates, what was the median fracture healing time observed in cats and dogs?
🔍 Key Findings
- Supracutaneous locking plates (SLPs) were successfully used to manage 33 diaphyseal fractures (radial–ulnar and tibial) in 30 cats and dogs.
- Median fracture healing time was 50.5 days (range: 27–88), with most patients regaining limb use within days postoperatively.
- CT-based metrics (callus area, HU, and 3D bone volume) increased significantly during healing (p < 0.05), validating CT as a quantitative tool for assessing healing.
- Complications were minimal: minor in 15/33 (e.g., screw tract discharge, edema), and major in 3/33 (e.g., implant failure, delayed union, nonunion).
- Minimally invasive osteosynthesis required longer surgery times than closed reduction (p < 0.05), but both techniques were viable.
- SLPs enabled successful bilateral fracture management without inter-plate interference due to their compact design.
- Screw orientation challenges were noted in cats, especially with cranial application to the radius due to narrow anatomy.
- Polyaxial locking screws were used safely and did not dislodge, allowing for angular insertion (≤10°) to avoid neurovascular structures.
Veterinary and Comparative Orthopaedics and Traumatology
5
2025
Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats
2025-5-VCOT-inal-1
In Meltzer 2022 et al., on femoral implant selection, which statement best describes the complication rate among dogs undergoing total hip replacement?
🔍 Key Findings
- Hybrid implants were used in older, heavier dogs with lower canal flare index (CFI) compared to cementless types.
- CFI <1.8 was associated with higher risk of femoral fracture or stem subsidence with cementless implants.
- Total complication rate was 14%, with catastrophic complications in only 1.5%—lower than reported in other studies.
- No significant difference in complication rates across implant types (BFX, BFX-C, hybrid).
- Femur fractures were rare (2.9%), lower than in prior studies, and successfully managed with cerclage/plate fixation.
- Coxofemoral luxation was the most common complication (8 cases); all occurred within 62 days post-op, mostly resolved with revision.
- Collared BFX stems did not significantly reduce complications, though they may limit stem subsidence.
- An implant selection algorithm was proposed, using age ≥7 years, weight ≥45 kg, and CFI <1.8 to guide cemented vs. cementless stem use.
Veterinary Surgery
2
2022
Case factors for selection of femoral component type in canine hip arthroplasty using a modular system
2022-2-VS-meltzer-2
In Perry 2025 et al., on I-Loc fracture fixation, which factor most increased the risk of surgical site infection and implant removal?
🔍 Key Findings
- High union rate with low complications was achieved using the I-Loc angle-stable interlocking nail across 243 canine long-bone fractures.
- Mean time to clinical union was 8.3 weeks, faster than many historical plate-rod or non-angle-stable nail reports.
- Major complications occurred in only 5.3% and minor complications in 9.1% of cases.
- Most fractures were diaphyseal (75%) and comminuted (62%), demonstrating effectiveness in complex fracture patterns.
- Ancillary implants were uncommon (21%), mainly used in epi-/metaphyseal fractures or for anatomic reconstruction.
- Postoperative missed bolt rate was very low (0.94%), reflecting improved targeting accuracy.
- Open fractures carried a substantially higher risk of SSI and implant removal compared with closed fractures.
- Prebending of tibial nails was strongly recommended to follow natural recurvatum and avoid iatrogenic alignment errors.
Veterinary Surgery
8
2025
Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail
2025-8-VS-perry-4
In Deveci 2025 et al., on 3D drill guides, what best describes the study’s primary conclusion?
🔍 Key Findings
- Objective: Evaluate feasibility and accuracy of 3D-printed patient-specific drill guides for iliosacral screw placement in cadaver dogs.
- N = 10 canine cadavers (20 hemipelves); screw placement done using fluoroscopic-assisted patient-specific guides (PSG).
- Median cortical breach grade: 0 (IQR 0–1) for all screws.
19/20 screws breached sacral canal wall (all ≤ grade 2), but no screws breached canal contents (grade 3). - Median trajectory deviation: 0.88° transverse, 0.72° dorsal.
- Procedure time: Median 7.2 minutes for guide placement and drilling.
- Conclusions: PSG-assisted screw placement was safe, accurate, and fast, offering clinical potential in pelvic trauma.
Veterinary Surgery
2
2025
Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs
2025-2-VS-deveci-5
In Scheuermann 2023 et al., on canine femoral MIPO, what was the most significant drawback observed with the use of the FRS?
🔍 Key Findings
- Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
- Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
- Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
- Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
- FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
- Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
- Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
- Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.
Veterinary Surgery
6
2023
Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs
2023-6-VS-scheuermann-2
In Buote 2023 et al., on laparoscopic vertical sleeve gastrectomy (LVSG), on LVSG, what was the primary method used for leak testing after stapling?
🔍 Key Findings
- LVSG was successfully performed in 9/10 cadavers and both live cats, demonstrating procedural feasibility.
- Mean stomach resected was 27.6% of total weight in cadavers, with no leaks in 8/8 tested or either live patient.
- Mean surgical time: 110.4 min (cadavers) and 115 min (live cats); no intra- or postoperative complications observed.
- Stenosis near the incisura occurred in 2 cadavers; attributed to staple placement too close to the lesser curvature.
- 3D printed cannulas (3DPCs) improved ergonomics and were used in 6/10 cadavers and both live procedures.
- Live cats lost 21–24% body weight over 3 months, with full return to pre-surgical BCS and no GI complications.
- Orogastric tube and proper tensioning were critical in preventing gastric stenosis during staple placement.
- No reinforcement or oversew was used on the staple line; TriStaple cartridges provided reliable closure.
Veterinary Surgery
7
2023
Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats
2023-7-VS-buote2-3
In Carvajal 2023 et al., on serum biomarkers post-THA, which statement best describes SAA trends after surgery?
🔍 Key Findings
- C-reactive protein (CRP) and serum amyloid A (SAA) levels remained low at 3 and 6 months after uncomplicated THA in dogs.
- No significant differences were observed in CRP or SAA between preoperative, 3-month, and 6-month time points.
- Mean CRP values were 3.8 mg/L pre-op, 0.8 mg/L at 3 months, and 1.4 mg/L at 6 months.
- Mean SAA values were 13.9 mg/L pre-op, 14.1 mg/L at 3 months, and 18.4 mg/L at 6 months.
- All dogs recovered normally with no complications or persistent signs of inflammation at follow-up.
- Study establishes baseline CRP and SAA levels for dogs post-THA, useful for comparison in suspected PJI.
- These markers may help differentiate periprosthetic joint infection (PJI) if values deviate from baseline post-THA.
- NSAID therapy was discontinued by 6 months in all dogs, possibly reflecting decreased inflammation.
Veterinary Surgery
1
2023
Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs
2023-1-VS-carvajal-2
In Peterson 2022 et al., on crescent guide in TPLO, what was the outcome of comparing osteotomy accuracy among the three devices?
🔍 Key Findings
- Crescent guide use resulted in significantly less medial cortical damage (mean 3.8 mm²) than the radial saw guide (35.7 mm²) and standard jig (51.3 mm²) in bone models.
- No significant difference in osteotomy accuracy (distance of eccentricity, coronal or axial angulation) among crescent guide, radial guide, or standard jig in either bone models or cadavers.
- Device application time was shortest with the crescent guide and longest for the radial saw guide.
- Osteotomy time was fastest with the crescent guide compared to the radial saw guide (P = .015).
- Participants rated the crescent guide easier to apply than both the radial saw guide (P < .005) and the standard jig (P = .015).
- 5 of 6 novice participants preferred the crescent guide over the other devices for performing TPLO.
- Subjective ease of osteotomy performance was higher with the crescent guide vs. radial guide (P < .001).
- Crescent guide does not assist in fragment stabilization or plateau rotation unlike a standard TPLO jig.
Veterinary Surgery
3
2022
Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study
2022-3-VS-peterson-2
In Chitty 2025 et al., on tibial fracture fixation in immature dogs, which factor was associated with increased odds of short-term complications?
🔍 Key Findings
Internal fixation (IF) group (n=59):
- Complication rate: 20.3%
- Major complications: 15.3%
- Longer time to discharge if complications occurred (median: 12.5 weeks)
External skeletal fixation (ESF) group (n=36):
- Complication rate: 55.6% (p < .001 vs IF)
- Major complications: 52.8%
- Most common issue: pin tract morbidity
Multivariable analysis:
- Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
- Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)
Fixation choice influenced by age:
- Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)
Breed & fracture distribution:
- Common breeds: Labrador, Border Collie, Whippet
- Common fracture sites: middle and proximal third of tibia
Veterinary Surgery
4
2025
Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs
2025-4-VS-chitty-4
In Huels 2025 et al., on second-generation screw cup THA, what design feature of the SCSL was intended to reduce acetabular fractures?
🔍 Key Findings
- Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
- Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
- No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
- Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
- Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
- Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
- Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
- Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup
2025-2-VCOT-huels-3
Quiz Results
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Key Findings
