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In Huerta 2025 et al., on TPLO healing assessment, how did the 10-point scoring system compare to the 5-point system?

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Correct. The 10-point system had good consistency in 4/5 surgeons versus 3/5 for the 5-point system
Incorrect. The correct answer is Had better intraobserver consistency.
The 10-point system had good consistency in 4/5 surgeons versus 3/5 for the 5-point system

🔍 Key Findings

Population: 29 Boxer dogs and 29 age-matched Labrador Retrievers undergoing TPLO.
Scoring Systems Compared: 5-point vs. 10-point radiographic healing systems.
Healing Scores (Week 8):

  • Boxers: 5-point mean = 3.3; 10-point mean = 6.9
  • Labradors: 5-point mean = 3.6; 10-point mean = 7.5
  • Statistically significant difference (p = 0.0003 and p < 0.0001)

Osteotomy Gap ≥1 mm (present in 16.4%): Associated with significantly lower healing scores and increased recommendations for additional radiographic follow-up (p < 0.0001).
Observer Reliability:

  • Both systems = good interobserver consistency.
  • Slightly better intraobserver consistency with the 10-point scale.

Clinical Implication: Boxer dogs may need extended healing time or altered follow-up strategy after TPLO.

Huerta

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

2025-1-VC-Huerta-3

Article Title: Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Scharpf 2024 et al., which statement best reflects the authors' conclusion on subtotal coronoidectomy?

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Correct. Authors concluded that despite improvement in vertical and propulsive forces, braking forces and SIs remained impaired at 26 weeks:contentReference[oaicite:5]{index=5}
Incorrect. The correct answer is It improves force metrics but braking deficits persist.
Authors concluded that despite improvement in vertical and propulsive forces, braking forces and SIs remained impaired at 26 weeks:contentReference[oaicite:5]{index=5}

🔍 Key Findings Summary

  • Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
  • No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
  • Force plate analysis was more sensitive than visual lameness scoring.
  • Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
  • Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.

Scharpf

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

2024-2-VCOT-scharpf-5

Article Title: Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Barnes 2024 et al., on knot performance, what advantage does the DF knot provide in confined surgical spaces?

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Correct. The DF knot allows sliding placement like the forwarder knot, aiding use in deep/limited access fields.
Incorrect. The correct answer is It can be pre-tied and slid into place.
The DF knot allows sliding placement like the forwarder knot, aiding use in deep/limited access fields.

🔍 Key Findings

  • Double forwarder (DF) knots had significantly higher knot holding capacity (KHC) than square (SQ) and surgeon’s (SU) knots when tied with <6 throws.
  • In 3 USP polyglactin 910, DF knots with 4–5 throws were not significantly stronger than SU knots with 6–8 throws (p > .43).
  • DF knots never unraveled, while SQ and SU knots with 4–5 throws showed substantial unraveling.
  • KHC did not increase in DF knots when throws increased from 3 to 5.
  • Knot volume and weight were significantly higher in DF knots than SQ/SU knots at the same throw count (p < .003).
  • DF knots allow sliding placement, potentially useful in minimally invasive or deep cavity procedures.

Barnes

Veterinary Surgery

2

2024

Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture

2024-2-VS-barnes-5

Article Title: Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture

Journal: Veterinary Surgery

In Carrera 2024 et al., what was the observed long-term effect on aLDFA and tibial torsion at 1-year postoperatively?

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Correct. Extensor mechanism alignment was maintained long-term, with no reluxations or deformity progression:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is All values remained close to immediate postoperative values.
Extensor mechanism alignment was maintained long-term, with no reluxations or deformity progression:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
  • Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
  • Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
  • Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
  • No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
  • One complication due to domestic trauma, not surgical failure.
  • Early surgery appeared to preserve alignment and prevent deformity progression.

Carrera

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

2024-2-VCOT-carrera-4

Article Title: Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Shetler 2022 et al., on radial head OCD, what surgical technique was used after fragment removal?

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Correct. This technique promotes fibrocartilage healing and is standard after OCD flap removal.
Incorrect. The correct answer is Abrasion arthroplasty until bleeding bone exposed.
This technique promotes fibrocartilage healing and is standard after OCD flap removal.

🔍 Key Findings

  • Bilateral radial head OCD lesions were identified in a 6-month-old English Bulldog with elbow lameness.
  • Medial arthroscopic portals allowed only partial visualization of radial head lesions, insufficient for treatment.
  • Lateral arthroscopy portals provided excellent access for fragment removal and abrasion arthroplasty.
  • Histopathology confirmed OCD, showing cartilage degeneration and retained cartilaginous cores.
  • Dog showed complete resolution of lameness and no elbow pain at 5 months post-op.
  • Lesions were caudolateral on the radial head, with discoid elevation of cartilage and clefts.
  • Lateral approach avoids major neurovascular structures, reducing iatrogenic risk.
  • The authors suggest lateral elbow arthroscopy may have broader indications, including for medial compartment disease or synovial biopsies.

Shetler

Veterinary Surgery

8

2022

The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog

2022-8-VS-shetler-4

Article Title: The use of lateral arthroscopy portals for the management of bilateral osteochondritis dissecans of the radial head in an English bulldog

Journal: Veterinary Surgery

In Price 2024 et al., on left-sided TD ligation in dogs, what percentage of cadavers showed successful thoracic duct ligation at the fourth intercostal space?

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Correct. Ligation success was confirmed via CT in 9 out of 10 cadavers.
Incorrect. The correct answer is 90%.
Ligation success was confirmed via CT in 9 out of 10 cadavers.

🔍 Key Findings

  • Left fourth intercostal thoracotomy allowed successful thoracic duct (TD) ligation in 9/10 canine cadavers.
  • 10/13 clinical cases had a single TD branch at the left fourth intercostal space, indicating lower anatomical complexity.
  • All TD branches at this site were lateral to the esophagus, simplifying surgical access.
  • Unilateral subphrenic pericardiectomy was successfully performed via the same incision in 10/10 cadavers.
  • Fewer TD branches at the fourth intercostal space than traditional caudal sites may reduce the risk of missed collaterals.
  • In contrast, traditional caudal TD ligation sites had up to 5 branches, requiring broader dissection.
  • No cadaver had right-sided TD branches, reducing surgical complexity at the studied location.
  • Contrast-confirmed ligation was effective in 90% (9/10) cadavers on CT imaging.

Price

Veterinary Surgery

3

2024

Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

2024-3-VS-price-1

Article Title: Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

Journal: Veterinary Surgery

In Lotsikas 2025 et al., on stifle distraction portal, what was the most frequently affected cartilage zone in terms of iatrogenic damage?

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Correct. Zone 4 had significantly more IACI compared to zones 1–3 in both groups (p < .05).
Incorrect. The correct answer is Zone 4: Lateral femoral condyle.
Zone 4 had significantly more IACI compared to zones 1–3 in both groups (p < .05).

🔍 Key Findings

Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:

  • No damage to the long digital extensor tendon (LDE) with this portal
  • VSTL could be placed without removing the arthroscope
  • Portal creation time ~37 seconds (faster than previously reported)

Cartilage impact:

  • Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
  • No difference in IACI between 5- and 10-minute lever durations
  • Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)

Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use

Lotsikas

Veterinary Surgery

3

2025

Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

2025-3-VS-lotsikas-2

Article Title: Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

Journal: Veterinary Surgery

In Sullivan 2025 et al., on TTT stabilization methods, why should findings be interpreted cautiously for clinical translation?

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Correct. The study tested acute failure in cadavers, not cyclic loading or clinical healing.
Incorrect. The correct answer is Cadaveric, single-load model used.
The study tested acute failure in cadavers, not cyclic loading or clinical healing.

🔍 Key Findings

  • Spacer pin fixation showed no difference in failure force or stiffness compared to tension band wire (TBW) or 2-pin techniques.
  • All constructs failed under loads >1000 N, exceeding estimated peak quadriceps force in dogs during walking (~240 N).
  • Patellar ligament failure was the most common mode of failure across all groups (5–8 samples per group).
  • Distal tibial crest fractures were seen only in 2-pin and spacer pin groups, not in TBW group, suggesting TBW may protect against crest failure.
  • No failures occurred at pin tracts, possibly due to pin placement within patellar ligament footprint.
  • Spacer pin technique avoids placing pins through the tuberosity, potentially reducing risks of soft tissue complications like tendinopathy or irritation.
  • Use of partial osteotomy with robust distal crest may substitute for TBW without compromising initial mechanical strength.
  • Further in vivo or cyclic loading studies are required, as this cadaveric study tested only acute tensile failure.

Sullivan

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Biomechanical Comparison of Spacer Pin Fixation to Two Established Methods of Tibial Tuberosity Transposition Stabilization in Dogs

2025-3-VCOT-sullivan-5

Article Title: Biomechanical Comparison of Spacer Pin Fixation to Two Established Methods of Tibial Tuberosity Transposition Stabilization in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Raleigh 2022 et al., on pericardiectomy complications, which strategy is recommended to minimize VF risk when using electrosurgery?

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Correct. Minimizing power settings and short application duration reduces stray current risk.
Incorrect. The correct answer is Use lowest power setting with brief applications.
Minimizing power settings and short application duration reduces stray current risk.

🔍 Key Findings

  • Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
  • 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
  • Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
  • Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
  • Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
  • Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
  • VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
  • Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.

Raleigh

Veterinary Surgery

4

2022

The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

2022-4-VS-raleigh-5

Article Title: The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

Journal: Veterinary Surgery

In Wang 2025 et al., on TPLO osteotomy alignment, what was the **intended postoperative TPA** targeted in this study?

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Correct. Surgeons aimed for a TPA of 3°, which is lower than traditional values, to potentially reduce meniscal contact force and cranio-caudal instability.
Incorrect. The correct answer is .
Surgeons aimed for a TPA of 3°, which is lower than traditional values, to potentially reduce meniscal contact force and cranio-caudal instability.

🔍 Key Findings

  • Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of (range: 0–4.5°), showing excellent accuracy.
  • The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
  • Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
  • Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
  • Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
  • Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
  • Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
  • Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.

Wang

Veterinary Surgery

7

2025

Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

2025-7-VS-wang-3

Article Title: Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

Journal: Veterinary Surgery

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