Your Custom Quiz

In Pfeil 2024 et al., on fluoroscopic pinning, how many cases showed pin migration?

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Correct. No cases of pin migration were reported in this cohort.
Incorrect. The correct answer is 0.
No cases of pin migration were reported in this cohort.

🔍 Key Findings

  • Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
  • All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
  • Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
  • Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
  • No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
  • Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
  • Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
  • The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.

Pfeil

Veterinary Surgery

5

2024

Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

2024-5-VS-pfeil-5

Article Title: Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

Journal: Veterinary Surgery

In Longo 2025 et al., on MITA, what percentage of dogs achieved complete osseous union?

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Correct. Complete osseous union occurred in 46% of cases.
Incorrect. The correct answer is 46%.
Complete osseous union occurred in 46% of cases.

🔍 Key Findings

  • 15 dogs underwent minimally invasive tarsal arthrodesis (MITA); 10 partial, 5 pantarsal.
  • Mean time to radiographic union: 1.8 ± 0.5 months.
  • Mean time to clinical union: 3.7 ± 0.8 months.
  • Complete osseous union: 46%; the rest achieved ≥50% with functional weightbearing.
  • Complication rate: 26% major (mostly implant-related); no catastrophic complications or plantar necrosis.
  • Functional outcomes: 6 full, 8 acceptable, 1 unacceptable (not due to MITA).
  • MITA may lower soft tissue complications vs open approaches and enable faster healing.

Longo

Veterinary Surgery

1

2025

Minimally invasive tarsal arthrodesis in 15 dogs

2025-1-VS-longo-2

Article Title: Minimally invasive tarsal arthrodesis in 15 dogs

Journal: Veterinary Surgery

In Lomas 2025 et al., on hybrid THR in cats, what postoperative complication was **not observed** in any of the 17 hips treated?

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Correct. No cases of postoperative hip luxation were observed, despite variable implant angles.
Incorrect. The correct answer is Hip luxation.
No cases of postoperative hip luxation were observed, despite variable implant angles.

🔍 Key Findings

  • Hybrid THR in cats showed no major complications across 17 hips in 15 cats, including 2 bilateral cases.
  • Postoperative radiographs confirmed stable implant positioning with no loosening, migration, or dislocation in follow-up imaging.
  • Mean owner satisfaction was high, with a mean short-form feline musculoskeletal pain index (sf-FMPI) score of 2/36 at a mean follow-up of 438 days.
  • SCFE (slipped capital femoral epiphysis) was the most common indication, seen in 13/17 hips.
  • Partial tenotomy of rectus femoris origin resolved intraoperative medial patella luxation in 3 cases—no cats required surgical correction later.
  • A micro BFX cup allowed for increased acetabular offset, possibly reducing luxation risk even when using a +0 femoral head offset.
  • Hybrid THR was successfully used as a revision for failed CFX THR due to recurrent luxation—implants remained stable post-revision.
  • Use of oversized cups (12 mm) with shallow seating or medial breach still resulted in stable outcomes, suggesting good implant fixation even with reduced bone stock.

Lomas

Veterinary Surgery

6

2025

Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

2025-6-VS-lomas-5

Article Title: Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

Journal: Veterinary Surgery

In Heikkilä 2024 et al., on COPLA scaffold evaluation, what was the key finding at 1.5 years postoperatively?

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Correct. At 1.5 years, both groups had a high prevalence of OA with no significant difference between COPLA and Control shoulders (64% vs. 60%):contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is No significant group differences in OA prevalence.
At 1.5 years, both groups had a high prevalence of OA with no significant difference between COPLA and Control shoulders (64% vs. 60%):contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 22 dogs (36 shoulders) with shoulder OCD randomly assigned to COPLA scaffold (n=19) or Control (n=17) group
  • At 6 months: Significantly fewer dogs in COPLA group had OA (14% vs. 67%; p = 0.019)
  • At 1.5 years: OA prevalence increased in both groups with no significant difference (COPLA: 64%, Control: 60%)
  • HCPI (pain index) increased significantly at 1 week post-op in COPLA dogs only (p = 0.001), but later normalized
  • Static weight-bearing improved only in unilaterally operated COPLA limbs (p = 0.015)
  • One dog in COPLA group had a fragment dislodge requiring arthroscopic removal
  • Overall, COPLA scaffold may provide short-term benefit in OA reduction, but long-term outcomes were similar

Heikkila

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

2024-6-VCOT-heikkila-2

Article Title: Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Mattioli 2025 et al., on lymphadenectomy complications, which intraoperative guidance technique was associated with the lowest complication rate?

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Correct. The study found no significant difference in complication rates among the different intraoperative guidance techniques (p = .255).
Incorrect. The correct answer is No significant difference.
The study found no significant difference in complication rates among the different intraoperative guidance techniques (p = .255).

🔍 Key Findings

Sample: 201 lymphadenectomies in 163 dogs.
Intraoperative techniques:

  • Unassisted: 36%
  • Methylene blue (MB): 24%
  • Gamma probe + MB (γ-MB): 40%

Complication rate: 7.5% overall (93% uncomplicated)

  • 80% were mild, 20% moderate; no severe complications
  • Most common = seroma (2.5%), lymphoedema (1.5%)

Risk factors (via decision tree model):

  • Surgical time > 21.5 min
  • Lymph node site = mandibular or retropharyngeal

No significant difference in complication rate based on:

  • Guidance technique (p = .255)
  • LN palpability, number removed, or LN size

Clinical implication: Peripheral SLN excision is safe regardless of intraoperative technique; certain sites and durations carry slightly higher risk.

Mattioli

Veterinary Surgery

4

2025

Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

2025-4-VS-mattioli-2

Article Title: Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

Journal: Veterinary Surgery

In Zweig 2025 et al., on healed tibial tuberosity avulsion fractures, which radiographic change was associated with surgical management?

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Correct. Surgical fixation resulted in increased axial (distal) tibial tuberosity position compared with normal stifles.
Incorrect. The correct answer is Increased axial tibial tuberosity position.
Surgical fixation resulted in increased axial (distal) tibial tuberosity position compared with normal stifles.

🔍 Key Findings

  • Surgically managed TTAF resulted in excellent clinical outcomes at skeletal maturity, with all dogs having normal limb function and no stifle instability.
  • Surgical treatment significantly altered proximal tibial morphology, including decreased tibial plateau angle (TPA) and increased patellar position (PP) compared with the contralateral limb.
  • Axial tibial tuberosity position (TTP-A) increased and transverse position (TTP-T) decreased in surgically treated stifles, indicating distal and caudal tuberosity migration.
  • Non-surgically managed TTAF did not significantly alter tibial morphology or PP, but outcomes were more variable.
  • Medial patellar luxation developed in 2/6 non-surgically treated dogs, whereas none occurred in surgically managed cases.
  • Pins-only and pin–tension band constructs produced similar radiographic changes and outcomes.
  • Despite morphologic changes, no dogs developed cruciate ligament instability at follow-up.
  • Non-surgical management yielded good to excellent owner-reported outcomes, but carried a potential increased risk of patellar luxation.

Zweig

Veterinary and Comparative Orthopaedics and Traumatology

6

2025

Treatment outcome and radiographic appearance of healed tibial tuberosity avulsion fractures in skeletally mature dogs: 21 cases (2016–2023)

2025-6-VCOT-zweig-4

Article Title: Treatment outcome and radiographic appearance of healed tibial tuberosity avulsion fractures in skeletally mature dogs: 21 cases (2016–2023)

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Santos 2025 et al., on feline MPL morphology, what is the clinical implication regarding femoral or tibial corrective osteotomies?

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Correct. Differences in aLDFA and TTA were statistically significant but clinically small; osteotomy not routinely recommended.
Incorrect. The correct answer is Femoral and tibial angular correction generally not indicated.
Differences in aLDFA and TTA were statistically significant but clinically small; osteotomy not routinely recommended.

🔍 Key Findings

Sample: 21 cats (10 control, 11 affected); 14 normal limbs vs 18 with MPL (MPL II: 7, MPL III: 11).

Significantly different CT measurements in MPL vs control:

  • aLDFA: MPL II > control and MPL III (p = 0.014)
  • FTW: MPL III > control (p = 0.021)
  • FTD: control > MPL II and III (p < 0.001)
  • TTA: MPL II and III had increased external tibial torsion vs control (p < 0.001)
  • fPL and PV: MPL III cats had longer and more voluminous patellae

No significant differences in AA, mMPTA, TTD, fPW, aPH.
Patella width exceeded trochlear width in all groups.
Authors suggest femoral and tibial angular correction may not be indicated in most feline MPL II–III cases.
Soft tissue techniques and trochleoplasty warrant further investigation.
CT method: Intraobserver ICC good in 64%, interobserver poor in 36% of metrics.

Santos

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Computed Tomographic Measurement Method for Morphoanatomical Comparison of Femur, Tibia, and Patella in Cats with and without Medial Patellar Luxation

2025-1-VC-santos-5

Article Title: Computed Tomographic Measurement Method for Morphoanatomical Comparison of Femur, Tibia, and Patella in Cats with and without Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Danielski 2022 et al., on humero-anconeal incongruity, what arthroscopic finding was noted in all elbows with HIF but in none of the elbows without HIF?

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Correct. The lesion was exclusive to HIF-affected elbows, not observed in controls.
Incorrect. The correct answer is Humero-anconeal cartilage lesion.
The lesion was exclusive to HIF-affected elbows, not observed in controls.

🔍 Key Findings

  • A novel caudo-medial arthroscopic portal allowed visualization of previously undescribed cartilage lesions on the caudal medial humeral condyle.
  • A consistent focal cartilage lesion (HA lesion) was observed in 100% of elbows with HIF (21/21), but in none of the 31 elbows without HIF.
  • Lesions varied from indentations to full-thickness cartilage loss, typically elliptical and located just medial to the humeral condyle isthmus.
  • A clunk-like sensation and dynamic engagement of the anconeal process into the lesion were observed in 16/21 elbows with HIF during elbow manipulation.
  • In 5/21 elbows, engagement of the anconeal process led to observable widening of the HIF line, suggesting dynamic instability.
  • Findings support a novel concept of humero-anconeal incongruity as a contributor to the pathogenesis of HIF.
  • Spaniel breed was not a confounder—the lesion was only present in elbows with HIF, regardless of breed.
  • The study suggests potential for using arthroscopy as a screening tool for early detection of humero-anconeal incongruity and HIF risk.

Danielski

Veterinary Surgery

1

2022

Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings

2022-1-VS-danielski2-2

Article Title: Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings

Journal: Veterinary Surgery

In Eiger 2024 et al., on NIRFA-ICG in axial flaps, how did inter-rater reliability (ICC) compare between evaluated flaps for VFP scoring?

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Correct. CSE had low ICC (0.09) due to all surgeons scoring 4/4, while OMO and THO had moderate inter-rater variability.
Incorrect. The correct answer is CSE lowest ICC due to uniform scores; OMO and THO moderate.
CSE had low ICC (0.09) due to all surgeons scoring 4/4, while OMO and THO had moderate inter-rater variability.

🔍 Key Findings

  • Caudal superficial epigastric (CSE) flaps were most visible with NIRFA, scoring 4/4 VFP in 97% of evaluations.
  • CSE flap margins were altered in 65% of observations after NIRFA, showing the strongest influence on surgical planning.
  • Thoracodorsal (THO) and omocervical (OMO) flaps had lower visualization scores, with 60–81% of images scoring below 2.
  • Surgeons were 17–25 times more likely to adjust margins for CSE flaps versus OMO or THO based on fluorescence imaging.
  • Poor inter-rater agreement was found for OMO (ICC 0.49) and THO (ICC 0.35); CSE had near-perfect agreement, but ICC was low due to uniform high scoring.
  • Visualization was affected by flap depth and panniculus, making deeper vessels (OMO, THO) harder to see.
  • Surgeons often shortened flap length and reduced flap area when modifying based on NIRFA results.
  • Real-time angiosome visualization via NIRFA-ICG may reduce necrosis risk and improve patient-specific APF design.

Eiger

Veterinary Surgery

6

2024

Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

2024-6-VS-eiger-4

Article Title: Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

Journal: Veterinary Surgery

In Pfeil 2024 et al., on fluoroscopic pinning, how many metabone fractures were treated across all animals?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. A total of 57 fractures were treated using fluoroscopic-guided pinning.
Incorrect. The correct answer is 57.
A total of 57 fractures were treated using fluoroscopic-guided pinning.

🔍 Key Findings

  • Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
  • All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
  • Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
  • Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
  • No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
  • Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
  • Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
  • The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.

Pfeil

Veterinary Surgery

5

2024

Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

2024-5-VS-pfeil-1

Article Title: Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

Journal: Veterinary Surgery

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