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In Ramsey 2025 et al., on tibial alignment, what effect did bent interlocking nails have on medullary canal fill?

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Correct. The bILN group demonstrated significantly greater medullary canal fill compared with the sILN group.
Incorrect. The correct answer is It was higher by approximately 6.6%.
The bILN group demonstrated significantly greater medullary canal fill compared with the sILN group.

🔍 Key Findings

  • Straight interlocking nails (sILN) resulted in a significantly higher postoperative TPA compared with the contralateral limb (+5°), whereas bent nails (bILN) increased TPA by only +1°.
  • Bent interlocking nails achieved closer-to-anatomic tibial plateau alignment than straight nails (p < .0001).
  • Both techniques resulted in mild valgus malalignment (~2°) compared with the contralateral limb, but this was not clinically significant.
  • No significant differences in medial mechanical proximal tibial angle (mMPTA) were detected between groups.
  • Medullary canal fill was higher with bent nails (by ~6.6%), suggesting improved coaxial nail placement.
  • Missed bolt hole frequency did not differ between straight and bent nail techniques.
  • Complication rates were very low, with only one clinically relevant malalignment reported in the bent nail group.
  • Despite higher TPA in the straight nail group, no increased incidence of CCL rupture was identified during follow-up.

Ramsey

Veterinary Surgery

8

2025

Comparison of tibial alignment following bent or straight interlocking nail fixation for dogs with diaphyseal tibial fractures

2025-8-VS-ramsey-4

Article Title: Comparison of tibial alignment following bent or straight interlocking nail fixation for dogs with diaphyseal tibial fractures

Journal: Veterinary Surgery

In Hoenecke 2025 et al., on radiographic opacity in patella luxation, which variable was found to significantly increase the likelihood of radiographic soft tissue opacity in the stifle?

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Correct. Weight was significantly associated with increased opacity, with each 1 kg increase raising odds by 10%.
Incorrect. The correct answer is Weight.
Weight was significantly associated with increased opacity, with each 1 kg increase raising odds by 10%.

🔍 Key Findings

  • 65% of stifles with patella luxation and intact CCLs had increased radiographic soft tissue opacity
  • Weight and radiographic OA were significantly associated with increased opacity (p = .0029 and p = .0143)
  • Each 1 kg increase in weight increased the odds of opacity by 10%
  • Grade of patella luxation, age, and muscle atrophy were not significantly associated with increased opacity
  • 19% of dogs with long-term follow-up developed a CCL rupture post-patella surgery, 50% of those had opacity at initial presentation
  • Radiographic opacity alone should not be interpreted as CCL disease in dogs with patella luxation
  • Radiographic findings likely represent effusion or synovial hyperplasia, not CCL pathology
  • Arthrotomy was used to confirm CCL integrity at surgery, but arthroscopy could provide better sensitivity

Hoenecke

Veterinary Surgery

7

2025

Increased radiographic stifle soft tissue opacity in dogs with patella luxation

2025-7-VS-hoenecke-1

Article Title: Increased radiographic stifle soft tissue opacity in dogs with patella luxation

Journal: Veterinary Surgery

In Walker 2022 et al., on TPLO mRUST scoring, which minimum score was associated with a 99% likelihood of subjective union?

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Correct. Scores ≥10/12 were subjectively judged to represent radiographic union in 99% of cases.
Incorrect. The correct answer is 10/12.
Scores ≥10/12 were subjectively judged to represent radiographic union in 99% of cases.

🔍 Key Findings

  • TPLO mRUST scoring showed improved inter-rater reliability (ICC = 0.56) compared to subjective evaluation (Kappa = 0.33).
  • Intra-rater reliability was similar for both methods (TPLO mRUST: 0.73, subjective: 0.72).
  • TPLO mRUST scores ≥10/12 strongly correlated with radiographic union, as subjectively assessed (99% agreement).
  • No significant difference in healing between first and second TPLO sides (P = .09), countering assumptions about load-bearing impact.
  • Higher initial lameness scores and younger age were associated with higher TPLO mRUST scores, suggesting more robust healing in those groups.
  • Postoperative complications were linked to lower TPLO mRUST scores, indicating impaired healing.
  • Medial cortex was excluded from scoring due to plate obstruction, validating use of only 3 cortices for scoring.
  • The TPLO mRUST system may standardize healing assessment, reducing subjective bias across specialties.

Walker

Veterinary Surgery

8

2022

Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing

2022-8-VS-walker-2

Article Title: Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing

Journal: Veterinary Surgery

In Townsend 2024 et al., on 3D osteotomy accuracy, which osteotomy type showed the most significant time reduction using PSG versus freehand?

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Correct. PSG reduced execution time for SOO osteotomies (84s vs 162s, p < .001).
Incorrect. The correct answer is Single oblique (SOO).
PSG reduced execution time for SOO osteotomies (84s vs 162s, p < .001).

🔍 Key Findings:

  • Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
  • Osteotomy types (3 groups):
    1. 30° uniplanar frontal wedge
    2. Oblique (30° frontal, 15° sagittal)
    3. Single oblique (30° frontal, 15° sagittal, 30° external rotation)
  • Comparison: 3D PSG vs Freehand (FH)
  • Main Outcomes:
    • PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
    • 84% of PSG osteotomies were within 5° of target vs 50% of FH.
  • Significant improvements with PSG in:
    • Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
    • Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
  • Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
  • No difference in osteotomy location (mm) between methods.
  • Clinical relevance: PSG more consistent and accurate, especially for complex cuts.

Townsend

Veterinary Surgery

2

2024

Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

2024-2-VS-townsend-3

Article Title: Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

Journal: Veterinary Surgery

In Nicetto 2024 et al., how much of the patellar craniocaudal thickness does the TRP extraosseous component aim to cover in the sagittal plane?

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Correct. TRP height was designed to cover 40% of the patellar thickness to optimize tracking.
Incorrect. The correct answer is 40%.
TRP height was designed to cover 40% of the patellar thickness to optimize tracking.

🔍 Key Findings Summary

  • 48 dogs (60 stifles) underwent custom 3D-printed TRP implantation for patellar luxation
  • 24 treated with TRP alone; 36 with additional procedures (e.g., DFO, TTT)
  • Success rate: 59/60 corrected patellar tracking
  • Functional outcome: 57/60 full function, 2 acceptable, 1 unacceptable
  • Complication rate: 3 total (2 minor, 1 major recurrence)
  • TRP spares cartilage unlike trochleoplasty, offering implant-based ridge augmentation
  • No implant loosening or infection observed

Nicetto

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

2024-2-VCOT-nicetto-4

Article Title: Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Nicolas 2024 et al., how was the scapular osteotomy stabilized?

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Correct. Two locking plates were placed cranial and caudal to the scapular spine:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Double 2.4-mm locking plates.
Two locking plates were placed cranial and caudal to the scapular spine:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • The lateral approach via scapular osteotomy allowed safe access to the T1-2 foramen in a French Bulldog with foraminal disc extrusion.
  • A mini-hemilaminectomy was performed, preserving articular facets.
  • The dog had no neurologic deficits postoperatively, returned to ambulation within 24 hours, and was discharged in 3 days.
  • At 10 months, CT confirmed excellent scapular healing and no recurrence.
  • Double 2.4-mm locking plates provided stable fixation across the scapular spine.
  • The technique avoided thoracic entry or dorsal spine dissection, suggesting a less invasive alternative for select T1-2 foraminal cases.

Nicolas

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

2024-2-VCOT-nicolas-3

Article Title: Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what was the most common clinical outcome?

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Correct. All dogs achieved acceptable (7) or full (4) functional grading post-op.
Incorrect. The correct answer is Acceptable or full function in all dogs.
All dogs achieved acceptable (7) or full (4) functional grading post-op.

🔍 Key Findings

  • All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
  • Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
  • Median lameness score improved from 2/4 to 1/4 by final follow-up.
  • Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
  • No major complications; minor issues included 1 screw loosening and 1 superficial infection.
  • Subjective function was graded full in 4 dogs, acceptable in 7.
  • Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
  • Use of both orthopedic wire and plating provided secure fixation and improved outcomes.

Von Pfeil

Veterinary Surgery

3

2024

Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

2024-3-VS-pfeil-3

Article Title: Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

Journal: Veterinary Surgery

In Whyte 2025 et al., on cannulated screw fixation, what was the most common major complication observed?

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Correct. Screw breakage was the most common major complication reported in this study.
Incorrect. The correct answer is Screw breakage.
Screw breakage was the most common major complication reported in this study.

🔍 Key Findings

Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%

  • Major complication: Most common was screw breakage

Significant risk factor for screw breakage:

  • Body weight >20 kg (statistically significant)

Breed distribution:

  • Spaniels, especially English Springer Spaniels, were most common

No mention of plate augmentation as standard in this cohort

Whyte

Veterinary Surgery

2

2025

Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

2025-2-VS-whyte-1

Article Title: Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

Journal: Veterinary Surgery

In Dickson 2024 et al., on VATS for feline chylothorax, which agents were used to visualize the thoracic duct?

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Correct. Methylene blue (11 cats) and ICG (2 cats) were used for duct visualization.
Incorrect. The correct answer is Methylene blue and ICG.
Methylene blue (11 cats) and ICG (2 cats) were used for duct visualization.

🔍 Key Findings

  • Objective: To evaluate outcomes and complications of video-assisted thoracoscopic surgery (VATS) for idiopathic chylothorax in 15 cats.
  • All 15 cats underwent thoracoscopic thoracic duct ligation (TDL); 13 also had simultaneous pericardectomy, 2 had VATS TDL + laparoscopic cisterna chyli ablation (CCA), and 1 cat had an open CCA.
  • Median surgical time was 152.5 minutes (range 60–255).
  • Contrast was used intraoperatively in 13 cats; 11 received methylene blue, and 2 received indocyanine green (ICG).
  • One intraoperative complication (6%) occurred — a minor intercostal artery laceration. Conversion to open surgery occurred in 3 cases (20%) due to visualization issues or bleeding.
  • Postoperative complications occurred in 8 cats (53%), with persistent pleural effusion in 5 cats (33%) being the most common.
  • Mortality was high: 4 cats (27%) died or were euthanized before discharge. Only 7 of 11 cats discharged had resolution of effusion, and recurrence occurred in 1.
  • Authors concluded that while VATS is technically feasible in cats, it did not improve clinical outcomes compared to open surgery, and feline idiopathic chylothorax continues to have a high mortality rate.

Dickson

Veterinary Surgery

5

2024

Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats

2024-5-VS-dickson-4

Article Title: Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats

Journal: Veterinary Surgery

In Rocheleau 2023 et al., on shoulder stabilization, why were anchor insertion angles considered suboptimal in the study?

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Correct. Suboptimal anchor insertion angles (<30°) could compromise mechanical pullout strength, per CT assessment.
Incorrect. The correct answer is Angles were <30°, reducing pullout strength.
Suboptimal anchor insertion angles (<30°) could compromise mechanical pullout strength, per CT assessment.

🔍 Key Findings

  • Arthroscopically assisted stabilization with an IAD was feasible in cadaveric canine shoulders using both bone anchor and suture-toggle techniques.
  • Suture-toggle repair was successfully performed in all specimens, while bone anchors could not be deployed in 3/10 shoulders, indicating lower feasibility.
  • Median surgical time was shorter for the suture-toggle group (25.5 min) compared to the anchor group (37.3 min).
  • Postoperative abduction angles returned to baseline in the anchor group, while the suture-toggle group had slightly reduced angles, suggesting possible overtightening.
  • Violation of the articular surface occurred in 2 anchor specimens and 1 suture-toggle specimen, but none were considered likely to be clinically significant.
  • Overall targeting accuracy using the IAD was 88%, supporting its utility in guiding tunnel/anchor placement.
  • CT measurements showed acceptable bone stock and insertion angles, but anchor insertion angles were lower than optimal for mechanical pullout strength.
  • Suture-toggle technique was considered simpler and more consistent, with fewer complications and faster execution than anchor placement.

Rocheleau

Veterinary Surgery

4

2023

Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

2023-4-VS-rocheleau-5

Article Title: Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

Journal: Veterinary Surgery

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