Your Custom Quiz

In Kershaw 2025 et al., on PSG vs AD, which directional deviation was more common in screws placed using the aiming device?

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Correct. Screws placed with ADs deviated more cranially and distally than those placed with PSGs.
Incorrect. The correct answer is Cranial and distal.
Screws placed with ADs deviated more cranially and distally than those placed with PSGs.

🔍 Key Findings

  • 3D-printed patient-specific guides (PSGs) significantly improved accuracy of drill hole entry (p < 0.001) and exit (p = 0.044) compared to commercial aiming devices (AD).
  • Zero joint penetrations occurred with PSGs, whereas 3 of 7 AD-guided screws were predicted to penetrate the joint (p = 0.19).
  • Variance in exit point and drill angle was significantly lower in PSG group, suggesting more consistent results.
  • One PSG case failed due to improper guide seating, but this was corrected with improved soft tissue clearance.
  • PSGs enabled safer trajectories despite use by novice surgeons, emphasizing their value in less experienced hands.
  • Drill holes placed with ADs deviated more cranially and distally, increasing the risk of articular violation.
  • Use of PSGs allowed for tighter clustering of drill trajectories, especially in the cranial–caudal axis.
  • Subjective feedback favored PSGs for ease of use and ergonomic design, despite requiring slightly larger incisions.

Kershaw

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus

2025-5-VCOT-kershaw-4

Article Title: Patient-specific Guides Improve the Accuracy and Safety of Transcondylar Screw Placement—A Cadaveric Study in the Canine Humerus

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Scharpf 2026 et al., on radioulnar joint morphology, which measurement points showed significantly decreased radioulnar ratios in MCD elbows?

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Correct. Measurement points 3–5 corresponded to central and lateral portions of the radioulnar joint and were significantly different from controls.
Incorrect. The correct answer is Points 3, 4, and 5.
Measurement points 3–5 corresponded to central and lateral portions of the radioulnar joint and were significantly different from controls.

🔍 Key Findings

  • Dogs with MCD demonstrated significant radioulnar joint malformation in the central, centrolateral, and lateral compartments on transverse CT imaging.
  • Radioulnar ratios were significantly decreased at measurement points 3–5 in MCD elbows (p = 0.044), indicating widening and incongruity of the radioulnar joint space.
  • Medial and mediocentral radioulnar compartments remained congruent, showing no significant differences between MCD and control elbows.
  • Radioulnar opening angle did not differ between groups, suggesting that joint malformation was localized rather than reflected by global angular changes.
  • No evidence of radioulnar step formation was identified, despite previous theories linking step incongruity to MCD development.
  • Gender, breed, and body weight were not associated with radioulnar ratios, suggesting morphology rather than demographic factors influenced findings.
  • Central and lateral radioulnar pathology may be missed during routine medial elbow arthroscopy, potentially contributing to persistent clinical signs after treatment.
  • Radioulnar malformation may contribute both to MCD pathogenesis and to incomplete success following arthroscopic treatment.

Scharpf

Veterinary and Comparative Orthopaedics and Traumatology

3

2026

Assessment of the Conformation of the Radioulnar Joint Comparing Dogs with and without Medial Coronoid Disease

2026-3-vs-scharpf-2

Article Title: Assessment of the Conformation of the Radioulnar Joint Comparing Dogs with and without Medial Coronoid Disease

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Wilson 2025 et al., on acetabular measurement accuracy, which pair of measurement methods showed the least bias in predicting final cup size?

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Correct. These methods had a mean prediction bias within ±0.5 mm of final cup size.
Incorrect. The correct answer is ACVD and ALVD.
These methods had a mean prediction bias within ±0.5 mm of final cup size.

🔍 Key Findings

Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:

  • ACVD/ACOLL (acetabular circle on VD or OLL view)
  • ALVD/ALOLL (acetabular line)
  • FHCVD/FHCOLL/FHCCCHB (femoral head circle)
Findings:
  • Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
  • FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
  • AC and AL methods had low bias (±0.5 mm) and better predictive value.
  • OA severity negatively affected the accuracy of all measurements (p < .05).
  • Highest predictive accuracy was ~49% using ACVD with rounding down protocol.

Wilson

Veterinary Surgery

1

2025

Evaluation of three acetabular measurement methods for total hip replacement in dogs

2025-1-VS-wilson-5

Article Title: Evaluation of three acetabular measurement methods for total hip replacement in dogs

Journal: Veterinary Surgery

In Anderson 2024 et al., which clinical sign was consistently observed in all affected dogs?

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Correct. All dogs exhibited absent hock flexion and paw knuckling due to fibular nerve dysfunction:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Knuckling and lack of hock flexion.
All dogs exhibited absent hock flexion and paw knuckling due to fibular nerve dysfunction:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 3 dogs developed permanent fibular nerve dysfunction following TPLO
  • Common findings:
    • Drill hole or screw in caudal tibial cortex just distal to osteotomy
    • Caudal malpositioning of TPLO plate (esp. right limb of case 3)
    • Post-op signs: cranial tibial atrophy, knuckling, exaggerated gait, no hock flexion
  • One case had confirmed deep/superficial fibular neuropathy via electrodiagnostics
  • Recommended prevention: avoid overly caudal drill paths; careful gait assessment at follow-up is key

Anderson

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

2024-3-VCOT-anderson-2

Article Title: Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Kang 2023 et al., on 3DEP accuracy, what was the maximum acceptable screw intrusion depth into the spinal canal based on design?

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Correct. Drill stoppers were designed to limit screw penetration into the canal to 0.5 mm.
Incorrect. The correct answer is 0.5 mm.
Drill stoppers were designed to limit screw penetration into the canal to 0.5 mm.

2023-8-VS-kang-3

Article Title:

Journal:

In Isono 2025 et al., on tibial malalignment in MPL, which of the following was TRUE regarding the correlation findings?

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Correct. PTMTA had a strong positive correlation with TTA (r = 0.733) and CRA (r = 0.643).
Incorrect. The correct answer is PTMTA had a correlation coefficient of 0.733 with TTA.
PTMTA had a strong positive correlation with TTA (r = 0.733) and CRA (r = 0.643).

🔍 Key Findings

  • Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
  • PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
  • Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
  • DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
  • PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
  • Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
  • Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
  • Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.

Isono

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

2025-4-VCOT-isono-5

Article Title: Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Logothetou 2024 et al., on SPF complications, which anatomic site for SPF reconstruction was associated with the fewest complications?

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Correct. Flaps on the head had significantly fewer complications compared to other regions.
Incorrect. The correct answer is Head.
Flaps on the head had significantly fewer complications compared to other regions.

🔍 Key Findings

  • Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
  • Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
  • Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
  • Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
  • Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
  • Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
  • Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
  • Closure technique did not significantly influence complication severity, though staple use was numerically worse.

Logothetou

Veterinary Surgery

3

2024

Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

2024-3-VS-logothetou-3

Article Title: Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

Journal: Veterinary Surgery

In Perez Neto 2025 et al., on hip resurfacing arthroplasty, implantation of the prosthesis reduced maximum load by approximately what percentage compared to controls?

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Correct. Maximum load was 22% lower in prosthetic femurs versus intact controls.
Incorrect. The correct answer is 22%.
Maximum load was 22% lower in prosthetic femurs versus intact controls.

🔍 Key Findings

  • In an ex vivo study of 20 canine femur pairs, implantation of a novel hip resurfacing arthroplasty (HRA) prosthesis reduced maximum load (ML) by 22% and load at collapse (LC) by 27% vs. intact controls (p ≤ 0.05).
  • Displacement at maximum load (DML), displacement at collapse (DC), and stiffness (k) were not significantly different between prosthesis and control groups.
  • Both groups showed similar failure patterns, with 92% failing at the femoral neck.
  • All prosthetic femurs still withstood ~6.2× body weight — exceeding estimated in vivo peak loads (~1.64× BW).
  • Prosthesis positioning (neutral vs valgus) had no significant effect on biomechanical outcomes.
  • Implant design preserved more metaphyseal bone stock than total hip replacement, possibly explaining the smaller load reduction compared to other short-stem prostheses.
  • The press-fit cobalt–chromium design with conical stem allowed full contact and stress distribution over the femoral head/neck.
  • Authors conclude the device has adequate immediate biomechanical strength for clinical use, though long-term in vivo studies are needed.

Perez Neto

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study

2025-4-VCOT-perezneto-1

Article Title: Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Rocheleau 2024 et al., on arthroscopic meniscal suturing, what was the overall complication rate?

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Correct. The overall complication rate reported was 34.1%.
Incorrect. The correct answer is 34%.
The overall complication rate reported was 34.1%.

🔍 Key Findings

  • Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
  • All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
  • The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
  • No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
  • Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
  • Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
  • The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
  • The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.

Rocheleau

Veterinary Surgery

5

2024

Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

2024-5-VS-rocheleau-2

Article Title: Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

Journal: Veterinary Surgery

In Perry 2025 et al., on I-Loc fracture fixation, what technical recommendation was emphasized for tibial fractures?

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Correct. Prebending tibial nails was recommended to maintain alignment and avoid increased tibial plateau angle.
Incorrect. The correct answer is Prebend the nail to follow recurvatum.
Prebending tibial nails was recommended to maintain alignment and avoid increased tibial plateau angle.

🔍 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.

Perry

Veterinary Surgery

8

2025

Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail

2025-8-VS-perry-5

Article Title: Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail

Journal: Veterinary Surgery

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