Your Custom Quiz

In Lu 2025 et al., on SOP constructs, what was concluded about the **clinical significance** of the increased mediolateral stiffness with bending tees?

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Correct. The absolute difference in stiffness was small (2.08 N/mm), so the clinical impact remains unclear.
Incorrect. The correct answer is Uncertain, likely minimal impact.
The absolute difference in stiffness was small (2.08 N/mm), so the clinical impact remains unclear.

🔍 Key Findings

  • Bending tees significantly increased mediolateral bending stiffness, but not craniocaudal stiffness, in plate-bone constructs.
  • Mean mediolateral stiffness was 43.2 N/mm with tees vs. 41.1 N/mm without (p = 0.0042), though the absolute difference was small.
  • No significant differences were found in craniocaudal bending stiffness between constructs with or without tees (p = 0.89).
  • Plastic deformation occurred in all constructs; no screw pull-out or implant breakage was observed.
  • SOP nodes may resist compressive but not tensile deformation, suggesting variable mechanical contributions depending on loading direction.
  • Craniocaudal bending had greater stiffness than mediolateral due to higher area moment of inertia along the node diameter.
  • Clinical relevance of added stiffness from tees remains unclear, warranting further in vivo and cyclic testing.
  • This was the first study to directly test SOP constructs with/without tees over a fracture gap in multiple planes.

Lu

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Comparison of Bending Stiffness between String of Pearls Plate-Bone Substitute Constructs with and without Bending Tees in a Fracture Gap Model

2025-2-VCOT-lu-4

Article Title: Comparison of Bending Stiffness between String of Pearls Plate-Bone Substitute Constructs with and without Bending Tees in a Fracture Gap Model

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Larose 2024 et al., on fluorescence cholangiography, what timing of fluorescence onset was typical after ICG administration?

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Correct. Regardless of dose, biliary fluorescence began within 10–20 minutes.
Incorrect. The correct answer is 10–20 minutes post-injection.
Regardless of dose, biliary fluorescence began within 10–20 minutes.

🔍 Key Findings

  • Near-infrared fluorescence cholangiography (NIRFC) was feasible and safe in all healthy dogs studied, with no major adverse effects noted.
  • Low-dose ICG (0.05 mg/kg) at 3 h pre-op achieved the highest target-to-background (cystic duct-to-liver) contrast ratio, reaching nearly 4:1 at 280 minutes.
  • Early imaging (time 0) favored low-dose ICG for optimal cystic duct visualization; high-dose ICG led to excessive liver fluorescence and reduced contrast.
  • Visualization of biliary tree occurred within 10–20 min post-injection regardless of dose, but longer delays improved background clearance and contrast.
  • No significant cardiovascular or histamine-related side effects were observed with either dose of ICG.
  • Repeated ICG injections showed minimal residual fluorescence when using a >72 h washout period; shorter intervals caused mild carryover in high-dose groups.
  • Surgeon scoring matched contrast ratios, confirming clinical relevance of imaging outcomes.
  • Recommended dose for laparoscopic imaging: 0.05 mg/kg ICG given 3–5 h before surgery, or at premedication for urgent cases.

Larose

Veterinary Surgery

4

2024

Near-infrared fluorescence cholangiography in dogs: A pilot study

2024-4-VS-larose2-3

Article Title: Near-infrared fluorescence cholangiography in dogs: A pilot study

Journal: Veterinary Surgery

In Walker 2025 et al., on ventral slot guides, which surgeon experience level performed all procedures?

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Correct. All ventral slots were performed by a single novice resident to assess usability of the guide.
Incorrect. The correct answer is Novice surgery resident.
All ventral slots were performed by a single novice resident to assess usability of the guide.

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

  • GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
  • FHVS produced significantly shorter slots than intended (p < .01)
  • No difference in surgical time (p = .071)
  • Shape ratio and slot divergence from midline were similar between groups (p > .4)
  • Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

Walker

Veterinary Surgery

3

2025

Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

2025-3-VS-walker-3

Article Title: Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

Journal: Veterinary Surgery

In Gomes 2025 et al., on subdural shunting for TL-AD, which statement best reflects the recurrence findings?

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Correct. SDS dogs had 14.3% recurrence vs. 41.7% in controls; p = .19.
Incorrect. The correct answer is Recurrence rate was lower with SDS but not statistically significant.
SDS dogs had 14.3% recurrence vs. 41.7% in controls; p = .19.

🔍 Key Findings

  • Modified subdural shunt (SDS) placement was adapted from prior techniques using a hemilaminectomy approach and no suturing of the dura or shunt.
  • Dogs receiving SDS had significantly better long-term outcomes (85.7% improved) compared to those with durotomy alone (41.7%).
  • Recurrence rate was lower in the SDS group (14.3%) than control (41.7%), though not statistically significant.
  • Most recurrences occurred in Pugs (5/7), suggesting a breed predisposition.
  • Shunt size was limited to 25% of spinal cord diameter, typically 3–3.5 Fr.
  • CSF flow through the shunt was confirmed intraoperatively, supporting the role of SDS in maintaining flow and possibly preventing recurrence.
  • Immediate postoperative outcomes were not different between groups (≈42% deteriorated), but long-term recovery was better with SDS.
  • Steroid use pre-surgery did not correlate with improved outcome; fewer SDS dogs received steroids pre-op.

Gomes

Veterinary Surgery

5

2025

Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

2025-5-VS-gomes-3

Article Title: Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

Journal: Veterinary Surgery

In Anderson 2024 et al., how was the caudal malpositioning of the TPLO plate hypothesized to contribute to nerve injury?

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Correct. Drilling caudally positioned plates risks striking the fibular nerve directly:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Directed drill trajectory toward fibular nerve.
Drilling caudally positioned plates risks striking the fibular nerve directly:contentReference[oaicite:3]{index=3}

🔍 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-4

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Horwood 2024 et al., on complications in luxoid hip dysplasia, what proportion of LH dogs had satisfactory outcomes following revision of major complications?

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Correct. 17 out of 18 LH dogs had satisfactory outcomes post-revision.
Incorrect. The correct answer is 94%.
17 out of 18 LH dogs had satisfactory outcomes post-revision.

🔍 Key Findings

  • Luxoid hip dysplasia (LH) was present in 8% of THA cases and significantly increased risk of major complications (p < .001).
  • Intraoperative fissures/fractures were 3x more likely in LH dogs vs non-LH (39% vs 16%, p = .001).
  • Dorsal luxation was more frequent in LH dogs (28% vs 4%, p = .019).
  • Acetabular cup placement with ALO >35° was associated with luxation in LH dogs.
  • Morphologic abnormalities (e.g., femoral valgus, lateralization/medialization of cortices) were common in LH and may complicate implantation.
  • Despite higher risk, 94% of LH dogs achieved satisfactory outcomes after appropriate revisions.
  • Younger age and lighter weight characterized LH dogs (mean age 14.7 months vs 40.9 months, p < .001).
  • All LH dogs were treated with cementless stems; prophylactic cerclage was rarely used.

Horwood

Veterinary Surgery

4

2024

Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

2024-4-VS-horwood-5

Article Title: Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

Journal: Veterinary Surgery

In Israel 2022 et al., on cerclage wire in THR, what was the reported incidence of proximal femoral fractures in dogs with cerclage placement?

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Correct. Cerclage wire placement proximal to the lesser trochanter prevented proximal femoral fractures in all 184 hips reviewed.
Incorrect. The correct answer is None.
Cerclage wire placement proximal to the lesser trochanter prevented proximal femoral fractures in all 184 hips reviewed.

🔍 Key Findings

  • No proximal femoral fractures occurred in any of the 184 hips with cerclage wire placement
  • Cerclage wire was well tolerated, with no failures or complications related to the wire
  • Application of a single cerclage wire took <10 minutes, was cost-effective, and required minimal instrumentation
  • 3 postoperative complications (1 fissure, 2 fractures) occurred distal to the cerclage site, near the stem tip, requiring plate/screw fixation
  • All dogs returned to normal activity, and all owners were satisfied with the outcome
  • Cerclage placement location is critical—must be proximal to the lesser trochanter and close to the calcar to resist hoop strain
  • Biomechanical evidence supports that cerclage wires improve resistance to hoop strain and subsidence of cementless stems
  • Press-fit cementless stems may settle, but when supported by cerclage, this does not result in fractures even in undersized implants

Israel

Veterinary Surgery

2

2022

Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

2022-2-VS-israel-1

Article Title: Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

Journal: Veterinary Surgery

In Lomas 2025 et al., on DPO and dorsolateral subluxation, what was the mean DLS score immediately postoperatively?

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Correct. The mean DLS score increased from 36.1% pre-op to 71.4% immediately post-op, indicating improved femoral head coverage.
Incorrect. The correct answer is 71.4%.
The mean DLS score increased from 36.1% pre-op to 71.4% immediately post-op, indicating improved femoral head coverage.

🔍 Key Findings

  • DPO significantly improved femoral head coverage, increasing mean DLS from 36.1% to 71.4% postoperatively (p < 0.001).
  • No significant change in DLS between immediate postoperative and follow-up scans, suggesting stable surgical outcomes over time.
  • Greater plate angle (30°) yielded larger DLS improvement (mean increase: 39.8%) compared to 25° and 20° plates.
  • Only 3 hips had post-op DLS scores <55%, indicating most patients had lower risk of osteoarthritis progression.
  • No correlation found between DLS improvement and age, body weight, or side of surgery, suggesting broad applicability.
  • CT was used for DLS measurement in simulated weight-bearing, improving precision over radiographic methods.
  • Major limitations included small sample size, multiple surgeons, and variable sedation vs anesthesia during imaging.
  • DPO confirmed as effective for reducing dorsolateral subluxation, improving coxofemoral joint congruency in dysplastic dogs.

Lomas

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

2025-2-VCOT-lomas-1

Article Title: The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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 Gomes 2025 et al., on subdural shunting for TL-AD, what was the guideline for selecting shunt tube size?

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Correct. This ensured the tube did not compress the spinal cord; most dogs used 3–3.5 Fr tubing.
Incorrect. The correct answer is Based on 25% of spinal cord diameter at the lesion site.
This ensured the tube did not compress the spinal cord; most dogs used 3–3.5 Fr tubing.

🔍 Key Findings

  • Modified subdural shunt (SDS) placement was adapted from prior techniques using a hemilaminectomy approach and no suturing of the dura or shunt.
  • Dogs receiving SDS had significantly better long-term outcomes (85.7% improved) compared to those with durotomy alone (41.7%).
  • Recurrence rate was lower in the SDS group (14.3%) than control (41.7%), though not statistically significant.
  • Most recurrences occurred in Pugs (5/7), suggesting a breed predisposition.
  • Shunt size was limited to 25% of spinal cord diameter, typically 3–3.5 Fr.
  • CSF flow through the shunt was confirmed intraoperatively, supporting the role of SDS in maintaining flow and possibly preventing recurrence.
  • Immediate postoperative outcomes were not different between groups (≈42% deteriorated), but long-term recovery was better with SDS.
  • Steroid use pre-surgery did not correlate with improved outcome; fewer SDS dogs received steroids pre-op.

Gomes

Veterinary Surgery

5

2025

Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

2025-5-VS-gomes-4

Article Title: Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

Journal: Veterinary Surgery

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