Your Custom Quiz

In Nicetto 2024 et al., what was the most common complication after TRP implantation?

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Correct. Minor complications included grade 1 lameness from periarticular fibrosis; only one case had luxation recurrence.
Incorrect. The correct answer is Periarticular fibrosis.
Minor complications included grade 1 lameness from periarticular fibrosis; only one case had luxation recurrence.

🔍 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-2

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Petchell 2025 et al., on CORA-based CCWO, what is the primary purpose of plotting both PMA and DMA lines in the CCWOCORA technique?

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Correct. Intersection of the PMA and DMA defines the CORA, which determines wedge geometry.
Incorrect. The correct answer is To identify the center of rotation of angulation (CORA).
Intersection of the PMA and DMA defines the CORA, which determines wedge geometry.

🔍 Key Findings

  • The CORA-based cranial closing wedge ostectomy (CCWOCORA) consistently achieved the target postoperative TPA of 5° across all tibial morphologies.
  • CCWOCORA produced significantly less variability in postoperative TPA compared to other methods (TPA range: 5.00–5.00°; p < .001).
  • Mechanical axis advancement (MAA) was precisely controlled at 3° in CCWOCORA, leading to greater surgical predictability.
  • Other techniques (e.g., CCWOTPA, CCWOTPA–5, CCWOISO) showed greater variance in TPA, MAA, and tibial length.
  • In small-breed dogs, increasing the MAA from 3° to 5° did not affect TPA outcomes, but increased proximal bone stock, improving feasibility.
  • Wedge angles and tibial length changes varied by method, but CCWOCORA maintained length better than TPA-based methods.
  • The technique allows preoperative planning of both desired MAA and TPA, enhancing predictability and customization.
  • CORA methodology enables precise geometric correction and alignment of mechanical axes, reducing reliance on trial-and-error alignment.

Petchell

Veterinary Surgery

7

2025

An in silico comparison of a novel CORA-based cranial closing wedge ostectomy methodology with three other techniques

2025-7-VS-petchell-5

Article Title: An in silico comparison of a novel CORA-based cranial closing wedge ostectomy methodology with three other techniques

Journal: Veterinary Surgery

In Walker 2022 et al., on TPLO mRUST scoring, which metric demonstrated the highest inter-rater reliability?

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Correct. The TPLO mRUST system had an inter-rater ICC of 0.56 vs 0.33 for subjective evaluation.
Incorrect. The correct answer is TPLO mRUST scoring system.
The TPLO mRUST system had an inter-rater ICC of 0.56 vs 0.33 for subjective evaluation.

🔍 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-1

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 Marti 2024 et al., on surgical outcomes in feline sialoceles, which salivary glands were most frequently involved?

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Correct. These two glands were identified in the majority of cases as the affected source, consistent with previous canine literature.
Incorrect. The correct answer is Mandibular and sublingual.
These two glands were identified in the majority of cases as the affected source, consistent with previous canine literature.

🔍 Key Findings

  • Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
  • Left-sided lesions were more prevalent (71%) among affected cats.
  • Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
  • Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
  • Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
  • Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
  • One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
  • Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.

Marti

Veterinary Surgery

7

2024

Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)

2024-7-VS-marti-1

Article Title: Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)

Journal: Veterinary Surgery

In Fracka 2025 et al., on cementless knee replacement, which implant-related finding was noted at necropsy?

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Correct. The post-mortem exam found mild polyethylene wear but no loosening, metallosis, or migration【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is Mild polyethylene wear at the tibial insert caudal edge.
The post-mortem exam found mild polyethylene wear but no loosening, metallosis, or migration【57†Veterinary Surgery†L1-L20】

🔍 Key Findings

Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.

Clinical function:

  • Improved ROM from 90° pre-op to 120° post-op.
  • Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
  • No visible lameness by 14 weeks.

Implant performance:

  • No complications at any follow-up points.
  • No osteolysis, loosening, or metallosis at 6-year necropsy.

Wear evaluation:

  • Mild UHMWPE insert wear, localized to caudal edges.

Histologic findings:

  • Robust osseointegration at implant-bone interface.
  • Fibrous tissue only in areas lacking porous coating.

Conclusion:

  • Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
  • Support for considering early surgical intervention in severe stifle OA.

Fracka

Veterinary Surgery

3

2025

Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

2025-3-VS-fracka-3

Article Title: Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

Journal: Veterinary Surgery

In Quitzan 2022 et al., on staple line configuration, which FEESA group had significantly higher ILP than both 2V/2T and 3V/2T groups?

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Correct. 3V/3T was significantly stronger (P < .001) in ILP than 2V/2T and 3V/2T groups.
Incorrect. The correct answer is 3V/3T.
3V/3T was significantly stronger (P < .001) in ILP than 2V/2T and 3V/2T groups.

🔍 Key Findings

  • All FEESA configurations leaked at lower pressures than intact segments, confirming reduced integrity vs. native tissue.
  • FEESA with 3-row transverse staples (3V/3T or 2V/3T) had significantly higher leak pressures than 2-row configurations.
  • 3V/3T configuration had the highest ILP (69.88 ± 21.23 mmHg) among all groups, significantly greater than 2V/2T and 3V/2T (P < .001).
  • Leakage consistently occurred at the transverse staple line (not vertical), regardless of configuration.
  • No significant difference in maximum intraluminal pressure (MIP) between FEESA groups.
  • All FEESA constructs withstood intraluminal pressures >25 mmHg, exceeding normal physiological jejunal pressure in dogs.
  • No leaks occurred from the vertical staple line, highlighting it as a more robust closure site.
  • Third staple row in transverse line may be a viable alternative to suture oversew, pending further clinical evaluation.

Quitzan

Veterinary Surgery

5

2022

Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study

2022-5-VS-quitzan-3

Article Title: Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study

Journal: Veterinary Surgery

In Rehnblom 2025 et al., on OrthoLine fracture fixation, which owner-assessed outcome was reported?

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Correct. All owners who responded reported either full recovery or acceptable function.
Incorrect. The correct answer is Full or acceptable outcomes in all cases.
All owners who responded reported either full recovery or acceptable function.

🔍 Key Findings

  • High clinical union rate (93.4%) was achieved across 75 fractures treated with the OrthoLine™ system.
  • Owner-assessed outcomes were universally acceptable or full, with no unacceptable outcomes reported.
  • Overall major complication rate was 12.2%, including implant failure (1.1%) and implant infection (2 cases).
  • Shorter plate spans in radial (46.6%) and ulnar (33.0%) fractures were well tolerated without increased nonunion.
  • Femoral constructs used longer plate spans (73.3%) compared with radius/ulna, reflecting differing biomechanical demands.
  • Use of postoperative external coaptation was common (46.7%) and associated with higher minor bandage-related complications.
  • Titanium alloy and stainless-steel plates both produced acceptable healing, with no delayed unions attributable to material choice.
  • The OrthoLine™ system was deemed a promising alternative locking plate system for small animal fracture repair.

Rehnblom

Veterinary Surgery

8

2025

Open reduction and internal fixation of 75 small animal fractures treated with the OrthoLine™ fracture system

2025-8-VS-rehnblom-2

Article Title: Open reduction and internal fixation of 75 small animal fractures treated with the OrthoLine™ fracture system

Journal: Veterinary Surgery

In Guevara 2024 et al., on implant placement accuracy, what was the odds ratio (OR) for successful placement using freehand compared to 3DPG?

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Correct. Freehand technique was significantly less likely to result in acceptable placement (OR = 0.28, p < .0001).
Incorrect. The correct answer is 0.28 (p < .0001).
Freehand technique was significantly less likely to result in acceptable placement (OR = 0.28, p < .0001).

🔍 Key Findings:

  • Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
  • Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
  • Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
  • Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
  • Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
  • Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
  • Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
  • Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.

Guevara

Veterinary Surgery

2

2024

Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

2024-2-VS-guevara-2

Article Title: Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

Journal: Veterinary Surgery

In Boullenger 2025 et al., on traumatic patellar luxation, what surgical technique was performed in all cases?

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Correct. All 16 cases received capsular imbrication regardless of severity or direction.
Incorrect. The correct answer is Capsular imbrication.
All 16 cases received capsular imbrication regardless of severity or direction.

🔍 Key Findings

  • Patients: 16 (11 dogs, 5 cats); 6.1% of canine and 23.8% of feline PL cases were traumatic.
  • Most common luxation direction: Medial (81.3%).
  • Surgery: All had capsular imbrication; 75% had fabello-patellar suture (FPS).
  • Short-term results (13/16 cases):
    • 77% had no lameness by 2 months.
    • 85% had no PL recurrence.
    • 3 severe complications: capsulorrhaphy tear, FPS fabellar tear, septic arthritis.
  • Long-term results (13/16 cases):
    • 85% lameness-free.
    • 77% full function; 23% acceptable.
    • 0 reluxations reported by owners.

Boullenger

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022

2025-1-VC-boullenger-3

Article Title: Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Peycke 2022 et al., on CBLO in immature dogs, how many dogs developed **tibial recurvatum** due to over-rotation of the TPA during CBLO?

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Correct. One dog developed 10° recurvatum due to overcorrection to protect CrCL avulsion repair.
Incorrect. The correct answer is 1.
One dog developed 10° recurvatum due to overcorrection to protect CrCL avulsion repair.

🔍 Key Findings

  • CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
  • Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
  • Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
  • Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
  • One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
  • CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
  • In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
  • No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.

Peycke

Veterinary Surgery

3

2022

Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

2022-3-VS-peycke-5

Article Title: Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

Journal: Veterinary Surgery

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