Your Custom Quiz

In Pfund 2025 et al., on femoral cortical thickness, what percentage of dogs sustained intraoperative fissures or fractures during THR?

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Correct. 22 out of 224 dogs sustained intraoperative fissures or fractures (mostly fissures).
Incorrect. The correct answer is 9.8%.
22 out of 224 dogs sustained intraoperative fissures or fractures (mostly fissures).

🔍 Key Findings

  • Lower CTI values were significantly associated with higher risk of both intraoperative and postoperative femoral fractures or fissures (p <.0001).
  • The mean CTI for all dogs was 0.285, whereas dogs with fissures/fractures had a mean CTI of 0.246.
  • For each 0.001 increase in CTI, odds of fissure/fracture decreased by 2–3% depending on perioperative timing.
  • High interobserver reliability (ICC = 0.984) and consistency between pre- and postoperative CTI measurements (ICC = 0.96).
  • CTI was the only significant risk factor identified; age, breed, bodyweight, BCS, CFI, or luxoid hips were not significant.
  • Prophylactic lateral plating in dogs with low CTI (mean 0.230) resulted in no postoperative fractures.
  • Postoperative fractures occurred in 8% of cases, and 93% of dogs returned to full function within one year.
  • CTI may be a useful radiographic screening tool, especially when advanced imaging (e.g., DEXA) is unavailable.

Pfund

Veterinary Surgery

6

2025

Femoral cortical thickness index in a population of dogs undergoing total hip replacement

2025-6-VS-pfund-2

Article Title: Femoral cortical thickness index in a population of dogs undergoing total hip replacement

Journal: Veterinary Surgery

In Mazdarani 2022 et al., on CBLO and stifle biomechanics, when did cranial tibial translation (CTT) occur after CBLO **without** hamstring loading?

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Correct. CBLO eliminated CTT at all angles **except 140°** in the absence of hamstring load.
Incorrect. The correct answer is Only at 140°.
CBLO eliminated CTT at all angles **except 140°** in the absence of hamstring load.

🔍 Key Findings

  • CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
  • CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
  • Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
  • Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
  • PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
  • Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
  • Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
  • Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

Mazdarani

Veterinary Surgery

6

2022

Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

2022-6-VS-mazdarani-2

Article Title: Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

Journal: Veterinary Surgery

In Fracka 2023 et al., on patient-specific guides, what was a notable advantage of PSGs during surgery?

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Correct. None of the PSGs loosened during surgery, unlike generic guides which may loosen.
Incorrect. The correct answer is No intraoperative guide loosening.
None of the PSGs loosened during surgery, unlike generic guides which may loosen.

🔍 Key Findings

  • 3D-printed patient-specific guides (PSGs) improved tibial cut alignment in the frontal plane compared to generic guides (mean error 1.03° vs 2.41°, p = .036).
  • All tibial cuts using PSGs were within 3° of target alignment, while 2/8 of the generic group were outliers.
  • PSGs significantly improved sagittal alignment of both distal (p = .018) and cranial (p = .043) femoral cuts.
  • No significant difference was found in varus-valgus femoral alignment or closing angle between PSG and generic guide groups.
  • Tibial sagittal slope alignment was not significantly different between groups.
  • PSGs provided better intraoperative usability, including improved visibility, no loosening, and ease of use.
  • Femoral sizing and component fit were equivalent between PSGs and generic guides, ensuring proper prosthesis alignment.
  • PSGs may offer training advantages for novice surgeons, especially in anatomically complex or deformed joints.

Fracka

Veterinary Surgery

5

2023

3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement

2023-5-VS-fracka-3

Article Title: 3D-printed, patient-specific cutting guides improve femoral and tibial cut alignment in canine total knee replacement

Journal: Veterinary Surgery

In Miller 2024 et al., on surgical comparison of staphylectomy vs. FFP, what was the most common postoperative complication overall?

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Correct. Regurgitation occurred in 27 dogs postoperatively and was the most commonly reported minor complication.
Incorrect. The correct answer is Regurgitation.
Regurgitation occurred in 27 dogs postoperatively and was the most commonly reported minor complication.

🔍 Key Findings

  • FFP resulted in longer median surgery (75 min) and anesthesia (111 min) durations than S (51 min and 80 min, respectively).
  • No significant difference in anesthetic complications, regurgitation, aspiration pneumonia, or hospitalization time between S and FFP.
  • Major complications were rare (4%) and equally distributed between procedures; included tracheostomy and euthanasia due to severe airway disease.
  • Postoperative oxygen use was common (52% of dogs) but not significantly different between procedures.
  • FFP dogs more often had laryngeal collapse (especially Grade 1: 68% vs. 32% in S dogs).
  • Most dogs (85%) had concurrent nares surgery, with caudal wedge resection more frequent in FFP dogs.
  • Few dogs needed revision soft palate surgery (7/124 total); similar between groups.
  • Postoperative clinical signs improved across both procedures; regurgitation was the most persistent sign post-op.

Miller

Veterinary Surgery

8

2024

Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

2024-8-VS-miller-2

Article Title: Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

Journal: Veterinary Surgery

In Gleason 2023 et al., on ala vestibuloplasty in cats, what significant change occurred in activity-related dyspnea following ala vestibuloplasty?

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Correct. Activity tolerance improved postoperatively with less dyspnea and increased onset time.
Incorrect. The correct answer is Improved tolerance and longer time to dyspnea.
Activity tolerance improved postoperatively with less dyspnea and increased onset time.

🔍 Key Findings

  • Ala vestibuloplasty significantly reduced normalized pulmonary transit time (nPTT) (mean 5.43 → 3.89 sec; p <.001), suggesting improved cardiopulmonary function.
  • Clinical respiratory signs improved, including reduced snoring, sneezing, nasal discharge, and open-mouth breathing (all p <.01).
  • Activity tolerance increased, with less dyspnea during activity and longer time to onset of dyspnea (p <.005).
  • Paradoxical sternal motion resolved in all affected cats after surgery.
  • Hiatal hernias resolved in 75% of affected cats on follow-up CT.
  • No serious complications occurred, with only mild, self-limiting epistaxis and hypersalivation in a few cases.
  • Aberrant turbinates were detected on CT in all cats, though only 1 showed obstructive CATs endoscopically.
  • Total clinical severity scores improved significantly postoperatively (median reduction of 30 points; p <.001).

Gleason

Veterinary Surgery

4

2023

Ala vestibuloplasty improves cardiopulmonary and activity‐related parameters in brachycephalic cats

2023-4-VS-gleason-5

Article Title: Ala vestibuloplasty improves cardiopulmonary and activity‐related parameters in brachycephalic cats

Journal: Veterinary Surgery

In Redolfi 2024 et al., what implant configuration was most commonly used to stabilize the tibial tuberosity?

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Correct. 21/24 stifles had pin and tension band wire fixation of the tibial tuberosity
Incorrect. The correct answer is Pins and tension band wire.
21/24 stifles had pin and tension band wire fixation of the tibial tuberosity

🔍 Key Findings Summary

  • Study of 24 stifles in 22 dogs with concurrent CCLR and grade III–IV MPL treated via TPLO-TTT
  • Major complications: 4/24 (3 surgical site infections, 1 MPL reluxation); minor complications: 5/24
  • Long-term follow-up (median 27 months): 21/22 dogs sound, 23/24 stifles resolved
  • Patellar ligament thickening observed post-op in 4 cases, resolved with rehab
  • The only case of MPL reluxation involved untreated tibial torsion, suggesting case selection is critical

Redolfi

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

2024-1-VCOT-redolfi-5

Article Title: Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Walker 2025 et al., on ventral slot guides, what slot dimension was significantly more accurate with guide use?

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Correct. Guided slots were significantly closer to the intended length compared to freehand (p < .01 vs p = .722).
Incorrect. The correct answer is Slot length.
Guided slots were significantly closer to the intended length compared to freehand (p < .01 vs p = .722).

🔍 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-1

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

Journal: Veterinary Surgery

In Schmutterer 2024 et al., what was the observed peak pressure in the lateral meniscus at 125° flexion?

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Correct. Lateral meniscus peak pressure was 1.2 MPa at 125°, higher than at 145° (1.0 MPa), p = 0.049
Incorrect. The correct answer is 1.2 MPa.
Lateral meniscus peak pressure was 1.2 MPa at 125°, higher than at 145° (1.0 MPa), p = 0.049

🔍 Key Findings Summary

  • Biomechanical study on 14 hindlimbs from Retrievers (cadaveric)
  • Three stifle flexion angles tested: 125°, 135°, and 145°
  • Contact Force Ratio (CFR) was significantly higher at 125° and 135° than at 145° (p < 0.001)
  • Center of force shifted caudally with increasing flexion — especially in medial meniscus
  • Lateral meniscus peak pressure was significantly higher at 125° than 145° (p = 0.049)
  • Mean pressures on lateral meniscus decreased with extension, while medial meniscus pressure remained constant
  • Relevance: Helps interpret meniscal load in early cruciate disease and in surgical modeling

Schmutterer

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

2024-3-VCOT-schmutterer-3

Article Title: Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Bilmont 2025 et al., on cup version comparison, which variable most affected open face version without significantly changing truncated face version?

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Correct. Cup inclination caused open face version to increase linearly, while truncated face version remained relatively stable.
Incorrect. The correct answer is Cup inclination.
Cup inclination caused open face version to increase linearly, while truncated face version remained relatively stable.

🔍 Key Findings

  • Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
  • Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
  • Truncated face version is an unreliable surrogate for open face version.
  • Accurate interpretation of cup version should include both truncated face version and inclination.
  • Canine 3D pelvic model and CT-based simulation used for all measurements.

Bilmont

Veterinary Surgery

1

2025

Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

2025-1-VS-bilmont-2

Article Title: Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

Journal: Veterinary Surgery

In Schmutterer 2024 et al., what was the trend in mean pressure on the medial meniscus across all angles tested?

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Correct. Mean pressure on the medial meniscus remained relatively constant across 125° to 145° flexion
Incorrect. The correct answer is Remained constant.
Mean pressure on the medial meniscus remained relatively constant across 125° to 145° flexion

🔍 Key Findings Summary

  • Biomechanical study on 14 hindlimbs from Retrievers (cadaveric)
  • Three stifle flexion angles tested: 125°, 135°, and 145°
  • Contact Force Ratio (CFR) was significantly higher at 125° and 135° than at 145° (p < 0.001)
  • Center of force shifted caudally with increasing flexion — especially in medial meniscus
  • Lateral meniscus peak pressure was significantly higher at 125° than 145° (p = 0.049)
  • Mean pressures on lateral meniscus decreased with extension, while medial meniscus pressure remained constant
  • Relevance: Helps interpret meniscal load in early cruciate disease and in surgical modeling

Schmutterer

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

2024-3-VCOT-schmutterer-4

Article Title: Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

Journal: Veterinary and Comparative Orthopedics and Traumatology

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