Your Custom Quiz

In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, how many screws exited the sacral body postoperatively?

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Correct. Only one screw exited caudally; no cranial, dorsal, or ventral exits were observed.
Incorrect. The correct answer is 1.
Only one screw exited caudally; no cranial, dorsal, or ventral exits were observed.

🔍 Key Findings

  • Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
  • Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
  • One screw exited caudally; no dorsal, ventral, or cranial exits reported.
  • At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
  • No screw loosening observed, even in suboptimal reductions or purchases.
  • Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
  • Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
  • Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.

Jourdain

Veterinary Surgery

4

2024

Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

2024-4-VS-jourdain-3

Article Title: Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

Journal: Veterinary Surgery

In Anderson 2025 et al., on wound drain configurations, what was the rate of leakage observed across all wounds?

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Correct. Leakage occurred in 93.8% of wounds, mostly at entry sites for the drain system.
Incorrect. The correct answer is 93.8%.
Leakage occurred in 93.8% of wounds, mostly at entry sites for the drain system.

🔍 Key Findings

  • Study Design: Cadaveric model using four large-breed dogs with 10x10 cm full-thickness wounds at four locations (shoulder, thorax, flank, thigh).
  • Configurations Tested: Diagonal, opposite, parallel, and perpendicular placements of wound infusion catheter and JP drain.
  • Fluid Retrieval:
    • No significant difference by configuration (p = .92) or location (p = .32).
    • Perpendicular configuration had the highest mean retrieval (11.35 mL, 56.8% of instilled volume).
    • Flank location had the lowest retrieval (7.2 mL, 35.9%).
  • Surface Area Coverage:
    • Parallel configuration achieved the highest SA coverage (83.4% ± 11.6%, p < .01).
    • Perpendicular was lowest.
  • Leakage:
    • No difference in leakage between configurations (p = .74) or locations (p = .10).
    • Leakage commonly occurred at drain or catheter entry points (93.8% of wounds).
  • Conclusion: Parallel drain configuration optimized fluid dispersion. Infusion-retrieval systems may allow for topical therapy delivery in closed wounds.

Anderson

Veterinary Surgery

2

2025

Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

2025-2-VS-anderson2-3

Article Title: Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

Journal: Veterinary Surgery

In Muroi 2025 et al., on refracture risk, what screw-to-bone diameter ratio (SBDR) is suggested as a **threshold** for increased refracture risk in growing dogs?

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Correct. An SBDR over 0.4 may weaken bone, especially when screws become relatively large due to growth.
Incorrect. The correct answer is >0.4.
An SBDR over 0.4 may weaken bone, especially when screws become relatively large due to growth.

🔍 Key Findings

  • Refracture occurred in 5.5% of limbs, with higher incidence in the plate removal group (12.5%) vs. non-removal (3.5%).
  • In the non-plate removal group, refractures occurred at the most distal screw site, linked to greater screw position change during growth (OR 1.79, p=0.04).
  • Screw-to-bone diameter ratio (SBDR) >0.4 was a significant risk factor for refracture in the plate retention group.
  • In the plate removal group, refractures occurred at the original fracture site, associated with lower pixel value ratio (bone mineral density) and reduced radial thickness.
  • Implant-induced osteoporosis (IIO) beneath the plate likely contributed to refracture risk after plate removal.
  • Younger age at fracture (<6 months) was associated with higher refracture risk due to ongoing radial growth and shifting screw position.
  • No significant association was found between refracture and plate type (locking vs conventional), fixation method, or ulnar union.
  • Recommendations include careful SBDR sizing, motion restriction, and cautious plate removal decisions in growing dogs.

Muroi

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs

2025-2-VCOT-muroi-2

Article Title: A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Fracka 2025 et al., on cementless knee replacement, what postoperative improvement in stifle range of motion (ROM) was documented?

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Correct. ROM improved from 90° preoperatively to 120° postoperatively over 6 weeks【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is From 90° to 120°.
ROM improved from 90° preoperatively to 120° postoperatively over 6 weeks【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-1

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

Journal: Veterinary Surgery

In Kershaw 2025 et al., on PSG vs AD, how many joint penetrations occurred in the PSG group during cadaveric screw placement?

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Correct. All 7 PSG placements avoided joint penetration, compared to 3/7 joint penetrations in the AD group.
Incorrect. The correct answer is 0.
All 7 PSG placements avoided joint penetration, compared to 3/7 joint penetrations in the AD group.

🔍 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-2

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 Miraldo 2026 et al., on TPLO plate compression, what method was used to measure interfragmentary compression at the osteotomy interface?

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Correct. The study used ultra-low pressure-sensitive film (Prescale) placed at the osteotomy interface to quantify compression distribution.
Incorrect. The correct answer is Pressure-sensitive film inserted at the osteotomy interface.
The study used ultra-low pressure-sensitive film (Prescale) placed at the osteotomy interface to quantify compression distribution.

🔍 Key Findings

  • Biocurve TPLO plate generated the highest and most uniform interfragmentary compression, particularly in the cranial quadrants (Q1: 0.285 MPa; Q2: 0.304 MPa), due to its opposing angled dynamic compression holes.
  • Synthes TPLO plate produced the lowest compression across all quadrants (0.050–0.111 MPa), remaining within the low compression range.
  • Arthrex plate achieved intermediate compression, with high compression in the craniolateral quadrant (Q2: 0.292 MPa) but only moderate compression elsewhere.
  • Plate design significantly affected compression distribution (p < 0.001), confirming that screw hole orientation and plate geometry influence osteotomy compression patterns.
  • Cranial compression (Q1–Q2) was greatest with the Biocurve plate, potentially improving stability against “rock-back” or loss of tibial plateau angle.
  • No significant differences between plates were found in caudal quadrants (Q3–Q4), suggesting plate design primarily affects cranial compression.
  • Pressure-sensitive film analysis allowed quantitative mapping of compression patterns, dividing the osteotomy interface into four quadrants for standardized comparison.
  • Clinical superiority of one plate was not concluded, but findings suggest plate geometry and dynamic compression hole orientation influence mechanical stability during TPLO fixation.

Miraldo

Veterinary and Comparative Orthopaedics and Traumatology

1

2026

Tibial Plateau Leveling Osteotomy Plate Design Influences Interfragmentary Compression: An In Vitro Study

2026-1-vcot-miraldo-4

Article Title: Tibial Plateau Leveling Osteotomy Plate Design Influences Interfragmentary Compression: An In Vitro Study

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what surgical fixation approach was used?

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Correct. A combination of plating and orthopedic wire was used in all cases.
Incorrect. The correct answer is Plating with orthopedic wire.
A combination of plating and orthopedic wire was used in all cases.

🔍 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-4

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

Journal: Veterinary Surgery

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 Murphy 2024 et al., what was the median time from first-side CCLR to contralateral rupture?

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Correct. Median time to contralateral CCLR was 12.9 months (25th–75th percentile: 6.5–24.3 months).
Incorrect. The correct answer is 12.9 months.
Median time to contralateral CCLR was 12.9 months (25th–75th percentile: 6.5–24.3 months).

🔍 Key Findings Summary

  • Prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg was 19.1%, notably lower than previous studies (33–50%).
  • Median time to contralateral CCLR was 12.9 months.
  • Older age reduced risk — 2% decrease per month of age (p=0.003).
  • Golden Retrievers and Labradors had significantly lower risk (p=0.028 and p=0.007, respectively).
  • No effect found from TPA, meniscal injury, or comorbidities (e.g., hip dysplasia, hypothyroidism).

Murphy

Veterinary and Comparative Orthopedics and Traumatology

1

2024

The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older

2024-1-VCOT-murphy-2

Article Title: The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Thomsen 2024 et al., on CT accuracy for liver tumors, which phase of contrast-enhanced CT was most helpful in localization?

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Correct. Both were reported as useful in roughly 30–38% of cases.
Incorrect. The correct answer is Both portal and hepatic venous.
Both were reported as useful in roughly 30–38% of cases.

🔍 Key Findings

  • CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
  • Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
  • Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
  • CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
  • Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
  • No significant associations found between histopathologic diagnosis and localization accuracy
  • Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
  • Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best

Thomsen

Veterinary Surgery

7

2024

Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

2024-7-VS-thomsen-3

Article Title: Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

Journal: Veterinary Surgery

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