
Your Custom Quiz
In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, how many screws exited the sacral body postoperatively?
🔍 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.
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
In Anderson 2025 et al., on wound drain configurations, what was the rate of leakage observed across all wounds?
🔍 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.
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
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?
🔍 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.
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
In Fracka 2025 et al., on cementless knee replacement, what postoperative improvement in stifle range of motion (ROM) was documented?
🔍 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.
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
In Kershaw 2025 et al., on PSG vs AD, how many joint penetrations occurred in the PSG group during cadaveric screw placement?
🔍 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.
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
In Miraldo 2026 et al., on TPLO plate compression, what method was used to measure interfragmentary compression at the osteotomy interface?
🔍 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.
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
In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what surgical fixation approach was used?
🔍 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.
Veterinary Surgery
3
2024
Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening
2024-3-VS-pfeil-4
In Lu 2025 et al., on SOP constructs, what was concluded about the **clinical significance** of the increased mediolateral stiffness with bending tees?
🔍 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.
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
In Murphy 2024 et al., what was the median time from first-side CCLR to contralateral rupture?
🔍 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).
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
In Thomsen 2024 et al., on CT accuracy for liver tumors, which phase of contrast-enhanced CT was most helpful in localization?
🔍 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
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
Quiz Results
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