
Quiz Question
In Mazdarani 2025 et al., on simulated muscle loading, which fixation model produced the most physiologic quadriceps forces?
🔍 Key Findings
- Simulated quadriceps and gastrocnemius forces increased proportionally with axial load in all three femoral fixation models.
- Model 2 (rigid fixation) resulted in subphysiologic quadriceps forces and abnormally high gastrocnemius forces, reducing model fidelity.
- Models 1 and 3 (with hip mobility) produced more physiologic quadriceps and force ratios, especially under 30–40% bodyweight loads.
- Force ratios were significantly lower in rigid fixation (Model 2) compared to hip-mobile models (p = .007), suggesting model design affects simulated muscle coordination.
- Joint angles (stifle and hock) remained within acceptable limits, though slight flexion occurred with increasing load.
- Relative foot position differed by ~3.9 mm between models 2 and 3, with model 2 showing a more caudal position.
- Model 3 preserved benefits of hip mobility while allowing radiographic documentation, making it a preferred setup for future studies.
- The study suggests that models used in feline stifle stabilization research may underestimate physiologic forces, especially with rigid fixation designs.
Veterinary Surgery
5
2025
Proximal femoral fixation method and axial load affect simulated muscle forces in an ex vivo feline limb press
2025-5-VS-mazdarani-1
In Banks 2024 et al., what ostectomy position was associated with the most accurate postoperative TPA?
🔍 Key Findings Summary
- Study Design: Retrospective study of 100 radiographs using in silico and clinical data
- Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
- Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
- Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
- Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
- Increased distalization → greater under-correction of TPA (p = .01)
- Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
- Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA
Veterinary Surgery
1
2024
A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases
2024-1-VS-banks-5
In Gutbrod 2024 et al., on feline tibial stabilization, which construct demonstrated the highest axial stiffness?
🔍 Key Findings
- 2.4 mm LCP with a 1.6 mm IM pin had the highest axial stiffness and yield strength among the tested constructs.
- Axial stiffness was significantly higher in the 2.4 mm LCP + 1.6 mm IM pin group compared to 2.7 mm LCP alone (p = .013).
- No significant difference in torsional stiffness was found among groups.
- 2.4 mm LCP + 1.0 mm pin had the lowest stiffness and failure load, underperforming both other constructs.
- All constructs failed via valgus bending, consistent with clinical observations in feline tibial fractures.
- A 1.6 mm pin (~50% canal fill) resulted in superior construct performance vs. 1.0 mm (~30% fill).
- Group 2 (2.4 LCP + 1.6 mm pin) outperformed the 2.7 mm LCP alone in stiffness, despite using a smaller plate.
- Plate–rod constructs may better preserve periosteal blood supply and support minimally invasive stabilization strategies.
Veterinary Surgery
4
2024
Ex vivo biomechanical evaluation of 2.4 mm LCP plate rod constructs versus 2.7 mm LCP applied to the feline tibia
2024-4-VS-gutbrod-1
In Cheon 2025 et al., on guide accuracy in DFO, how did correction accuracy compare between uniplanar and biplanar deformities?
🔍 Key Findings
- Both patient-specific and universal guides yielded correction errors <2°, with no statistically significant difference in accuracy.
- Universal guide corrected aLDFA up to 24° and AA up to 20°, addressing multiplanar deformities effectively.
- Patient-specific guides allowed for preoperative simulation, providing more stable pin placement and potentially aiding less-experienced surgeons.
- Universal guide eliminated the need for CT-based customization, reducing time and cost.
- Cadaver and bone model trials showed consistent accuracy, validating both methods in vitro and ex vivo.
- No significant differences in outcome when correcting uniplanar (aLDFA) vs biplanar (aLDFA + AA) deformities.
- Universal guide's fixed size presented limitations in small dogs, potentially requiring multiple size options.
- Universal guide showed potential for standard use, offering repeatable outcomes with minimal prep despite needing precise intraoperative placement.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs
2025-3-VCOT-cheon-5
In Alvarez 2024 et al., on TPLO compression methods, which combination provided the most uniform and high interfragmentary compression across all quadrants?
🔍 Key Findings Summary
- F + P (forceps + plate compression) achieved the most uniform, high-pressure distribution across all quadrants.
- Kern forceps alone concentrated force in craniomedial quadrant, reducing caudal compression.
- Combining Kern + F improved craniolateral compression but did not restore caudal compression.
- Plate compression alone yielded caudal bias, not uniform pressure.
- Significant inter-method variation in quadrant-specific compression confirmed via ANOVA (p < 0.001 for all quadrants).
Veterinary and Comparative Orthopedics and Traumatology
2
2024
In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy
2024-2-VCOT-alvarez-1
In De Moya 2023 et al., on femoral physeal/neck fracture repair, what was the most common Salter-Harris classification observed in the cohort?
🔍 Key Findings
- FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
- Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
- Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
- Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
- Median surgical time was 60 minutes, and no conversions to open surgery were needed.
- Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
- One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
- FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.
Veterinary Surgery
6
2023
Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs
2023-6-vs-demoya-1
In Caldeira 2025 et al., on femoral neck fixation, what complication was more likely with the three-screw construct?
🔍 Key Findings
Design: In vitro study on cadaveric femurs (n=21) with basilar femoral neck fractures stabilized using 2 vs 3 titanium cannulated screws.
Stiffness: Control > 3-screw > 2-screw (674 > 120 > 90 N/mm).
Yield Load: 3-screw (586 N) > 2-screw (303 N); both < intact femur (2692 N).
Displacement: No difference across groups.
Complication: 3-screw technique more demanding; higher risk of cortical perforation, especially with narrow femoral necks.
Failure Mode: Dislodgement of femoral head + screw shaft bending.
Conclusion: 3 screws = stronger construct than 2 screws. Clinical implications need further study.
Veterinary and Comparative Orthopedics and Traumatology
1
2025
In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs
2025-1-VC-Caldeira-3
In Lopez Barroso 2026 et al., on sacroiliac screw accuracy, what percentage of sacral width purchase was achieved on average across all screws?
🔍 Key Findings
- Mean SI joint reduction was 94.25%, exceeding the 90% target considered important to reduce screw loosening
- Mean sacral width purchase was 82.52%, with all screws achieving >60%—a threshold for reducing implant loosening risk
- All 20 screws were accurately placed within the sacral body, confirmed via CT or radiographs
- A 3D-printed drill guide and table-bound system facilitated consistent screw placement via minimally invasive technique
- Craniocaudal and dorsoventral angles were well controlled (mean CCA = –1.22°, DVA = 0.71°), demonstrating accurate trajectory
- No intraoperative complications were reported; all pilot holes drilled on first attempt
- Use of fluoroscopy and orthogonal imaging enhanced surgical accuracy and reduced malposition risk
- The system permitted screw placement through a sleeve that doubled as a muscle retractor, allowing implant delivery without disruption
Veterinary Surgery
1
2026
Accuracy of a table‐bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats
2026-1-vs-lopezbarroso-4
In Cheon 2025 et al., on guide accuracy in DFO, which of the following was a limitation of the universal guide?
🔍 Key Findings
- Both patient-specific and universal guides yielded correction errors <2°, with no statistically significant difference in accuracy.
- Universal guide corrected aLDFA up to 24° and AA up to 20°, addressing multiplanar deformities effectively.
- Patient-specific guides allowed for preoperative simulation, providing more stable pin placement and potentially aiding less-experienced surgeons.
- Universal guide eliminated the need for CT-based customization, reducing time and cost.
- Cadaver and bone model trials showed consistent accuracy, validating both methods in vitro and ex vivo.
- No significant differences in outcome when correcting uniplanar (aLDFA) vs biplanar (aLDFA + AA) deformities.
- Universal guide's fixed size presented limitations in small dogs, potentially requiring multiple size options.
- Universal guide showed potential for standard use, offering repeatable outcomes with minimal prep despite needing precise intraoperative placement.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs
2025-3-VCOT-cheon-4
In Wilson 2025 et al., on acetabular measurement accuracy, which method demonstrated the highest intra- and interobserver reliability?
🔍 Key Findings
Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:
- ACVD/ACOLL (acetabular circle on VD or OLL view)
- ALVD/ALOLL (acetabular line)
- FHCVD/FHCOLL/FHCCCHB (femoral head circle)
- Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
- FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
- AC and AL methods had low bias (±0.5 mm) and better predictive value.
- OA severity negatively affected the accuracy of all measurements (p < .05).
- Highest predictive accuracy was ~49% using ACVD with rounding down protocol.
Veterinary Surgery
1
2025
Evaluation of three acetabular measurement methods for total hip replacement in dogs
2025-1-VS-wilson-1
Quiz Results
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Key Findings
