Quiz Question

In Mazdarani 2025 et al., on simulated muscle loading, which fixation model produced the most physiologic quadriceps forces?

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Correct. Model 3 preserved near-physiologic quadriceps loads with improved reproducibility over Model 1.
Incorrect. The correct answer is Model 3 (flexion-extension hip mobility).
Model 3 preserved near-physiologic quadriceps loads with improved reproducibility over Model 1.

🔍 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.

Mazdarani

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

Article Title: Proximal femoral fixation method and axial load affect simulated muscle forces in an ex vivo feline limb press

Journal: Veterinary Surgery

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In Banks 2024 et al., what ostectomy position was associated with the most accurate postoperative TPA?

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Correct. Accuracy in achieving target TPA was best when the ostectomy was placed ≤7.5 mm from patellar tendon origin.
Incorrect. The correct answer is ≤7.5 mm from patellar tendon origin.
Accuracy in achieving target TPA was best when the ostectomy was placed ≤7.5 mm from patellar tendon origin.

🔍 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

Banks

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

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

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In Gutbrod 2024 et al., on feline tibial stabilization, which construct demonstrated the highest axial stiffness?

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Correct. Group 2 (2.4 mm LCP + 1.6 mm pin) showed the greatest stiffness and yield point under axial loading.
Incorrect. The correct answer is 2.4 mm LCP + 1.6 mm pin.
Group 2 (2.4 mm LCP + 1.6 mm pin) showed the greatest stiffness and yield point under axial loading.

🔍 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.

Gutbrod

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

Article Title: Ex vivo biomechanical evaluation of 2.4 mm LCP plate rod constructs versus 2.7 mm LCP applied to the feline tibia

Journal: Veterinary Surgery

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In Cheon 2025 et al., on guide accuracy in DFO, how did correction accuracy compare between uniplanar and biplanar deformities?

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Correct. The study found no significant difference between uniplanar and biplanar correction outcomes.
Incorrect. The correct answer is No significant difference found.
The study found no significant difference between uniplanar and biplanar correction outcomes.

🔍 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.

Cheon

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

Article Title: Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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In Alvarez 2024 et al., on TPLO compression methods, which combination provided the most uniform and high interfragmentary compression across all quadrants?

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Correct. F + P produced high-pressure values in all quadrants and the most even compression distribution:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Pointed forceps and plate (F + P).
F + P produced high-pressure values in all quadrants and the most even compression distribution:contentReference[oaicite:0]{index=0}

🔍 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).

Alvarez

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

Article Title: In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In De Moya 2023 et al., on femoral physeal/neck fracture repair, what was the most common Salter-Harris classification observed in the cohort?

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Correct. 10 out of 13 fractures were Salter-Harris Type I capital physeal fractures.
Incorrect. The correct answer is Type I.
10 out of 13 fractures were Salter-Harris Type I capital physeal fractures.

🔍 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.

De Moya

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

Article Title: Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

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In Caldeira 2025 et al., on femoral neck fixation, what complication was more likely with the three-screw construct?

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Correct. The three-screw placement had higher risk of cortical bone wall perforation, especially with narrow femoral necks
Incorrect. The correct answer is Increased risk of cortical perforation.
The three-screw placement had higher risk of cortical bone wall perforation, especially with narrow femoral necks

🔍 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.

Caldeira

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

Article Title: In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Lopez Barroso 2026 et al., on sacroiliac screw accuracy, what percentage of sacral width purchase was achieved on average across all screws?

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Correct. The average screw purchase was 82.52%, exceeding the 60% target to minimize loosening.
Incorrect. The correct answer is 82.52%.
The average screw purchase was 82.52%, exceeding the 60% target to minimize loosening.

🔍 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

Lopez Barroso

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

Article Title: Accuracy of a table‐bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats

Journal: Veterinary Surgery

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In Cheon 2025 et al., on guide accuracy in DFO, which of the following was a limitation of the universal guide?

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Correct. The universal guide struggled with fit in small dogs due to its one-size design.
Incorrect. The correct answer is Single-size design may not suit all dogs.
The universal guide struggled with fit in small dogs due to its one-size design.

🔍 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.

Cheon

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

Article Title: Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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In Wilson 2025 et al., on acetabular measurement accuracy, which method demonstrated the highest intra- and interobserver reliability?

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Correct. The acetabular circle method on VD view (ACVD) showed the highest intra- and interobserver agreement.
Incorrect. The correct answer is ACVD.
The acetabular circle method on VD view (ACVD) showed the highest intra- and interobserver agreement.

🔍 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)
Findings:
  • 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.

Wilson

Veterinary Surgery

1

2025

Evaluation of three acetabular measurement methods for total hip replacement in dogs

2025-1-VS-wilson-1

Article Title: Evaluation of three acetabular measurement methods for total hip replacement in dogs

Journal: Veterinary Surgery

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Quiz Results

Topic: Femoral Fixation
70%

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