
Quiz Question
In Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which group showed significant tibial shortening compared to others?
🔍 Key Findings
- All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
- Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
- Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
- Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
- Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
- Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
- All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
- Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.
Veterinary Surgery
8
2024
Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis
2024-8-VS-story-2
In Turner 2025 et al., on TPA changes after SH-1/2 fracture repair, which factor was NOT significantly associated with greater TPA reduction?
🔍 Key Findings
- TPA decreased significantly from preoperative to follow-up (mean 5.89°; p < 0.001), and from immediate postoperative to follow-up (mean 2.2°; p = 0.018)
- Use of tension band in addition to K-wires did not significantly improve TPA reduction compared to K-wires alone
- Cranial K-wire positioning may attenuate growth at the cranial tibial physis, allowing relative caudal growth to reduce TPA over time
- Dynamic TPA reduction may reduce risk of cranial cruciate ligament rupture even when initial TPA is high
- Small breeds (e.g., French Bulldogs) were overrepresented; further research is needed in larger breeds with more growth potential
- Surgical reduction is difficult, but perfect alignment may not be essential if TPA reduces postoperatively
- Radiographic TPA measurement was reliably performed with low interobserver variability
- K-wire removal at 3–8 weeks may facilitate continued growth in growing dogs
Veterinary and Comparative Orthopaedics and Traumatology
5
2025
Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs
2025-5-VCOT-turner-2
In Bower 2025 et al., on radial diaphyseal exposure, which fixation strategy is facilitated by the craniolateral approach?
🔍 Key Findings
- Craniomedial and craniolateral approaches provided comparable exposure of the feline radial diaphysis (p > .05).
- Mean exposed surface area was slightly greater with the craniolateral approach, both including and excluding the supinator muscle, but differences were not significant.
- Elevation of the supinator muscle increased exposure for both approaches.
- Cadaver weight and limb side did not significantly affect exposure area.
- The craniolateral approach allows easier patient positioning in lateral recumbency without traction or an assistant.
- Craniolateral access facilitates dual bone fixation (radius and ulna) through a single approach.
- The craniomedial approach carries greater risk to median and radial nerves during muscle elevation.
- Findings validate the craniolateral approach as a practical alternative for feline antebrachial fracture repair.
Veterinary Surgery
8
2025
Comparison of exposure of the feline radial diaphysis by the craniomedial and craniolateral surgical approaches for repair of antebrachial fractures
2025-8-VS-bower-4
In Gutbrod 2024 et al., on feline tibial stabilization, what was the mode of failure in all biomechanical tests across constructs?
🔍 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-2
In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what was the median postoperative reduction immediately after surgery?
🔍 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-1
In Sadowitz 2023 et al., on screw angle & speed, what was the transcortical fracture (TCF) rate when screws were inserted at a 10° angle at 1350 rpm?
2023-8-VS-sadowitz-1
In De Moya 2023 et al., on femoral pinning outcomes, which finding was associated with reduced success of FGPP?
🔍 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-3
In Rehnblom 2025 et al., on OrthoLine fracture fixation, what conclusion was reached regarding radial fractures with shorter plate spans?
🔍 Key Findings
- High clinical union rate (93.4%) was achieved across 75 fractures treated with the OrthoLine™ system.
- Owner-assessed outcomes were universally acceptable or full, with no unacceptable outcomes reported.
- Overall major complication rate was 12.2%, including implant failure (1.1%) and implant infection (2 cases).
- Shorter plate spans in radial (46.6%) and ulnar (33.0%) fractures were well tolerated without increased nonunion.
- Femoral constructs used longer plate spans (73.3%) compared with radius/ulna, reflecting differing biomechanical demands.
- Use of postoperative external coaptation was common (46.7%) and associated with higher minor bandage-related complications.
- Titanium alloy and stainless-steel plates both produced acceptable healing, with no delayed unions attributable to material choice.
- The OrthoLine™ system was deemed a promising alternative locking plate system for small animal fracture repair.
Veterinary Surgery
8
2025
Open reduction and internal fixation of 75 small animal fractures treated with the OrthoLine™ fracture system
2025-8-VS-rehnblom-5
In Whyte 2025 et al., on cannulated screw fixation, what factor was significantly associated with an increased risk of screw breakage?
🔍 Key Findings
Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%
- Major complication: Most common was screw breakage
Significant risk factor for screw breakage:
- Body weight >20 kg (statistically significant)
Breed distribution:
- Spaniels, especially English Springer Spaniels, were most common
No mention of plate augmentation as standard in this cohort
Veterinary Surgery
2
2025
Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs
2025-2-VS-whyte-4
In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what was the median time to radiographic bone healing?
🔍 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-1
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
