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?

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Correct. Group B (TPLO + CCWO) was the only group that resulted in tibial shortening relative to baseline length.
Incorrect. The correct answer is TPLO + CCWO.
Group B (TPLO + CCWO) was the only group that resulted in tibial shortening relative to baseline length.

🔍 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.

Story

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

Article Title: Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

Journal: Veterinary Surgery

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In Turner 2025 et al., on TPA changes after SH-1/2 fracture repair, which factor was NOT significantly associated with greater TPA reduction?

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Correct. Tension band usage did not lead to significantly more TPA reduction than K-wires alone (p = 0.539).
Incorrect. The correct answer is Use of tension band.
Tension band usage did not lead to significantly more TPA reduction than K-wires alone (p = 0.539).

🔍 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

Turner

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

Article Title: Tibial Plateau Angle Changes following Repair of Salter–Harris Type 1 and 2 Fractures in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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In Bower 2025 et al., on radial diaphyseal exposure, which fixation strategy is facilitated by the craniolateral approach?

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Correct. The craniolateral approach enables access to both radius and ulna through one incision.
Incorrect. The correct answer is Dual bone fixation of radius and ulna.
The craniolateral approach enables access to both radius and ulna through one incision.

🔍 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.

Bower

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

Article Title: Comparison of exposure of the feline radial diaphysis by the craniomedial and craniolateral surgical approaches for repair of antebrachial fractures

Journal: Veterinary Surgery

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In Gutbrod 2024 et al., on feline tibial stabilization, what was the mode of failure in all biomechanical tests across constructs?

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Correct. This failure mode mirrored clinical complications in feline tibial fractures.
Incorrect. The correct answer is Valgus (lateral) bending.
This failure mode mirrored clinical complications in feline tibial fractures.

🔍 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-2

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 Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what was the median postoperative reduction immediately after surgery?

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Correct. The median sacroiliac reduction immediately after surgery was 94.1%, with 11 of 17 procedures achieving ≥90%.
Incorrect. The correct answer is 94.1%.
The median sacroiliac reduction immediately after surgery was 94.1%, with 11 of 17 procedures achieving ≥90%.

🔍 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-1

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

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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?

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Correct. Higher insertion angle and speed were associated with the highest TCF rate, observed in Group E at 10°/1350 rpm.
Incorrect. The correct answer is 17.5%.
Higher insertion angle and speed were associated with the highest TCF rate, observed in Group E at 10°/1350 rpm.

2023-8-VS-sadowitz-1

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In De Moya 2023 et al., on femoral pinning outcomes, which finding was associated with reduced success of FGPP?

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Correct. Fractures with mild displacement had better outcomes and higher success with closed reduction.
Incorrect. The correct answer is Moderate to severe fracture displacement.
Fractures with mild displacement had better outcomes and higher success with closed reduction.

🔍 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-3

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 Rehnblom 2025 et al., on OrthoLine fracture fixation, what conclusion was reached regarding radial fractures with shorter plate spans?

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Correct. Radial fractures demonstrated reliable healing even with shorter plate spans.
Incorrect. The correct answer is They healed acceptably despite shorter spans.
Radial fractures demonstrated reliable healing even 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.

Rehnblom

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

Article Title: Open reduction and internal fixation of 75 small animal fractures treated with the OrthoLine™ fracture system

Journal: Veterinary Surgery

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In Whyte 2025 et al., on cannulated screw fixation, what factor was significantly associated with an increased risk of screw breakage?

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Correct. Heavier dogs (>20 kg) had a statistically significant association with screw breakage.
Incorrect. The correct answer is Body weight over 20 kg.
Heavier dogs (>20 kg) had a statistically significant association with 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

Whyte

Veterinary Surgery

2

2025

Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

2025-2-VS-whyte-4

Article Title: Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

Journal: Veterinary Surgery

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In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what was the median time to radiographic bone healing?

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Correct. Median bone healing time was 8 weeks, with a range of 4–14 weeks.
Incorrect. The correct answer is 8 weeks.
Median bone healing time was 8 weeks, with a range of 4–14 weeks.

🔍 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-1

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

Journal: Veterinary Surgery

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Quiz Results

Topic: Fracture Management
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