Quiz Question

In De Moya 2025 et al., on antebrachial deformity correction, what was the mean total radial lengthening achieved after distraction osteogenesis?

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Correct. Mean lengthening was 22.6 mm, representing ~11% increase compared to the contralateral radius.
Incorrect. The correct answer is 22.6 mm.
Mean lengthening was 22.6 mm, representing ~11% increase compared to the contralateral radius.

🔍 Key Findings

  • CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
  • Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
  • Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
  • Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
  • Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
  • Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
  • Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
  • Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.

De Moya

Veterinary Surgery

6

2025

Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

2025-6-VS-demoya-4

Article Title: Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

Journal: Veterinary Surgery

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In Berger 2023 et al., on elbow COR estimation, how did the COR in FMCP elbows compare to normal elbows?

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Correct. CT-based analysis showed that the COR in FMCP elbows shifted caudally compared to normal.
Incorrect. The correct answer is It was more caudal.
CT-based analysis showed that the COR in FMCP elbows shifted caudally compared to normal.

🔍 Key Findings

  • COR of elbows with FMCP was significantly more caudal compared to normal elbows, based on CT-derived geometry.
  • In normal elbows, 74% of medial and 93% of lateral axes exited cranial and distal to the epicondyles.
  • In FMCP elbows, 81% of medial and 70% of lateral axes exited caudal and distal to the epicondyles.
  • Different landmark combinations produced slightly different COR approximations, especially between humeral vs. radius/ulna-based axes.
  • The medial-lateral axis using trochlea and capitulum centers provided the most consistent COR approximation.
  • COR estimations based on diseased elbows may not match normal joint geometry, impacting implant alignment accuracy.
  • External epicondylar landmarks may be useful intraoperatively to estimate COR location, but variability limits precision.
  • Drill diameter size may buffer small COR differences, but impact in advanced disease or bilateral cases remains unclear.

Berger

Veterinary Surgery

1

2023

The use of subchondral bone topography to approximate the center of rotation of the elbow joint in dogs

2023-1-VS-berger-2

Article Title: The use of subchondral bone topography to approximate the center of rotation of the elbow joint in dogs

Journal: Veterinary Surgery

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In Anderson 2023 et al., on French Bulldogs with humeral condylar fractures, which fracture configuration was most common?

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Correct. LHCF was the most frequent, representing 63.6% of fractures.
Incorrect. The correct answer is Lateral condylar fracture.
LHCF was the most frequent, representing 63.6% of fractures.

🔍 Key Findings

  • Lateral humeral condylar fractures (LHCF) were most common, comprising 63.6% of cases.
  • Transcondylar screw (TCS) + K-wire(s) fixation had a 7.62x higher risk of major complications compared to other methods (p = .009).
  • All cases of TCS migration occurred in the TCS + K-wire group; none occurred with plate fixation.
  • Overall complication rate was 40.9%, with 29.5% being major and requiring intervention.
  • Contralateral humeral intracondylar fissures (HIF) were found in 58.1% of French Bulldogs with CT data.
  • No significant association between age and presence of HIF, but fissure length increased with age (R = 0.47, p = .048).
  • Younger, lighter dogs had higher complication and screw migration rates, possibly due to softer bone and smaller condyles.
  • TCS + plate fixation had the lowest complication rate, suggesting biomechanical superiority.

Anderson

Veterinary Surgery

1

2023

Humeral condylar fractures and fissures in the French bulldog

2023-1-VS-anderson-1

Article Title: Humeral condylar fractures and fissures in the French bulldog

Journal: Veterinary Surgery

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In Sherman 2023 et al., on minimally invasive ESF, what was the effect of intraoperative imaging on alignment?

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Correct. Intraoperative imaging did not improve fracture alignment (P > .05 for all comparisons).
Incorrect. The correct answer is No effect on alignment.
Intraoperative imaging did not improve fracture alignment (P > .05 for all comparisons).

🔍 Key Findings

  • 55 cases (49 dogs, 6 cats) with nonarticular tibial fractures were treated using linear ESF with a minimally invasive approach
  • All fractures achieved radiographic union; no unacceptable outcomes were reported
  • 40% complication rate, mostly minor (82%), primarily pin-tract morbidity; major complications (7%) included osteomyelitis and refracture
  • Open fractures had significantly more major complications than closed ones (P = .019)
  • Use of intraoperative imaging (72% cases) reduced surgery time but did not improve alignment (P > .05)
  • Median surgery time: 74 min with imaging vs. 100 min without (P = .046)
  • TPA was lower than normal in both dogs and cats, but did not correlate with poor outcomes
  • 62% had full clinical recovery, and 38% had acceptable outcomes at fixator removal

Sherman

Veterinary Surgery

2

2023

Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

2023-2-VS-sherman-2

Article Title: Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

Journal: Veterinary Surgery

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In Dalton 2023 et al., on acetabular fracture repair, what was the median postoperative fracture gap reported in canine cadavers?

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Correct. The median postoperative fracture gap was consistently less than 2 mm in all cadaver specimens, demonstrating precise fracture reduction.
Incorrect. The correct answer is <2 mm.
The median postoperative fracture gap was consistently less than 2 mm in all cadaver specimens, demonstrating precise fracture reduction.

🔍 Key Findings

  • Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
  • All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
  • Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
  • Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
  • Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
  • Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
  • Use of locking screws improved reduction fidelity, particularly across a broad plate span.
  • 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.

Dalton

Veterinary Surgery

6

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-6-VS-dalton-1

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

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In Whyte 2025 et al., on cannulated screw fixation, what was the reported clinical union rate?

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Correct. The authors reported a clinical union rate of 89% for unicondylar fractures stabilized with cannulated screws.
Incorrect. The correct answer is 89%.
The authors reported a clinical union rate of 89% for unicondylar fractures stabilized with cannulated screws.

🔍 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-2

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

Journal: Veterinary Surgery

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In Pfund 2025 et al., on femoral cortical thickness, what was the observed effect of a 0.001 increase in CTI on fracture risk?

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Correct. Each 0.001 increase in CTI reduced fissure/fracture odds by 2–3% depending on timing.
Incorrect. The correct answer is Decreased risk by 2–3%.
Each 0.001 increase in CTI reduced fissure/fracture odds by 2–3% depending on timing.

🔍 Key Findings

  • Lower CTI values were significantly associated with higher risk of both intraoperative and postoperative femoral fractures or fissures (p <.0001).
  • The mean CTI for all dogs was 0.285, whereas dogs with fissures/fractures had a mean CTI of 0.246.
  • For each 0.001 increase in CTI, odds of fissure/fracture decreased by 2–3% depending on perioperative timing.
  • High interobserver reliability (ICC = 0.984) and consistency between pre- and postoperative CTI measurements (ICC = 0.96).
  • CTI was the only significant risk factor identified; age, breed, bodyweight, BCS, CFI, or luxoid hips were not significant.
  • Prophylactic lateral plating in dogs with low CTI (mean 0.230) resulted in no postoperative fractures.
  • Postoperative fractures occurred in 8% of cases, and 93% of dogs returned to full function within one year.
  • CTI may be a useful radiographic screening tool, especially when advanced imaging (e.g., DEXA) is unavailable.

Pfund

Veterinary Surgery

6

2025

Femoral cortical thickness index in a population of dogs undergoing total hip replacement

2025-6-VS-pfund-3

Article Title: Femoral cortical thickness index in a population of dogs undergoing total hip replacement

Journal: Veterinary Surgery

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In Anderson 2023 et al., on French Bulldogs with humeral condylar fractures, what percentage of French Bulldogs had a humeral intracondylar fissure (HIF) in the contralateral limb when CT was performed?

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Correct. HIFs were found in 58.1% of dogs with available contralateral CT data.
Incorrect. The correct answer is 58%.
HIFs were found in 58.1% of dogs with available contralateral CT data.

🔍 Key Findings

  • Lateral humeral condylar fractures (LHCF) were most common, comprising 63.6% of cases.
  • Transcondylar screw (TCS) + K-wire(s) fixation had a 7.62x higher risk of major complications compared to other methods (p = .009).
  • All cases of TCS migration occurred in the TCS + K-wire group; none occurred with plate fixation.
  • Overall complication rate was 40.9%, with 29.5% being major and requiring intervention.
  • Contralateral humeral intracondylar fissures (HIF) were found in 58.1% of French Bulldogs with CT data.
  • No significant association between age and presence of HIF, but fissure length increased with age (R = 0.47, p = .048).
  • Younger, lighter dogs had higher complication and screw migration rates, possibly due to softer bone and smaller condyles.
  • TCS + plate fixation had the lowest complication rate, suggesting biomechanical superiority.

Anderson

Veterinary Surgery

1

2023

Humeral condylar fractures and fissures in the French bulldog

2023-1-VS-anderson-4

Article Title: Humeral condylar fractures and fissures in the French bulldog

Journal: Veterinary Surgery

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In Deprey 2022 et al., on gap fracture implants, which construct had significantly lower axial deformation in compression testing?

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Correct. The NAS-ILN had significantly lower axial deformation in axial compression testing compared to the LCP.
Incorrect. The correct answer is NAS-ILN construct.
The NAS-ILN had significantly lower axial deformation in axial compression testing compared to the LCP.

🔍 Key Findings

  • NAS-ILN had significantly greater stiffness in both axial compression and 4-point bending compared to LCP constructs.
  • Ultimate load to failure was significantly higher for NAS-ILN in compression (804 N vs 328 N) and bending (25.7 Nm vs 16.3 Nm).
  • Torsional stiffness and angular deformation were similar, but NAS-ILN resisted higher torque to failure than LCP (22.5 Nm vs 19.1 Nm).
  • No slack was observed with the NAS-ILN construct, unlike older nail designs.
  • Failure modes differed: LCPs failed via plate bending; NAS-ILNs failed at the implant or bone near screw holes.
  • Titanium alloy and curved design of NAS-ILN provides better anatomic fit and more uniform stress distribution.
  • A third, perpendicular locking hole in NAS-ILN may enhance torsional stability but was not utilized in this study.
  • The curved, angle-stable design of NAS-ILN is a novel advancement in veterinary orthopedics.

Deprey

Veterinary Surgery

8

2022

Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

2022-8-VS-deprey-1

Article Title: Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

Journal: Veterinary Surgery

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In Deprey 2022 et al., on gap fracture implants, what was the failure mode of the LCP constructs under axial compression?

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Correct. The LCP constructs failed by plate bending at the screw holes in compression testing.
Incorrect. The correct answer is Plate bending at open screw holes.
The LCP constructs failed by plate bending at the screw holes in compression testing.

🔍 Key Findings

  • NAS-ILN had significantly greater stiffness in both axial compression and 4-point bending compared to LCP constructs.
  • Ultimate load to failure was significantly higher for NAS-ILN in compression (804 N vs 328 N) and bending (25.7 Nm vs 16.3 Nm).
  • Torsional stiffness and angular deformation were similar, but NAS-ILN resisted higher torque to failure than LCP (22.5 Nm vs 19.1 Nm).
  • No slack was observed with the NAS-ILN construct, unlike older nail designs.
  • Failure modes differed: LCPs failed via plate bending; NAS-ILNs failed at the implant or bone near screw holes.
  • Titanium alloy and curved design of NAS-ILN provides better anatomic fit and more uniform stress distribution.
  • A third, perpendicular locking hole in NAS-ILN may enhance torsional stability but was not utilized in this study.
  • The curved, angle-stable design of NAS-ILN is a novel advancement in veterinary orthopedics.

Deprey

Veterinary Surgery

8

2022

Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

2022-8-VS-deprey-2

Article Title: Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model

Journal: Veterinary Surgery

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Quiz Results

Topic: Fracture Management
70%

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