Quiz Question

In Neal 2023 et al., on transcondylar screw placement, what was the main finding comparing trajectory angle between aiming device and fluoroscopy in right thoracic limbs?

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Correct. Aiming device had significantly less trajectory deviation in right limbs (1.9° vs 3.4°, p = .0128).
Incorrect. The correct answer is Aiming device produced less deviation than fluoroscopy.
Aiming device had significantly less trajectory deviation in right limbs (1.9° vs 3.4°, p = .0128).

🔍 Key Findings

  • Aiming device provided comparable trajectory accuracy to fluoroscopy, especially in right limbs (1.9° vs. 3.4°, p = .0128).
  • Eccentricity (deviation from condylar center) was lower with fluoroscopy (3.1 mm vs 4.2 mm, p = .0017), making fluoroscopy more precise.
  • Odds of joint infringement were 8× higher with the aiming device, though not statistically significant (p = .0575).
  • Residents had greater screw trajectory deviation than diplomates (p = .0366), highlighting impact of experience.
  • Aiming device procedures took less time than fluoroscopy in some scenarios, particularly for right limbs with right-handed surgeons.
  • Fluoroscopic procedures had more pin/drill attempts, increasing risk of glove puncture and potential aseptic breaks.
  • Mean deviation angles in both groups (<3.5°) were within acceptable range to avoid intracondylar fracture gap.
  • Cadaver model used large-breed, healthy adult dogs, not small-breed immature dogs, limiting generalizability.

Neal

Veterinary Surgery

4

2023

The effect of an aiming device on the accuracy of humeral transcondylar screw placement

2023-4-VS-neal-1

Article Title: The effect of an aiming device on the accuracy of humeral transcondylar screw placement

Journal: Veterinary Surgery

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Quiz Results

Topic: Humeral Fixation
70%

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Author: Journal Name - 2025

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