
Quiz Question
In Sabol 2024 et al., what technique was recommended to reduce risk of implant misplacement?
🔍 Key Findings Summary
- Evaluated ideal dorsolateral implant trajectories in T1–T13 using CT in 30 dogs across five weight classes.
- Corridor widths were narrowest in the mid-thoracic vertebrae (as little as 1.8 mm) and increased cranially and caudally.
- Allowable deviation angles (ADA) were often very small (as little as 3°), indicating high risk for canal or thoracic structure breach.
- Distances to critical structures (lungs, aorta, subclavian artery, azygos vein) were often <1 mm, even in large dogs.
- Data suggest extreme caution and precision are needed for thoracic vertebral implant placement and support use of navigation or 3D-printed guides.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Implantation Corridors in Canine Thoracic Vertebrae: A Morphometric Study in Dogs of Varying Sizes
2024-2-VCOT-sabol-5
In Trefny 2025 et al., on locking plate biomechanics, how was strain distribution measured in the plates?
🔍 Key Findings
- Short working length constructs had significantly higher stiffness and lower strain than long constructs in compression bending (p = 0.0172).
- In tension bending, short constructs also had higher precontact stiffness and lower strain, but this reversed after transcortical contact (~150 N).
- Transcortical contact increased stiffness only in long constructs, producing a bilinear load-displacement curve.
- Postcontact stiffness was higher in long constructs, but this may not reflect clinical benefit due to risks of high interfragmentary strain.
- Short working length reduced strain at multiple ROIs under both loading conditions, including over fracture gap (Tables 1–3).
- Increased working length promoted stress concentration and deformation, especially in compression bending.
- In vitro benefits of long constructs (via contact stability) may not translate to healing, as repetitive loading could increase plate strain and bone resorption.
- Plate strain was effectively mapped using 3D digital image correlation, confirming regional strain differences between configurations.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate
2025-3-VCOT-trefny-5
In Folk 2025 et al., on vessel sealing device reuse, how many devices failed intraoperatively due to malfunction?
🔍 Key Findings
40 dogs underwent splenectomy using 16 bipolar vessel sealing devices (VSDs)
Devices were reused up to 4 times after handwashing and ethylene oxide (EtO) sterilization
Biologic debris was found in 100% of devices, specifically under the transection blade, even after a single use
- Mostly scant (14/16) or mild (2/16) debris
No devices or debris yielded positive aerobic culture after EtO sterilization
EtO sterilization proved microbiologically effective despite visible residue
Perioperative failure rate: 1 device (malfunctioned during first activation)
Veterinary Surgery
3
2025
Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy
2025-3-VS-folk-5
In Raleigh 2022 et al., on pericardiectomy complications, which strategy is recommended to minimize VF risk when using electrosurgery?
🔍 Key Findings
- Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
- 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
- Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
- Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
- Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
- Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
- VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
- Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.
Veterinary Surgery
4
2022
The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs
2022-4-VS-raleigh-5
In Marturello 2023 et al., on 3D-printed humeral models, which desktop printer and region combination yielded **the most accurate measurement**?
🔍 Key Findings
- 3D-printed models using desktop printers (FDM, LFS) showed submillimetric accuracy, comparable to or better than industrial-grade PJP printers.
- Bone size had a greater effect on print accuracy than printer type, especially in proximal humerus regions.
- The humeral condyle region showed the greatest model accuracy, with mean differences under 0.5 mm, regardless of printer.
- Models tended to be slightly smaller than cadaveric bones, potentially due to systematic underestimation during printing.
- FDM printer provided the highest accuracy at the humeral condyle in medium-sized bones (+0.09 mm).
- LFS printer produced prints faster and more reliably than FDM, although both had comparable dimensional accuracy.
- Statistically significant differences existed, but all were submillimetric and unlikely to impact surgical outcomes.
- Desktop printers are suitable for surgical planning, including plate pre-contouring and patient-specific instrumentation.
Veterinary Surgery
1
2023
Accuracy of anatomic 3‐dimensionally printed canine humeral models
2023-1-VS-marturello-4
In Neal 2023 et al., on transcondylar screw placement, which technique had more drill/pin attempts, increasing risk of glove puncture and contamination?
🔍 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.
Veterinary Surgery
4
2023
The effect of an aiming device on the accuracy of humeral transcondylar screw placement
2023-4-VS-neal-5
In Folk 2025 et al., on vessel sealing device reuse, how many devices had visible biologic debris after ethylene oxide sterilization?
🔍 Key Findings
40 dogs underwent splenectomy using 16 bipolar vessel sealing devices (VSDs)
Devices were reused up to 4 times after handwashing and ethylene oxide (EtO) sterilization
Biologic debris was found in 100% of devices, specifically under the transection blade, even after a single use
- Mostly scant (14/16) or mild (2/16) debris
No devices or debris yielded positive aerobic culture after EtO sterilization
EtO sterilization proved microbiologically effective despite visible residue
Perioperative failure rate: 1 device (malfunctioned during first activation)
Veterinary Surgery
3
2025
Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy
2025-3-VS-folk-2
In Walter de Bruyn 2024 et al., on orthogonal plate fixation, what was the effect of working length on construct stiffness?
🔍 Key Findings Summary
- Primary 3.5-mm LCP used with short (SWL), medium (MWL), and long (LWL) working lengths
- Addition of orthogonal 2.7-mm LCP resulted in:
- Significantly higher bending stiffness for SWL, MWL, and LWL (p < 0.0001)
- Higher torsional stiffness for MWL and LWL (not for SWL)
- Significantly lower strain across all working lengths in bending (p < 0.01)
- Working length inversely related to construct stiffness and directly to plate strain
- Orthogonal plates eliminated stiffness differences across working lengths in bending
- Suggests orthogonal plates can improve implant fatigue life and allow compensation when short working lengths are unachievable
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model
2024-4-VCOT-walterdebruyn-1
In Gomes 2025 et al., on subdural shunting for TL-AD, what was the guideline for selecting shunt tube size?
🔍 Key Findings
- Modified subdural shunt (SDS) placement was adapted from prior techniques using a hemilaminectomy approach and no suturing of the dura or shunt.
- Dogs receiving SDS had significantly better long-term outcomes (85.7% improved) compared to those with durotomy alone (41.7%).
- Recurrence rate was lower in the SDS group (14.3%) than control (41.7%), though not statistically significant.
- Most recurrences occurred in Pugs (5/7), suggesting a breed predisposition.
- Shunt size was limited to 25% of spinal cord diameter, typically 3–3.5 Fr.
- CSF flow through the shunt was confirmed intraoperatively, supporting the role of SDS in maintaining flow and possibly preventing recurrence.
- Immediate postoperative outcomes were not different between groups (≈42% deteriorated), but long-term recovery was better with SDS.
- Steroid use pre-surgery did not correlate with improved outcome; fewer SDS dogs received steroids pre-op.
Veterinary Surgery
5
2025
Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs
2025-5-VS-gomes-4
In Perez Neto 2025 et al., on hip resurfacing arthroplasty, which biomechanical variables were NOT significantly different between prosthetic and intact femurs?
🔍 Key Findings
- In an ex vivo study of 20 canine femur pairs, implantation of a novel hip resurfacing arthroplasty (HRA) prosthesis reduced maximum load (ML) by 22% and load at collapse (LC) by 27% vs. intact controls (p ≤ 0.05).
- Displacement at maximum load (DML), displacement at collapse (DC), and stiffness (k) were not significantly different between prosthesis and control groups.
- Both groups showed similar failure patterns, with 92% failing at the femoral neck.
- All prosthetic femurs still withstood ~6.2× body weight — exceeding estimated in vivo peak loads (~1.64× BW).
- Prosthesis positioning (neutral vs valgus) had no significant effect on biomechanical outcomes.
- Implant design preserved more metaphyseal bone stock than total hip replacement, possibly explaining the smaller load reduction compared to other short-stem prostheses.
- The press-fit cobalt–chromium design with conical stem allowed full contact and stress distribution over the femoral head/neck.
- Authors conclude the device has adequate immediate biomechanical strength for clinical use, though long-term in vivo studies are needed.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study
2025-4-VCOT-perezneto-2
Quiz Results
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Key Findings
