Quiz Question

In Sabol 2024 et al., what technique was recommended to reduce risk of implant misplacement?

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Correct. The authors highlighted 3D-printed guides as improving accuracy and minimizing breach risk:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is 3D-printed drill guides.
The authors highlighted 3D-printed guides as improving accuracy and minimizing breach risk:contentReference[oaicite:4]{index=4}

🔍 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 ), 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.

Sabol

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

Article Title: Implantation Corridors in Canine Thoracic Vertebrae: A Morphometric Study in Dogs of Varying Sizes

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Trefny 2025 et al., on locking plate biomechanics, how was strain distribution measured in the plates?

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Correct. Strain was measured via 3D digital image correlation at predefined ROIs.
Incorrect. The correct answer is 3D digital image correlation.
Strain was measured via 3D digital image correlation at predefined ROIs.

🔍 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.

Trefny

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

Article Title: 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

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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In Folk 2025 et al., on vessel sealing device reuse, how many devices failed intraoperatively due to malfunction?

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Correct. Only one device failed intraoperatively, and this occurred during its first activation.
Incorrect. The correct answer is 1 of 16.
Only one device failed intraoperatively, and this occurred during its first activation.

🔍 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)

Folk

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

Article Title: Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy

Journal: Veterinary Surgery

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In Raleigh 2022 et al., on pericardiectomy complications, which strategy is recommended to minimize VF risk when using electrosurgery?

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Correct. Minimizing power settings and short application duration reduces stray current risk.
Incorrect. The correct answer is Use lowest power setting with brief applications.
Minimizing power settings and short application duration reduces stray current risk.

🔍 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.

Raleigh

Veterinary Surgery

4

2022

The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

2022-4-VS-raleigh-5

Article Title: The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

Journal: Veterinary Surgery

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In Marturello 2023 et al., on 3D-printed humeral models, which desktop printer and region combination yielded **the most accurate measurement**?

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Correct. The most accurate measurement was the lateromedial condylar width in the medium-sized humerus using the FDM printer (+0.09 mm).
Incorrect. The correct answer is FDM printer at humeral condyle.
The most accurate measurement was the lateromedial condylar width in the medium-sized humerus using the FDM printer (+0.09 mm).

🔍 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.

Marturello

Veterinary Surgery

1

2023

Accuracy of anatomic 3‐dimensionally printed canine humeral models

2023-1-VS-marturello-4

Article Title: Accuracy of anatomic 3‐dimensionally printed canine humeral models

Journal: Veterinary Surgery

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In Neal 2023 et al., on transcondylar screw placement, which technique had more drill/pin attempts, increasing risk of glove puncture and contamination?

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Correct. Fluoroscopy resulted in significantly more pin/drill attempts and increased glove punctures.
Incorrect. The correct answer is Fluoroscopy.
Fluoroscopy resulted in significantly more pin/drill attempts and increased glove punctures.

🔍 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-5

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

Journal: Veterinary Surgery

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In Folk 2025 et al., on vessel sealing device reuse, how many devices had visible biologic debris after ethylene oxide sterilization?

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Correct. All 16 devices had visible residual biologic debris after EtO sterilization, especially under the transection blade.
Incorrect. The correct answer is 16 of 16.
All 16 devices had visible residual biologic debris after EtO sterilization, especially under the transection blade.

🔍 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)

Folk

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

Article Title: Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy

Journal: Veterinary Surgery

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In Walter de Bruyn 2024 et al., on orthogonal plate fixation, what was the effect of working length on construct stiffness?

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Correct. Construct stiffness in both bending and torsion decreased incrementally as working length increased:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Inverse relationship.
Construct stiffness in both bending and torsion decreased incrementally as working length increased:contentReference[oaicite:0]{index=0}

🔍 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

Walterdebruyn

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

Article Title: Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Gomes 2025 et al., on subdural shunting for TL-AD, what was the guideline for selecting shunt tube size?

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Correct. This ensured the tube did not compress the spinal cord; most dogs used 3–3.5 Fr tubing.
Incorrect. The correct answer is Based on 25% of spinal cord diameter at the lesion site.
This ensured the tube did not compress the spinal cord; most dogs used 3–3.5 Fr tubing.

🔍 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.

Gomes

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

Article Title: Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

Journal: Veterinary Surgery

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In Perez Neto 2025 et al., on hip resurfacing arthroplasty, which biomechanical variables were NOT significantly different between prosthetic and intact femurs?

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Correct. Stiffness (k), displacement at maximum load, and displacement at collapse were not significantly altered by the prosthesis.
Incorrect. The correct answer is Stiffness and displacements.
Stiffness (k), displacement at maximum load, and displacement at collapse were not significantly altered by the prosthesis.

🔍 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.

Perez Neto

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

Article Title: Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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Topic: Material Science & Engineering Concepts
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