Quiz Question

In Carwardine 2024 et al., on screw placement in HIF, which placement direction was associated with a significantly higher complication rate?

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Correct. 62.2% of lateral-to-medial placements developed complications, compared to only 19.4% for medial-to-lateral (p = .001).
Incorrect. The correct answer is Lateral to medial.
62.2% of lateral-to-medial placements developed complications, compared to only 19.4% for medial-to-lateral (p = .001).

🔍 Key Findings

  • 73 elbows (52 dogs) underwent randomized medial or lateral transcondylar screw placement for HIF.
  • Lateral-to-medial placement resulted in a significantly higher rate of complications (62.2%) vs medial-to-lateral (19.4%) (p = .001).
  • Odds ratio for complications: 6.11 (95% CI: 2.13–17.52).
  • Most common complications: seromas (n = 13), surgical site infections (n = 16).
  • Implants with lower AMI/bodyweight were significantly associated with major complications (p = .037).
  • Only 4 procedures (5%) required revision surgery (major type I complications), with no difference by screw direction.
  • NNT = 2.3 for medial placement to prevent one complication.

Carwardine

Veterinary Surgery

2

2024

Medial versus lateral transcondylar screw placement for canine humeral intracondylar fissures: A randomized clinical trial

2024-2-VS-carwardine-1

Article Title: Medial versus lateral transcondylar screw placement for canine humeral intracondylar fissures: A randomized clinical trial

Journal: Veterinary Surgery

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In Espinel Rupérez 2023 et al., in Arthroscopic-assisted hip toggle stabilization in cats, what percentage of joints experienced intraoperative complications?

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Correct. 5 out of 14 joints had complications, mainly related to femoral tunnel creation and toggle lodging.
Incorrect. The correct answer is 36%.
5 out of 14 joints had complications, mainly related to femoral tunnel creation and toggle lodging.

🔍 Key Findings

  • 14 joints from 7 cat cadavers underwent AA-HTS successfully.
  • Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
  • Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
  • Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
  • Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
  • 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
  • No neurovascular, intrapelvic, or major periarticular injuries occurred.
  • Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.

Espinel Rupérez

Veterinary Surgery

7

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-7-VS-espinel-2

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

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In Schuenemann 2025 et al., on biceps tenodesis, which complication occurred with the use of the tendon clamp?

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Correct. The one case using a tendon clamp developed seroma and later abscess, resolving after treatment.
Incorrect. The correct answer is Seroma and abscess.
The one case using a tendon clamp developed seroma and later abscess, resolving after treatment.

🔍 Key Findings

  • Case series of 6 shoulders in 5 working/sporting dogs. Conditions treated: 3 partial biceps ruptures, 3 luxations with fraying.
  • All treated with biceps tenodesis using a bioabsorbable anchor (Weldix 2.3 mm).
  • All dogs returned to function (some to high-level sports); lameness resolved within 1–5 weeks.
  • No implant-related complications with anchor-only cases. One dog had seroma and later infection but recovered.
  • Tendon clamp (used in 2 cases) caused irritation in one dog → resolved after removal.
  • CT follow-up confirmed integrity; drill holes filled with bone.
  • Median LOAD score: 12; higher in older dogs or with concurrent conditions.
  • Authors suggest tenodesis offers more stability and faster return to function than tenotomy in working dogs.
  • Larger, controlled studies are recommended.

Schuenemann

Veterinary Surgery

4

2025

Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technology: Results in six clinical cases (5 dogs)

2025-4-VS-schuenemann-3

Article Title: Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technology: Results in six clinical cases (5 dogs)

Journal: Veterinary Surgery

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In Thibault 2023 et al., on DPO for THR luxation, what was the most common long-term outcome observed after performing DPO to manage craniodorsal luxation in dogs?

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Correct. 7 of 11 dogs required implant removal due to complications, making explantation the most common long-term outcome.
Incorrect. The correct answer is Explantation due to aseptic loosening or infection.
7 of 11 dogs required implant removal due to complications, making explantation the most common long-term outcome.

2023-8-VS-thibault-1

Article Title:

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In Perry 2025 et al., on I-Loc fracture fixation, which factor most increased the risk of surgical site infection and implant removal?

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Correct. Most SSIs occurred in open fractures, with implant removal required in over 20% of open cases.
Incorrect. The correct answer is Open fractures.
Most SSIs occurred in open fractures, with implant removal required in over 20% of open cases.

🔍 Key Findings

  • High union rate with low complications was achieved using the I-Loc angle-stable interlocking nail across 243 canine long-bone fractures.
  • Mean time to clinical union was 8.3 weeks, faster than many historical plate-rod or non-angle-stable nail reports.
  • Major complications occurred in only 5.3% and minor complications in 9.1% of cases.
  • Most fractures were diaphyseal (75%) and comminuted (62%), demonstrating effectiveness in complex fracture patterns.
  • Ancillary implants were uncommon (21%), mainly used in epi-/metaphyseal fractures or for anatomic reconstruction.
  • Postoperative missed bolt rate was very low (0.94%), reflecting improved targeting accuracy.
  • Open fractures carried a substantially higher risk of SSI and implant removal compared with closed fractures.
  • Prebending of tibial nails was strongly recommended to follow natural recurvatum and avoid iatrogenic alignment errors.

Perry

Veterinary Surgery

8

2025

Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail

2025-8-VS-perry-4

Article Title: Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail

Journal: Veterinary Surgery

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In Isono 2025 et al., on tibial malalignment in MPL, which finding best characterized grade 4 medial patellar luxation?

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Correct. Grade 4 MPL cases showed markedly increased PTMTA and torsion with medial displacement of the tibial tuberosity.
Incorrect. The correct answer is Significant internal tibial torsion with increased PTMTA and decreased MDTT/PTW.
Grade 4 MPL cases showed markedly increased PTMTA and torsion with medial displacement of the tibial tuberosity.

🔍 Key Findings

  • Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
  • PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
  • Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
  • DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
  • PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
  • Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
  • Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
  • Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.

Isono

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

2025-4-VCOT-isono-2

Article Title: Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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In Longo 2022 et al., on CT-guided osteotomies, what was associated with a significantly increased risk of postoperative complications?

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Correct. 80% of complications occurred in cases receiving both FDO and TDO in the same limb.
Incorrect. The correct answer is Concurrent femoral and tibial osteotomies.
80% of complications occurred in cases receiving both FDO and TDO in the same limb.

🔍 Key Findings

  • 3D CT volume rendering and CAL measurement successfully guided correction of femoral and tibial torsion in dogs with patellar luxation (PL).
  • Physiological patellar tracking was restored in 100% (22/22) of cases after detorsional osteotomy.
  • 94% of dogs (17/18) had either full or acceptable functional outcomes post-surgery.
  • CAL-based correction was accurate in 19/22 cases, confirming reliability of the measurement technique.
  • Complication rate was 45%, with major complications in 2/22 cases—both involved combined femoral and tibial osteotomies.
  • Combined femoral and tibial osteotomies in the same limb were linked to a higher risk of complications and poorer outcomes.
  • Diaphyseal osteotomies offered more implant space, but metaphyseal locations were associated with faster bone healing.
  • Use of a TPLO jig or goniometer was not essential—CAL-based bone marking was sufficient in most cases.

Longo

Veterinary Surgery

7

2022

Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

2022-7-VS-longo-3

Article Title: Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

Journal: Veterinary Surgery

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In Paulick 2022 et al., on feline ilial plating, which implant system demonstrated the **lowest bending stiffness** under cyclic loading?

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Correct. ALPS-5 constructs had significantly lower stiffness than all other groups.
Incorrect. The correct answer is ALPS-5.
ALPS-5 constructs had significantly lower stiffness than all other groups.

🔍 Key Findings

  • Locking plates (except ALPS-5) withstood significantly more cycles before failure than nonlocking DCP constructs.
  • ALPS-6.5, LCP, and FIXIN plates endured higher loads and resisted displacement better than DCP and ALPS-5.
  • ALPS-5 plates showed lower bending stiffness than all other constructs (P < .05).
  • DCP constructs failed due to screw loosening, seen in all specimens.
  • Locking constructs failed by bone slicing, affecting 100% of specimens.
  • Catastrophic implant failure (fracture or plastic deformation) occurred only in ALPS-5 group.
  • Plate size and screw-plate interface both influence resistance to cyclic loading in feline ilial fracture repair.
  • Locking plates are preferable for reducing screw pullout, but plate strength (e.g., cross-section) must match loading forces.

Paulick

Veterinary Surgery

1

2022

Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats

2022-1-VS-paulick-1

Article Title: Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats

Journal: Veterinary Surgery

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In Whyte 2025 et al., on cannulated screw fixation, what percentage of patients experienced any form of complication?

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Correct. Overall complication rate was 36%, including minor and major complications.
Incorrect. The correct answer is 26%.
Overall complication rate was 36%, including minor and major complications.

🔍 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-3

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

Journal: Veterinary Surgery

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In Hoenecke 2025 et al., on radiographic opacity in patella luxation, what percentage of dogs with long-term follow-up developed subsequent CCL rupture?

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Correct. 4 of 21 dogs (19%) with long-term follow-up developed a CCL rupture after patella luxation surgery.
Incorrect. The correct answer is 19%.
4 of 21 dogs (19%) with long-term follow-up developed a CCL rupture after patella luxation surgery.

🔍 Key Findings

  • 65% of stifles with patella luxation and intact CCLs had increased radiographic soft tissue opacity
  • Weight and radiographic OA were significantly associated with increased opacity (p = .0029 and p = .0143)
  • Each 1 kg increase in weight increased the odds of opacity by 10%
  • Grade of patella luxation, age, and muscle atrophy were not significantly associated with increased opacity
  • 19% of dogs with long-term follow-up developed a CCL rupture post-patella surgery, 50% of those had opacity at initial presentation
  • Radiographic opacity alone should not be interpreted as CCL disease in dogs with patella luxation
  • Radiographic findings likely represent effusion or synovial hyperplasia, not CCL pathology
  • Arthrotomy was used to confirm CCL integrity at surgery, but arthroscopy could provide better sensitivity

Hoenecke

Veterinary Surgery

7

2025

Increased radiographic stifle soft tissue opacity in dogs with patella luxation

2025-7-VS-hoenecke-4

Article Title: Increased radiographic stifle soft tissue opacity in dogs with patella luxation

Journal: Veterinary Surgery

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Quiz Results

Topic: Orthopedic Complications
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