
Quiz Question
In Adrian 2024 et al., on feline pelvic fracture stabilization, what was the primary complication encountered postoperatively with SOP plate use?
🔍 Key Findings
- 20 cats with pelvic fractures treated with SOP plates and cortical screws
- Full function reported in all patients per FMPI follow-up
- Screw loosening in 3/20 SOP cases; implant removal in 3 cats
- Median sacral index decrease at follow-up: 5.7%; mostly mild narrowing
- Complications: 5 major (3 SOP removals, 2 trochanter osteotomy issues); 20 minor
- SOP plate shown feasible even in challenging configurations; good functional outcomes
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats
2024-1-VCOT-adrian-2
In Carvajal 2025 et al., on femoral stem breakage, which patient factor was frequently present in failed cases?
🔍 Key Findings
Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)
Implant factors:
- 13/14 were BFX lateral bolt stems (sizes #5–7)
- +9 necks used in 5/11 of 17 mm heads
- 10/14 stems undersized based on radiographs
- 10/13 dogs exceeded weight limits for implanted stem size
Malalignment:
- 10/14 had varus alignment (median 3.9°)
- 8/14 had insufficient proximodistal seating
Breakage site: Proximolateral shoulder in all cases
Revision outcomes:
- 11 revised (7 CFX, 3 larger BFX, 1 collared)
- 9/10 revised dogs regained full function
- Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure
Histopathology:
- Electron microscopy showed fatigue striations and incomplete bead fusion
Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.
Veterinary Surgery
3
2025
Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)
2025-3-VS-carvajal-3
In Carwardine 2024 et al., on screw placement in HIF, which placement direction was associated with a significantly higher complication rate?
🔍 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.
Veterinary Surgery
2
2024
Medial versus lateral transcondylar screw placement for canine humeral intracondylar fissures: A randomized clinical trial
2024-2-VS-carwardine-1
In Kwok 2023 et al. on BFX lateral bolt THR in dogs,what factor was most associated with postoperative femoral fractures?
🔍 Key Findings
- 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
- Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
- Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
- Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
- Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
- Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
- Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
- Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.
Veterinary Surgery
1
2023
Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)
2023-1-VS-kwok-3
In Allaith 2023 et al., on THR outcomes, which of the following was most commonly reported as a major complication?
🔍 Key Findings
From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry
- 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
- Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
- Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
- Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
- Most common complications: Luxation, femoral fracture, and aseptic loosening.
- BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
- Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
- Owner satisfaction was high, with 88% rating outcome as very good or good.
Veterinary Surgery
2
2023
Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period
2023-2-VS-allaith-1
In Peycke 2022 et al., on CBLO in immature dogs, what was the most common **complication** from improper screw placement in CBLO?
🔍 Key Findings
- CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
- Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
- Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
- Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
- One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
- CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
- In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
- No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.
Veterinary Surgery
3
2022
Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs
2022-3-VS-peycke-2
In McKay 2023 et al., on patellar tendon augmentation, which method provided the highest construct stiffness?
2023-8-VS-mckay-1
In Curuci 2024 et al., which complication occurred most commonly after DCTPLO?
🔍 Key Findings Summary
- 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
- Mean TPA correction: from 39.4° to 6.3°
- Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
- Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
- Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
- The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs
2024-6-VCOT-curuci-3
In de la Oliva 2024 et al., what was the overall complication rate after HCF repair?
🔍 Key Findings Summary
- 89 French Bulldogs with HCF; 40.4% (36/89) had contralateral HIF
- Prophylactic transcondylar screws placed in 20/36 HIF; no complications in these
- Complication rate for HCF repair = 13.4% (6.7% minor, 6.7% major)
- Most complications occurred with Kirschner wire fixation
- Short-term outcome: Bone healing observed in all, but 14/45 had persistent intracondylar gap
- Long-term outcomes (n=27):
- Excellent = 66.7%
- Good = 29.6%
- Fair = 3.7%
- Complication-free dogs significantly more likely to have excellent/good outcomes (p = 0.007)
Veterinary and Comparative Orthopedics and Traumatology
3
2024
Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome
2024-3-VCOT-delaoliva-2
In Pilot 2022 et al., on closure methods in sternotomy, what was concluded regarding closure technique choice in large dogs?
🔍 Key Findings
- Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
- No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
- Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
- Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
- Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
- Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
- Infection rate was low (2.7%), and not significantly different between wire and suture.
- Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.
Veterinary Surgery
6
2022
Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis
2022-6-VS-pilot-5
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
