Quiz Question

In Whyte 2025 et al., on cannulated screw fixation, which breeds made up the majority of dogs in the study population?

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Correct. Spaniels, particularly English Springer Spaniels, were the most common breed in the study cohort.
Incorrect. The correct answer is Spaniels.
Spaniels, particularly English Springer Spaniels, were the most common breed in the study cohort.

🔍 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-5

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

Journal: Veterinary Surgery

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In De Moya 2023 et al., on femoral physeal/neck fracture repair, which factor was most associated with the development of complications following FGPP?

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Correct. Cases with >15 days between injury and surgery showed remodeling and had a higher complication rate.
Incorrect. The correct answer is Fracture chronicity >15 days.
Cases with >15 days between injury and surgery showed remodeling and had a higher complication rate.

🔍 Key Findings

  • FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
  • Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
  • Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
  • Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
  • Median surgical time was 60 minutes, and no conversions to open surgery were needed.
  • Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
  • One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
  • FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.

De Moya

Veterinary Surgery

6

2023

Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-6-VS-demoya-2

Article Title: Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

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In Peycke 2022 et al., on CBLO in immature dogs, what was the **mean time to radiographic union** of the CBLO osteotomy?

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Correct. Mean healing time was 6 weeks (range 4–8), indicating rapid union typical in young animals.
Incorrect. The correct answer is 6 weeks.
Mean healing time was 6 weeks (range 4–8), indicating rapid union typical in young animals.

🔍 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.

Peycke

Veterinary Surgery

3

2022

Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

2022-3-VS-peycke-3

Article Title: Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

Journal: Veterinary Surgery

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In Bondonny 2024 et al., what factor contributed to a case of medial patellar luxation at follow-up?

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Correct. Medial patellar luxation was linked to angular deformity and early closure of growth plate:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Premature asymmetric growth plate closure.
Medial patellar luxation was linked to angular deformity and early closure of growth plate:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • Retrospective study of 33 fractures in 31 cats with Salter–Harris I or II distal femoral fractures
  • Used 1 intramedullary Steinmann pin + 1 laterally placed antirotational pin
  • 96.9% achieved full functional outcome at mid-term follow-up
  • No implant migration or removal required
  • Minor complications: 2 seromas; Major: 3 (patellar luxation [2], osteomyelitis [1])
  • Growth plate remained open in 27.3% of cases at 6–8 weeks post-op

Bondonny

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management

2024-2-VCOT-bondonny-3

Article Title: Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Carrera 2024 et al., what was the observed long-term effect on aLDFA and tibial torsion at 1-year postoperatively?

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Correct. Extensor mechanism alignment was maintained long-term, with no reluxations or deformity progression:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is All values remained close to immediate postoperative values.
Extensor mechanism alignment was maintained long-term, with no reluxations or deformity progression:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
  • Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
  • Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
  • Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
  • No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
  • One complication due to domestic trauma, not surgical failure.
  • Early surgery appeared to preserve alignment and prevent deformity progression.

Carrera

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

2024-2-VCOT-carrera-4

Article Title: Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Carrera 2024 et al., which technique was used to correct high external tibial torsion in one patient?

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Correct. This was required for correction of a 47° tibial torsion, not amenable to TTT:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Proximal tibial derotation osteotomy.
This was required for correction of a 47° tibial torsion, not amenable to TTT:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
  • Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
  • Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
  • Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
  • No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
  • One complication due to domestic trauma, not surgical failure.
  • Early surgery appeared to preserve alignment and prevent deformity progression.

Carrera

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

2024-2-VCOT-carrera-2

Article Title: Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Gomes 2025 et al., on subdural shunting for TL-AD, which breed was overrepresented among cases that recurred?

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Correct. 5 of 7 recurrence cases were Pugs, consistent with prior literature showing breed predisposition.
Incorrect. The correct answer is Pug.
5 of 7 recurrence cases were Pugs, consistent with prior literature showing breed predisposition.

🔍 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-5

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 Kokkinos 2025 et al., on THR age effects, which perioperative complication was significantly more common in dogs <6 months of age?

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Correct. Dogs <6 months had a significantly higher incidence of dislocation than dogs >24 months of age.
Incorrect. The correct answer is Dislocation.
Dogs <6 months had a significantly higher incidence of dislocation than dogs >24 months of age.

🔍 Key Findings

  • Study population: 116 dogs underwent cementless THR; grouped by age:
    • Group A: ≤6 months (n = 27)
    • Group B: >6 to ≤12 months (n = 41)
    • Group C: >12 months (n = 48)
  • Overall perioperative complication rate: 31.9% (37/116)
    • Group A: 22.2%
    • Group B: 26.8%
    • Group C: 41.7%
  • No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
  • Luxation was significantly more common in dogs >12 months:
    • Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
  • Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
  • Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
  • No infections or aseptic loosening observed during the 8-week follow-up.

Kokkinos

Veterinary Surgery

3

2025

The influence of age at total hip replacement on perioperative complications in dogs

2025-3-VS-kokkinos-2

Article Title: The influence of age at total hip replacement on perioperative complications in dogs

Journal: Veterinary Surgery

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In Isono 2025 et al., on tibial malalignment in MPL, which statistical trend was observed in toy poodles with grade 3 MPL?

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Correct. Toy poodles with grade 3 MPL had higher PTMTA than normals, indicating breed-specific severity.
Incorrect. The correct answer is Significantly higher PTMTA compared to normals.
Toy poodles with grade 3 MPL had higher PTMTA than normals, indicating breed-specific severity.

🔍 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-4

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

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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In Forzisi 2025 et al., on femoral growth post-THR, what was the effect of THR on total femoral length?

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Correct. THR caused a 2.3% smaller increase in femoral length (p = .465), not clinically significant.
Incorrect. The correct answer is Total femoral length showed negligible change.
THR caused a 2.3% smaller increase in femoral length (p = .465), not clinically significant.

🔍 Key Findings

Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:

  • Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
  • No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).

Cortical Width:

  • Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).

Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:

  • Moderate negative for trochanteric growth.
  • Moderate positive for proximal femoral width.

Forzisi

Veterinary Surgery

1

2025

Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

2025-1-VS-forzisi-2

Article Title: Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

Journal: Veterinary Surgery

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Quiz Results

Topic: Pediatrics & Growth Plate Considerations
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