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In Gollnick 2024 et al., on TCTF risk with Arthrex STS in TPLO, what strategy is recommended to reduce risk of TCTF with angled STS screws?

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Correct. Using a tap before placing STS (especially when angulation is required) may reduce TCTF development.
Incorrect. The correct answer is Use of a tap before screw insertion.
Using a tap before placing STS (especially when angulation is required) may reduce TCTF development.

🔍 Key Findings

  • 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
  • TCTFs occurred exclusively distal to the osteotomy
  • 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
  • 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
  • Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
  • Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
  • Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
  • Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS

Gollnick

Veterinary Surgery

6

2024

Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

2024-6-VS-gollnick-5

Article Title: Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

Journal: Veterinary Surgery

In Rocheleau 2024 et al., on arthroscopic meniscal suturing, which group had the highest meniscal repair success rate?

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Correct. TPLO + IB had a 93.3% success rate vs 71.4% for TPLO-only.
Incorrect. The correct answer is TPLO with internal brace.
TPLO + IB had a 93.3% success rate vs 71.4% for TPLO-only.

🔍 Key Findings

  • Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
  • All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
  • The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
  • No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
  • Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
  • Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
  • The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
  • The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.

Rocheleau

Veterinary Surgery

5

2024

Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

2024-5-VS-rocheleau-3

Article Title: Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

Journal: Veterinary Surgery

In Schuenemann 2025 et al., on biceps tenodesis, what LOAD score pattern was observed in the cohort?

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Correct. Median LOAD score was 12; older dogs and those with comorbidities had higher scores.
Incorrect. The correct answer is Median score 12, higher in older dogs.
Median LOAD score was 12; older dogs and those with comorbidities had higher scores.

🔍 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-5

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

Journal: Veterinary Surgery

In Guénégo 2025 et al., on AMA-based CCWO, what was the postoperative AMA angle achieved in most dogs?

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Correct. The AMA angle was reduced to 0° in most dogs, achieving axis alignment.
Incorrect. The correct answer is .
The AMA angle was reduced to 0° in most dogs, achieving axis alignment.

🔍 Key Findings

  • AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
  • Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
  • All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
  • AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
  • Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
  • Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
  • Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
  • Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.

Guénégo

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

2025-3-VCOT-guenego-1

Article Title: Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Pfund 2025 et al., on femoral cortical thickness, what was the observed effect of a 0.001 increase in CTI on fracture risk?

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Correct. Each 0.001 increase in CTI reduced fissure/fracture odds by 2–3% depending on timing.
Incorrect. The correct answer is Decreased risk by 2–3%.
Each 0.001 increase in CTI reduced fissure/fracture odds by 2–3% depending on timing.

🔍 Key Findings

  • Lower CTI values were significantly associated with higher risk of both intraoperative and postoperative femoral fractures or fissures (p <.0001).
  • The mean CTI for all dogs was 0.285, whereas dogs with fissures/fractures had a mean CTI of 0.246.
  • For each 0.001 increase in CTI, odds of fissure/fracture decreased by 2–3% depending on perioperative timing.
  • High interobserver reliability (ICC = 0.984) and consistency between pre- and postoperative CTI measurements (ICC = 0.96).
  • CTI was the only significant risk factor identified; age, breed, bodyweight, BCS, CFI, or luxoid hips were not significant.
  • Prophylactic lateral plating in dogs with low CTI (mean 0.230) resulted in no postoperative fractures.
  • Postoperative fractures occurred in 8% of cases, and 93% of dogs returned to full function within one year.
  • CTI may be a useful radiographic screening tool, especially when advanced imaging (e.g., DEXA) is unavailable.

Pfund

Veterinary Surgery

6

2025

Femoral cortical thickness index in a population of dogs undergoing total hip replacement

2025-6-VS-pfund-3

Article Title: Femoral cortical thickness index in a population of dogs undergoing total hip replacement

Journal: Veterinary Surgery

In Redolfi 2024 et al., what was the long-term rate of MPL resolution following TPLO-TTT?

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Correct. Long-term exam showed 23 of 24 stifles had resolved MPL; one dog had asymptomatic grade II reluxation
Incorrect. The correct answer is 23/24 stifles.
Long-term exam showed 23 of 24 stifles had resolved MPL; one dog had asymptomatic grade II reluxation

🔍 Key Findings Summary

  • Study of 24 stifles in 22 dogs with concurrent CCLR and grade III–IV MPL treated via TPLO-TTT
  • Major complications: 4/24 (3 surgical site infections, 1 MPL reluxation); minor complications: 5/24
  • Long-term follow-up (median 27 months): 21/22 dogs sound, 23/24 stifles resolved
  • Patellar ligament thickening observed post-op in 4 cases, resolved with rehab
  • The only case of MPL reluxation involved untreated tibial torsion, suggesting case selection is critical

Redolfi

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

2024-1-VCOT-redolfi-1

Article Title: Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Kurogochi 2025 et al., on cardioplegia in mitral repair, what was concluded about long-term outcomes between groups?

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Correct. Survival at 700 days was 90% in both groups; hospital stay was median 6 days.
Incorrect. The correct answer is No differences in survival or hospitalization duration.
Survival at 700 days was 90% in both groups; hospital stay was median 6 days.

🔍 Key Findings

  • No significant difference in cardiac troponin I levels 12h post-op between mDN and St. Thomas cardioplegia groups (p = 0.478)
  • Sinus rhythm returned faster in the mDN group after aortic cross-clamp removal (median 60s vs 362s, p = 0.027)
  • Lower serum potassium at cross-clamp removal in the mDN group (median 4.5 mEq/L vs 5.4, p = 0.005)
  • Fewer doses needed in the mDN group (median 2.5 vs 4.0, p = 0.040)
  • Higher total crystalloid volume used in mDN group (23.6 vs 12.6 mL/kg, p < 0.001)
  • No difference in survival (700-day survival 90% in both groups, p = 0.958)
  • No difference in hospitalization duration (median 6 days for both, p = 0.789)
  • Echocardiographic remodeling similar between groups at 24h post-op

Kurogochi

Veterinary Surgery

7

2025

Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

2025-7-VS-kurogochi-5

Article Title: Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

Journal: Veterinary Surgery

In Antonakakis 2022 et al., on telovelar tumor resection, how long did the dog remain neurologically normal after surgery?

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Correct. The dog remained neurologically normal 28 months after surgery with no recurrence.
Incorrect. The correct answer is 28 months.
The dog remained neurologically normal 28 months after surgery with no recurrence.

🔍 Key Findings

  • Telovelar approach enabled complete resection of a fourth ventricle choroid plexus tumor in a dog without postoperative complications.
  • Postoperative MRI confirmed gross total tumor removal, and the dog remained neurologically normal 28 months post-surgery.
  • The tela choroidea was used as a surgical landmark and incised to allow atraumatic access to the tumor.
  • Cerebellum was spared using this technique, minimizing risk of cerebellar injury (e.g., cerebellar mutism).
  • No hemorrhagic complications were noted during surgery due to dissection through avascular planes.
  • Histopathology favored choroid plexus carcinoma based on mitotic index (9/10 HPFs), though definitive diagnosis remained pending.
  • The case highlights the utility of telovelar over transvermian approach, given its minimally traumatic nature and improved exposure.
  • Survival beyond 2 years without adjunctive therapy suggests surgical excision alone may be curative in select cases.

Antonakakis

Veterinary Surgery

8

2022

Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog

2022-8-VS-antonakakis-5

Article Title: Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog

Journal: Veterinary Surgery

In Healy 2025 et al., on incidental PBBs, which lung lobe was most frequently affected?

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Correct. 35% of the PBBs were located in the left caudal lung lobe.
Incorrect. The correct answer is Left caudal lobe.
35% of the PBBs were located in the left caudal lung lobe.

🔍 Key Findings

Population: 2,178 canine CTs reviewed retrospectively.
Prevalence: Incidental PBBs found in 1.37% (30/2178).
Outcome: None of the dogs with incidental PBBs developed clinical spontaneous pneumothorax (SP) over a median follow-up of 1255 days.
Significant Associations:

  • Age: Dogs with PBBs were significantly older (median 10.5 yrs vs. 8.2 yrs, p = .001).
  • CT indication: PBBs more likely during neoplastic staging (p = .006).

PBB Characteristics:

  • Total = 60 PBBs (median 1/dog; range 1–7).
  • Location: 35% in left caudal, 31.6% right caudal, only 13.3% in right cranial lobe.
  • Size-based: 25 bullae (>10 mm), 35 blebs (≤10 mm).

Conclusion: Prophylactic resection of incidental PBBs not justified given no observed SP risk in this population.

Healy

Veterinary Surgery

1

2025

Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

2025-1-VS-healy-5

Article Title: Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

Journal: Veterinary Surgery

In Muroi 2025 et al., on refracture risk, what was the overall refracture rate in the study population of small-breed dogs?

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Correct. 10 of 181 limbs developed refracture, yielding an overall refracture rate of 5.5%.
Incorrect. The correct answer is 5.5%.
10 of 181 limbs developed refracture, yielding an overall refracture rate of 5.5%.

🔍 Key Findings

  • Refracture occurred in 5.5% of limbs, with higher incidence in the plate removal group (12.5%) vs. non-removal (3.5%).
  • In the non-plate removal group, refractures occurred at the most distal screw site, linked to greater screw position change during growth (OR 1.79, p=0.04).
  • Screw-to-bone diameter ratio (SBDR) >0.4 was a significant risk factor for refracture in the plate retention group.
  • In the plate removal group, refractures occurred at the original fracture site, associated with lower pixel value ratio (bone mineral density) and reduced radial thickness.
  • Implant-induced osteoporosis (IIO) beneath the plate likely contributed to refracture risk after plate removal.
  • Younger age at fracture (<6 months) was associated with higher refracture risk due to ongoing radial growth and shifting screw position.
  • No significant association was found between refracture and plate type (locking vs conventional), fixation method, or ulnar union.
  • Recommendations include careful SBDR sizing, motion restriction, and cautious plate removal decisions in growing dogs.

Muroi

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs

2025-2-VCOT-muroi-5

Article Title: A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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