Your Custom Quiz

In Barnes 2024 et al., on knot strength testing, which of the following statements is true about unraveling?

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Correct. Unraveling occurred in SQ knots with 4 throws; DF knots did not unravel in any test.
Incorrect. The correct answer is SQ knots with 4 throws showed unraveling.
Unraveling occurred in SQ knots with 4 throws; DF knots did not unravel in any test.

🔍 Key Findings

  • Double forwarder (DF) knots had significantly higher knot holding capacity (KHC) than square (SQ) and surgeon’s (SU) knots when tied with <6 throws.
  • In 3 USP polyglactin 910, DF knots with 4–5 throws were not significantly stronger than SU knots with 6–8 throws (p > .43).
  • DF knots never unraveled, while SQ and SU knots with 4–5 throws showed substantial unraveling.
  • KHC did not increase in DF knots when throws increased from 3 to 5.
  • Knot volume and weight were significantly higher in DF knots than SQ/SU knots at the same throw count (p < .003).
  • DF knots allow sliding placement, potentially useful in minimally invasive or deep cavity procedures.

Barnes

Veterinary Surgery

2

2024

Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture

2024-2-VS-barnes-2

Article Title: Evaluation of the in vitro performance of the double forwarder knot, compared to square and surgeon's knots using large gauge suture

Journal: Veterinary Surgery

In Lotsikas 2025 et al., on stifle distraction portal, what was the mean time required to place the thrust lever using the proximal lateral portal?

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Correct. Mean placement time for the lever was 37.25 seconds (range 17–122 s).
Incorrect. The correct answer is 37 seconds.
Mean placement time for the lever was 37.25 seconds (range 17–122 s).

🔍 Key Findings

Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:

  • No damage to the long digital extensor tendon (LDE) with this portal
  • VSTL could be placed without removing the arthroscope
  • Portal creation time ~37 seconds (faster than previously reported)

Cartilage impact:

  • Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
  • No difference in IACI between 5- and 10-minute lever durations
  • Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)

Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use

Lotsikas

Veterinary Surgery

3

2025

Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

2025-3-VS-lotsikas-3

Article Title: Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

Journal: Veterinary Surgery

In Anderson 2024 et al., what recommendation did authors give to help detect this complication early?

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Correct. Only routine in-person gait assessments identified this nerve injury, not owner observation:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Routine post-op gait assessments.
Only routine in-person gait assessments identified this nerve injury, not owner observation:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 3 dogs developed permanent fibular nerve dysfunction following TPLO
  • Common findings:
    • Drill hole or screw in caudal tibial cortex just distal to osteotomy
    • Caudal malpositioning of TPLO plate (esp. right limb of case 3)
    • Post-op signs: cranial tibial atrophy, knuckling, exaggerated gait, no hock flexion
  • One case had confirmed deep/superficial fibular neuropathy via electrodiagnostics
  • Recommended prevention: avoid overly caudal drill paths; careful gait assessment at follow-up is key

Anderson

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

2024-3-VCOT-anderson-5

Article Title: Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Mazdarani 2022 et al., on CBLO and stifle biomechanics, when did cranial tibial translation (CTT) occur after CBLO **without** hamstring loading?

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Correct. CBLO eliminated CTT at all angles **except 140°** in the absence of hamstring load.
Incorrect. The correct answer is Only at 140°.
CBLO eliminated CTT at all angles **except 140°** in the absence of hamstring load.

🔍 Key Findings

  • CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
  • CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
  • Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
  • Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
  • PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
  • Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
  • Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
  • Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

Mazdarani

Veterinary Surgery

6

2022

Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

2022-6-VS-mazdarani-2

Article Title: Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

Journal: Veterinary Surgery

In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what tool enabled accurate screw guidance during surgery?

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Correct. The headless cannulated screws were placed with fluoroscopic guidance over a guide wire.
Incorrect. The correct answer is C-arm fluoroscopy with cannulated guide wire navigation.
The headless cannulated screws were placed with fluoroscopic guidance over a guide wire.

🔍 Key Findings

  • Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
  • Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
  • One screw exited caudally; no dorsal, ventral, or cranial exits reported.
  • At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
  • No screw loosening observed, even in suboptimal reductions or purchases.
  • Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
  • Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
  • Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.

Jourdain

Veterinary Surgery

4

2024

Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

2024-4-VS-jourdain-4

Article Title: Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

Journal: Veterinary Surgery

In Walker 2022 et al., on TPLO mRUST scoring, which minimum score was associated with a 99% likelihood of subjective union?

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Correct. Scores ≥10/12 were subjectively judged to represent radiographic union in 99% of cases.
Incorrect. The correct answer is 10/12.
Scores ≥10/12 were subjectively judged to represent radiographic union in 99% of cases.

🔍 Key Findings

  • TPLO mRUST scoring showed improved inter-rater reliability (ICC = 0.56) compared to subjective evaluation (Kappa = 0.33).
  • Intra-rater reliability was similar for both methods (TPLO mRUST: 0.73, subjective: 0.72).
  • TPLO mRUST scores ≥10/12 strongly correlated with radiographic union, as subjectively assessed (99% agreement).
  • No significant difference in healing between first and second TPLO sides (P = .09), countering assumptions about load-bearing impact.
  • Higher initial lameness scores and younger age were associated with higher TPLO mRUST scores, suggesting more robust healing in those groups.
  • Postoperative complications were linked to lower TPLO mRUST scores, indicating impaired healing.
  • Medial cortex was excluded from scoring due to plate obstruction, validating use of only 3 cortices for scoring.
  • The TPLO mRUST system may standardize healing assessment, reducing subjective bias across specialties.

Walker

Veterinary Surgery

8

2022

Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing

2022-8-VS-walker-2

Article Title: Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing

Journal: Veterinary Surgery

In Eskelinen 2025 et al., on Plate–Pin fixation for MPL, what was the rate of patellar luxation recurrence?

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Correct. Only 1 of 65 stifles had recurrence, indicating 98.5% success.
Incorrect. The correct answer is 1.5%.
Only 1 of 65 stifles had recurrence, indicating 98.5% success.

🔍 Key Findings

  • Plate–Pin TTT fixation resolved MPL in 64/65 stifles with low recurrence (1.5%) and good lameness outcomes postoperatively.
  • Complication rate was 21.5% (14/65 stifles), mostly minor (57%); major issues included pin migration, fracture, or capsular failure.
  • Pin-related issues accounted for 8 of 20 total complications, highlighting implant refinement is needed.
  • No avulsions, TT fixation failures, or luxation recurrence occurred in cases where surgical technique was followed precisely.
  • Surgical deviations increased complication risk 11.3× (p < 0.05), suggesting adherence to protocol is critical.
  • Single-session bilateral MPL surgery had comparable complication rate (3/20) to unilateral surgery (11/45).
  • Screw breakage occurred in 3 cases, suggesting at least 3 screws may be needed for secure TT fixation.
  • Authors suggest temporary pin fixation and later removal may reduce complications, though prospective studies are needed.

Eskelinen

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Outcome and Complications Following Medial Patellar Luxation Corrective Surgery with Tibial Tuberosity Transposition Using a Locking Plate and a Pin Fixation: 45 Unilateral and 20 Single-Session Bilateral Procedures

2025-4-VCOT-eskelinen-1

Article Title: Outcome and Complications Following Medial Patellar Luxation Corrective Surgery with Tibial Tuberosity Transposition Using a Locking Plate and a Pin Fixation: 45 Unilateral and 20 Single-Session Bilateral Procedures

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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

In Mattioli 2025 et al., on lymphadenectomy complications, which intraoperative guidance technique was associated with the lowest complication rate?

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Correct. The study found no significant difference in complication rates among the different intraoperative guidance techniques (p = .255).
Incorrect. The correct answer is No significant difference.
The study found no significant difference in complication rates among the different intraoperative guidance techniques (p = .255).

🔍 Key Findings

Sample: 201 lymphadenectomies in 163 dogs.
Intraoperative techniques:

  • Unassisted: 36%
  • Methylene blue (MB): 24%
  • Gamma probe + MB (γ-MB): 40%

Complication rate: 7.5% overall (93% uncomplicated)

  • 80% were mild, 20% moderate; no severe complications
  • Most common = seroma (2.5%), lymphoedema (1.5%)

Risk factors (via decision tree model):

  • Surgical time > 21.5 min
  • Lymph node site = mandibular or retropharyngeal

No significant difference in complication rate based on:

  • Guidance technique (p = .255)
  • LN palpability, number removed, or LN size

Clinical implication: Peripheral SLN excision is safe regardless of intraoperative technique; certain sites and durations carry slightly higher risk.

Mattioli

Veterinary Surgery

4

2025

Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

2025-4-VS-mattioli-2

Article Title: Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

Journal: Veterinary Surgery

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.

🔍 Key Findings

  • Double pelvic osteotomy (DPO) reduced angle of lateral opening (ALO) by a median of 11° (p ≤ .001).
  • Despite ALO correction, THR reluxation occurred in 5/11 dogs, often within 7 days post-DPO.
  • Post-DPO ALO remained elevated (median 56°), with only 2 dogs achieving the recommended 35–45° range.
  • Explantation was required in 7/11 dogs (5 aseptic loosenings, 2 infections), suggesting poor long-term implant survival.
  • Dogs with luxoid hips were more likely to fail, even with corrected ALO, emphasizing soft tissue instability as a risk factor.
  • Compared to TPO (23° correction), DPO yielded a smaller ALO correction, possibly due to older dog population and less elastic pelvis.
  • No ventral luxation occurred post-DPO, unlike in TPO studies, likely due to more conservative ALO reduction.
  • Authors do not recommend routine DPO for THR luxation due to high complication and failure rates.

Thibault

Veterinary Surgery

8

2023

Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs

2023-8-VS-thibault-1

Article Title: Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs

Journal: Veterinary Surgery

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