
Quiz Question
In Hanlon 2022 et al., on short screw sacroiliac fixation, what was the mechanical advantage of using two short screws versus one long screw?
🔍 Key Findings
- Two short screws (SLS or SPS) provided >2× peak load, yield load, and stiffness vs a single long screw (LLS) for SI joint stabilization.
- No mechanical advantage was seen between the two short screw types (lag vs positional).
- All short screws terminated lateral to the spinal canal, avoiding spinal impingement.
- Ventral sacral foraminal impingement occurred in 3 short-screw cases (1 SPS, 2 SLS), all involving the caudal screw.
- LLS group showed more abaxial displacement at osteotomy sites, suggesting inferior stabilization for concurrent pelvic fractures.
- Short screw constructs had longer total screw length (48 mm) than LLS (40 mm), contributing to increased stiffness.
- Positioning of caudal screw in a cranial/craniodorsal trajectory may help avoid nerve foraminal injury.
- No significant difference in displacement at peak load among groups; stiffness and load capacity were the primary benefits.
Veterinary Surgery
7
2022
Mechanical evaluation of canine sacroiliac joint stabilization using two short screws
2022-7-VS-hanlon-1
In Woelfel 2022 et al., on cervical locked facets, what was the most common inciting cause?
🔍 Key Findings
- Locked facet injuries in dogs involved unilateral dorsal displacement of the cranial articular process of the caudal vertebra, most commonly at C5/6 or C6/7.
- All affected dogs were small/toy breeds, typically following trauma (most often attacks by larger dogs).
- Neurologic severity ranged from ambulatory tetraparesis to tetraplegia, often with thoracic limb deficits more severe than pelvic limbs — suggesting a central cord syndrome-like pattern.
- CT and MRI revealed axial rotation, subluxation, and articular process displacement; MRI showed T2 hyperintensity, nerve root impingement, and soft tissue changes.
- Surgical treatment included ventral fixation with screws, pins, and PMMA, and one case required dorsal facetectomy for reduction.
- Medical management, including external coaptation or rest, also resulted in functional recovery in select cases.
- All dogs with follow-up data (8/8) had functional recovery, with nonambulatory dogs regaining ambulation in a median of 4 weeks.
- No consistent differences in outcome were observed between surgical and nonsurgical management, suggesting locked facets may be biomechanically stable.
Veterinary Surgery
1
2022
Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs
2022-1-VS-woelfel-3
In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, what proportion of dogs **required conversion to open thoracotomy** during surgery?
🔍 Key Findings
- TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
- 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
- Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
- Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
- One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
- Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
- Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
- TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.
Veterinary Surgery
1
2023
Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs
2023-1-VS-scott-2
In Guevara 2024 et al., on implant placement accuracy, what was the odds ratio (OR) for successful placement using freehand compared to 3DPG?
🔍 Key Findings:
- Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
- Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
- Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
- Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
- Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
- Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
- Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
- Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.
Veterinary Surgery
2
2024
Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines
2024-2-VS-guevara-2
In Scott 2025 et al., on acetabular cup revision, what was the functional outcome in dogs that completed follow-up?
🔍 Key Findings
Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)
Revision Indications:
- 7 luxations (5 ventral, 2 craniodorsal)
- 1 femoral stem fracture
- 1 aseptic stem loosening
Implants:
- 8 BFX cups, 1 Helica; all revised to BFX
- 7/9 required a larger cup than original
Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted
Complications:
- 1 recurrent luxation
- 1 low-grade infection with possible metallic debris-associated osteolysis
- 2 femoral fissures managed intraoperatively
Outcomes:
- Good to excellent function in 6/6 dogs available at median 621 days
- Minimal complications with success in re-osteointegration of new cup
Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing
Veterinary Surgery
3
2025
Revision of osteointegrated acetabular cup prostheses in nine dogs
2025-3-VS-scott-5
In Perez Neto 2025 et al., on hip resurfacing arthroplasty, implantation of the prosthesis reduced maximum load by approximately what percentage compared to controls?
🔍 Key Findings
- In an ex vivo study of 20 canine femur pairs, implantation of a novel hip resurfacing arthroplasty (HRA) prosthesis reduced maximum load (ML) by 22% and load at collapse (LC) by 27% vs. intact controls (p ≤ 0.05).
- Displacement at maximum load (DML), displacement at collapse (DC), and stiffness (k) were not significantly different between prosthesis and control groups.
- Both groups showed similar failure patterns, with 92% failing at the femoral neck.
- All prosthetic femurs still withstood ~6.2× body weight — exceeding estimated in vivo peak loads (~1.64× BW).
- Prosthesis positioning (neutral vs valgus) had no significant effect on biomechanical outcomes.
- Implant design preserved more metaphyseal bone stock than total hip replacement, possibly explaining the smaller load reduction compared to other short-stem prostheses.
- The press-fit cobalt–chromium design with conical stem allowed full contact and stress distribution over the femoral head/neck.
- Authors conclude the device has adequate immediate biomechanical strength for clinical use, though long-term in vivo studies are needed.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study
2025-4-VCOT-perezneto-1
In Dalton 2023 et al., In Minimally invasive acetabular fracture repair in dogs, what reduction quality was reported in cadaveric cases?
🔍 Key Findings
- Feasibility study in 5 canine cadavers plus 1 clinical case (Chihuahua, 5.5 kg).
- Technique used two small approaches (caudal and craniolateral) connected with an epiperiosteal tunnel.
- Plates were precontoured on mirrored 3D-printed hemipelves to improve fit and reduce intraoperative bending.
- Cadaver outcomes: fracture gap <2 mm, step defect <1 mm, pelvic angulation <5°.
- Sciatic nerve injury was minimal: 1/5 cadavers had a mild indentation; others had no gross injury.
- Median total surgical time: ~46 minutes in cadavers; incisions ~5 cm.
- Clinical Chihuahua case: weight-bearing within 24 hrs, radiographic union at 3 months; one screw fractured but no adverse effect.
- Authors conclude: MIAF with 3D printing is feasible and accurate, but requires further evaluation before routine use.
Veterinary Surgery
7
2023
Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report
2023-7-VS-dalton-4
In Hanlon 2022 et al., on short screw sacroiliac fixation, what was the difference in mechanical performance between short lag and short positional screws?
🔍 Key Findings
- Two short screws (SLS or SPS) provided >2× peak load, yield load, and stiffness vs a single long screw (LLS) for SI joint stabilization.
- No mechanical advantage was seen between the two short screw types (lag vs positional).
- All short screws terminated lateral to the spinal canal, avoiding spinal impingement.
- Ventral sacral foraminal impingement occurred in 3 short-screw cases (1 SPS, 2 SLS), all involving the caudal screw.
- LLS group showed more abaxial displacement at osteotomy sites, suggesting inferior stabilization for concurrent pelvic fractures.
- Short screw constructs had longer total screw length (48 mm) than LLS (40 mm), contributing to increased stiffness.
- Positioning of caudal screw in a cranial/craniodorsal trajectory may help avoid nerve foraminal injury.
- No significant difference in displacement at peak load among groups; stiffness and load capacity were the primary benefits.
Veterinary Surgery
7
2022
Mechanical evaluation of canine sacroiliac joint stabilization using two short screws
2022-7-VS-hanlon-2
In Kimura 2025 et al., on mini-THA in <4 kg dogs, what complication led to the discontinuation of a THA procedure in one case?
🔍 Key Findings
- Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
- Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
- Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
- Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
- Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
- Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
- No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
- CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.
Veterinary Surgery
6
2025
Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty
2025-6-VS-kimura-4
In Scott 2025 et al., on acetabular cup revision, what was the most common indication for revision surgery?
🔍 Key Findings
Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)
Revision Indications:
- 7 luxations (5 ventral, 2 craniodorsal)
- 1 femoral stem fracture
- 1 aseptic stem loosening
Implants:
- 8 BFX cups, 1 Helica; all revised to BFX
- 7/9 required a larger cup than original
Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted
Complications:
- 1 recurrent luxation
- 1 low-grade infection with possible metallic debris-associated osteolysis
- 2 femoral fissures managed intraoperatively
Outcomes:
- Good to excellent function in 6/6 dogs available at median 621 days
- Minimal complications with success in re-osteointegration of new cup
Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing
Veterinary Surgery
3
2025
Revision of osteointegrated acetabular cup prostheses in nine dogs
2025-3-VS-scott-1
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
