Question 1

Evers VS 2023 - Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture What was the sensitivity and specificity of needle arthroscopy?

Accepted Answer

Sn 95%, Spec 100%

Question 2

Katz VS 2022 - The significance of the meniscal flounce sign in canine stifle arthroscopy What did lack of a meniscal flounce indicate?

Accepted Answer

Stifles with -ve meniscal flounce had meniscal tear

Question 3

Katz VS 2022 - The significance of the meniscal flounce sign in canine stifle arthroscopy What % of stifles with -ve flounce had meniscal tear? What type of meniscal tears were present in the stifles which had a meniscal flounce?

Accepted Answer

93% Radial tear

Question 4

Cortes VS 2019 - Iatrogenic cartilage injury associated with the use of stainless-steel cannulas and silicone-guarded cannulas for canine stifle arthroscopy What was the main finding?

Accepted Answer

Silicone-guarded arthroscope cannulas decreased iatrogenic cartilage injury

Question 5

Tanegashima VCOT 2021 - Functional Anatomy of the Craniolateral and Caudomedial Bundles of the Caudal Cruciate Ligament in Beagle Dogs What was the main finding? (bonus q: what component is damaged IF you only get cranial drawer in flexion?)

Accepted Answer

Tension of CdM band was higher than CrL band throughout ROM. CdM

Question 6

Husi VS 2023 - Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study What was the main finding?

Accepted Answer

Cranial tibial translation was 6 times larger in TPLO compared to intact when performing external Tibial pivot compression test and internal test. Tests not different with TPLO and external lateral augmentation VS intact stifle.

Question 7

Johnson VS 2022 - Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial What was the outcome @6m?

Accepted Answer

2/10 PET implant intact. 4 partial and torn in 3. 1x implant infection.

Question 8

Mazdarani VS 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 Which osteotomy was performed? What biomechanical benefits did this osteotomy have?

Accepted Answer

CBLO CBLO prevented CrTibTranslation except with the stifle at 140 degrees.

Question 9

Peterson VS 2022 - Evaluation of a crescent saw guide for tibial plateau-leveling osteotomy: An ex vivo study What benefit did use of the crescent saw guide give?

Accepted Answer

NONE - no difference

Question 10

Peycke VS 2022 - Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs What complication was observed, what % of dogs were affected?

Accepted Answer

Valgus deformity secondary to plate screw engaging distolateral aspect of proximal tibial physis - required revision surgery 2/16 stifles (12.5%)

Question 11

Alexander VS 2021 - Influence of radiographic examination findings on recommendations made during routine clinical re-evaluation of dogs with uncomplicated tibial plateau leveling osteotomy What was the main finding?

Accepted Answer

Radiographic findings resulted in changed recommendations in 4% of dogs without client concerns & without abnormalities on ortho examination.

Question 12

Budsberg VS 2021 - Efficacy of postoperative antibiotic use after tibial plateau levelling osteotomy in dogs: A systematic review What was the main finding?

Accepted Answer

No benefit of post-op AB usage

Question 13

Geier VS 2021 - Evaluation of the risk of patella fracture as the result of decreasing tibial plateau angle following tibial plateau levelling osteotomy How did the risk of patellar fracture differ with final TPA?

Accepted Answer

The odds of patellar fractures increased by 21.7% for every 1° decrease in final TPA.

Question 14

Jeong VS 2021 - Subsequent meniscal tears following tibial tuberosity advancement and tibial plateau levelling osteotomy in dogs with cranial cruciate ligament deficiency: An in vivo experimental study Which procedure was associated with a higher risk of late meniscal tears? What % had meniscal tears at 32 weeks?

Accepted Answer

TTA 5/5 TTA (medial tear), 4/5 TTA (lateral tear)

Question 15

McDougall VS 2021 - Timing of and risk factors for deep surgical site infection requiring implant removal following canine tibial plateau leveling osteotomy What % had deep SSI requiring implant removal? What factors increased the risk of implant removal?

Accepted Answer

3% (at median 279d PO) Male and GSD

Question 16

Olivencia-Morell VS 2021 - Evaluation of the clinical value of routine radiographic examination during convalescence for tibial plateau leveling osteotomy What % had minor complications? What% had complications significant enough to alter patient management?

Accepted Answer

49% 2%

Question 17

Biskup VS 2020 - Long-term arthroscopic assessment of intra-articular allografts for treatment of spontaneous cranial cruciate ligament rupture in the dog Where were the allografts harvested from? At long-term arthroscopic assessment, what % showed graft survival?

Accepted Answer

DDFT allograft 45%

Question 18

Clark VS 2020 - Influence of administration of antimicrobial medications after tibial plateau leveling osteotomy on surgical site infections: A retrospective study of 308 dogs What factors were associated with SSI? What was the main conclusion?

Accepted Answer

Prolonged duration of surgery and GA, increasing BW PO AB were not protective against SSI

Question 19

Cradic VS 2020 - Morphometric measurements to predict meniscal size in skeletally mature dogs for meniscal transplantation What measurement was observed to be proportional to meniscal dimensions?

Accepted Answer

Hock to stifle length (length of tibia?)

Question 20

Gleason VS 2020 - Meniscal click in cranial cruciate deficient stifles as a predictor of specific meniscal pathology What was the presence of a meniscal click associated with?

Accepted Answer

Associated with a bucket handle tear (not other types)

Question 21

Hagen VS 2020 - Contributing factors to surgical site infection after tibial plateau levelling osteotomy: a follow-up retrospective study What was the SSI rate and what was the most common causative agent? Give 2 protective factors identified in this study

Accepted Answer

SSI 11%, 28% of which were MRSP PO AB and timing of pre-op AB (>60 mins prior to 1st incision)

Question 22

Garcia VS 2020 - Subclinical bacteriuria and surgical site infections in dogs with cranial cruciate ligament disease What was the main conclusion/finding of this paper?

Accepted Answer

Organisms isolated were different from those in urine

Question 23

Moore VS 2020 - Extended long-term radiographic and functional comparison of tibial plateau levelling osteotomy vs tibial tuberosity advancement for cranial cruciate ligament rupture in the dog What was the main radiographic finding? What was the main functional finding?

Accepted Answer

OA progressed more after TTA (c.f. TPLO) and bilateral surgery CBPI and COI better after TPLO (c.f. TTA)

Question 24

Mullins VS 2020 - Effect of stifle flexion on the position of the cranial tibial artery relative to the proximal tibia in dogs How did the proximity of the CTartery change upon flexion?

Accepted Answer

Flexion had no effect on the proximity of the CTA to the prox tibia

Question 25

Schlag VS 2020 - Center of rotation of angulation-based leveling osteotomy combined with a coplanar cranial closing wedge ostectomy to manage cranial cruciate ligament insufficiency in dogs with excessive tibial plateau angle What was the complication rate? What % had full or acceptable function?

Accepted Answer

6/28 - 21% 18/28 full function (68%), 3/28 acceptable (11%)

Question 26

Yarnell VS 2019 - Proinflammatory polarization of stifle synovial macrophages in dogs with cruciate ligament rupture What type of macrophage is 'proinflammatory'?

Accepted Answer

M1 - proinflammatory phenotype of macrophages

Question 27

Giansetto VCOT 2023 - Patellar Proximo-Distal Displacement following Modified Maquet Technique Is Not Predictive of Patellar Luxation At which angle was the distal displacement of the patella most evident?

Accepted Answer

135 degrees

Question 28

Cieciora VCOT 2022 - Ex Vivo Evaluation of the Cranial Tibial Artery and Its Compression through Fragment Rotation during Tibia Plateau Levelling Osteotomy: An Angiographic Three-Dimensional Reconstruction What was the main finding of this paper?

Accepted Answer

Proximal fragment rotation after TPLO reduced cranial tibial artery size by 81%.

Question 29

Kmieciak VCOT 2022 - Comparison of two stifle exploratory methods using mini-arthrotomy for diagnosis of canine medial meniscal pathology: An ex vivo study What two techniques were compared? What was the conclusion?

Accepted Answer

Stifle distractors or Hohmen/Senn No difference between the two techniques

Question 30

Schmutterer VCOT 2022 - Evaluation of Meniscal Load and Load Distribution in the Canine Stifle after Tibial Plateau Levelling Osteotomy with Postoperative Tibia Plateau Angles of 6 and 1 Degrees How was the meniscal load affected by the TPLO w. 6 or 1 degree angles?

Accepted Answer

Contact force on both menisci reduced after TPLO w. TPA 1 degree

Question 31

Shimda VCLT 2022 - Prophylactic Efficacy of Tibial Plateau Levelling Osteotomy for a Canine Model with Experimentally Induced Degeneration of the Cranial Cruciate Ligament What was the main finding?

Accepted Answer

Protective benefit of a TPLO on a partial cruciate CCL degeneration induced by creation of excessive TPA can be suppressed by reducing biomechanical load by performing TPLO.

Question 32

Tomo VCOT 2022 - Evaluation of Hindlimb Deformity and Posture in Dogs with Grade 2 Medial Patellar Luxation during Awake Computed Tomography Imaging while Standing What was the main finding?

Accepted Answer

No significant differences between bone morphology of dogs with/without Grade 2 MPL.

Question 33

Laube VCOT 2021 - Prevalence and risk factors for bilateral meniscal tears identified during treatment for cranial cruciate ligament disease via tibial plateau levelling osteotomy in dogs What % of dogs have bilateral meniscal tears (meniscal tear in both stifles)? What factors increased the risk of bilateral meniscal tears?

Accepted Answer

48% Rottweilers, smaller dogs and complete CCL rupture

Question 34

Terreros VCOT 2021 - Prospective evaluation of a citrate-based biomaterial wedge for a modified maquet procedure in the treatment of cranial cruciate ligament rupture in dogs What % had major complications (and what were they)? What was the most common minor complication? What was the rate of minor complications? What was the acceptable/full function rate?

Accepted Answer

3/15 - 20%. SSI non-displaced cortical hinge fracture 9/15 - 60% 85%

Question 35

Cox VCOT 2020 - Investigation of Variables Associated with Surgical Site Infection following the Management of Canine Cranial Cruciate Ligament Rupture with a Lateral Fabellotibial Suture What was the SSI rate? What % of SSI cases required removal of suture? What factors were associated with SSI?

Accepted Answer

17% 53% BW or induction using propofol

Question 36

Fox VCOT 2020 - Average Tibial Plateau Angle of 3,922 Stifles Undergoing Surgical Stabilization for Cranial Cruciate Ligament Rupture What was the average pre-op TPA? What breeds had a lower TPA? WHat breeds had a higher TPA?

Accepted Answer

29 degrees Labrador, Cane corso, GSD, and Rottie WHWT, Dobermann, Yorkshire Terrier, Bichon Frise

Question 37

Knebel VCOT 2020 - Outcome after Tibial Plateau Levelling Osteotomy and Modified Maquet Procedure in Dogs with Cranial Cruciate Ligament Rupture What was the difference between the outcome between TPLO and MMP?

Accepted Answer

Compared with controls, TPLO group reached greater % PVF and VI vs MMP group. No significant difference between TPLO/MMP in outcome, major complications or OA progression. (76 joints)

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Ortho HL - Stifle journals Flashcards

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