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S Vincenti, S Knell, A Pozzi
Caudal cruciate ligament injury can be a complication following tibial plateau leveling osteotomy (TPLO) (Slocum und Slocum, 1993) especially if the post-operative Tibial Plateau Angle (TPA) is less than 5 degree. We describe a case of negative TPA associated with partial cranial and caudal ligament rupture treated with a center of rotation of angulation (CORA) based cranial tibial opening wedge osteotomy and tibial tuberosity transposition. A 13 kg, mixed breed dog was presented for right pelvic limb lameness...
April 2017: Schweizer Archiv Für Tierheilkunde
Rebekah C Knight, David G Thomson, Alan Danielski
CASE DESCRIPTION A 6.8-year-old neutered male Labrador Retriever-Poodle mix was evaluated because of continued left pelvic limb lameness unresponsive to conservative management 1 year after undergoing tibial plateau leveling osteotomy (TPLO). CLINICAL FINDINGS A jerking lateral movement of the left stifle joint was detected during walking. Orthopedic examination revealed a pivot-shift phenomenon (PSP). Palpation elicited no signs of discomfort over the TPLO plate or caudomedial aspect of the stifle joint. Radiography revealed complete bone fusion at the osteotomy site and only mild joint effusion...
March 15, 2017: Journal of the American Veterinary Medical Association
Steven W Frederick, Alan R Cross
OBJECTIVE: To describe short-term outcomes of a modified cranial closing wedge osteotomy (CCWO) for treatment of dogs with cranial cruciate ligament disease and excessive tibial plateau angle (eTPA). STUDY DESIGN: Retrospective clinical study. ANIMALS: 18 client-owned dogs (19 stifles) with cranial cruciate ligament disease and eTPA (>34°). METHODS: A modified CCWO was performed with Kirschner wires as osteotomy alignment aids...
April 2017: Veterinary Surgery: VS
Sherman O Canapp, Christopher S Leasure, Catherine Cox, Victor Ibrahim, Brittany J Carr
OBJECTIVE: To evaluate outcomes in 36 dogs with a partial cranial cruciate ligament (CCL) tear treated with autologous bone marrow aspirate concentrate (BMAC) or adipose-derived progenitor cells (ADPC) with platelet-rich plasma (PRP) combination. MATERIALS AND METHODS: Medical records of client-owned dogs diagnosed with an early partial (≤50%) tear of the craniomedial band of the CCL that was treated with BMAC-PRP or ADPC-PRP were reviewed from 2010 to 2015. Signalment, medical history, physical and orthopedic examination, objective temporospatial gait analyses, radiographs, day 0 and day 90 diagnostic arthroscopy findings, treatment, and outcome were among the data collected...
2016: Frontiers in Veterinary Science
Dana M DeSandre-Robinson, Cheryl A Tano, Kara L Fiore, Ben Prytherch
OBJECTIVE To radiographically evaluate and compare changes in the patellar ligament of dogs following tibial plateau leveling osteotomy (TPLO) and tibial tuberosity advancement (TTA). DESIGN Retrospective case series. ANIMALS 106 dogs that underwent TPLO (n = 59) or TTA (n = 47) for unilateral rupture of the cranial cruciate ligament at a private veterinary hospital from August 2009 through September 2012. PROCEDURES Medical records were reviewed to collect information on dog signalment, surgical procedure, whether arthrotomy had been performed, pre- and postoperative measurements of patellar ligament angle (PLA) and tibial plateau angle (TPA), and preoperative and follow-up measurements of patellar ligament thickness...
January 1, 2017: Journal of the American Veterinary Medical Association
Cleo P Rogatko, Wendy I Baltzer, Rachel Tennant
OBJECTIVES: To evaluate the influence of preoperative low-level laser therapy (LLLT) on therapeutic outcomes of dogs undergoing tibial plateau levelling osteotomy (TPLO). METHODS: Healthy dogs undergoing TPLO were randomly assigned to receive either a single preoperative LLLT treatment (800-900 nm dual wavelength, 6 W, 3.5 J/cm(2), 100 cm(2) area) or a sham treatment. Lameness assessment and response to manipulation, as well as force plate analysis, were performed preoperatively, then again at 24 hours, two weeks, and eight weeks postoperatively...
December 9, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
Andrew Craig, Philip Georg Witte, Harry William Scott
OBJECTIVES: To assess the accuracy of tibial osteotomy location for tibial plateau levelling osteotomy (TPLO) in the sagittal plane and its effect on the postoperative tibial plateau angle (TPA), when performed without an alignment jig and saw guide. Also, to document the improvement gained with experience. METHODS: Medical records and stifle radiographs of dogs undergoing TPLO, without the use of an alignment jig and saw guide, by one surgeon were reviewed (2010-2014)...
November 16, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
Katherine C Leonard, Michael P Kowaleski, William B Saunders, Robert J McCarthy, Randy J Boudrieau
OBJECTIVES: To describe the surgical technique and report short-term outcome for combined tibial plateau levelling osteotomy and tibial tuberosity transposition (TPLO-TTT) as an option in the treatment of cranial cruciate ligament insufficiency with concomitant medial patellar luxation. METHODS: Medical records were reviewed (2011-2013) of dogs that underwent a standard tibial plateau levelling osteotomy followed by a tibial tuberosity transposition in the frontal plane and stabilized with pin and tension-band wire fixation as a component of surgical treatment for combined cranial cruciate ligament insufficiency and medial patellar luxation...
November 23, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
Julia K Mindner, Malgorzata J Bielecki, Stefan Scharvogel, Diane Meiler
OBJECTIVE: To report the surgical procedure, intra- and postoperative complications, and short-term follow-up of tibial plateau levelling osteotomy (TPLO) in feline patients with cranial cruciate ligament (CrCL) rupture using a 2.0 or 2.4 mm Synthes(®) TPLO plate. STUDY DESIGN: Prospective study. MATERIAL AND METHODS: Eleven cats with a CrCL rupture were included in the study. Inspection of intra-articular structures was carried out via arthroscopy or arthrotomy...
November 23, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
E J Harrison, W E Scherrer, J Fragola, N G Patel, S R Perry, V Janković, A J Staatz
AIMS: To compare the prevalence of minor incisional complications in canine patients undergoing tibial plateau levelling osteotomy (TPLO) surgery that had a hydrogel liquid bandage (HLB) applied to their incision, with patients that had a light adhesive bandage applied. METHODS: Thirty dogs undergoing TPLO surgery were randomly assigned to either application of a light adhesive bandage to the incision, with removal 18-24 hours later, or application of a clear-drying polyethylene glycol HLB to the incision...
January 2017: New Zealand Veterinary Journal
Abigail D Mariano, Michael P Kowaleski, Randy J Boudrieau
OBJECTIVES: To evaluate the ability of an alignment jig/saw guide to reproduce appropriate osteotomy positions in the tibial plateau leveling osteotomy (TPLO) in the dog. METHODS: Lateral radiographs of 65 clinical TPLO procedures using an alignment jig and freehand osteotomy performed by experienced TPLO surgeons using a 24 mm radial saw blade between Dec 2005-Dec 2007 and Nov 2013-Nov 2015 were reviewed. The freehand osteotomy position was compared to potential osteotomy positions using the alignment jig/saw guide...
2016: PloS One
G Brown, T Maddox, M M Baglietto Siles
The objective of this study was to describe client-assessed long-term functional outcome following surgical site infection (SSI) in dogs that underwent tibial plateau levelling osteotomy (TPLO) and identify predictive factors for infection development and management. This study is a retrospective clinical case series. Clinical records of dogs (n=545) undergoing TPLO surgery (n=683) were reviewed. Signalment, clinical details, surgical management and postoperative complications were recorded. Multilevel analysis was used to assess the relationship between signalment and clinical variables and the subsequent development of SSI...
October 22, 2016: Veterinary Record
Juliette L Hart, Kimberly D May, Nina R Kieves, Patrice M Mich, Clara S S Goh, Ross H Palmer, Felix M Duerr
OBJECTIVE To compare owner satisfaction between custom-made stifle joint orthoses and tibial plateau leveling osteotomy (TPLO) for the management of medium- and large-breed dogs with cranial cruciate ligament disease (CCLD). DESIGN Owner survey. SAMPLE 819 and 203 owners of dogs with CCLD that were managed with a custom-made stifle joint orthosis or TPLO, respectively. PROCEDURES Client databases of an orthosis provider and veterinary teaching hospital were reviewed to identify potential survey respondents...
August 15, 2016: Journal of the American Veterinary Medical Association
D C Barnes, T Trinterud, M R Owen, M A Bush
OBJECTIVES: To report short-term radiographic and clinical outcome and complications following tibial plateau levelling osteotomy for the treatment of cranial cruciate ligament insufficiency in dogs less than 18·1 kg with tibial plateau angle greater than 35° using anatomically contoured six-hole locking compression plates. METHODS: Retrospective data were collected on: preoperative, postoperative and follow-up tibial plateau angles, plateau segment rotation, tibial tuberosity width and length of the cranial aspect of tibial tuberosity segment from the patellar tendon insertion and rotation of the tibial plateau below the level of the insertion of the patellar ligament...
June 2016: Journal of Small Animal Practice
Márcio P Ferreira, Cássio R A Ferrigno, Alexandre N A de Souza, Daniela F I Caquias, Adriana V de Figueiredo
OBJECTIVES: This study set out to compare the outcomes of tibial tuberosity advancement (TTA) and tibial plateau levelling osteotomy (TPLO) procedures in the treatment of dogs affected with unilateral cranial cruciate ligament disease (CCLD) based on subjective parameters and objective pressure platform analysis (baropodometry). METHODS: Twenty-seven adult dogs weighing over 20 kg that were presented with unilateral CCLD and were treated by the TTA (12 dogs) or TPLO (15 dogs) surgical procedure...
May 18, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
Matthew D Johnson, Cindy L Shmon, Kathleen A Linn, Baljit Singh
OBJECTIVE To determine the effect of arthrotomy alone or in combination with osteotomy of the proximal portion of the tibia on blood delivery to the patellar tendon of dogs. SAMPLE 24 canine cadavers. PROCEDURES One hind limb from each cadaver was assigned to 1 of 4 treatment groups: medial arthrotomy (MA; MA group), lateral arthrotomy (LA; LA group), MA and LA with tibial tuberosity transposition (MALA group), and MA with tibial plateau leveling osteotomy (TPLO; TPLO group). The contralateral hind limb served as the control sample...
May 2016: American Journal of Veterinary Research
B Berger, J Knebel, S Steigmeier-Raith, S Reese, A Meyer-Lindenberg
OBJECTIVE: Cranial cruciate ligament rupture is the most frequently occurring disease of the canine stifle. After introduction of corrective osteotomies of the proximal tibia as surgical treatment option in medium, large and giant breeds, the tibial plateau leveling osteotomy (TPLO) evolved into one of the favorite procedures. In the past small breed dogs have usually been treated by extra-articular stabilization techniques. TPLO has recently become an accepted treatment method in these breeds as well as, and is nowadays used with increasing frequency...
2015: Tierärztliche Praxis. Ausgabe K, Kleintiere/Heimtiere
Karl R Mathis, Simon C Roe, Kenneth A Johnson
OBJECTIVE: To evaluate the effect of contouring a tibial plateau leveling osteotomy (TPLO) plate, the associated angulation of the dynamic compression plate (DCP) hole relative to the long axis of the tibia, and angulation of the screw relative to the DCP hole on the osteotomy compression generated by load screws in a TPLO model. STUDY DESIGN: In vitro biomechanical study. STUDY POPULATION: Polyoxymethylene (POM) rod and synthetic cortical bone substitute model (n = 9)...
November 2015: Veterinary Surgery: VS
N R Kieves, C S MacKay, K Adducci, S Rao, C Goh, R H Palmer, F M Duerr
OBJECTIVES: To evaluate the influence of shock wave therapy (SWT) on radiographic evidence of bone healing after tibial plateau leveling osteotomy (TPLO). METHODS: Healthy dogs between two to nine years of age that underwent TPLO were randomly assigned to receive either electro-hydraulic SWT (1,000 shocks) or sham treatment (SHAM). Treatment or SHAM was administered to the osteotomy site immediately postoperatively and two weeks postoperatively. Three blinded radiologists evaluated orthogonal radiographs performed eight weeks postoperatively with both a 5-point and a 10-point bone healing scale...
2015: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
Ryan E McCally, Alex Bukoski, Keith R Branson, Derek B Fox, James L Cook
OBJECTIVE: To compare early postoperative analgesia in dogs undergoing unilateral tibial plateau leveling osteotomy (TPLO) that received bupivacaine via preoperative femoral nerve block (FNB), combination femoral-sciatic nerve block (F+SNB), or lumbosacral epidural (EPI). STUDY DESIGN: Randomized, blinded, prospective clinical trial. ANIMALS: Forty-five client-owned dogs undergoing unilateral TPLO. METHODS: Dogs undergoing unilateral TPLO were enrolled and randomly allocated to 1 of 3 treatments: FNB, F+SNB, or EPI...
November 2015: Veterinary Surgery: VS
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