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https://www.readbyqxmd.com/read/27849109/sagittal-accuracy-of-tibial-osteotomy-position-during-in-vivo-tibial-plateau-levelling-osteotomy-performed-without-an-alignment-jig-and-cutting-guide
#1
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
https://www.readbyqxmd.com/read/27739556/combined-tibial-plateau-levelling-osteotomy-and-tibial-tuberosity-transposition-for-treatment-of-cranial-cruciate-ligament-insufficiency-with-concomitant-medial-patellar-luxation
#2
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...
October 14, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/27709223/tibial-plateau-levelling-osteotomy-in-eleven-cats-with-cranial-cruciate-ligament-rupture
#3
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...
October 6, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/27643681/preliminary-evaluation-of-a-hydrogel-liquid-bandage-in-30-dogs-undergoing-tibial-plateau-levelling-osteotomy-surgery
#4
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...
September 18, 2016: New Zealand Veterinary Journal
https://www.readbyqxmd.com/read/27556230/novel-tplo-alignment-jig-saw-guide-reproduces-freehand-and-ideal-osteotomy-positions
#5
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
https://www.readbyqxmd.com/read/27531716/client-assessed-long-term-outcome-in-dogs-with-surgical-site-infection-following-tibial-plateau-levelling-osteotomy
#6
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...
August 16, 2016: Veterinary Record
https://www.readbyqxmd.com/read/27479283/comparison-of-owner-satisfaction-between-stifle-joint-orthoses-and-tibial-plateau-leveling-osteotomy-for-the-management-of-cranial-cruciate-ligament-disease-in-dogs
#7
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
https://www.readbyqxmd.com/read/27148864/short-term-outcome-and-complications-of-tplo-using-anatomically-contoured-locking-compression-plates-in-small-medium-breed-dogs-with-excessive-tibial-plateau-angle
#8
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
https://www.readbyqxmd.com/read/27124087/short-term-comparison-of-tibial-tuberosity-advancement-and-tibial-plateau-levelling-osteotomy-in-dogs-with-cranial-cruciate-ligament-disease-using-kinetic-analysis
#9
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
https://www.readbyqxmd.com/read/27111023/ex-vivo-evaluation-of-the-effect-of-various-surgical-procedures-on-blood-delivery-to-the-patellar-tendon-of-dogs
#10
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
https://www.readbyqxmd.com/read/26568171/long-term-outcome-after-surgical-treatment-of-cranial-cruciate-ligament-rupture-in-small-breed-dogs-comparison-of-tibial-plateau-leveling-osteotomy-and-extra-articular-stifle-stabilization
#11
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
https://www.readbyqxmd.com/read/26490162/tibial-plateau-leveling-osteotomy-plate-contouring-and-proximal-load-screw-angulation-affect-osteotomy-compression
#12
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
https://www.readbyqxmd.com/read/26449666/high-energy-focused-shock-wave-therapy-accelerates-bone-healing-a-blinded-prospective-randomized-canine-clinical-trial
#13
RANDOMIZED CONTROLLED TRIAL
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
https://www.readbyqxmd.com/read/26447168/comparison-of-short-term-postoperative-analgesia-by-epidural-femoral-nerve-block-or-combination-femoral-and-sciatic-nerve-block-in-dogs-undergoing-tibial-plateau-leveling-osteotomy
#14
RANDOMIZED CONTROLLED TRIAL
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
https://www.readbyqxmd.com/read/26347395/safety-and-functional-outcomes-associated-with-short-term-rehabilitation-therapy-in-the-post-operative-management-of-tibial-plateau-leveling-osteotomy
#15
Laura S Romano, James L Cook
This retrospective cohort study using electronic questionnaires compared the perioperative complication rates of tibial plateau levelling osteotomy (TPLO) surgery and the 8-week, 6-month, and 1-year functional outcomes, between rehabilitation and traditional post-operative management. Dogs were placed into 1 of 2 cohort groups based on attending veterinarian's selected management: i) "traditional" involving restriction to cage rest and leash walking, and ii) "rehabilitation" performed by a certified practitioner...
September 2015: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/26345618/anatomic-femorotibial-changes-associated-with-tibial-plateau-leveling-osteotomy
#16
Jennifer A Schultz, David A Allen, Philip J Bergman
This prospective study evaluated anatomic femorotibial changes utilizing the relationship between the intercondylar notch and the intercondylar eminence following tibial plateau leveling osteotomy (TPLO). We hypothesized that TPLO results in anatomic alteration of the femorotibial joint. Pre- and post-operative computed tomography (CT) scans of cranial cruciate deficient stifle joints treated with TPLO were performed on 25 client-owned dogs. Computed tomography scans were performed at 3 different stifle angles: extension, 135° walking angle, and 90° of flexion...
September 2015: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/26309104/pharmacokinetics-of-hydrocodone-and-tramadol-administered-for-control-of-postoperative-pain-in-dogs-following-tibial-plateau-leveling-osteotomy
#17
RANDOMIZED CONTROLLED TRIAL
Marian E Benitez, James K Roush, Butch KuKanich, Rose McMurphy
OBJECTIVE: To evaluate the pharmacokinetics of hydrocodone (delivered in combination with acetaminophen) and tramadol in dogs undergoing tibial plateau leveling osteotomy (TPLO). ANIMALS: 50 client-owned dogs. PROCEDURES: Dogs were randomly assigned to receive tramadol hydrochloride (5 to 7 mg/kg, PO, q 8 h; tramadol group) or hydrocodone bitartrate-acetaminophen (0.5 to 0.6 mg of hydrocodone/kg, PO, q 8 h; hydrocodone group) following TPLO with standard anesthetic and surgical protocols...
September 2015: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/26309103/clinical-efficacy-of-hydrocodone-acetaminophen-and-tramadol-for-control-of-postoperative-pain-in-dogs-following-tibial-plateau-leveling-osteotomy
#18
RANDOMIZED CONTROLLED TRIAL
Marian E Benitez, James K Roush, Rose McMurphy, Butch KuKanich, Claire Legallet
OBJECTIVE: To evaluate clinical efficacy of hydrocodone-acetaminophen and tramadol for treatment of postoperative pain in dogs undergoing tibial plateau leveling osteotomy (TPLO). ANIMALS 50 client-owned dogs. PROCEDURES: Standardized anesthetic and surgical protocols were followed. Each patient was randomly assigned to receive either tramadol hydrochloride (5 to 7 mg/kg, PO, q 8 h; tramadol group) or hydrocodone bitartrate-acetaminophen (0.5 to 0.6 mg of hydrocodone/kg, PO, q 8 h; hydrocodone group) for analgesia after surgery...
September 2015: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/26167862/accuracy-of-three-pre-and-intra-operative-measurement-techniques-for-osteotomy-positioning-in-the-tibial-plateau-levelling-procedure
#19
H Mossman, D J F von Pfeil, M Nicholson, H Phelps, E Morris, R Bradley, J Taylor, A Langenbach
OBJECTIVES: To prospectively compare the accuracy of three preoperative measurement techniques in tibial plateau levelling osteotomy (TPLO) planning. METHODS: Fifty-nine dogs were randomly assigned to one of three measurement techniques; A, B or C. Surgeons measured the intended osteotomy location on preoperative radiographs according to the assigned technique. Measurements were used intra-operatively during osteotomy placement. Postoperative measurements were made by a single blinded observer and compared to preoperative measurements...
2015: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/26113352/suspected-intramedullary-bone-infarct-subsequent-to-tibial-plateau-levelling-osteotomy-in-a-dog
#20
M E Newman, K A Johnson
BACKGROUND: Bone infarction is a syndrome associated with disruption to the medullary blood supply of a long bone and may present as either a cause of lameness or, more commonly, an incidental finding. Bone infarction is a known complication of total hip replacement in the dog and may be associated with several other systemic diseases. CASE REPORT: A 3-year-old female desexed Labrador Retriever presented for acute lameness 4 weeks following tibial plateau levelling osteotomy (TPLO)...
July 2015: Australian Veterinary Journal
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