Autor: |
Trębacz P; Department of Surgery and Anesthesiology of Small Animals, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska 159c, 02-776 Warsaw, Poland., Frymus J; Department of Surgery and Anesthesiology of Small Animals, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska 159c, 02-776 Warsaw, Poland., Pawlik M; CABIOMEDE Ltd., Karola Olszewskiego 21, 25-663 Kielce, Poland., Barteczko A; CABIOMEDE Ltd., Karola Olszewskiego 21, 25-663 Kielce, Poland., Kurkowska A; CABIOMEDE Ltd., Karola Olszewskiego 21, 25-663 Kielce, Poland., Czopowicz M; Division of Veterinary Epidemiology and Economics, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska 159c, 02-776 Warsaw, Poland., Antonowicz M; Department of Biomaterials and Medical Devices Engineering, Faculty of Biomedical Engineering, Silesian University of Technology, Roosevelta 40, 41-800 Zabrze, Poland., Kajzer W; Department of Biomaterials and Medical Devices Engineering, Faculty of Biomedical Engineering, Silesian University of Technology, Roosevelta 40, 41-800 Zabrze, Poland. |
Abstrakt: |
The aim of this study was to compare the degree of visibility of the lateral and medial menisci before and after tibial plateau leveling osteotomy (TPLO) on 3D-printed models created after laser scanning of the right tibia with menisci derived from a fresh cadaver of a 4-year-old adult male golden retriever. The models were produced of white polylactic acid, and the menisci were filled with light-curing red resin. The models showed a similar conformation as the natural specimen harvested from the cadaver, maintaining the same length and width, in addition to reproducing the anatomical structures. From the pre- and post-TPLO radiographs, it was possible to identify the anatomical structures corresponding to the tibial plateau. The preoperative tibial plateau angle was 26.2°, and the postoperative one ranged between 4.0° and 5.3° (4.6 ± 0.4°). In the bird's-eye photo, the total number of red pixels in the lateral and the medial meniscus was 2,053,995 and 2,140,939, respectively. Before TPLO, only between 14% and 19% of the entire area of the menisci was visible, and the unhidden part of the entire area of the meniscus before TPLO did not differ significantly between the lateral (16.2 ± 1.6%) and the medial (16.4 ± 1.6%) meniscus ( p = 0.351). The visible part of the entire meniscus area increased significantly after TPLO both in the lateral and medial menisci ( p < 0.001)-mean difference ± SD of 30.3 ± 4.3% (CI 95%: 27.9%, 32.6%) and 36.4 ± 6.4% (CI 95%: 32.9%, 40.0%), respectively. In conclusion, the intraoperative examination and treatment of dog menisci are easier after TPLO. |