Short-term outcome and complications of TPLO using anatomically contoured locking compression plates in small/medium-breed dogs with 'excessive' tibial plateau angle
| Autor: | D. C. Barnes, M. A. Bush, T. Trinterud, M. R. Owen |
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| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty 040301 veterinary sciences business.industry Radiography Anterior cruciate ligament Patellar ligament medicine.medical_treatment 0402 animal and dairy science 04 agricultural and veterinary sciences musculoskeletal system Plateau (mathematics) Osteotomy 040201 dairy & animal science Surgery 0403 veterinary science Cruciate ligament medicine.anatomical_structure Bone plate Medicine Tibia Small Animals business |
| Zdroj: | Journal of Small Animal Practice. 57:305-310 |
| ISSN: | 0022-4510 |
| DOI: | 10.1111/jsap.12486 |
| Popis: | 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. RESULTS In 26 small dogs (29 stifles in total), mean preoperative, postoperative and follow-up tibial plateau angles were 38·2°, 4·8°, and 4·4°, respectively. Documented postoperative complications were limited to patellar tendinopathy in a single case (3·4%) and tibial tuberosity or fibula fracture were not observed. CLINICAL SIGNIFICANCE Short-term radiographic and clinical outcome of tibial plateau levelling osteotomy stabilised with anatomically contoured six-hole locking compression plates for the treatment of small dogs with large tibial plateau angle suggests a very low risk of complications. Rotation beyond the “safe point” is necessary to perform full rotation in some cases, but does not appear to incur an increased risk of tibial tuberosity fracture. |
| Databáze: | OpenAIRE |
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