A Retrospective Study Using the String of Pearls Tibial Plateau Levelling Osteotomy Locking Plate for the Treatment of Cranial Cruciate Ligament Disease
| Autor: | Ross McGregor, Mark A. Schembri, Christopher J. Tan, Caro-Anne Badcock, Eugene Buffa, Alen Lai |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty 040301 veterinary sciences medicine.medical_treatment Radiography Bone Screws Osteotomy Locking plate 0403 veterinary science Cruciate ligament 03 medical and health sciences Dogs 0302 clinical medicine medicine Animals Dog Diseases Anterior Cruciate Ligament Retrospective Studies Tibia General Veterinary business.industry Anterior Cruciate Ligament Injuries Retrospective cohort study 04 agricultural and veterinary sciences Surgical procedures Stifle Surgery medicine.anatomical_structure Fibular fracture 030220 oncology & carcinogenesis Female Animal Science and Zoology business Complication Bone Plates |
| Zdroj: | Veterinary and Comparative Orthopaedics and Traumatology. 32:483-491 |
| ISSN: | 2567-6911 0932-0814 |
| DOI: | 10.1055/s-0039-1692189 |
| Popis: | Objective The aim of this study was to describe the use of String of Pearls (SOP) tibial plateau levelling osteotomy (TPLO) locking plates for the treatment of cranial cruciate ligament disease and retrospectively assess osteotomy healing, tibial plateau angle (TPA) change (c) and overall complication rates. Methods Medical records and radiographic studies of 170 SOP TPLO surgical procedures were analysed. Radiographic measurement of TPAc and osteotomy union was determined 6 to 8 weeks postoperatively. Intra- and postoperative major and minor complications were identified. Factors influencing TPAc, osteotomy union and complications were assessed. Results Mean (standard deviation) TPAc was 1.3° (1.61) and median osteotomy union was graded as 2 (26–50%) union. Improved osteotomy union was associated with retention of the antirotational pin (odds ratio [OR]: 2.3; 95% confidence interval [CI]: 1.3–4; p = 0.005) and reduced TPAc (OR: 0.8; 95%CI: 0.66–0.97; p = 0.02). Complications occurred in 42 (24.7%) procedures with 11 (6.5%) considered major and 31 (18.2%) minor. Clinical significance The use of the SOP TPLO plating system resulted in a median grade 2 (26–50%) radiographic osteotomy union score at 6 to 8 weeks' follow-up, less than previous TPLO locking plate studies. Osteotomy union was associated with retention of the antirotational pin and reduced TPAc. Major and minor complication rates were marginally greater than recent locking plate studies with fibular fracture and screw loosening common complications. The use of SOP TPLO plates is cautioned and further study is warranted. |
| Databáze: | OpenAIRE |
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