Planned wedge size compared to achieved advancement in dogs undergoing the modified Maquet procedure
| Autor: | M. W. Kapler, Denis J. Marcellin-Little, Simon C. Roe |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.product_category 040301 veterinary sciences medicine.medical_treatment Anterior cruciate ligament Tibial tuberosity Osteotomy 0403 veterinary science Tibial tuberosity advancement Dogs Patellar Ligament medicine Animals Tibia Dog Diseases Anterior Cruciate Ligament Retrospective Studies Orthodontics Maquet procedure General Veterinary business.industry Patellar ligament Anterior Cruciate Ligament Injuries 0402 animal and dairy science 04 agricultural and veterinary sciences 040201 dairy & animal science Wedge (mechanical device) Surgery Biomechanical Phenomena medicine.anatomical_structure Treatment Outcome Dimensional Measurement Accuracy Animal Science and Zoology business |
| Zdroj: | Veterinary and comparative orthopaedics and traumatology : V.C.O.T. 28(6) |
| ISSN: | 2567-6911 |
| Popis: | Summary Objectives: To evaluate the patellar ligament to tibial plateau angle (PL-TPA) and amount of achieved advancement in dogs that underwent the modified Maquet procedure; compare wedge sizes recommended using two different planning techniques (Orthomed and modified tibial tuberosity advancement); and evaluate anatomical factors that predict the wedge size required to obtain a 90° PL-TPA. Methods: Pre- and postoperative radio-graphs of dogs that had a modified Maquet procedure performed were evaluated for the following: calculated wedge size using two different planning techniques, the actual wedge size used, the achieved tibial tuberosity advancement, and the changes in PL-TPA. Anatomical measurements of the tibia were evaluated and correlated with the actual wedge size. Results: Of the 38 modified Maquet procedures identified, 53% (n = 20) had a PLTPA of 90° ± 5°. Actual achieved advancement of the tibial tuberosity was 30% less than the wedge size used. Changes in PL-TPA and tibial width persisted at eight weeks postoperatively without loss of advancement. The two planning techniques did not result in a significantly different selection of wedge size. Clinical relevance: Current planning techniques for the modified Maquet procedure result in under-advancement of the tibial tuberosity. Both measurement techniques evaluated do not result in appropriate advancement. |
| Databáze: | OpenAIRE |
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