Preliminary experiences of the triple tibial osteotomy procedure: tibial morphology and complications
| Autor: | A. I. C. Renwick, W. M. McKee, A. K. House, T. D. Emmerson |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Radiography medicine.medical_treatment Bone healing Cruciate ligament Fractures Bone Dogs Postoperative Complications Surveys and Questionnaires Triple tibial osteotomy medicine Animals Postoperative outcome Clinical significance Major complication Anterior Cruciate Ligament Ostectomy Small Animals Fracture Healing Tibia business.industry Anterior Cruciate Ligament Injuries Records musculoskeletal system Stifle Osteotomy Surgery medicine.anatomical_structure Female business |
| Zdroj: | Journal of Small Animal Practice. 50:212-221 |
| ISSN: | 0022-4510 |
| DOI: | 10.1111/j.1748-5827.2008.00698.x |
| Popis: | Objective: To document the effect of variable tibial morphology on the planning and execution of the triple tibial osteotomy (TTO) procedure in dogs and complications encountered while becoming familiar with the technique. Methods: The records of 21 consecutive cases that had a TTO performed were reviewed. Preoperative tibial morphology was assessed. Modifications in the described technique and complications were documented. Postoperative outcome was evaluated using a client-based questionnaire. Results: The size of the tibial wedge ostectomy was modified because of variable tibial morphology in four dogs (19 per cent) to avoid over or under correction of the tibial plateau angle (TPA). Intraoperatively, fracture through the caudal tibial cortex occurred in nine cases (41 per cent) and through the distal tibial crest cortex in four cases (18 per cent). Major complications occurred in five (23 per cent) of cases with four (18 per cent) requiring further surgery. The client questionnaire results demonstrated significant improvements in all parameters and no significant difference from the preinjury status. Clinical Significance: TPA measurement is recommended when planning a TTO to avoid over or under correction of the TPA. Despite frequent minor complications, it appears that the TTO is an effective procedure for management of cranial cruciate ligament rupture in the dog. |
| Databáze: | OpenAIRE |
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