Review
Veterinary Sciences
Annika Christina Wemmers, Marios Charalambous, Oliver Harms, Holger Andreas Volk
Summary: Tibial Plateau Leveling Osteotomy (TPLO) and Tibial Tuberosity Advancement (TTA) are common surgical techniques for treating cranial cruciate ligament (CCL) rupture in dogs. However, the existing studies lack sufficient high-quality evidence to determine which technique is superior. Further research with high-level evidence is urgently needed.
FRONTIERS IN VETERINARY SCIENCE
(2022)
Article
Veterinary Sciences
Selena Tinga, Stanley E. Kim, Scott A. Banks, Stephen C. Jones, Brian H. Park, Sara M. Chapman, Antonio Pozzi, Daniel D. Lewis
Summary: The study aimed to quantify 3-D femorotibial joint kinematics during ambulation in dogs with CCL rupture treated with LFTS. The results showed that despite improvement in lameness, stifle joint instability was only slightly mitigated at 6 months following LFTS.
JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION
(2021)
Article
Veterinary Sciences
R. A. Leal, N. E. Lambrechts, J. D. Crowley, J. F. Griffin, J. J. Karnia, B. T. Torres, K. C. Maritato, N. R. Kieves, F. M. Duerr
Summary: This study aimed to compare the ability of five radiographic scoring systems to identify changes in bone healing following TPLO and evaluate the influence of limb positioning on TPLO osteotomy scoring. The VAS system was found to be the most appropriate for identifying small changes in bone healing, and the positioning of postoperative radiographs had a significant impact on the healing score assigned.
FRONTIERS IN VETERINARY SCIENCE
(2023)
Article
Veterinary Sciences
A. Tikekar, F. De Vicente, A. McCormack, D. Thomson, M. Farrell, S. Carmichael, D. Chase
Summary: This study compared the short and long-term outcomes of tibial plateau levelling osteotomy (TPLO) and lateral fabello-tibial suture (LFTS) techniques for managing cranial cruciate ligament disease in small dogs with high tibial plateau angles (TPA). The results showed that there was no significant difference in short-term outcomes or owner subjective long-term outcomes between the two treatment groups. However, the long-term clinical outcome was better in the TPLO group compared to the LFTS group. Stifles in the LFTS group were more likely to have palpable stifle pain at long-term follow-up and required more frequent oral non-steroidal anti-inflammatory drug (NSAID) treatment. The occurrence of complications was associated with heavier body weight at the time of surgery.
NEW ZEALAND VETERINARY JOURNAL
(2022)
Article
Multidisciplinary Sciences
Laura-Isabela Del Carpio, Yvan Petit, Lucien Diotalevi, Elisabeth Laroche, Annie Levasseur, Bertrand Lussier
Summary: The study evaluated the impact of lateral suture stabilization (LSS) on 3D kinematics of the canine stifle joint. Despite limitations, the results show that LSS can restore physiologic 3D kinematics largely comparable to healthy stifles, suggesting that suboptimal outcomes in CCLR patients following LSS may be due to factors other than immediate postoperative abnormal 3D kinematics.
Article
Veterinary Sciences
Mitsuhiro Isaka, Wataru Konno, Daiki Kokubo, Hiromu Udagawa, Sho Hizuka, Toshikazu Sakai, Shushi Yamamoto, Shidow Torisu, Hiroshi Ueno
Summary: Cranial cruciate ligament (CCL) rupture is a common orthopedic disease in dogs, and it is usually treated with tibial plateau leveling osteotomy (TPLO) or extracapsular lateral suture (ECLS). This study aimed to investigate the changes in serum OSTN concentrations before and after stifle surgery in dogs and compare the concentrations between TPLO and ECLS. The results showed that serum OSTN concentrations decreased significantly after TPLO surgery, while no significant differences were observed in the ECLS group.
RESEARCH IN VETERINARY SCIENCE
(2023)
Article
Veterinary Sciences
Luis R. Moreira, Tim Sparks, Daniel M. Ogden
Summary: This study investigates the effects of tibial long axis (TLA) shift on postoperative tibial plateau angle (TPA) in four cranial closing wedge ostectomy (CCWO) techniques. By using computer-generated 3D models and linear regression, equations for predicting final TPA were established. The results demonstrate a linear relationship between osteotomy wedge angle and TPA correction, allowing for accurate calculations of the required wedge angle based on TLA shift.
VETERINARY SURGERY
(2023)
Article
Multidisciplinary Sciences
Geoffrey M. Pages, Meike M. Hammer, Jean-Guillaume M. Grand, Iban M. Irubetagoyena
Summary: This study evaluates the long-term outcome of using the BioMedtrix(TM) TPLO Curve(R) plate for dogs with cranial cruciate ligament disease (CrCLd) treated with tibial plateau leveling osteotomy (TPLO). The results show that the BioMedtrix(TM) plate provides a reliable fixation system for osteotomy healing after TPLO, with similar bone healing and long-term complication rates compared to previous studies. The antimicrobial coating of the plate did not reduce surgical site infection (SSI) rates.
Article
Agriculture, Dairy & Animal Science
Jennifer Repac, Leilani X. Alvarez, Kenneth E. Lamb, Daniel Spector
Summary: Devices designed to enhance mobility for dogs with orthopedic conditions, such as nail grips, did not show significant improvement in functional outcomes during the initial 2 weeks post TPLO surgery. Further research is needed to determine the efficacy of using nail grips in other applications.
Article
Agriculture, Dairy & Animal Science
Yauheni Zhalniarovich, Marta Mieszkowska, Magdalena Morawska-Kozlowska
Summary: This case report describes the functional and clinical outcome of a tibial plateau leveling osteotomy (TPLO) in a dog with joint instability and persistent lameness following a Tibial Tuberosity Advancement surgery (TTA) Rapid. The dog, a six-year-old male Labrador retriever weighing 38 kg, had a tibial plateau angle of 27 degrees and a patella ligament to tibial plateau angle of 102 degrees. The TTA Rapid cage and screws were completely removed to perform a TPLO radial cut. Long-term follow-up showed excellent healing with fusion of the gap and disappearance of the osteotomy line. The owner reported no lameness even after long walks.
Article
Veterinary Sciences
Jaemin Jeong, Seong Mok Jeong, Stanley E. Kim, Daniel D. Lewis, Haebeom Lee
Summary: This study evaluated the effects of TTA and TPLO on subsequent meniscal tears, finding that TTA was more likely to result in medial meniscal tears and cartilage injury compared to TPLO. In an experimental model, TPLO was shown to protect the medial meniscus and articular cartilage better than TTA in stifles with complete cranial cruciate ligament deficiency.
VETERINARY SURGERY
(2021)
Article
Agriculture, Dairy & Animal Science
Claudio Ivan Serra Aguado, Juan Jose Ramos-Pla, Carme Soler, Sergi Segarra, Victor Moratalla, Jose Ignacio Redondo
Summary: Oral administration of hyaluronic acid in dogs with cranial cruciate ligament rupture after surgical resolution led to significant improvements in osteoarthritis biomarkers, specifically higher synovial fluid hyaluronic acid concentrations and decreased synovial fluid paraoxonase-1 concentrations. These findings suggest that orally-administered hyaluronic acid may be effective in managing stifle osteoarthritis in dogs.
Article
Veterinary Sciences
Benjamin Husi, Gudrun Overesch, Franck Forterre, Ulrich Rytz
Summary: This retrospective study analyzed surgical site infections (SSI), treatment course, risk factors, bacterial isolates, and antimicrobial resistance after Tibial Plateau Leveling Osteotomy (TPLO) in 627 dogs. The results showed that the SSI rate was 8.5%, with Staphylococcus pseudintermedius and Staphylococcus aureus being the most frequently isolated bacteria. Multidrug-resistant bacteria were detected in 2.7% of cases and were not associated with major SSI. Risk factors for SSI included previous TPLO in the contralateral stifle and German Shepherd dogs, while the use of non-locking implants was found to be protective.
FRONTIERS IN VETERINARY SCIENCE
(2023)
Article
Veterinary Sciences
Jayon Kim, Jaeeun Ko, Jaehwan Kim, Anna Seo, Kidong Eom
Summary: The study findings suggest that the use of a 3D printing surgical guide can significantly improve the surgical accuracy of tibial plateau leveling osteotomy, reduce operation time, and decrease inaccuracies in osteotomy.
FRONTIERS IN VETERINARY SCIENCE
(2021)
Article
Veterinary Sciences
Laurent Guenego, Aldo Vezzoni, Luca Vezzoni
Summary: This study evaluated tibial anatomical-mechanical axis angles and patellar positions following TPLO and AMA-based CCWO in large dogs. The study found significant decreases in patellar height after both procedures, but differences in PLT results at 2 months postoperatively between the two groups. CCWO may better correct caudal bowing of the proximal tibia in large dogs with TPA > 30 degrees compared to TPLO.
BMC VETERINARY RESEARCH
(2021)