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Modified Triple Tibial Osteotomy for Combined Cranial Cruciate Ligament Rupture, Tibial Deformities, or Patellar Luxation.
- Source :
-
Journal of the American Animal Hospital Association [J Am Anim Hosp Assoc] 2019 Nov/Dec; Vol. 55 (6), pp. 291-300. Date of Electronic Publication: 2019 Sep 16. - Publication Year :
- 2019
-
Abstract
- Proximal tibial deformities or patellar luxation may occur concurrently with cranial cruciate ligament rupture. The objective of this study was to describe the management of those conditions with a modified triple tibial osteotomy (TTO) in nine dogs. Medical records of dogs who underwent a modified TTO were reviewed. The mean pre- and postoperative patellar tendon angles were 104.2° and 92.9°, respectively. The mean pre- and postoperative mechanical medial proximal tibial angles were 99.5° and 91.5°, respectively. Medial patellar luxation was present in five dogs (55.6%) and treated in all five dogs with a tibial crest transposition. Tibial torsion was grossly resolved in two dogs (22.2%). Perioperative distal tibial crest fracture was treated by pins and a figure-of-eight tension-band wire in five dogs (55.6%). One major (surgical site infection) and three minor postoperative complications were observed. At the last follow-up, seven dogs (77.8%) had no lameness, one dog (11.1%) had mild lameness, and one dog (11.1%) had moderate lameness. Radiographic evaluation showed good (2/9; 22.2%) to excellent (7/9; 77.8%) bone healing. The visual analog scale evaluation revealed good-to-excellent owner satisfaction. Cranial cruciate ligament rupture, tibial deformities, and medial patellar luxation are difficult to treat together. A modified TTO may be used to treat these conditions.
- Subjects :
- Animals
Anterior Cruciate Ligament Injuries surgery
Dogs
Female
Male
Patellar Dislocation surgery
Postoperative Complications veterinary
Retrospective Studies
Stifle surgery
Tibia surgery
Treatment Outcome
Anterior Cruciate Ligament surgery
Anterior Cruciate Ligament Injuries veterinary
Dog Diseases surgery
Osteotomy veterinary
Subjects
Details
- Language :
- English
- ISSN :
- 1547-3317
- Volume :
- 55
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of the American Animal Hospital Association
- Publication Type :
- Academic Journal
- Accession number :
- 31525088
- Full Text :
- https://doi.org/10.5326/JAAHA-MS-6823