Comparison of Outcome and Complications in Dogs Weighing Less Than 12 kg Undergoing Miniature Tibial Tuberosity Transposition and Advancement versus Extracapsular Stabilization with Tibial Tuberosity Transposition for Cranial Cruciate Ligament Disease with Concomitant Medial Patellar Luxation

Hackett, Morgan; Germaine, Lindsay St; Carno, Margaret-Ann; Hoffmann, Daniel

doi:10.1055/s-0040-1719118

Cited by 5 publications

(6 citation statements)

References 31 publications

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“…Several surgical methods for treating concomitantly cranial cruciate ligament rupture and MPL have been reported, including extracapsular stabilization and tibial tuberosity transposition (TTT), 3 tibial plateau leveling osteotomy (TPLO) and TTT (TPLO-TTT), 4 TPLO with lateral translation of the distal tibial segment, 5,6 TPLO and additional transverse osteotomy, 7 TTT advancement, 8,9 and modified triple tibial osteotomy. 10 These techniques have been described either alone or in combination with additional procedures such as trochleoplasty or soft-tissue (retinacular) release or imbrication.…”

Section: Introductionmentioning

confidence: 99%

Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

Redolfi

Grand

2023

Vet Comp Orthop Traumatol

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Objectives This study aims to report complications and long-term outcomes of combined tibial plateau leveling osteotomy and tibial tuberosity transposition (TPLO-TTT) for treatment of concurrent cranial cruciate ligament rupture and medial patellar luxation (MPL). Study Design This is a retrospective study. Dogs that underwent TPLO-TTT for treatment of combined cranial cruciate ligament rupture and grade III or IV MPL were included. Signalment, fixation method, and complications were recorded. Long-term outcome assessment (minimum 1 year postoperatively) was performed through clinical and radiographic reexamination at the authors' institution. Results Twenty-four stifles (22 dogs) were included. Twenty-one stifles had a grade III MPL, and 3 stifles had grade IV MPL. Four major complications consisting of surgical site infection (n = 3) and recurrent grade II MPL (n = 1) were observed. Dogs with surgical site infections were successfully treated with implant removal and oral antibiotics. No additional surgery was performed for the patient with recurrent MPL as no signs of lameness were observed. Minor complications occurred in five cases. At long-term evaluation (median: 27 months; range: 12–67 months), 21/22 dogs were clinically sound and 23/24 stifles had a complete resolution of MPL. Conclusion TPLO-TTT can be considered as an effective surgical option to treat patients with concurrent cranial cruciate ligament rupture and MPL with a relatively low major complication rate. Owners should be warned of the potential need for implant removal.

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Section: Introductionmentioning

confidence: 99%

Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

Redolfi

Grand

2023

Vet Comp Orthop Traumatol

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“…There are only a few reports describing the complication rates and outcome of the TTA and TTA with the tibial tuberosity transposition (TTTA) procedure in small breed dogs. 3,10,11 The main aim of this study was to evaluate the perioperative complications of TTA Tiny in small breed dogs and to evaluate the long-term outcomes including objective data from pressure-sensitive walkway (PSW) analysis in TTA Rapid and TTA Tiny in small breed dogs.…”

Section: Introductionmentioning

confidence: 99%

Complications and Outcome of Cranial Cruciate Ligament Disease in Small Dogs Treated with Tiny TTA Rapid

Entoft,

Skytte,

Schmökel

et al. 2023

VCOT Open

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The aim of this study was to evaluate the complications and the long-term outcome of TTA Tiny in small dogs using data from pressure-sensitive walkway analysis and the Liverpool Osteoarthritis in Dogs (LOAD) questionnaire. This is a retrospective study. Dogs under 15 kg were included. Breed, weight, gender, age, and lameness were recorded. Clinical examination, radiographs, and pressure-sensitive walkway analysis were performed during the long-term follow-up visit. Radiographs were assessed for the postoperative patellar tendon angle (PTA), bone healing, and implant position, and the postoperative complications were recorded. Twenty-nine stifles were included. One dog (3%) had an intraoperative major complication and 14 (48%) had minor complications. Medium- to long-term follow-up was available in 20 of the 23 dogs (87%). Eight (40%) dogs were followed up by telephone using the LOAD questionnaire and 12 dogs (60%) came back for a long-term follow-up appointment. The average LOAD score was 3.6 and the average lameness score was 0. All the dogs presented at a clinical follow-up were considered lame free. All the owners were pleased with the long-term result after surgery based on the LOAD score and the return to normal activity. The result from this study showed low rate of perioperative complications with the use of the TTA Tiny implant in small dogs and a good long-term outcome based on client questionnaire and the result from pressure-sensitive walkway analysis.

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“…Small‐breed dogs routinely experience a cranial cruciate ligament (CCL) injury, medial patellar luxation (MPL), or both conditions combined 1–4 . Cranial cruciate ligament injury and MPL often lead to the presence of radiographic signs of osteoarthritis (OA) at the time of diagnosis 5,6 .…”

Section: Introductionmentioning

confidence: 99%

Stifle joint osteoarthritis in small‐breed and medium‐breed dogs is more severe after cranial cruciate ligament injury than medial patellar luxation

Villatoro¹,

Langenbach²,

Yoon³

et al. 2022

Vet Radiology Ultrasound

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This retrospective observational study aimed to characterize the severity and distribution of OA in the stifle joints of small and medium dogs with CCL injury and/or MPL.Radiographs of the stifle joints from 218 dogs from 10 small and medium breeds were included; 127 joints had CCL injury, 76 joints had MPL, and 73 joints had CCL injury and MPL. OA was graded at 33 sites within the joint. The mean ± SD OA score was 20.3 ± 9.9. For all joints, OA was more severe in heavier than lighter dogs (P = 0.003).Joints with MPL (14.9 ± 8.2) had lower OA scores than joints with CCL injury (22.2 ± 10.0, P = 0.003) or CCL injury and MPL (22.6 ± 9.4, P < 0.001). OA scores were higher in joints with MPL for older dogs (r = 0.408, P < 0.001) but did not change with age in joints with CCL injury. The pattern of OA did not differ among joints with CCL injury or MPL. The retrospective nature of the study limited findings to associations but did not allow conclusions regarding factors causing OA or enhancing its progression. We concluded that, in small-and medium-breed dogs, the patterns of stifle OA joint after CCL injury and MPL are similar. Radiographic OA after CCL injury is more severe than MPL.

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Comparison of Outcome and Complications in Dogs Weighing Less Than 12 kg Undergoing Miniature Tibial Tuberosity Transposition and Advancement versus Extracapsular Stabilization with Tibial Tuberosity Transposition for Cranial Cruciate Ligament Disease with Concomitant Medial Patellar Luxation

Cited by 5 publications

References 31 publications

Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation

Complications and Outcome of Cranial Cruciate Ligament Disease in Small Dogs Treated with Tiny TTA Rapid

Stifle joint osteoarthritis in small‐breed and medium‐breed dogs is more severe after cranial cruciate ligament injury than medial patellar luxation

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