Comparison of radiographic arthritic changes associated with two variations of tibial plateau leveling osteotomy

Lineberger, J. A.; Allen, David A.; Wilson, Eric R.; Tobias, T. A.; Shaiken, L. G.; Shiroma, J T; Biller, D S; Lehenbauer, Terry W.

doi:10.1055/s-0038-1632923

Cited by 44 publications

(7 citation statements)

References 7 publications

(14 reference statements)

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“…The evaluation of OA in the stifle joints with moderate OA (Group C) revealed that the OA changes were not statistically significant at each pairwise comparison over time. The results obtained in both Groups B and C agree with the inverse relationship between the preoperative OA score and the difference between pre and postoperative OA scores as reported in the literature [32,33]; however, a similar relationship it was not found in the stifles without OA in Group A. Furthermore, the group of moderate OA was composed of dogs with a longer duration of lameness.…”

Section: Discussionsupporting

confidence: 89%

“…Furthermore, the group of moderate OA was composed of dogs with a longer duration of lameness. It was supposed that when a ligament lesion is chronic and the OA is advanced and has most likely reached a plateau prior to surgery, the progression of the cartilage degeneration of the joint is slow and the potential advancement of the OA is minimal [32].…”

Section: Discussionmentioning

confidence: 99%

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Relationship between the stage of osteoarthritis before and six months after tibial tuberosity advancement procedure in dogs

et al. 2019

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The present retrospective study evaluated the progression of osteoarthritis in stifle joints based on the radiographic grade of osteoarthritis (OA) scored in dogs with cranial cruciate ligament rupture. The aim of the study was to search for a correlation between the stage of radiographic osteoarthritis prior to surgery and the osteoarthritis progression occurring after the tibial tuberosity advancement (TTA) procedure. It was hypothesized that the procedure carried out in dogs in the early stages of OA could reduce the OA changes. A total of 190 X-ray images obtained from the medical records of 38 dogs were evaluated. The radiographic signs of osteoarthritis of 38 stifle joints were scored from 0 to 3 in 10 specific anatomic locations. The radiographs were divided into 4 groups based on the global scores: A) no-OA, B) mild-OA, C) moderate-OA, D) severe-OA; they were assessed prior to surgery, and 1, 2, 3 and 6 months post-operatively (T0, T1, T2, T3 and T6). There were no differences in osteoarthritis progression in Groups A and C at any time. Osteoarthritis changes from T0 to T6 were statistically significant in Group B. The OA changes in the anatomic locations were investigated. The most common anatomic sites for OA changes were the patella apex, the proximal and distal trochlear ridges, and the caudal aspect of the tibial plateau assessed before surgery. After surgery, the score increased in the first three locations in 10, 9 and 11 joints, respectively; instead, the progression of osteoarthritis in the caudal aspect of the tibial plateau occurred in 23 out of 38 stifle joints. The results indicated that the TTA procedure could be effective in slowing down the OA progression when carried out in the absence of or in the early stages of disease. Therefore, an early intervention may be suggested in clinical practice to obtain minimal or no progression 6 months postoperatively.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Relationship between the stage of osteoarthritis before and six months after tibial tuberosity advancement procedure in dogs

et al. 2019

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“…Although no specific surgical procedure has been established as the gold standard in veterinary medicine, intracapsular, extracapsular, and osteotomy techniques are often used (4–9). Short- and long-term complications can occur, including the progression of osteoarthritis (6, 10–19). While these techniques are typically utilized for an unstable stifle, or a complete tear, questions still remain as to how to proceed with an early partial tear where a functional, stable stifle remains.…”

Section: Introductionmentioning

confidence: 99%

Partial Cranial Cruciate Ligament Tears Treated with Stem Cell and Platelet-Rich Plasma Combination Therapy in 36 Dogs: A Retrospective Study

Canapp¹,

Leasure²,

Cox³

et al. 2016

Front. Vet. Sci.

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ObjectiveTo evaluate outcomes in 36 dogs with a partial cranial cruciate ligament (CCL) tear treated with autologous bone marrow aspirate concentrate (BMAC) or adipose-derived progenitor cells (ADPC) with platelet-rich plasma (PRP) combination.Materials and methodsMedical records of client-owned dogs diagnosed with an early partial (≤50%) tear of the craniomedial band of the CCL that was treated with BMAC–PRP or ADPC–PRP were reviewed from 2010 to 2015. Signalment, medical history, physical and orthopedic examination, objective temporospatial gait analyses, radiographs, day 0 and day 90 diagnostic arthroscopy findings, treatment, and outcome were among the data collected. A functional owner questionnaire, including the validated Helsinki chronic pain index (HCPI), was sent to owners whose dog was known to not have had a tibial plateau leveling osteotomy (TPLO). Statistical analysis was performed on data, where significance was established at p < 0.05.ResultsStifle arthroscopy findings at 90 days posttreatment were available on 13 of the 36 dogs. In nine dogs, a fully intact CCL with marked neovascularization and a normal fiber pattern was found with all previous regions of disruption healed. One dog revealed significant improvement and received an additional injection. The remaining three dogs had a >50% CCL tear, and a TPLO was performed. Four additional dogs were known to have had a TPLO performed elsewhere. Baseline and day 90 posttreatment objective gait analyses were available on 11 of the 36 dogs. A significant difference was found between the treated limb total pressure index percent (TPI%) at day 0 and day 90 (p = 0.0124), and between the treated limb and contralateral limb TPI% at day 0 (p = 0.0003). No significant difference was found between the treated limb and contralateral limb TPI% at day 90 (p = 0.7466). Twelve questionnaires were returned, of which eight were performance/sporting dogs. Seven of the eight had returned to sport; the remaining dog had just begun a return to sport conditioning program 6 months posttreatment. All 12 respondents believed that their dog had an excellent or very good quality of life and rated their dog’s procedural outcome as excellent or good.ConclusionThe use of BMAC–PRP and ADPC–PRP shows promise for the treatment of early partial CCL tears in dogs. Further studies are needed and should be randomized, blinded, and controlled.

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“…The scores of both the BHSII-CR and the BHSII-OQ revealed a significant improvement only in the first month after surgery; the progression toward a final good outcome was then slow and, at T3, it was not statistically significant ( Table 2). This trend could be due to the morbidity of the intracapsular procedure in which open arthrotomy and bone tunnels were carried out (18,19). This finding was also supported by the percentage of change in the BHSII which showed the main improvement in the first month (Figure 2), and by the assessment of the stiffness, function and manual examination domains which had a P > 0.05 at T1 ( Table 3).…”

Section: Discussionmentioning

confidence: 61%

Bologna Healing Stifle Injury Index: A Comparison of Three Surgical Techniques for the Treatment of Cranial Cruciate Ligament Rupture in Dogs

2020

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The aim of this retrospective study was to test the efficacy of the Bologna Healing Stifle Injury Index (BHSII) in assessing the medium-term outcomes of dogs treated for cranial cruciate ligament rupture. This tool can be used for comparison across surgical interventions. The study population included 53 dogs with unilateral cranial cruciate ligament rupture treated using either Paatsama, Tight-Rope or tibial tuberosity advancement techniques, and 20 orthopedically sound dogs for comparative purposes. The BHSII was utilized for all the treated dogs at the time of surgery, and 1, 3, and 6 months postoperatively, while it was utilized twice in the control group. Although all the techniques achieved a successful outcome at the end of the evaluation, the application of the BHSII permitted differentiating results at each time point and stimulating discussion regarding the rapidity and degree of the healing process for each technique. It also pointed out some incongruities between the owner's and the clinician's assessment of the process. These achievements demonstrated that the BHSII should be considered by the research and clinical communities as an effective and easy tool which can be used as a repeatable and standardized method of comparison of the progress at different time points toward a final good outcome in dogs treated for cranial cruciate ligament rupture.

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Comparison of radiographic arthritic changes associated with two variations of tibial plateau leveling osteotomy

Cited by 44 publications

References 7 publications

Relationship between the stage of osteoarthritis before and six months after tibial tuberosity advancement procedure in dogs

Relationship between the stage of osteoarthritis before and six months after tibial tuberosity advancement procedure in dogs

Partial Cranial Cruciate Ligament Tears Treated with Stem Cell and Platelet-Rich Plasma Combination Therapy in 36 Dogs: A Retrospective Study

Bologna Healing Stifle Injury Index: A Comparison of Three Surgical Techniques for the Treatment of Cranial Cruciate Ligament Rupture in Dogs

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