Inverse Dynamics Analysis Evaluation of Tibial Tuberosity Advancement for Cranial Cruciate Ligament Failure in Dogs

Bush, Mark A.; Sibley, Pamela; Owen, Marjorie G.; Burton, Neil J.; Owen, M. R.; Colborne, GR

doi:10.1111/j.1532-950x.2012.00953.x

Cited by 6 publications

(9 citation statements)

References 39 publications

(42 reference statements)

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“…Furthermore, kinematic analyses of the TPLO showed no significant differences between hind legs treated with TPLO and the contralateral sound leg within the mid-term follow-up (7) and normal or near normal values of sound dogs were measured at long-term follow-ups (33,49). In contrast, kinematic analyses that compared stifle power during early stance in the affected TTA treated and the sound leg, still measured reduced values on the affected side after 1 year, indicating a mechanical function deficit (11).…”

Section: Discussionmentioning

confidence: 87%

“…No considerable differences in outcome parameters (as determined by the owners) were found between the TPLO and TTA treatments. Owner satisfaction was, in general, high (4,9,11,24,30,31,35,58,69,70), and owners reported their dogs being free from lameness or having only mild residual lameness (9,11,18,24,31,35,37,50,59,65,71,74). For both techniques, studies had reported one third to two thirds of the patients suffering from long-term postoperative pain, to an uncertain degree (34,37,65).…”

Section: Owner Surveysmentioning

confidence: 99%

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Tibial plateau leveling osteotomy and tibial tuberosity advancement – a systematic review

Beer¹,

Bockstahler²,

Schnabl‐Feichter³

2018

Tierarztl Prax Ausg K

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Summary Objective: The optimal surgical technique for treatment of cranial cruciate ligament rupture in canine has been scientifically discussed for decades. Despite the continuous debate, proximal tibial osteotomies such as tibial plateau leveling osteotomy (TPLO) and tibial tuberosity advancement (TTA) are increasingly common. The objective of this review was to systematically evaluate the literature reporting outcome and complications associated with TPLO and TTA. Materials and methods: A systematic search of literature databases identified articles published from August 2004 to February 2016 describing evaluations of short- or longterm outcomes as well as complications following TPLO or TTA. Results: Ninety-one studies were included in this review and assigned to one out of four evidence levels. Of those, 89 studies provided the lowest evidence level and only two were assigned to the third-best evidence level. A comparison of subjective gait analyses could not detect differences in the decrease of lameness between TPLO and TTA, while objective gait analysis supports the superiority of TPLO. Fewer patients treated with TPLO were diagnosed with postoperative joint instability and TPLO had a lower percent increase of osteoarthritis (OA) after surgery. Owner satisfaction was high for both techniques. For TPLO and TTA the average total, minor, major and catastrophic complication rates were 15.9 % and 20.8 %, 7.9 % and 11.6 %, 5.2 % and 13.2 % as well as 0.8 % and 5.6 %, respectively. Conclusion and clinical significance: The assessed literature supports the hypothesis that TPLO is associated with lower complication rates, an improved clinical-functional outcome and less increase of OA compared to TTA. The results are indicative for a long-term restoration of normal limb function after TPLO. However, the strength of available evidence and the comparability of each study’s results were poor and more comparative studies are needed to draw strong conclusions towards the superiority of the TPLO over the TTA.

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Section: Discussionmentioning

confidence: 87%

Section: Owner Surveysmentioning

confidence: 99%

Tibial plateau leveling osteotomy and tibial tuberosity advancement – a systematic review

Beer¹,

Bockstahler²,

Schnabl‐Feichter³

2018

Tierarztl Prax Ausg K

View full text Add to dashboard Cite

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“…Computer-assisted kinematic analysis has been used to characterize gait patterns in animals with musculoskeletal pathology. [1][2][3][4][5][6][7] Although there are different kinematic analysis systems available, video-based motion analysis using superficial skin markers is the most commonly reported method of kinematic data acquisition of the hindlimb in dogs. [1][2][3][4][5][6]8,9 DeCamp and colleagues described a two-dimensional kinematic model of the hindlimb in dogs, most commonly used to describe sagittal plane motion.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7] Although there are different kinematic analysis systems available, video-based motion analysis using superficial skin markers is the most commonly reported method of kinematic data acquisition of the hindlimb in dogs. [1][2][3][4][5][6]8,9 DeCamp and colleagues described a two-dimensional kinematic model of the hindlimb in dogs, most commonly used to describe sagittal plane motion. This model has been widely used to date [1][2][3][4][5][6]10,11 and uses superficial skin markers placed over anatomical landmarks for easy identification and repeatable placement.…”

Section: Introductionmentioning

confidence: 99%

Effect of Limb Position at the Time of Skin Marker Application on Sagittal Plane Kinematics of the Dog

Kim¹,

Torres²,

Sandberg³

et al. 2017

Vet Comp Orthop Traumatol

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To evaluate the effect of limb position during initial skin marker application on sagittal plane kinematics of the hindlimb. Six healthy dogs (20-30 kg) were evaluated. An established two-dimensional kinematic model of the pelvic limb was utilized to describe sagittal plane motion. Kinematic markers were applied separately for each dog while standing in three different positions: (1) the limb extended cranially, (2) a normal standing limb position and (3) the limb extended caudally. Following marker application at each of the three positions, dynamic gait was recorded at a walk (velocity, 0.9-1.2 m/s; acceleration, 0.5m/s). Five valid trials were used for comparison. Complete waveform analysis was performed with generalized indicator function analysis (GIFA). Maximum and minimum joint angles and joint range of motion were compared with a one-way repeated measures ANOVA with significance at < 0.05. Significant differences were found between stifle waveforms. No differences were found between the hip or tarsus waveforms. Minimum and maximum joint angles were significantly different for the hip and stifle but not for the tarsus. No differences were found between ranges of motion for any joint evaluated. Limb position at the time of skin marker application affects gait data and is an important consideration for kinematic analysis of the hindlimb in dogs.

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“…This angle is measured in sagittal plane, based on the mechanical axes of the femur and tibia. The proximal landmark of the femoral axis (FA) is the greater trochanter, while the distal landmarks have changed from the lateral epicondyle, to the most distal point of lateral epicondyle, femorotibial joint centre or between the lateral epicondyle of the femur and fibular head (DeCamp et al., ; Hottinger et al., ; Sanchez‐Bustinduy et al., ; Torres et al., ; Agostinho et al., ; Bush et al., ; Nagano et al., ; Ragetly et al., ; Miqueleto et al., ; Robbins et al., ; Silvernail et al., ). However, all these approaches have ignored the anterior bow of the femur, where the compressive and ground reaction forces traverse from proximal to distal, or vice versa.…”

Section: Introductionmentioning

confidence: 99%

Anterior Femoral Bow and Possible Effect on the Stifle Joint: A Comparison between Humans and Dogs

Ocal

Sabanci

Cobanoglu

et al. 2017

Anat Histol Embryol

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The aim of the study was to compare the anterior bow of the femur between dogs and humans in terms of the possible impact on the stifle joint. The femoral radiographs obtained retrospectively were used to determine the angles and positions of the anterior bow in both dogs (n = 135) and humans (n = 57). Descriptive statistics and Pearson's correlation analysis were used for the statistical analyses of the variables. The mean anterior bow angle (ABA) was 18.3 ± 2.02° and 4.88 ± 1.24° in dogs and humans, respectively. The bow position was at the distal shaft in dogs (64.9 ± 2.04%) and almost at the mid-shaft of the bone (46.5 ± 5.52%) in humans. The ABA was related to the bow position in both humans and dogs. Additionally, the angle correlated with age in humans, while it was correlated with weight and breed in dogs. In conclusion, it is suggested that the anterior bow should be used as a landmark on the femoral axis for the biomechanical research of stifle joint, and dog stifle could be used as a suitable model for human knee in experimental studies for clinicians, while making sure that ethical principles are fully respected.

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Inverse Dynamics Analysis Evaluation of Tibial Tuberosity Advancement for Cranial Cruciate Ligament Failure in Dogs

Abstract: Affected limbs had a reduction in power of the stifle flexors. Irrespective of the side of CCLF, TSM was larger on the right side and the stifle extensor moment in late stance was larger on the left, perhaps indicating a mechanical limb dominance effect.

Cited by 6 publications

References 39 publications

Tibial plateau leveling osteotomy and tibial tuberosity advancement – a systematic review

Tibial plateau leveling osteotomy and tibial tuberosity advancement – a systematic review

Effect of Limb Position at the Time of Skin Marker Application on Sagittal Plane Kinematics of the Dog

Anterior Femoral Bow and Possible Effect on the Stifle Joint: A Comparison between Humans and Dogs

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