Long‐Term Functional Outcome of Tibial Plateau Leveling Osteotomy Versus Extracapsular Repair in a Heterogeneous Population of Dogs

Nelson, Samantha A.; Krotscheck, Ursula; Rawlinson, Jeremy; Todhunter, Rory J.; Zhang, Zhiwu; Mohammed, Hussni O.

doi:10.1111/j.1532-950x.2012.01052.x

Cited by 86 publications

(87 citation statements)

References 49 publications

(82 reference statements)

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“…Consequently, surgical procedure could also influence time to contralateral CR. Functional outcome at 12 months after treatment with tibial plateau leveling osteotomy (TPLO) is superior to treatment with a lateral fabellar suture [16], [17], and meta-analysis of surgical treatments suggests that evidence most strongly supports the ability of TPLO to return dogs to normal function [18].…”

Section: Introductionmentioning

confidence: 99%

Radiographic Risk Factors for Contralateral Rupture in Dogs with Unilateral Cranial Cruciate Ligament Rupture

et al. 2014

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BackgroundComplete cranial cruciate ligament rupture (CR) is a common cause of pelvic limb lameness in dogs. Dogs with unilateral CR often develop contralateral CR over time. Although radiographic signs of contralateral stifle joint osteoarthritis (OA) influence risk of subsequent contralateral CR, this risk has not been studied in detail.Methodology/Principal FindingsWe conducted a retrospective longitudinal cohort study of client-owned dogs with unilateral CR to determine how severity of radiographic stifle synovial effusion and osteophytosis influence risk of contralateral CR over time. Detailed survival analysis was performed for a cohort of 85 dogs after case filtering of an initial sample population of 513 dogs. This population was stratified based on radiographic severity of synovial effusion (graded on a scale of 0, 1, and 2) and severity of osteophytosis (graded on a scale of 0, 1, 2, and 3) of both index and contralateral stifle joints using a reproducible scoring method. Severity of osteophytosis in the index and contralateral stifles was significantly correlated. Rupture of the contralateral cranial cruciate ligament was significantly influenced by radiographic OA in both the index and contralateral stifles at diagnosis. Odds ratio for development of contralateral CR in dogs with severe contralateral radiographic stifle effusion was 13.4 at one year after diagnosis and 11.4 at two years. Odds ratio for development of contralateral CR in dogs with severe contralateral osteophytosis was 9.9 at one year after diagnosis. These odds ratios were associated with decreased time to contralateral CR. Breed, age, body weight, gender, and tibial plateau angle did not significantly influence time to contralateral CR.ConclusionSubsequent contralateral CR is significantly influenced by severity of radiographic stifle effusion and osteophytosis in the contralateral stifle, suggesting that synovitis and arthritic joint degeneration are significant factors in the disease mechanism underlying the arthropathy.

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Section: Introductionmentioning

confidence: 99%

Radiographic Risk Factors for Contralateral Rupture in Dogs with Unilateral Cranial Cruciate Ligament Rupture

et al. 2014

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“…Many recent studies have shown surgical stabilization to be effective in managing cranial cruciate ligament insufficiency (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). While there are numerous options for surgical management, surgery is not always an option.…”

Section: Introductionmentioning

confidence: 99%

The Use of Canine Stifle Orthotics for Cranial Cruciate Ligament Insufficiency

Carr¹,

Canapp²,

Meilleur³

et al. 2016

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Objective: To assess weight bearing of dogs treated for unilateral cranial cruciate ligament insufficiency with a custom stifle orthotic.Background: Cranial cruciate ligament (CCL) insufficiency is the most common cause of hind limb lameness in dogs. While there are numerous options for surgical management, surgery is not always an option. Recently, the use of canine stifle orthotics has also emerged as a means to non-surgically manage patients with cranial cruciate ligament insufficiency.

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“…Two frequently utilised surgical procedures for stabilisation of a CCL‐deficient stifle include tibial plateau levelling osteotomy (TPLO) and lateral fabellotibial suture (LFS) (Nelson et al . ). TPLO is purported to impart functional stifle stability during the stance phase of the gait cycle by eliminating cranial tibial thrust (CrTT) but it has been shown to incompletely eliminate internal tibial rotation (Slocum & Slocum , , Warzee et al .…”

Section: Introductionmentioning

confidence: 99%

Combined tibial plateau levelling osteotomy and lateral fabellotibial suture for cranial cruciate ligament rupture with severe rotational instability in dogs

Schaible¹,

Ben‐Amotz

Cáceres

et al. 2017

J of Small Animal Practice

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Long‐Term Functional Outcome of Tibial Plateau Leveling Osteotomy Versus Extracapsular Repair in a Heterogeneous Population of Dogs

Abstract: Dogs achieved normal limb loading faster after TPLO than ECR. TPLO resulted in operated limb function that was indistinguishable from the control population by 1 year postoperatively.

Cited by 86 publications

References 49 publications

Radiographic Risk Factors for Contralateral Rupture in Dogs with Unilateral Cranial Cruciate Ligament Rupture

Radiographic Risk Factors for Contralateral Rupture in Dogs with Unilateral Cranial Cruciate Ligament Rupture

The Use of Canine Stifle Orthotics for Cranial Cruciate Ligament Insufficiency

Combined tibial plateau levelling osteotomy and lateral fabellotibial suture for cranial cruciate ligament rupture with severe rotational instability in dogs

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