Major complications of tibial tuberosity advancement in 1613 dogs

Costa, M. J. C.; Craig, D. R.; Cambridge, Tony; Sebestyen, Peter; Su, Yuhua; Fahie, Maria A.

doi:10.1111/vsu.12649

Cited by 33 publications

(59 citation statements)

References 30 publications

(134 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The occurrence of SSI in this study was similar to that in previously reported studies . Although our definition of SSI was based on that defined by the CDC, previous studies may not have used such criteria.…”

Section: Discussionsupporting

confidence: 88%

“…Our reported requirement for TTA implant removal was similar to that in previously reported studies of 0%‐1.3% . Most (62.5%) cases of implant removal in our study did not have cage removal performed, and only three cages that were initially left in place after plate removal required removal at a later date.…”

Section: Discussionsupporting

confidence: 87%

“…These implants serve no further purpose after the osteotomy has healed, and can become sources for complications, such as infections. Tibial tuberosity advancement is considered a clean surgical procedure; however, the reported incidence of surgical site infection (SSI) ranges from 1.8% to 15%, which is similar to other proximal tibial osteotomy techniques but higher than other clean procedures …”

Section: Introductionmentioning

confidence: 99%

“…Although the TTA plate and screws can typically be readily removed, it is more difficult to remove the cage because of its location within the osteotomy gap and open structure which facilitates fibrous and bone tissue ingrowth . The reported complication rate after cage removal in one study was 40% …”

Section: Introductionmentioning

confidence: 99%

“…Tibial tuberosity advancement is considered a clean surgical procedure; however, the reported incidence of surgical site infection (SSI) ranges from 1.8% to 15%, which is similar to other proximal tibial osteotomy techniques but higher than other clean procedures. 3,4,[7][8][9][10][11][12] Surgical site infection after an orthopedic procedure is a complication that can lead to increased morbidity, mortality, and financial expense. 13,14 The most commonly reported bacterial species cultured from implant-associated infections in dog orthopedic procedures is Staphylococcus spp, with coagulase-positive Staphylococcus pseudintermedius frequently reported in dogs.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Impact of postoperative antibiotics on rates of infection and implant removal after tibial tuberosity advancement in 1,768 canine stifles

Ferrell¹,

Barnhart²,

Herman³

2019

Veterinary Surgery

View full text Add to dashboard Cite

Objective To report infection rate, implant removal rate, and postoperative antibiotic therapy after tibial tuberosity advancement (TTA) in dogs. Study design Retrospective study. Animals One thousand seven hundred sixty‐eight stifles in 1,732 dogs. Methods Medical records (January 2007‐December 2011) of dogs treated with a TTA were reviewed. Cases were included if at least 1 year of postoperative follow‐up was available and no additional procedures were performed on the stifle. Date of surgery, date of culture, culture and susceptibility results, postoperative antimicrobials used, and any implant removals were recorded. Use of postoperative antibiotics and implant removal were evaluated statistically for effect on infection occurrence and resolution. Results Postoperative infections were diagnosed in 82 of 1,768 (4.6%) stifles. Implants were removed from 32 (39%) stifles, with plate and screw removal only in 23 (71.9%) stifles. The rate of infection did not differ between dogs with or without postoperative antibiotic therapy. However, dogs receiving postoperative antibiotic therapy were at risk for developing an oxacillin‐resistant infection (P = .001). Oxacillin‐resistant infections were associated with a requirement for implant removal to achieve resolution compared with other types of bacterial infections (P < .05). Conclusion No benefit was detected with the use of postoperative antibiotics after TTA in this population. Implant removal was infrequent, and the requirement for cage removal was not commonly required for infection resolution. Clinical significance This study does not provide evidence to support postoperative antibiotic therapy after TTA. Postoperative infection can be treated in most dogs without removal of the TTA cage.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%