Management of concurrent patellar luxation and cranial cruciate ligament rupture using modified tibial plateau levelling

Langenbach, Anke; Marcellin‐Little, Denis J.

doi:10.1111/j.1748-5827.2009.00854.x

Cited by 34 publications

(49 citation statements)

References 35 publications

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“…There was no recurrence of medial patella luxation in our study. This is comparable to a study of 12 dogs with medial patella luxation repaired concurrently with a TPLO, where none had recurrence of medial patella luxation . Two of the 5 dogs did not return for recheck radiographs, but the 3 that did return had grade 4 radiographic healing.…”

Section: Discussionsupporting

confidence: 77%

Owner Evaluation of a CORA‐Based Leveling Osteotomy for Treatment of Cranial Cruciate Ligament Injury in Dogs

Kishi

Hulse

2016

Veterinary Surgery

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Section: Discussionsupporting

confidence: 77%

Owner Evaluation of a CORA‐Based Leveling Osteotomy for Treatment of Cranial Cruciate Ligament Injury in Dogs

Kishi

Hulse

2016

Veterinary Surgery

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“…Similarly, tibial torsion can be corrected by bending the distal jig (Seminars entitled TPLO for CrCL Repair; Slocum Enterprises Inc., Eugene, OR). Such corrections also may be performed freehand, without the jig; in addition, a short distance transposition of the entire distal tibia (to include the tibial tuberosity) also can be performed simultaneously 37 . The latter maneuver, however, may also result in a malalignment of the tibial mechanical axis.…”

Section: Discussionmentioning

confidence: 99%

“…Such corrections also may be performed freehand, without the jig; in addition, a short distance transposition of the entire distal tibia (to include the tibial tuberosity) also can be performed simultaneously. 37 The latter maneuver, however, may also result in a malalignment of the tibial mechanical axis. In all such cases, the opposing bone surfaces tip in relation to each other, resulting in loss of bony apposition within the osteotomy.…”

Section: Discussionmentioning

confidence: 99%

Combination Tibial Plateau Leveling Osteotomy and Transverse Corrective Osteotomy of the Proximal Tibia for the Treatment of Complex Tibial Deformities in 12 dogs

2011

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“…Detailed information of intraoperative findings is provided in ▶ Table 4. (23,33,43,47,49,59,61,63). pre-op: präoperativ.…”

Section: Stifle Joint Explorationmentioning

confidence: 99%

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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Management of concurrent patellar luxation and cranial cruciate ligament rupture using modified tibial plateau levelling

Abstract: MPL and CCL ruptures may be successfully managed by performing a TPLO and simultaneously altering the relationship of the principal and tibial plateau fragments during surgery.

Cited by 34 publications

References 35 publications

Owner Evaluation of a CORA‐Based Leveling Osteotomy for Treatment of Cranial Cruciate Ligament Injury in Dogs

Owner Evaluation of a CORA‐Based Leveling Osteotomy for Treatment of Cranial Cruciate Ligament Injury in Dogs

Combination Tibial Plateau Leveling Osteotomy and Transverse Corrective Osteotomy of the Proximal Tibia for the Treatment of Complex Tibial Deformities in 12 dogs

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

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