Prospective clinical assessment of tibial tuberosity advancement for the treatment of cranial cruciate ligament rupture in dogs

Barros, Luciano Pereira de; Ribeiro, Lúcia Regina; Pereira, Letícia Cordeiro de Pina Camondá; Ferreira, Fernando Lucas Maschio; Conceição, Maria Eduarda Bastos Andrade Moutinho da; Dias, Luis Gustavo Gosuen Gonçalves

doi:10.1590/s0102-865020180080000004

Cited by 3 publications

(5 citation statements)

References 18 publications

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“…Some authors suggest filling the osteotomy region with hydroxyapatite paste [36]. However, the use of this biomaterial proved to be unnecessary as for classical surgical TTA techniques [37] as for the Porous TTA in our experience. Moreover, the in vitro results confirm that the use of three-dimensional scaffolds with a porosity of 87.09%, Yang Module 278.86 MPa, Ultimate Stress 48.88 KPa/mm 2 , allows us to obtain the best colonization of the implants used and the best biomechanical adaptability.…”

Section: Discussionmentioning

confidence: 88%

41 Cases of Treatment of Cranial Cruciate Ligament Rupture with Porous TTA: Three Years of Follow Up

Trisciuzzi

Fracassi

Martin

et al. 2019

Veterinary Sciences

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Tibial Tuberosity Advancement (TTA) is a surgical technique based on a linear osteotomy that determines a cranial advancement of the tibial tuberosity in patients suffering from cranial cruciate ligament rupture (CCL). The aim is to neutralize the cranial tibial thrust (CTT) and to reach a 90° angle between the patellar tendon and the tibial plateau with a physiological knee extension of 135°. In our study, a Ti6AI4V ELI (Titanium Aluminium Vanadium) titanium scaffold for the Porous TTA, with excellent properties of osteointegration and osteoconduction when subjected to cyclic loading has been adopted. Based on the previous scientific work on an ovine model, the use of this type of porous scaffolds has subverted the previous models. Scaffold production technology is based on direct mechanical manufacturing called Electron Beam Melting (EBM). For this study, 41 dogs, different breeds, medium-large size, weighing between 10 and 80 kg, aged between 1 and 13 years, were enrolled. The inclusion criteria were based on clinical evaluations (different gaits), drawer test and tibial compression, LOAD score (Liverpool Osteoarthritis in Dogs questionnaire), radiographic diagnosis in sedation with a 135° positioning of the joint and baropodometric investigations (Stance Analyzer). The results show that Porous TTA is an excellent method for functional recovery of the knee joint following the partial and total rupture of the CCL.

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Section: Discussionmentioning

confidence: 88%

41 Cases of Treatment of Cranial Cruciate Ligament Rupture with Porous TTA: Three Years of Follow Up

Trisciuzzi

Fracassi

Martin

et al. 2019

Veterinary Sciences

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“…The percentage distribution of the identified 18 muscle function assessment methods among all the included studies ( n = 139) and studies focusing on CCLD [ n = 16 ( 1 , 6 , 14 , 34 , 35 , 39 , 40 , 45 – 53 )] are shown in Figure 3 . Ten out of the 18 muscle function assessment methods were applied in studies on CCLD.…”

Section: Resultsmentioning

confidence: 99%

“…Video analysis without markers, accelerometry/pedometry, and ultrasound were some of the methods that were not applied among the CCLD studies. Scoring systems were applied in five of the CCLD studies and covered simple lameness scores but with different scales ( 6 , 34 , 35 , 39 , 40 ).…”

Section: Resultsmentioning

confidence: 99%

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Non-invasive methods to assess muscle function in dogs: A scoping review

et al. 2023

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Skeletal muscle function can be affected by multiple disorders in dogs of which cranial cruciate ligament rupture or disease (CCLD) is one of the most common. Despite the significance of this condition only sparse research exists regarding assessment of muscle function in dogs. This scoping review aimed to identify the non-invasive methods for canine muscle function assessments that have been reported in the literature in the past 10 years. A systematic literature search was conducted 1st March 2022 across six databases. After screening, 139 studies were considered eligible for inclusion. Among the included studies, 18 different muscle function assessment categories were identified, and the most frequently reported disease state was CCLD. We included an attempt to elucidate the clinical applicability of the 18 reported methods, as experts were asked to subjectively assess the methods for their clinical relevance as well as their practical applicability in dogs with CCLD.

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“…We found 471 records in database searching from 2011 to June 2022 (depending on the first publication for each technique). After duplicate removal (n = 117) and exclusion of book sections, ex vivo studies, or thesis (n = 178), we screened 176 records, from which we reviewed 68 full-text documents, and finally included 29 papers [ 3 , 11 , 12 , 13 , 15 , 16 , 21 , 22 , 23 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ]. Later, we searched records from the reference lists of initially included studies, founding one paper that fulfilled inclusion criteria [ 14 ].…”

Section: Resultsmentioning

confidence: 99%

Tibial Tuberosity Advancement Techniques (TTAT): A Systematic Review

Aragosa

Caterino

Valle

et al. 2022

Animals

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(1) Background: Several surgical techniques were described for the treatment of cranial cruciate ligament rupture in dogs. This report aims to critically review the available literature focused on preoperative planning, surgical procedure, follow-up, and complications of cranial cruciate ligament rupture treated by tibial tuberosity advancement techniques; (2) Methods: three bibliographic databases: PubMed, Google Scholar, and Scopus were used for a board search of TTAT (canine OR dog). Five GRADE recommendations according to Grading of Recommendations Assessment, Development and Evaluation and Joanna Briggs Institute Critical Appraisal Checklists were applied to the studies included. Data regarding preoperative planning (a measure of advancement), meniscal disease (meniscectomy, meniscal release, and late meniscal tears), and postoperative patellar tendon angle were recorded. Time frame, outcome, and complications were classified according to Cook’s guidelines; (3) Results: from 471 reports yielded, only 30 met the inclusion criteria. The common tangent method was the most commonly reported measurement technique for preoperative planning. The 40.21% of stifles presented meniscal tears at surgery, while 4.28% suffered late meniscal tears. In short-, mid-and long-term follow-ups examined showed a full/acceptable function was shown in >90% of cases. Among all new generation techniques, minor complications were reported in 33.5% of cases and major complications in 10.67%; (4) Conclusions: Compared to traditional TTA, new generation TTAT resulted effective in the treatment of cranial cruciate ligament failure, showing a lower rate of late meniscal injury but a higher rate of minor complications.

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Prospective clinical assessment of tibial tuberosity advancement for the treatment of cranial cruciate ligament rupture in dogs

Abstract: This clinical study supports the affirmation that patients who undergo TTA for treatment of CCL rupture have an acceptable response.

Cited by 3 publications

References 18 publications

41 Cases of Treatment of Cranial Cruciate Ligament Rupture with Porous TTA: Three Years of Follow Up

41 Cases of Treatment of Cranial Cruciate Ligament Rupture with Porous TTA: Three Years of Follow Up

Non-invasive methods to assess muscle function in dogs: A scoping review

Tibial Tuberosity Advancement Techniques (TTAT): A Systematic Review

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