Radiographic and Clinical Changes of the Tibial Tuberosity after Tibial Plateau Leveling Osteotomy

Kergosien, David H.; Barnhart, Matthew D.; Kees, Christopher E.; Danielson, Briana G.; Brourman, Jeff D.; DeHoff, William D.; Schertel, Eric R.

doi:10.1111/j.1532-950x.2004.04066.x

Cited by 47 publications

(104 citation statements)

References 3 publications

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“…[75][76][77] Postoperative fracture of the tibial tuberosity was noted in 6/193, 14/397, 28/696, and 19/219 stifles, usually prior to the 6-8 week radiographic recheck. [75][76][77]79 Conservative management of this complication seemed to be sufficient to resolve any setback in postoperative function, however the location of the osteotomy has since been recommended to be moved further caudal than the original description to avoid producing a thin tibial crest. 79 Additionally, it is recommended to place the temporary antirotational wire proximal to the insertion of the patellar ligament to avoid producing a stress riser distal to the attachment point.…”

Section: Veterinary Literaturementioning

confidence: 99%

“…[75][76][77]79 Conservative management of this complication seemed to be sufficient to resolve any setback in postoperative function, however the location of the osteotomy has since been recommended to be moved further caudal than the original description to avoid producing a thin tibial crest. 79 Additionally, it is recommended to place the temporary antirotational wire proximal to the insertion of the patellar ligament to avoid producing a stress riser distal to the attachment point. [75][76][77]79 Another complication unique to the TPLO was patellar ligament desmopathy.…”

Section: Veterinary Literaturementioning

confidence: 99%

“…79 Additionally, it is recommended to place the temporary antirotational wire proximal to the insertion of the patellar ligament to avoid producing a stress riser distal to the attachment point. [75][76][77]79 Another complication unique to the TPLO was patellar ligament desmopathy.…”

Section: Veterinary Literaturementioning

confidence: 99%

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Effect of 9 mm Tibial Tuberosity Advancement on Cranial Tibial Translation in the Canine Cranial Cruciate Ligament‐Deficient Stifle

et al. 2007

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Objective-To assess the effect of 9 mm tibial tuberosity advancement (TTA) on cranial tibial translation (CTT) in cranial cruciate ligament (CCL) deficient canine stifles.Study Design-In vitro cadaveric study. Animals-Twelve canine pelvic limbs.Methods-Each stifle was placed in a jig at 135° with a simulated quadriceps force and tibial axial force, and the distance of CTT was measured with the CCL intact (iCCL), transected (tCCL), and after performing a TTA using a 9 mm cage. In addition, a material testing machine was used to assess the force required to elicit CTT in each scenario.Results-The mean CTT for iCCL was 0.42 mm, 1.58 mm after severing the CCL, and 1.06 mm post TTA. The tCCL CTT measured without any quadriceps force was 2.59 mm. Differences between the intact and tCCL (p<0.0001) and tCCL and TTA (p=0.0003) were significant. The difference between the tCCL with and without the quadriceps force was not significant (p=0.0597). The force required to cause CTT was greater in the TTA than the tCCL up to 6mm (p<0.0001). As axial load increased, the force required to advance the tibia increased in both treatment groups (p value for overall weight effect =0.0002). Conclusions-

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Section: Veterinary Literaturementioning

confidence: 99%

Section: Veterinary Literaturementioning

confidence: 99%

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Effect of 9 mm Tibial Tuberosity Advancement on Cranial Tibial Translation in the Canine Cranial Cruciate Ligament‐Deficient Stifle

et al. 2007

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“…During the TPLO procedure, the curved cut of the tibial plateau preserves the tibial crest. If a tibial crest transposition is required, an additional osteotomy is necessary which requires additional fixation and may decrease the stability of the proximal portion of the tibia and lead to tibial crest avulsion (Priddy and others 2003, Kergosien and others 2004). To reduce patient morbidity and accelerate postoperative recuperation, it would be advantageous to combine the management of MPL and CCL ruptures without increasing the invasiveness of the surgical procedure.…”

Section: Introductionmentioning

confidence: 99%

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

Langenbach¹,

Marcellin‐Little

2010

J of Small Animal Practice

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“…(Slocum e Slocum, 1993;Priddy et al, 2003;Pacchiana et al, 2003;Kergosien et al, 2004;Boudrieau et al, 2005;Stauffer et al, 2006).…”

Section: Introductionunclassified

Osteotomia de nivelamento do platô tibial no tratamento da ruptura do ligamento cruzado cranial estudo clínico em cães

Ramos¹,

Luz²,

Vale³

et al. 2010

RBCV

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ResumoA ruptura do ligamento cruzado cranial (RLCC) é a causa comum de claudicação no membro pélvico em cães. Estudos recentes demonstram que o ângulo de inclinação do platô tibial está associado à RLCC. A partir dessa descoberta, desenvolveu-se a técnica de osteotomia e nivelamento do platô tibial (TPLO). A técnica consiste na osteotomia, rotação e estabilização da porção proximal da tíbia, alterando a mecânica da articulação, neutralizando o impulso tibial cranial. A proposta do presente estudo é revisar a técnica de TPLO, enfatizando o procedimento, técnica cirúrgica, cuidados pós-operatórios e complicações. O grupo estudado era composto de 40 cães. AbstractCranial cruciate ligament rupture (CCLR) frequently causes hindlimb limping in dogs. Recent studies showed that tibial plateau angle shift is associated with CCLR. Based on this founding the tibial plateau leveling osteotomy (TPLO) technique was developed. It consists about osteotomy, rotation and stabilization of tibial proximal portion, which modify joint mechanics thus neutralizing tibial cranial thrust. The proposal of this study is to report a review of the TPLO procedure, emphasizing procedure, surgical technique, post operative care and complications. Fourty dogs presenting CCLR were submitted to surgery, seventeen with the left limb affected, 23 on the right. The tibial plateau angles before surgery varied from 16 o to 36 o . Thirty animals (75%) returned to limb normal use in a week; six animals (15%) were back to normal deambulation to the fifteenth day, one animal (2,5%) were back to normal deambulation to the 20 0 day other one before the 30 o day. Three animals (7,5%) had surgical post-operatory complications, including suture descending, tibial fracture and implant failure. TPLO technique seemed appropriate for treatment of CCLR from dogs within a broad weight range. Early limb use occurred in most animals. Eventual problems arose from surgical procedure, and were promptly corrected.Keywords: osteotomy, cranial cruciate ligament, dog. IntroduçãoO ligamento cruzado cranial previne a hiperextensão do joelho, limita a rotação excessiva da tíbia em direção à face medial do fêmur, assim como evita o deslizamento cranial da tíbia em relação ao fêmur, conhecido como "movimento de gaveta", presente nos animais portadores de ruptura do ligamento cruzado cranial, reforçando sua importância na estática articular (Adams, 1986).Esse ligamento divide-se em bandas craniomedial e caudolateral, com diferentes pontos de inserção do platô tibial.(Johnson e Hulse, 2002).A origem da ruptura do ligamento cruzado cranial (LCC) pode ser traumática e/ou degenerativa e, ao contrário da lesão aguda, na forma crônica a ruptura do ligamento é gradativa e geralmente ocorre durante a atividade normal ou em decorrência de trauma menor (Bennett et al., 1988). Fatores

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Radiographic and Clinical Changes of the Tibial Tuberosity after Tibial Plateau Leveling Osteotomy

Abstract: Factors including age, weight, tibial tuberosity thickness, and conditions that may enhance strain on the tibial tuberosity, such as single-session bilateral procedures, may increase risk of fracture.

Cited by 47 publications

References 3 publications

Effect of 9 mm Tibial Tuberosity Advancement on Cranial Tibial Translation in the Canine Cranial Cruciate Ligament‐Deficient Stifle

Effect of 9 mm Tibial Tuberosity Advancement on Cranial Tibial Translation in the Canine Cranial Cruciate Ligament‐Deficient Stifle

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

Osteotomia de nivelamento do platô tibial no tratamento da ruptura do ligamento cruzado cranial estudo clínico em cães

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