TTA Rapid: Description of the Technique and Short Term Clinical Trial Results of the First 50 Cases

Samoy, Yves; Verhoeven, Geert; Bosmans, Tim; Vekens, Elke Van der; Bakker, Evelien de; Verleyen, Pieter; Ryssen, Bernadette Van

doi:10.1111/j.1532-950x.2014.12298.x

Cited by 51 publications

(123 citation statements)

References 36 publications

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“…In the cases in this report, the same cages and principles of TTA were used, but with the advantage of lower implant utilization, as reported by other authors [6][7][8][9][10]. In animal 2 the osteotomy defect was filled with spongy bone, collected from the tibia itself.…”

Section: Discussionmentioning

confidence: 87%

“…This same implant is used in TTA procedures. This implant differs from that used by Samoy et al [10], in which a titanium cage that could place four or six screws, depending on the size of the implant, was used.…”

Section: Discussionmentioning

confidence: 89%

“…The ideal site for drilling (hole) into the tibial crest is still not well established [10], in the 2 cases presented here the drilling was performed just beyond the termination of the tibial crest.…”

Section: Discussionmentioning

confidence: 99%

“…The use of tension bands is controversial, and they are often not used if there is no fracture or fissure of the tibial crest [10]. But, according to Brunel and collaborators [7], a tension band should be used to reduce the rate of post-operative tibial crest fracture, due to the great tension of the quadriceps muscle.…”

Section: Discussionmentioning

confidence: 99%

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Complications Associated with the Maquet Procedure–Two Case Reports in Dog's

Marques¹

2017

SOJVS

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SOJ Veterinary Sciences Open Access Case ReportAccording to Brunel et al., the main complication of the technique is the risk of cracking or fracture of the tibial tuberosity. In this event the authors recommend conversion of the Maquet technique to the traditional TTA, as cerclage wires do not provide sufficient stability. Barthelemy et al. [8] reported the risk factors, complications, and owner satisfaction with the Maquet technique in 109 dogs. Complications were observed in 27% cases, 9% of which were major complications (requiring surgical revision) and 18% smaller (no need for further surgical intervention). Thinning of the tibial crest at surgery, predisposes it to fracture in the postoperative period. The owners reported excellent results in 82% of cases and good in 13.1%.The objective of this study was to describe two cases where complications were associated with the use of the Maquet technique in dogs. Case ReportTwo dogs with hindlimb lameness and no history of trauma were treated at the Veterinary Hospital of the Federal University of Paraná (HV-UFPR). On physical examination, a positive cranial drawer and tibial thrust test were observed, confirming the diagnosis of rupture of the cranial cruciate ligament. Animal 1 was a ten year old, female Dachshund, 11 kg body mass, with right CCrLR. Animal 2 was a two year old, male, German Dogue breed, body mass of 64 kg, with right CCrLR.The animals were sedated and the affected stifles were angulated at 135 degrees in the mediolateral position to calculate the tibial plateau angle (TPA) for surgical planning. The TPA of animals 1 and 2 were 21 and 22 degrees, respectively. In both cases, the Maquet technique was used for surgical repair.Medial parapatellar access was used and no significant damage was found in the menisci at medial arthrotomy. The joint capsule was sutured with polidioxanone 2.0 Sutan standard.Subcutaneous tissues were dissected with Mayo scissors and the periosteum lifted with a periosteal elevator to expose the tibial crest. For the Maquet technique, a drill (4mm, animal 1 and 6mm in animal 2) was used to drill the distal region of the tibial crest of the tibia, allowing advancement of the crest and AbstractCranial cruciate ligamente rupture is a very common disease in dogs and the leading cause of degenerative joint disease of the stifle. Many techniques are described for its treatment and none is without complications. The Maquet technique follows the same principles as tibial tuberosity advancement (TTA) but without the use of a bone plate on the tibial crest. The aim of this study was to report two cases where complications were observed with the Maquet technique. The first case was a male Dachshund, in which the tibial crest fractured during surgery, and was treated with use of a TTA bone plate. The second was a Fila Brasileiro in which fracture of the tibial crest was detected 21 days after surgery, and was treated with a clinical treatment. No surgical procedure is free of complications, but the veterinarian should be aware of wha...

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Complications Associated with the Maquet Procedure–Two Case Reports in Dog's

Marques¹

2017

SOJVS

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“…Specialized cages are available for the Maquet technique (SAMOY et al, 2015), but in this case a cage for a conventional TTA technique was used.…”

Section: Case Reportmentioning

confidence: 99%

A report of the Maquet procedure for the management of cranial cruciate ligament rupture in a dog - a case report

Marques

Ibañez

Monteiro

et al. 2017

SCA

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Cranial cruciate ligament rupture is the major cause of lameness and degenerative joint disease in the canine stifle. The cause of this disease is multifactorial, especially involving degenerative and inflammatory changes. Many techniques have been described for the management of this condition, and current recommendations include the use of corrective osteotomies, most recently using the Maquet (or modified Maquet) procedure. This technique is fundamentally similar to the classical tibial tuberosity advancement (TTA), but without the use of the bone plate. The main advantages of using this technique are a shorter operative time and less use of implants. The main complication of this technique is an increased risk of tibial crest fracture. This report describes the Maquet technique for the treatment of a three-year-old male West White Terrier dog with rupture of the cranial cruciate ligament. Cruciate ligament rupture was diagnosed by a positive cranial tibial drawer test. Mediolateral stifle radiography performed under anesthesia with the stifle in 135° of extension demonstrated a tibial plateau angle of 22°. A cage of six millimeters was necessary to allow advancement. The Maquet technique produced excellent post-operative results, including early weight-bearing and neutralization of the cranial tibial drawer. The consolidation time of the osteotomy was 63 days. Key words: Canine. Knee. Orthopedics. Osteotomy. ResumoA ruptura do ligamento cruzado cranial em cães é a principal causa de claudicação do membro posterior e leva ao desenvolvimento da doença articular degenerativa. A causa da doença é multifatorial, principalmente alterações degenerativas e inflamatórias. Muitas técnicas já foram descritas para o seu tratamento, mas atualmente se preconiza a utilização das osteotomias corretivas, sendo a técnica de Maquet a mais recente utilizada. Essa técnica apresenta os mesmos fundamentos da técnica clássica de avanço da tuberosidade tibial, mas não é utilizado a placa. As principais vantagens do uso dessa técnica são menor tempo cirúrgico e menor uso de implantes. A principal complicação dessa técnica é a fratura da crista da tíbia. O objetivo desse trabalho é descrever o caso de um cão, macho, três anos de idade, da raça West White Terrier com ruptura do ligamento cruzado cranial e utilização da técnica de Maquet

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Tibial Tuberosity Advancement

Boudrieau

2017

Advances in the Canine Cranial Cruciate Ligament

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TTA Rapid: Description of the Technique and Short Term Clinical Trial Results of the First 50 Cases

Abstract: The modified technique is a viable alternative to other osteotomy techniques.

Cited by 51 publications

References 36 publications

Complications Associated with the Maquet Procedure–Two Case Reports in Dog's

Complications Associated with the Maquet Procedure–Two Case Reports in Dog's

A report of the Maquet procedure for the management of cranial cruciate ligament rupture in a dog - a case report

Tibial Tuberosity Advancement

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