Owner assessment of the outcome of tibial plateau levelling osteotomy without meniscal evaluation for treatment of naturally occurring cranial cruciate ligament rupture: 130 cases (2009 to 2013)

Bureau, Stéphane

doi:10.1111/jsap.12691

Cited by 6 publications

(6 citation statements)

References 39 publications

(81 reference statements)

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“…Study duration varied from 3 days ( 37 ) up to 5 years ( 58 , 60 – 64 ). Twenty-eight, 26 and 18 studies evaluated mid-term, short-term and long-term outcomes, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies (51.4 %) deliver an unclear risk of bias as they did not correctly report every detail concerning study design and outcome data. Unclear or high risk of bias was also seen in studies ( 54 , 56 , 60 – 64 , 68 , 70 – 77 ) that were (partly) based on results stated by the owners or referring vets ( Table 1 ). These might not have followed standard protocols, but be influenced by the owners' or referring vets' personal opinion and bias toward the treatment.…”

Section: Resultsmentioning

confidence: 99%

“…In several studies, other potential sources of bias have been identified ( Table 1 ). Many studies were of retrospective nature ( 42 , 50 , 52 , 53 , 55 , 56 , 58 – 61 , 63 , 64 , 71 – 95 ) which imposes a high risk of bias as protocols have not been standardized beforehand. Also, reported outcomes which might be different from the true outcome as potential follow-up losses cannot be identified.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Surgical treatment of cranial cruciate ligament disease in dogs using Tibial Plateau Leveling Osteotomy or Tibial Tuberosity Advancement–A systematic review with a meta-analytic approach

et al. 2022

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Tibial Plateau Leveling Osteotomy (TPLO) or Tibial Tuberosity Advancement (TTA) are commonly used surgical techniques for correction of cranial cruciate ligament (CCL) rupture in dogs. This systematic review aims to investigate whether one technique is superior to the other. Seventy-two studies on surgical management of CCL rupture have been identified and evaluated in regard of subjective and objective gait analysis criteria, development of osteoarthritis (OA), thigh circumference measurements, goniometry, joint stability, pain and complication rates. Almost half (47.2 %) of the studies were considered of low quality of evidence, leading to high heterogeneity in quality among studies; this posed a major limitation for an evidence-based systematic review of both surgical techniques. Out of 72 studies, there were only eleven blinded randomized clinical trials, of which five were rated with a low overall risk of bias. However, both techniques were considered to be successful management options. Subjective and objective gait analysis revealed no lameness at long-term evaluation for the majority of the patients. However, it appeared that TTA lead to better OA scores up to 6 months postoperatively, while TPLO had a lower rate of surgical site infections. In summary, no method can be clearly preferred, as most of the study evaluated were subpar. Studies with a high level of evidence are therefore urgently needed for such a common surgical procedure.

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“…Study duration varied from 3 days ( 37 ) up to 5 years ( 58 , 60 – 64 ). Twenty-eight, 26 and 18 studies evaluated mid-term, short-term and long-term outcomes, respectively.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Surgical treatment of cranial cruciate ligament disease in dogs using Tibial Plateau Leveling Osteotomy or Tibial Tuberosity Advancement–A systematic review with a meta-analytic approach

et al. 2022

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“…Cases 4, 5 and 6 were not investigated for meniscal tears because of surgeon preference. In the veterinary literature there is still lack of evidence regarding the outcome of untreated meniscal injuries [21]. Since it has been anecdotally reported that clinical function following meniscal injury may improve in the absence of meniscal intervention, it is possible that the improvement in clinical function of these patients was secondary to spontaneous remission of a meniscal injury rather than to the TPLO performed.…”

Section: Discussionmentioning

confidence: 99%

Tibial Plateau Leveling Following Tibial Tuberosity Advancement: A Case Series

Serrani¹,

Picavet

Martí³

et al. 2022

Veterinary Sciences

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Persistent stifle instability is a recognized complication following tibial tuberosity advancement techniques (TTAT). The aim of this study is to report the feasibility and outcome of tibial plateau leveling techniques (TPLT) to treat dogs with persistent lameness, suspected to be secondary to persistent stifle instability, following (TTAT). Medical records of dogs presented for persistent lameness after TTAT were reviewed. Preoperative data included orthopedic examination, lameness score and radiographs. Inclusion criteria included performance of a surgery to address persistent lameness and suspected instability. Short-term follow up data included orthopedic examination and radiographs of the stifle. Long-term follow up was based on postoperative Liverpool Osteoarthritis in Dogs (LOAD) questionnaire. Seven dogs were included in the study. Mean subjective preoperative lameness score was 3 ± 1.53. Mean preoperative patellar ligament angle relative to the tibial plateau (PLATP) was 94° and mean tibial plateau angle (TPA) was 28°. Six dogs had tibial plateau leveling osteotomy and one had modified cranial closing wedge ostectomy. Mean postoperative PLATP was 79° and mean TPA was 5°. Mean subjective lameness score at follow up was 0.57 ± 0.49. Minor complications were present in 2 dogs and major complication in 1 dog. Mean LOAD questionnaire score was 6.6/52. TPLT can be performed after TTAT and may improve clinical function and stability in these cases in which persistent instability is suspected.

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“…Treatment outcome in dogs with CCLD has been evaluated in several ways, for example, by using force plate gait analysis, visual gait observation, orthopaedic and physiotherapeutic examination, radiography for evaluation of OA progression and owner questionnaires 8,17,22–29 . Owner questionnaires based on behaviour are considered one of the most reliable tools for assessment of chronic pain in dogs 30–32 .…”

Section: Introductionmentioning

confidence: 99%

Long‐term outcome in dogs with cranial cruciate ligament disease evaluated using the canine orthopaedic index

et al. 2023

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BackgroundCranial cruciate ligament disease (CCLD) is common in dogs, but studies on the long‐term treatment outcome are scarce.MethodsThe long‐term outcome in a cohort of 71 dogs with CCLD treated with tibial plateau levelling osteotomy (TPLO, n = 18), tibial tuberosity advancement (TTA, n = 23) or lateral fabellotibial suture (LFS, n = 30) was evaluated using the canine orthopaedic index.ResultsThe risk of stiffness and lameness was increased in dogs treated with TPLO (stiffness: incidence rate ratio [IRR] 1.33, p = 0.015; lameness: IRR 1.34, p = 0.020) or TTA (stiffness: IRR 1.26, p = 0.035; lameness: IRR 1.31, p = 0.026) when compared to LFS at a median follow‐up time of 4.6 years.LimitationsNo follow‐up veterinary examination was performed. Data were collected from only two university animal hospitals, and thus, a referral bias towards more complicated cases is possible, which may limit the generalisability of the results.ConclusionClinicians can use the results to inform dog owners about the expected long‐term outcome in dogs with CCLD.

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Owner assessment of the outcome of tibial plateau levelling osteotomy without meniscal evaluation for treatment of naturally occurring cranial cruciate ligament rupture: 130 cases (2009 to 2013)

Abstract: Considering the low incidence of persistent lameness after surgery and the limits of diagnosis and treatment, the need for routine meniscal examination during tibial plateau levelling osteotomy is questionable.

Cited by 6 publications

References 39 publications

Surgical treatment of cranial cruciate ligament disease in dogs using Tibial Plateau Leveling Osteotomy or Tibial Tuberosity Advancement–A systematic review with a meta-analytic approach

Surgical treatment of cranial cruciate ligament disease in dogs using Tibial Plateau Leveling Osteotomy or Tibial Tuberosity Advancement–A systematic review with a meta-analytic approach

Tibial Plateau Leveling Following Tibial Tuberosity Advancement: A Case Series

Long‐term outcome in dogs with cranial cruciate ligament disease evaluated using the canine orthopaedic index

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