Surgical and postoperative complications associated with tibial tuberosity advancement for cranial cruciate ligament rupture in dogs: 458 cases (2007–2009)

Wolf, Rebecca E; Scavelli, Thomas D; Hoelzler, Michael G; Fulcher, Ryan P.; Bastian, Richard P.

doi:10.2460/javma.240.12.1481

Cited by 89 publications

(153 citation statements)

References 28 publications

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“…After that TTA were performed as described previously (Wolf et al, 2012). Briefly, an incision was made and extended distally to allow exposure of the proximal aspect of the tibia by a standard medial parapatellar approach of the stifle joint.…”

Section: Methodsmentioning

confidence: 99%

Importance of meniscal injury diagnosis and surgical management in dogs during reconstruction of cranial cruciate ligament rupture: A retrospective study

Seo¹,

Rahman²,

Jeong³

2017

J Adv Vet Anim Res

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Objective: The objective of this study was to evaluate the benefits of the clinical outcome of meniscal injury diagnosis and surgical management during the reconstruction of cranial cruciate ligament rupture (RCCL) in dogs. Materials and methods: For these purpose two groups with 2 different surgery regimens; group 1 (G1), RCCL was corrected with partial meniscectomy and tibial tuberosity advancement (TTA), and another one (group-2, G2) only with TTA. Long-term follow-up about postoperative complications and any recurrence of signs were recorded by referring veterinarians by medical questionnaire over telephone contact and radiographic postoperative follow-up of bone healing was evaluated. Results: Meniscal injuries were diagnosed arthroscopically in five dogs out of six dogs, and corrected by partial meniscectomy arthroscopically. The percentage of presence of meniscal injury was 83%. It was found that clinical outcomes were superior in G1 than G2 group both walking starting time (4.6±2.5 and 6.4±2.9 days, respectively) or full recovery time (39.2±26.9 and 58.1±24.5 days, respectively) was significantly shortage (P<0.05) along with less postoperative complication at two years postoperative observation. Out of the five dogs, lameness, arthritis was developed in four dogs in G2 group while the number of dogs was two in G1 group within two years. Conclusion: Finally based on the clinical superiority, it is recommended that meniscal injury should be checked and corrected during RCCL reconstruction for getting better clinical outcomes.

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Section: Methodsmentioning

confidence: 99%

Importance of meniscal injury diagnosis and surgical management in dogs during reconstruction of cranial cruciate ligament rupture: A retrospective study

Seo¹,

Rahman²,

Jeong³

2017

J Adv Vet Anim Res

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“…14 This traditional TTA (tTTA) technique and its "forkless" plate design still has several potential disadvantages, such as proximal displacement of the tibial crest fragment, 15,16 tibial crest fractures, 11,12,14,17,18 medial or lateral translation of the tibial crest predisposing to patellar luxation, 14,15,18,19 imperfect plate contouring (due to the need for preplacement). 10,16 This technique is slightly more technically challenging than the modified Maquet technique (MMT) 3,10,15 and does not eliminate standard complications such as postoperative swelling and bruising, meniscal injuries, surgical site infections, implant failure, tibial fracture, and persistent stifle instability. 10,15,16 A MMT for use in dogs has been derived from descriptions of the procedure in man.…”

Section: Introductionmentioning

confidence: 99%

A modified Maquet‐tibial tuberosity advancement technique for treatment of canine cranial cruciate ligament disease: Short term outcome and complications

Retallack¹,

Daye²

2017

Veterinary Surgery

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Objective: To describe and report the outcomes of a novel modified Maquet-tibial tuberosity advancement (mTTA) technique in dogs with naturally occurring cranial cruciate ligament (CCL) rupture, compared to a traditional tibial tuberosity advancement (tTTA) technique.Study design: Descriptive report and retrospective clinical cohort study.Sample population: Dogs (n 5 70) treated via tibial tuberosity advancement (TTA).Methods: Medical records (2013-2015) of dogs treated for CCL rupture via TTA were reviewed for: signalment, findings on physical examination, procedure (tTTA or mTTA), radiographs, complications, and outcome. Radiographs were retrospectively evaluated for patellar tendon thickness, evidence of tibial crest fractures, and implant placement. Intraoperative and postoperative complications and outcome were compared between procedures.Results: A total of 70 cases met inclusion criteria, 35 of each procedure (tTTA or mTTA). The mTTA procedure was successfully performed with good clinical and radiographic outcomes. The only difference in outcomes detected between groups is that dogs were more lame 2 weeks after tTTA than mTTA group. Conclusion:The mTTA technique represents a safe, repeatable alternative to the tTTA, with similar outcome and complication rates.

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“…O sucesso da técnica de ATT em reduzir ou eliminar as forças de deslocamento cranial da tíbia em joelhos de cães com RLCCr tem sido documentado em estudos experimentais (Apelt et al, 2007;Kim et al, 2008Kim et al, /2009Guerrero et al, 2009) e em estudos clínicos publicados recentemente (Hoffmann et al, 2006;Lafaver et al, 2007;Voss et al, 2008;Kemper et al, 2011;Steinberg et al, 2011;Wolf et al, 2012).…”

Section: Introductionunclassified

Comportamento biomecânico de diferentes placas de avanço da tuberosidade da tíbia em cães: estudo comparativo ex vivo

Yamauchi

Ferrigno

Pereira

et al. 2016

Arq. Bras. Med. Vet. Zootec.

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Surgical and postoperative complications associated with tibial tuberosity advancement for cranial cruciate ligament rupture in dogs: 458 cases (2007–2009)

Cited by 89 publications

References 28 publications

Importance of meniscal injury diagnosis and surgical management in dogs during reconstruction of cranial cruciate ligament rupture: A retrospective study

Importance of meniscal injury diagnosis and surgical management in dogs during reconstruction of cranial cruciate ligament rupture: A retrospective study

A modified Maquet‐tibial tuberosity advancement technique for treatment of canine cranial cruciate ligament disease: Short term outcome and complications

Comportamento biomecânico de diferentes placas de avanço da tuberosidade da tíbia em cães: estudo comparativo ex vivo

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