Tibial Plateau Leveling Osteotomy and Cranial Closing Wedge Ostectomy in a Cat With Cranial Cruciate Ligament Rupture

2005 ◽  
Vol 41 (6) ◽  
pp. 395-399 ◽  
Author(s):  
Eric A. Hoots ◽  
Steve W. Petersen
Keyword(s):  
Tibial Plateau ◽  
Proximal Tibia ◽  
Cruciate Ligament ◽  
Weight Bearing ◽  
Cranial Cruciate Ligament ◽  
Ligament Rupture ◽  
Closing Wedge ◽  
Cruciate Ligament Rupture ◽  
Pelvic Limb ◽  
Cranial Cruciate Ligament Rupture

A 5-year-old domestic shorthair cat was presented for a nonweight-bearing left pelvic-limb lameness. Orthopedic and radiographic examinations revealed a cranial cruciate ligament rupture and deformity of the proximal tibial metaphysis. The deformity of the proximal tibia resulted in an exaggerated tibial plateau angle of approximately 75°. Surgical correction was performed with a combination of tibial plateau leveling osteotomy and cranial closing wedge ostectomy. The procedures resulted in an excellent clinical outcome with immediate return to weight bearing in the operated limb and progressive improvement in function over the ensuing 4 months.

scholarly journals Use of a Modified Tibial Plateau Levelling Osteotomy with Double Cut and Medial Crescentic Closing Wedge Osteotomy to Treat Dogs with Cranial Cruciate Ligament Rupture and Tibial Valgus Deformity

2019 ◽  
Vol 33 (01) ◽  
pp. 059-065
Author(s):  
Luca Vezzoni ◽  
Sara Bazzo ◽  
Silvia Boiocchi ◽  
Aldo Vezzoni
Keyword(s):  
Tibial Plateau ◽  
Cruciate Ligament ◽  
Wedge Osteotomy ◽  
Cranial Cruciate Ligament ◽  
Closing Wedge Osteotomy ◽  
Ligament Rupture ◽  
Closing Wedge ◽  
Cruciate Ligament Rupture ◽  
Tibial Valgus ◽  
Cranial Cruciate Ligament Rupture

Abstract Objective The aim of this study was to report efficacy of a modified tibial plateau levelling osteotomy (TPLO) with double cut and medial crescentic closing wedge osteotomy (TPLO/MCCWO) to treat dogs with cranial cruciate ligament rupture and concurrent tibial valgus. Study Design This study was a cases series. Materials and Methods Medical records of dogs that had TPLO with medial crescentic closing wedge osteotomy were reviewed. Data collected included signalment, body weight, pre- and postoperative tibial valgus angle, tibial plateau angle (TPA), surgical planning, corrective osteotomy technique, method of fixation, complications, and length of time to radiographic healing. Results Fifty-two surgical procedures performed in 45 dogs (7 bilateral) were included in the study. Mean age at surgery was 54 months, and body weight ranged from 5 to 63 kg (mean: 36.5 kg). Mean pre- and postoperative mechanical medial proximal tibial angle were 101° (98°–107°) and 92.80° (88°–97°) respectively. The mean pre- and postoperative TPA were 27.80° (16–35°) and 6.50° (3–11°) respectively. Intraoperative complications occurred in two stifles: in one stifle over-rotation of the proximal tibial segment resulted in a TPA of –8°, with immediate revision to a 5° TPA; in the second stifle a fissure of the lateral tibial cortex developed during insertion of a screw and required adjunctive fixation. No postoperative complications were recorded and all osteotomies healed uneventfully. Conclusions Tibial plateau levelling osteotomy/medial crescentic closing wedge osteotomy is an effective treatment for dogs with cranial cruciate ligament rupture and tibial valgus allowing accurate correction of the tibial deformity with a low complication rate.

scholarly journals Caudal Cruciate Ligament Rupture in an Adult Dog 8.5 Years Post Juvenile Tibial Plateau Cranial Hemiepiphysiodesis

VCOT Open ◽  
2020 ◽  
Vol 03 (02) ◽  
pp. e146-e152
Author(s):  
Massimo Petazzoni ◽  
Melania Dallago ◽  
Antonio Ferretti
Keyword(s):  
Clinical Examination ◽  
Tibial Plateau ◽  
Cruciate Ligament ◽  
Cranial Cruciate Ligament ◽  
Ligament Rupture ◽  
Cruciate Ligament Rupture ◽  
Pelvic Limb ◽  
The Right ◽  
Cranial Cruciate Ligament Rupture

AbstractThe aim of this study was to report a case of caudal cruciate ligament rupture in a 9-year-old dog who underwent juvenile tibial plateau cranial hemiepiphysiodesis that was performed to treat a partial cranial cruciate ligament rupture and excessive tibial plateau angle. A 9-year-old, 45 kg, male Bernese Mountain dog was referred for a non-traumatic acute right pelvic-limb lameness. At the age of 5 months, the dog underwent bilateral tibial plateau cranial hemiepiphysiodesis to treat a bilateral partial cranial cruciate ligament rupture and excessive tibial plateau angles. At clinical examination, a caudal tibial subluxation of the right stifle was detected. The right tibial plateau angle was 3 degree. Arthroscopy confirmed a complete caudal cruciate ligament rupture. The cranial cruciate ligament was partially torn. A diagnosis of caudal cruciate ligament rupture 8.5 years post juvenile tibial plateau hemiepiphysiodesis was made. A tibial plateau overcorrection might have contributed to caudal cruciate ligament rupture in this dog.

Early kinematic outcome after treatment of cranial cruciate ligament rupture by tibial plateau levelling osteotomy in the dog

2011 ◽  
Vol 24 (03) ◽  
pp. 178-184 ◽  
Author(s):  
M. de Medeiros ◽  
M. Sánchez Bustinduy ◽  
H. Radke ◽  
S. Langley-Hobbs ◽  
N. Jeffery
Keyword(s):  
Tibial Plateau ◽  
Normal Values ◽  
Cruciate Ligament ◽  
Cranial Cruciate Ligament ◽  
Subjective Impression ◽  
Ligament Rupture ◽  
Cruciate Ligament Rupture ◽  
Pelvic Limb ◽  
Cranial Cruciate Ligament Rupture ◽  
Stance Duration

SummaryObjectives: To establish the effect of tibial plateau levelling osteotomy (TPLO) on two selected pelvic limb kinematic variables in dogs treated for clinical cranial cruciate ligament rupture (CCLR).Methods: Thirteen dogs that had incurred CCLR and were treated by TPLO walked on a treadmill whilst kinematic data on pelvic limb paw motion were acquired using motion capture equipment. Data were subject to secondary processing using matrix analysis software and statistical analysis.Results: Pelvic limb stance duration significantly increased during the 12 week study period, recovering to near-normal values. Range of pelvic limb paw velocity also significantly increased but did not reach normal values by 12 weeks postoperatively.Clinical significance: The improvement in stance duration to near normality may aid in explaining the widely-held subjective impression that TPLO frequently provides an excellent outcome in the early stages after repair of the cruciate deficient canine stifle joint. Both stance length and range of paw velocity provide useful objective measures to compare outcome following surgery for CCLR.

Measurement of the tibial plateau angle in cats with and without cranial cruciate ligament rupture

2009 ◽  
Vol 22 (02) ◽  
pp. 83-86 ◽  
Author(s):  
S. Reese ◽  
K. Lorinson ◽  
D. Lorinson ◽  
E. Schnabl
Keyword(s):  
Tibial Plateau ◽  
Cruciate Ligament ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Cranial Cruciate Ligament ◽  
Ligament Rupture ◽  
Cruciate Ligament Rupture ◽  
Inter Observer Variability ◽  
Measurement Results ◽  
Cranial Cruciate Ligament Rupture

SummaryThe objective of the present study was to determine the tibial plateau angle (TPA) in cats without stifle pathology and to compare it with cats suffering from an isolated cranial cruciate ligament rupture. Mediolateral radiographs of the stifle were taken and the tibial plateau angle was measured based on the method previously described by Slocum and Devine (1983) for dogs. Three observers with different levels of experience evaluated the radiographs of all of the cats in this study. The mean tibial plateau angle measured by all three observers in the cats with a rupture of the cranial cruciate ligament (CCL) was 3.1° greater than in cats without stifle pathology. Neither gender, age, body weight nor degenerative joint disease had an influence on measurement results. The authors found an inter-observer variability of ± 5.3°. Hence it can be concluded that cats with cranial cruciate ligament rupture have a greater TPA, and this at least lends some credence to the possibility of higher TPA being a predis-posing factor for cruciate injury in this species.

A comparison of outcomes following tibial plateau levelling osteotomy and cranial tibial wedge osteotomy procedures

2007 ◽  
Vol 20 (04) ◽  
pp. 312-319 ◽  
Author(s):  
C. Brown ◽  
S. A. Corr
Keyword(s):  
Tibial Plateau ◽  
Cruciate Ligament ◽  
Small Sample ◽  
Wedge Osteotomy ◽  
Complication Rates ◽  
Cranial Cruciate Ligament ◽  
Ligament Rupture ◽  
Cruciate Ligament Rupture ◽  
Significant Difference ◽  
Cranial Cruciate Ligament Rupture

SummaryThe objective of this study was to determine whether clinical outcomes were superior and complication rates were lower in dogs that had had a cranial cruciate ligament rupture treated by tibial plateau levelling osteotomy (TPLO), compared to those dogs that had been treated using the original cranial tibial wedge osteotomy (CTWO) procedure. Thirty-seven client-owned dogs with cranial cruciate ligament rupture were included in the study: 19 dogs underwent a TPLO procedure, and 18 dogs underwent a CTWO procedure. The study was retrospective, with the data being obtained from medical records and a review of radiographs. The long-term outcome was assessed by means of an owner questionnaire using a visual analogue scale. For the majority of factors that were reviewed, there was not a significant difference in outcome between the dogs that had a TPLO or those that had undergone a CTWO. All of the dogs showed a rapid return to weight bearing after surgery, and at the six week re-examination, the majority of the dogs did not have any pain on stifle palpation. They displayed a good stifle range of motion and significantly lower lameness scores than those prior to surgery. The complication rates did not differ between the procedures, however, within this small sample of dogs, complications following a CTWO were more likely to require revision surgery.

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