Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation.
Vet Comp Orthop Traumatol
; 37(1): 43-49, 2024 Jan.
Article
em En
| MEDLINE
| ID: mdl-37487533
ABSTRACT
OBJECTIVES:
This study aims to report complications and long-term outcomes of combined tibial plateau leveling osteotomy and tibial tuberosity transposition (TPLO-TTT) for treatment of concurrent cranial cruciate ligament rupture and medial patellar luxation (MPL). STUDYDESIGN:
This is a retrospective study. Dogs that underwent TPLO-TTT for treatment of combined cranial cruciate ligament rupture and grade III or IV MPL were included. Signalment, fixation method, and complications were recorded. Long-term outcome assessment (minimum 1 year postoperatively) was performed through clinical and radiographic reexamination at the authors' institution.RESULTS:
Twenty-four stifles (22 dogs) were included. Twenty-one stifles had a grade III MPL, and 3 stifles had grade IV MPL. Four major complications consisting of surgical site infection (n = 3) and recurrent grade II MPL (n = 1) were observed. Dogs with surgical site infections were successfully treated with implant removal and oral antibiotics. No additional surgery was performed for the patient with recurrent MPL as no signs of lameness were observed. Minor complications occurred in five cases. At long-term evaluation (median 27 months; range 12-67 months), 21/22 dogs were clinically sound and 23/24 stifles had a complete resolution of MPL.CONCLUSION:
TPLO-TTT can be considered as an effective surgical option to treat patients with concurrent cranial cruciate ligament rupture and MPL with a relatively low major complication rate. Owners should be warned of the potential need for implant removal.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Luxação Patelar
/
Luxações Articulares
/
Doenças do Cão
/
Lesões do Ligamento Cruzado Anterior
Tipo de estudo:
Observational_studies
Limite:
Animals
Idioma:
En
Revista:
Vet Comp Orthop Traumatol
Ano de publicação:
2024
Tipo de documento:
Article