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Treatment of tibial diaphyseal fractures following plateless tibial tuberosity advancement to manage cranial cruciate disease.
De Sousa, R; Egan, P; Parsons, K; Butterworth, S; Calvo, I; Roch, S; Moores, A P.
Affiliation
  • De Sousa R; Anderson Moores Veterinary Specialists, Winchester, Hampshire SO21 2LL, UK.
  • Egan P; Fitzpatrick Referrals Ltd, Eashing, Surrey GU7 2QQ, UK.
  • Parsons K; Langford Veterinary Services, University of Bristol, Langford, Bristol BS40 5DU, UK.
  • Butterworth S; Weighbridge Referral Services Ltd, Swansea, Wales SA6 8QF, UK.
  • Calvo I; The Queen Mother Hospital for Animals, The Royal Veterinary College, Hatfield, Hertfordshire AL9 7TA, UK.
  • Roch S; Kentdale Veterinary Orthopaedics Ltd, Milthorpe, Cumbria LA7 7NU, UK.
  • Moores AP; Anderson Moores Veterinary Specialists, Winchester, Hampshire SO21 2LL, UK.
J Small Anim Pract ; 58(7): 372-379, 2017 Jul.
Article de En | MEDLINE | ID: mdl-28407253
ABSTRACT

OBJECTIVE:

To report diaphyseal fractures of the proximal tibia following tibial tuberosity advancement without plate stabilisation for the management of cranial cruciate ligament rupture in dogs.

METHODS:

Members of the British Veterinary Orthopaedic Association's online discussion forum were invited to submit revision cases of tibial diaphyseal fracture following tibial tuberosity advancement without plate fixation. Data collected included signalment, surgical revision technique, pre- and postoperative revision radiographic findings, complications and veterinary assessment. Owners were invited to complete the Liverpool Osteoarthritis in Dogs questionnaire.

RESULTS:

A total of 17 dogs were included in the study. Eleven dogs had OrthoFoam-wedge modified Maquet procedures and six had the tibial tuberosity advancement rapid procedure. Tibial tuberosity advancement was maintained in 14/17 cases. Postrevision surgery complications occurred in eight cases minor complications in 3/17 dogs; major in 5/17 and no catastrophic complications. Surgical site infection was the most common complication (4/8). Final clinical outcome found 8/17 of dogs to have excellent, 8/17 satisfactory and 1/17 poor clinical outcome. The median Liverpool Osteoarthritis in Dogs score was 12/52 (range 2 to 28). Final outcome was 6/13 owners that were very satisfied, 2/13 owners indifferent and 5/13 owners very disappointed. CLINICAL

SIGNIFICANCE:

This is the first case series reporting tibial diaphyseal fractures following tibial tuberosity advancement without plate stabilisation. The authors report here a wide spectrum of potential fixation strategies should one of these fractures occur.
Sujet(s)

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Fractures du tibia / Ligament croisé antérieur / Chiens / Lésions du ligament croisé antérieur Type d'étude: Observational_studies / Risk_factors_studies Limites: Animals Langue: En Journal: J Small Anim Pract Année: 2017 Type de document: Article Pays d'affiliation: Royaume-Uni

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Fractures du tibia / Ligament croisé antérieur / Chiens / Lésions du ligament croisé antérieur Type d'étude: Observational_studies / Risk_factors_studies Limites: Animals Langue: En Journal: J Small Anim Pract Année: 2017 Type de document: Article Pays d'affiliation: Royaume-Uni