Clinical results of triple tibial osteotomy treatment in cranial cruciate ligament-deficient dogs

Clinical results of triple tibial osteotomy treatment in cranial cruciate ligament-deficient dogs

Canine cranial cruciate ligament ruptures have become common with improved nutrition and nonselective breedingstrategies. This study assessed 7 dogs of various breeds and ages with the diagnosis of cranial cruciate ligament ruptures. The triple tibialosteotomy (TTO) method was used to treat the rupture. All of the dogs were admitted to the clinic for varying degrees of lameness.Diagnosis was confirmed using both clinical and radiologic examinations. Body weights of the dogs were between 12 and 65 kg.Informed consent was given by the owners prior to surgery. Postoperatively, early evaluations were made using periodic radiographsand clinical examinations, but long-term evaluations were performed by phone interviews due to economic and other limitations bythe owners. The TTO operation method was completed successfully in all of the cases and only with Case 5 was a major complicationencountered (tibial tuberosity fracture from the distal pivot hole). In 3 cases, the minor complication of wound contamination occurreddue to poor wound care by the owners of the dogs. Owners were advised to restrict mobilization for a week following cast removal. Early,mid-, and long-term postoperative results showed functional recovery in all of the cases.All of the dogs returned to their pretrauma lives and those that had chronic symptoms had a significant increase in their mobility whencompared to their previous states after cranial cruciate ligament rupture.

___

  • 1. Warzee CC, Dejardin LM, Arnoczky SP, Perry RL. Effect of tibial plateau leveling on cranial and caudal tibial thrusts in canine cranial cruciate deficient stifles: An in vitro experimental study. Veterinary Surgery 2001; 30 (3): 278-286.
  • 2. Shahar RON, Milgram J. Biomechanics of tibial plateau leveling of the canine cruciate-deficient stifle joint: A theoretical model. Veterinary Surgery 2006; 35 (2): 144-149.
  • 3. Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Veterinary Clinics of North America: Small Animal Practice 1993; 23 (4): 777-795.
  • 4. Montavon P (editor). The modification of the Slocum’s technique for the repair of cruciate ruptures. Proceedings of the 4th European FECAVA-ACIVAC Congress, Bologna, Italy; 1998.
  • 5. Bruce WJ, Rose A, Tuke J, Robins GM. Evaluation of the triple tibial osteotomy. A new technique for the management of the canine cruciate-deficient stifle. Veterinary and Comparative Orthopaedics and Traumatology 2007; 20 (03): 159-168.
  • 6. Yaprakcı MV, Galanty M, Siewruk K. Köpeklerin ön çapraz bağ kopuğu tedavisinde üçlü tibial osteotomi operasyonunun kadavralar üzerinde incelenmesi ve klinik bir olguda sonuçlarının değerlendirilmesi. Kocatepe Veteriner Dergisi 2015; 8 (2): 97-103.
  • 7. Çağatay S, Kaya Ü. Köpeklerde ön çapraz bağ kopuklarının sağaltımında üçlü tibial osteotomi tekniğinin klinik ve radyolojik değerlendirilmesi. Veteriner Hekimler Derneği Dergisi 2017; 88 (1): 40-51.
  • 8. Kergosien DH, Barnhart MD, Kees CE, Danielson BG, Brourman JD et al. Radiographic and clinical changes of the tibial tuberosity after tibial plateau leveling osteotomy. Veterinary Surgery 2004; 33 (5): 468-474.
  • 9. Warrick B, Robins G. TTO - Triple Tibial Osteotomy. 2019: TTO - Leaflet.
  • 10. Baker LA, Rosa GJ, Hao Z, Piazza A, Hoffman C et al. Multivariate genome-wide association analysis identifies novel and relevant variants associated with anterior cruciate ligament rupture risk in the dog model. BMC Genetics 2018; 19 (1): 39.
  • 11. Mittelstaedt D, Kahn D, Xia YJJoOS. Detection of early osteoarthritis in canine knee joints 3 weeks post ACL transection by microscopic MRI and biomechanical measurement. Journal of Orthopaedic Surgery 2018; 26 (2): 1-10.
  • 12. Whitehair J, Vasseur P, Willits N. Epidemiology of cranial cruciate ligament rupture in dogs. Journal of the American Veterinary Medical Association 1993; 203 (7): 1016-1019.
  • 13. Lampman T, Lund E, Lipowitz AJV, Orthopaedics C, Traumatology. Cranial cruciate disease: current status of diagnosis, surgery, and risk for disease. Veterinary and Comparative Orthopaedics and Traumatology 2003; 16 (3): 122-126.
  • 14. Harasen G. Canine cranial cruciate ligament rupture in profile. The Canadian Veterinary Journal 2003; 44 (10): 845-846.
  • 15. Cabrera SY, Owen TJ, Mueller MG, Kass PH. Comparison of tibial plateau angles in dogs with unilateral versus bilateral cranial cruciate ligament rupture: 150 cases (2000-2006). Journal of the American Veterinary Medical Association 2008; 232 (6): 889-892.
  • 16. Kim SE, Pozzi A, Kowaleski MP, Lewis DD. Tibial osteotomies for cranial cruciate ligament insufficiency in dogs. Veterinary Surgery 2008; 37 (2): 111-125.
  • 17. Duerr FM, Duncan CG, Savicky RS, Park RD, Egger EL et al. Comparison of surgical treatment options for cranial cruciate ligament disease in large-breed dogs with excessive tibial plateau angle. Veterinary Surgery 2008; 37 (1): 49-62.
  • 18. Miller JM, Shires PK, Lanz OI, Martin RA, Grant JW. Effect of 9 mm tibial tuberosity advancement on cranial tibial translation in the canine cranial cruciate ligament-deficient stifle. Veterinary Surgery 2007; 36 (4): 335-340.
  • 19. Lafaver S, Miller NA, Stubbs WP, Taylor RA, Boudrieau RJ. Tibial tuberosity advancement for stabilization of the canine cranial cruciate ligament-deficient stifle joint: Surgical technique, early results, and complications in 101 dogs. Veterinary Surgery 2007; 36 (6): 573-586.
  • 20. Havig ME, Dyce J, Kowaleski MP, Reynolds LR, Budsberg SC. Relationship of tibial plateau slope to limb function in dogs treated with a lateral suture technique for stabilization of cranial cruciate ligament deficient stifles. Veterinary Surgery 2007; 36 (3): 245-251.
  • 21. Apelt D, Kowaleski MP, Boudrieau RJ. Effect of tibial tuberosity advancement on cranial tibial subluxation in canine cranial cruciate-deficient stifle joints: An in vitro experimental study. Veterinary Surgery 2007; 36 (2): 170-177.
  • 22. Talaat MB, Kowaleski MP, Boudrieau RJ. Combination tibial plateau leveling osteotomy and cranial closing wedge osteotomy of the tibia for the treatment of cranial cruciate ligament-deficient stifles with excessive tibial plateau angle. Veterinary Surgery 2006; 35 (8): 729-739.
  • 23. Lazar TP, Berry CR, Dehaan JJ, Peck JN, Correa M. Long-term radiographic comparison of tibial plateau leveling osteotomy versus extracapsular stabilization for cranial cruciate ligament rupture in the dog. Veterinary Surgery 2005; 34 (2):133-141.
  • 24. Rappa NS, Radasch RM. Post-operative complications associated with the Arthrex Canine Cranial Cruciate Ligament Repair Anchor System in small-to medium-sized dogs: A retrospective analysis (2009-2012). The Canadian Veterinary Journal 2016; 57 (8): 847.
  • 25. Talaat MB, Kowaleski MP, Boudrieau RJ. Combination tibial plateau leveling osteotomy and cranial closing wedge osteotomy of the tibia for the treatment of cranial cruciate ligament-deficient stifles with excessive tibial plateau angle. Veterinary Surgery 2006; 35 (8): 729-739.
  • 26. Lafaver S, Miller NA, Stubbs WP, Taylor RA, Boudrieau RJ. Tibial tuberosity advancement for stabilization of the canine cranial cruciate ligament-deficient stifle joint: surgical technique, early results, and complications in 101 dogs. Veterinary Surgery 2007; 36 (6): 573-586.
  • 27. Jerram RM, Walker AM, Warman CGA. Proximal tibial intraarticular ostectomy for treatment of canine cranial cruciate ligament injury. Veterinary Surgery 2005; 34 (3): 196- 205.
  • 28. Mattila J. Surgical treatment of canine cranial cruciate ligament deficiency - A literature review [Lisensiaatintutkielma]. Helsinki: University of Helsinki; 2012.
  • 29. Charles AE, Ness MG. Crevice corrosion of implants recovered after tibial plateau leveling osteotomy in dogs. Veterinary Surgery 2006; 35 (5): 438-444.
  • 30. Rayward RM, Thomson DG, Davies JV, Innes JF, Whitelock RG. Progression of osteoarthritis following TPLO surgery: A prospective radiographic study of 40 dogs. Journal of Small Animal Practice 2004; 45 (2): 92-97.
  • 31. Barnhart MD. Results of single-session bilateral tibial plateau leveling osteotomies as a treatment for bilaterally ruptured cranial cruciate ligaments in dogs: 25 cases (2000-2001). Journal of the American Animal Hospital Association 2003; 39 (6): 573-578.
  • 32. Warzee CC, Dejardin LM, Arnoczky SP, Perry RL. Effect of tibial plateau leveling on cranial and caudal tibial thrusts in canine cranial cruciate–deficient stifles: An in vitro experimental study. Veterinary Surgery 2001; 30 (3): 278-286.
  • 33. Boudrieau RJ. Tibial plateau leveling osteotomy or tibial tuberosity advancement? Veterinary Surgery 2009; 38 (1): 1-22.
  • 34. Kožár M, Ledecký V, Hluchý M. A comparative study of therapy of ruptured ligamentum cruciatum craniale by TPLO And TTA methods—A preliminary study. Folia Veterinaria 2009; 53 (1): 14-15.
  • 35. Pozzi A, Kowaleski MP, Apelt D, Meadows C, Andrews CM et al. Effect of medial meniscal release on tibial translation after tibial plateau leveling osteotomy. Veterinary Surgery 2006; 35 (5): 486-494.
  • 36. Moeller EM, Cross AR, Rapoff AJ. Change in tibial plateau angle after tibial plateau leveling osteotomy in dogs. Veterinary Surgery 2006; 35 (5): 460-464.
  • 37. Kim SE, Pozzi A, Kowaleski MP, Lewis DD. Tibial osteotomies for cranial cruciate ligament insufficiency in dogs. Veterinary Surgery 2008; 37 (2):111-125.
Turkish Journal of Veterinary and Animal Sciences-Cover
  • ISSN: 1300-0128
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Emadoddın TOHIDI, Abolfazl GHANIEI, Hamıd FARZIN, Alıreza HAGHPARAST

Pathogenicity of aerobic bacteria isolated from honeybees (Apis mellifera) in Ordu Province

Emine Şeyma BOĞ, Mustafa YAMAN, Ömer ERTÜRK

Mumtaz Alı KHAN, Sher Bahadar KHAN, Imdad Ullah KHAN, Asad SULTAN, Rajwalı KHAN, Muhammad SHAHID, Amjad Islam AQIB, Shakırullah KHAN, Alam Zeb KHAN, Mubbashar HASSAN

Effects of seasons and environmental conditions on semen quality of Senduro goats reared under tropical climate

Gatot CIPTADI, Nurul ISNAINI, Nada Ira Putri WALIDAH, Muhammad Willy Sabili Nirwana PUTRA, Enniek HERWIJANTI

Evaluation of Morgan’s pocket technique in the treatment of nictitans gland prolapse in dogs

Ziya YURTAL, Cafer Tayer İŞLER, Muhammed Enes ALTUĞ, Ömer KIRGIZ, Mehmet Zeki Yılmaz DEVECİ

Effect of Osteopontin gene variants on milk production traits in Holstein Friesian crossbred cattle of Kerala

Francis Anand LALI, Kulangara ANILKUMAR, Thazhathuveetil ARAVINDAKSHAN

Evaluation of cytotoxic, apoptotic effects and phenolic compounds of sea cucumber Holothuria tubulosa (Gmelin, 1791) extracts

Mehlika ALPER, Melek GÜNEŞ

Effect of concrete pond and net-cage culture systems on growth performance and haematological parameters of Siberian sturgeon (Acipenser baerii)

Selçuk DUMAN

Ozan GÜNDEMİR, Ermiş ÖZKAN, Mustafa Orhun DAYAN, Sedat AYDOĞDU

Association of toll-like receptor 4 (TLR 4) gene exon 3 variants with serostatus of the ovine Johne’s disease (paratuberculosis) in Turkish sheep

Yalçın YAMAN