NDLI: Triple tibial osteotomy for treatment of the canine cranial cruciate ligament-deficient stifle joint. Surgical findings and postoperative complications in 97 stifles.

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Triple tibial osteotomy for treatment of the canine cranial cruciate ligament-deficient stifle joint. Surgical findings and postoperative complications in 97 stifles.

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Triple tibial osteotomy for treatment of the canine cranial cruciate ligament-deficient stifle joint. Surgical findings and postoperative complications in 97 stifles.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Moles, A. D. Hill, T. P. Glyde, M.
Description	Country affiliation: Australia Author Affiliation: Moles AD ( Murdoch University Veterinary Hospital, Small Animal Surgery, South Street, Murdoch, Western Australia, 6150, Australia. a.moles@murdoch.edu.au)
Abstract	OBJECTIVE: To report the surgical findings and early post-operative complications of triple tibial osteotomy (TTO) for the treatment of cranial cruciate ligament disruption in dogs. METHODS: Clinical records of 84 dogs (97 stifles) that had TTO procedures were reviewed. Surgical findings and postoperative complications were assessed. A complication was defined as any undesirable outcome resulting from TTO that required further diagnostic investigation or surgical treatment. RESULTS: Mean tibial wedge angle was 13.6 degrees (range 10-20). Incomplete tibial crest osteotomy was achieved in 79% of TTO procedures. Implants were placed in the tibial crest in 67% of stifles. Early postoperative complications occurred in 23% of joints, and included avulsion of the tibial crest (9.1%), fracture at the distal cortical attachment of the tibial crest (6.2%), fibula fracture (4.1%), patellar tendonitis (3.1%), late meniscal injury (3.1%), implant complications (3.1%) and patellar fracture (2.1%). Increased patient age (p = 0.023), increased wedge angle (p = 0.009) and intra-operative fracturing of the cranial tibial cortex (p = 0.017) were significantly associated with postoperative tibial crest avulsion. Implants did not prevent tibial crest avulsion. Increased patient age (p = 0.012) was significantly associated with tibial crest fracture. CLINICAL RELEVANCE: Tibial crest avulsion and fracture are the most common postoperative complications for TTO. Late meniscal injury is uncommon after TTO.
File Format	HTM / HTML
ISSN	09320814
Issue Number	6
Volume Number	22
e-ISSN	25676911
Journal	Veterinary and Comparative Orthopaedics and Traumatology
Language	English
Publisher	Schattauer Publishers
Publisher Date	2009-01-01
Publisher Place	Germany
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Discipline Veterinary Medicine Discipline Traumatology Anterior Cruciate Ligament Surgery Dog Diseases Dogs Injuries Osteotomy Veterinary Postoperative Complications Animals Adverse Effects Methods Etiology Retrospective Studies Stifle Tibia Journal Article
Content Type	Text
Resource Type	Article
Subject	Veterinary Animal Science and Zoology

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