Peer-reviewed veterinary case report
Complications and outcomes after two knee surgeries for dogs
By Oxley, Bill et al.·Published in Veterinary surgery : VS·2013·Department of Orthopaedics, United Kingdom·View original on PubMed →
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Original publication title: Comparison of complication rates and clinical outcome between tibial plateau leveling osteotomy and a modified cranial closing wedge osteotomy for treatment of cranial cruciate ligament disease in dogs.
- Species:
- dog
Plain-English summary
A group of dogs weighing between 20-60 kg with knee problems due to cranial cruciate ligament disease underwent either a tibial plateau leveling osteotomy (TPLO) or a modified cranial closing wedge osteotomy (mCCWO) to help them walk better. After surgery, both groups showed similar results in terms of recovery, pain levels, and overall quality of life, with about 90-97% of the dogs doing well after six months. Complications and the need for reoperation were also similar between the two surgical methods. This suggests that both surgeries can be effective options for treating this common knee issue in dogs.
People also search for: dog knee surgery recovery · TPLO vs mCCWO for dogs · cranial cruciate ligament disease treatment
Abstract
OBJECTIVE: To report complication rates and clinical outcomes after tibial plateau leveling osteotomy (TPLO) and a modified cranial closing wedge osteotomy (mCCWO) for treatment of cranial cruciate ligament disease in dogs. STUDY DESIGN: Prospective cohort study. ANIMALS: Dogs weighing 20-60 kg with unilateral cranial cruciate ligament disease treated by either TPLO (n = 97) or mCCWO (n = 74). METHODS: Clinical and radiographic assessments including lameness score, morphometric measurements and tibial plateau angle (TPA) were made before surgery and 8 weeks after either TPLO or mCCWO. Long-term outcome assessment by owner questionnaire or interview was undertaken at ≥6 months postoperatively. RESULTS: Significant differences in lameness scores between groups were not identified at short- or long-term follow-up. Major complication and reoperation rates did not differ significantly between groups (TPLO 7.2% and 6.1%; mCCWO 9.5% and 5.4%). Median postoperative TPA did not differ significantly between groups (TPLO group 5.5°; mCCWO group 6.5°). At >6 months owner assessed lameness, disability, quality of life and satisfaction were not different between groups and were good in 90-97% of dogs. CONCLUSIONS: In dogs weighing 20-60 kg, TPLO and mCCWO are associated with similar complication rates and clinical outcomes when performed by surgeons experienced with the surgical techniques.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/23889810/