Peer-reviewed veterinary case report
Double-cut tibial surgery for dogs with knee ligament damage
By Curuci, Eloy H P et al.·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2024·Department of Veterinary Surgery, Brazil·View original on PubMed →
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Original publication title: Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs.
- Species:
- dog
Plain-English summary
A group of dogs with knee problems caused by cranial cruciate ligament (CrCL) issues and a steep tibial plateau angle were treated using a new surgical technique called double-cut tibial plateau leveling osteotomy (DCTPLO). This method successfully reduced the angle of the tibial plateau, which is important for knee stability. Most dogs showed good healing within about 60 days after surgery, with only minor complications that didn't require further treatment. Overall, the DCTPLO technique proved to be effective for these dogs, helping them recover from their knee issues.
People also search for: dog knee surgery recovery · cranial cruciate ligament treatment dogs · tibial plateau leveling osteotomy for dogs
Abstract
OBJECTIVE:  To describe a modification of the tibial plateau leveling osteotomy technique wherein a double cut is made in the same plane to level the tibial plateau (double-cut tibial plateau leveling osteotomy [DCTPLO]) for treating dogs with cranial cruciate ligament (CrCL) and excessive tibial plateau angle (eTPA) diseases. STUDY DESIGN:  The DCTPLO technique was performed on 18 stifles in dogs with CrCL and an eTPA (>34°). This study evaluated the accuracy of preoperative planning, feasibility of the technique, postoperative clinical outcomes, radiographic examinations at the postoperative follow-up for the first 120 days, evolution of the tibial plateau angle (TPA), time of union of the osteotomy, apposition of the implants, and possible complications. RESULTS:  The described technique proved to be feasible for clinical application, with reproducibility from preoperative planning. An effective reduction in the eTPA levels was observed. The mean preoperative and postoperative TPA values were 39.4° (36°-43.5°) and 6.3° (3°-13°), respectively. Radiographic healing time was 60 days in 17/18 of stifles. Minor complications (not requiring surgical review or clinical treatment) were observed in 4/18 of stifles. CONCLUSION:  The DCTPLO technique was effective for treating CrCL disease with TPA of up to 43.5° in dogs.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/39227027/