Peer-reviewed veterinary case report
Dog with cruciate ligament disease treated with double plating surgery
By B.W. Minto et al.·Published in Arquivo Brasileiro de Medicina Veterinária e Zootecnia·2021·View original on DOAJ →
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Original publication title: Double plating technique for fixing tibial plateau leveling osteotomy and modified cranial closing wedge ostectomy of the tibia in a dog with cranial cruciate ligament disease and excessive plateau angle: case report
- Species:
- dog
Plain-English summary
A 6-year-old male American Pit Bull was brought in for lameness in his right hind leg that had lasted for 90 days. He was diagnosed with cranial cruciate ligament (CCL) disease and had a high tibial plateau angle, which can complicate surgery. To fix this, the vet performed a tibial plateau leveling osteotomy (TPLO) combined with a modified cranial closing wedge ostectomy using a double plating technique. After surgery, the dog was given limited exercise and physiotherapy, and by five months post-op, he showed no lameness and good bone healing. Three years later, the owner reported that the dog has had no complications.
People also search for: dog hind leg lameness · American Pit Bull CCL surgery · TPLO recovery time · dog knee surgery complications
Abstract
ABSTRACT Tibial plateau leveling osteotomy (TPLO) associated to cranial wedge closing ostectomy (CCWO) has been one of the best options to manage cranial cruciate ligament (CCL) disease and excessive tibial plateau angle (TPA) in large dogs, however, the complication rate is potentially high. It is believed that a more robust fixation is necessary to stabilize them and decrease the risk of implant failure. A 6-year-old male American Pit Bull, weighing 36kg, with 90-day history of right hind limb lameness, was diagnosed with CCL disease. Due to the excessive tibial plateau angle (42°), TPLO was associated with a modified CCWO using a double plating technique. A final TPA of 12⁰ was accomplished, and a restricted level of exercises and physiotherapy were recommended. The patient was followed monthly until the fifth month postoperatively, when radiographic bone consolidation and no lameness were observed. By the date of this submission, 3 years after the procedure, the owner has reported no complications. The double plating technique for fixing TPLO and modified CCWO proved to be effective for the treatment of CrCL deficiency in a large dog with an excessive TPA.
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Search related cases →Original publication on DOAJ: https://doi.org/10.1590/1678-4162-12168