Peer-reviewed veterinary case report
Complications and recovery after one or two-leg tibial surgery
By Hirshenson, M S et al.·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2012·Department of Clinical Science, United States·View original on PubMed →
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Original publication title: Evaluation of complications and short-term outcome after unilateral or single-session bilateral tibial tuberosity advancement for cranial cruciate rupture in dogs.
- Species:
- dog
Plain-English summary
A group of dogs with a torn cranial cruciate ligament (a common knee injury) underwent surgery called tibial tuberosity advancement (TTA) to help them recover. The study looked at 68 dogs that had either one or both knees operated on at the same time. After surgery, about 20% of the dogs experienced some complications, but there was no significant difference in complications between those who had one knee done versus both knees. The only factor linked to complications was the age of the dog. Overall, the surgeries were generally safe, but more research is needed to understand the long-term outcomes.
People also search for: dog knee surgery recovery · cranial cruciate ligament tear treatment · tibial tuberosity advancement complications
Abstract
OBJECTIVE: To compare the resulting complications, short-term results, and client satisfaction for treatment of cranial cruciate ligament rupture using either unilateral or bilateral single-session tibial tuberosity advancement (TTA) in dogs. METHODS: Medical records of 68 dogs (101 stifles) undergoing unilateral or bilateral single-session TTA were evaluated. Data gathered included signalment, history, physical examination findings, anaesthesia and surgical time, type of cranial cruciate ligament rupture and meniscal injury, implants, and intra-operative and postoperative complications. A mixed effect logistic regression analysis was performed to determine if complications were grouped by surgical procedure. Linear regression was performed to determine the influence of the variables on the occurrence of complications. Values of p <0.05 were considered significant. RESULTS: No major intra-operative complications occurred. Twenty stifles (20%) developed a complication after surgery (11 minor, 9 major). There was no significant difference in occurrence of complications between dogs undergoing unilateral (n = 8) or bilateral single-session (n = 12) TTA (p = 0.69). The only risk factor found to be associated with complication occurrence was age. CLINICAL SIGNIFICANCE: This is the first report evaluating the use of bilateral simultaneous TTA. There was no significant difference in complication rates between unilateral and bilateral single-session TTA. Additional evaluation is needed to fully determine the extent of complications and long-term outcome of bilateral single-session TTA.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/22695799/