Peer-reviewed veterinary case report
Complications after tibial tuberosity advancement surgery in Boxer
By de Lima Dantas, Brigite et al.·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2016·Brigite de Lima Dantas, United Kingdom·View original on PubMed →
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Original publication title: Incidence of complications associated with tibial tuberosity advancement in Boxer dogs.
- Species:
- dog
Plain-English summary
A group of Boxer dogs that underwent tibial tuberosity advancement (TTA) surgery for knee problems had a higher rate of complications compared to dogs of other breeds. Out of 36 Boxer stifles, 16 experienced complications, including fractures and infections, which sometimes required additional surgery. In contrast, only 42 complications were reported in 271 stifles from other breeds. This suggests that Boxers may need closer monitoring and possibly different treatment approaches after such surgeries.
People also search for: Boxer dog knee surgery complications · tibial tuberosity advancement Boxer · dog knee surgery infection treatment
Abstract
OBJECTIVE: To retrospectively review and describe the incidence of complications associated with tibial tuberosity advancement (TTA) surgical procedures in a group of Boxer dogs (n = 36 stifles) and compare the data with a non-Boxer control population (n = 271 stifles). METHODS: Retrospective analysis of medical records to identify all dogs that underwent TTA surgery due to cranial cruciate ligament disease. These records were categorized into two groups: Boxer dogs and non-Boxer dogs (controls - all other breeds). RESULTS: Of the 307 stifles included, 69 complications were reported in 58 joints. The complication rate differed significantly for Boxer dogs (16/36 stifles) and non-Boxer dogs (42/271 stifles), corresponding to an odds ratio of 5.8 (confidence interval: 1.96-17.02; p-value <0.001). Boxer dogs were more likely to undergo revision surgery and to develop multiple complications. The incidence of tibial tuberosity fractures requiring surgical repair (2/36 versus 1/271) and incisional infections requiring antibiotic treatment (three in each group) was significantly higher in the Boxer group. CLINICAL SIGNIFICANCE: Boxer dogs had more major and multiple complications after TTA surgery than the control non-Boxer group; these complications included higher rates of revision surgery, tibial tuberosity fractures requiring stabilization, and infection related complications. The pertinence and value of breed-specific recommendations for cranial cruciate ligament disease appears to be a subject worthy of further investigation.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/26511285/