Peer-reviewed veterinary case report
Outcomes and complications of tibial wedge surgery in small dogs
By Fontalba-Navas, José L et al.·Published in Canadian journal of veterinary research = Revue canadienne de recherche veterinaire·2023·Hospital Veterinario VETSIA, United Kingdom·View original on PubMed →
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Original publication title: Short- to mid-term outcome and complications of closing tibial wedge osteotomy using anatomically contoured locking compression plates in small to medium breed dogs.
- Species:
- dog
Plain-English summary
A group of small to medium breed dogs, weighing up to 20 kg, underwent a surgical procedure called closing tibial wedge osteotomy to treat cranial cruciate ligament disease, which can cause knee pain and limping. After the surgery, most dogs showed significant improvement in their knee function and owner satisfaction was high. There were a few minor complications in some cases, but overall, the dogs recovered well and returned to normal activity within a few weeks. This surgical technique appears to be effective for helping these dogs regain their mobility.
People also search for: dog knee surgery recovery · cranial cruciate ligament disease treatment · small dog limping after surgery
Abstract
The objective of this retrospective case series was to report overall peri-operative complications, short- to mid-term outcome, and owner satisfaction of closing tibial wedge osteotomy (CTWO) using locking compression plates, in dogs weighing ≤ 20 kg, for the treatment of cranial cruciate ligament disease. Medical records from 2015 to 2020 were reviewed for surgical technique, intraoperative findings, and complications. Pre- and postoperative radiographs were evaluated for healing, complications, and tibial plateau angles (TPAs). A follow-up telephone questionnaire was used to evaluate patient outcome and owner satisfaction. Eighty-one client-owned dogs (12.0 kg ± 3.0 kg; 95% CI: 8.4 to 15.5) (N = 89 stifles) were included in the study. Mean tibial plateau angles at preoperative, postoperative, and 8-week follow-up were 29.7° ± 4.1° (95% CI: 25.5 to 33.8), 6.7° ± 2.6° (95% CI: 4.2 to 9.2), and 7.8° ± 2.4° (95% CI: 4.9 to 10.6), respectively. Tibial plateau angles had significantly increased at the 8-week follow-up assessment by 1.04° ± 1.8°; 95% CI: -0.8 to -2.8) compared to immediately postoperative. The postoperative complication rate was 4.49% (4 cases). Overall satisfaction was excellent with good return to limb function. Closing tibial wedge osteotomy can be performed in dogs ≤ 20 kg, using locking compression plates, achieving excellent overall owner satisfaction and return to function.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36606042/