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Peer-reviewed veterinary case report

Bone graft and new plate effects on dog knee surgery healing

By Bisgard, Sarah K et al.·Published in Veterinary surgery : VS·2011·MedVet Medical and Cancer Center, United States·View original on PubMed

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Original publication title: The effect of cancellous autograft and novel plate design on radiographic healing and postoperative complications in tibial tuberosity advancement for cranial cruciate-deficient canine stifles.

Species:
dog

Plain-English summary

A group of 125 dogs with a torn cranial cruciate ligament (CrCL) underwent a surgical procedure called tibial tuberosity advancement (TTA) to help with their knee issues. Some dogs received a special bone graft during surgery, while others did not. The dogs that had the bone graft showed better healing on X-rays at 6 and 10 weeks after the surgery, but the type of plate used did not affect healing or complications. Overall, the bone graft helped the healing process, but it did not change the rate of any complications that occurred after surgery.

People also search for: dog knee surgery recovery · cranial cruciate ligament treatment dogs · tibial tuberosity advancement outcomes

Abstract

OBJECTIVE: To assess the effect of autogenous cancellous bone graft (autograft) and novel plate use on radiographic healing and complications in tibial tuberosity advancement (TTA) for treatment of cranial cruciate ligament (CrCL)-deficient stifles in dogs. STUDY DESIGN: Prospective clinical study. ANIMALS: Consecutive dogs (n=125) with unilateral CrCL-deficient stifles. METHODS: Four treatment groups: CPG, conventional plate with autograft; CPNG, conventional plate without autograft; NPG, novel plate with autograft; NPNG, novel plate without autograft were studied. Radiographs from 60 dogs were scored for healing at 6 and 10 weeks postoperatively; all 125 dogs were assessed for radiographic complications. Variables evaluated for relationship with healing scores and radiographic complications were age, weight, sex, cage and plate size, implant type, and graft use. RESULTS: Dogs with autograft had overall higher healing scores at 6 and 10 weeks. Radiographic complications occurred in 13 dogs (12 minor, 1 major), and were not influenced by graft or novel plate use. CONCLUSION: Autograft increases healing scores, but was not found to have a significant impact on the rate of complications in TTA. The novel plate was not found to have healing scores or radiographic complication rates significantly different from the conventional plate design.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21539577/