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Peer-reviewed veterinary case report

Dog limping after tibial tuberosity surgery fixed with tibial plateau

By Yauheni Zhalniarovich et al.·Published in Animals·2023·Department of Surgery and Radiology, Faculty of Veterinary Medicine, University of Warmia and Mazury in Olsztyn, Oczapowskiego 14, 10-718 Olsztyn, Poland, CH·View original on DOAJ

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Original publication title: Tibial Plateau Leveling Osteotomy following Tibial Tuberosity Advancement Cage Removal: A Case Report

Species:
dog

Plain-English summary

A 6-year-old male Labrador retriever was brought in for persistent limping that lasted six months after a previous knee surgery. The vet found that the dog's knee joint was unstable, so they removed the hardware from the earlier surgery and performed a tibial plateau leveling osteotomy (TPLO) to stabilize the joint. After the surgery, the dog showed excellent healing, and six months later, he was completely free of limping, even after long walks. The owner was very satisfied with the outcome and reported no complications from the surgery.

People also search for: dog limping after surgery · TPLO recovery in dogs · Labrador knee surgery outcome

Abstract

The purpose of this case report is to describe the functional and clinical outcome of a tibial plateau leveling osteotomy (TPLO) in a dog with joint instability and persistent lameness following a Tibial Tuberosity Advancement surgery (TTA) Rapid. A six-year-old male Labrador retriever (38 kg) with a tibial plateau angle of 27° and a patella ligament to tibial plateau angle of 102° and persistent lameness lasting six months after TTA Rapid surgery has been examined. During orthopedic examination, the lameness was subjectively graded 3/5 and the positive drawer and tibial compression tests were performed. The TTA Rapid cage and all screws were completely removed from the tibia to have enough room to perform a TPLO radial cut. A lameness score evaluation, client satisfaction and radiographic follow-up were performed at 4 weeks, 8 weeks and 6 months postoperatively. Long-term follow-up showed radiologically excellent healing with fusion of the gap and disappearance of the osteotomy line. Six months postoperatively, no lameness was detected at a walk and trot. The owner was completely satisfied and reported the dog being free from lameness even after long walks. No complications related to the TPLO surgery occurred.

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Original publication on DOAJ: https://doi.org/10.3390/ani13223444