Peer-reviewed veterinary case report
Complications and revision rates after tibial wedge ostectomy in 300
By Kuan, S et al.·Published in Australian veterinary journal·2009·University Veterinary Teaching Hospital Sydney, United Kingdom·View original on PubMed →
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Original publication title: Tibial wedge ostectomy: complications of 300 surgical procedures.
- Species:
- dog
Plain-English summary
A group of dogs underwent a surgical procedure called tibial wedge ostectomy (TWO) to help stabilize their hind legs due to a torn cruciate ligament. Out of 300 surgeries performed, about 32% of the dogs experienced complications, including tears in the meniscus (a cartilage in the knee), fractures of the tibia, and issues with the surgical implants, which sometimes required additional surgeries. While this procedure can be beneficial, it is technically challenging and carries a risk of significant complications. Pet owners should discuss the potential risks and benefits with their veterinarian if considering this surgery for their dog.
People also search for: dog knee surgery complications · tibial wedge ostectomy recovery · dog meniscus tear treatment
Abstract
BACKGROUND: Tibial wedge ostectomy (TWO) is a surgical procedure that aims to give functional stability during weight-bearing in a hindlimb with cranial cruciate ligament deficiency, by reducing the slope of the tibial plateau angle. PROCEDURE: Advantages of the TWO surgery are that it does not require dedicated equipment and can be performed in young dogs prior to closure of the physis. However, it is a technically demanding procedure and the potential for complications is high. RESULTS: In this retrospective review of 249 dogs that had unilateral and 51 that had bilateral TWO surgery, the overall complication rate was 31.7% (95/300) and the rate of revision surgery was considerable (37 cases or 12.33%). CONCLUSIONS: The most important clinical complications were postoperative medial meniscal tears, tibial fractures and implant failures, necessitating repeat surgery.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19857235/