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Peer-reviewed veterinary case report

Long-term results of TTA-Rapid surgery for dogs with knee ligament

By Butterworth, Steven J & Schofield, Imogen·Published in The Veterinary record·2024·Weighbridge Referral Centre, United Kingdom·View original on PubMed

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Original publication title: TTA-Rapid for treating the canine cruciate deficient stifle: Medium to long-term outcome and analysis of risk factors.

Species:
dog

Plain-English summary

A group of dogs with knee problems due to a torn cranial cruciate ligament underwent a surgery called TTA-Rapid to help improve their lameness. After an average follow-up of about 37 months, nearly all the owners reported that their dogs had satisfactory outcomes, with most dogs showing less lameness and improved mobility. The study found that factors like age or weight didn't affect the results, suggesting that TTA-Rapid is a reliable option for treating this condition. Overall, the surgery led to positive long-term results for the majority of the dogs.

People also search for: dog knee surgery recovery · TTA-Rapid for dogs · dog lameness treatment options

Abstract

BACKGROUND: This study aimed to evaluate medium to long-term outcomes following treatment of lameness associated with cranial cruciate ligament insufficiency using the tibial tuberosity advancement (TTA)-Rapid technique and to investigate risk factors associated with outcome, including tibial plateau angle (TPA). METHODS: Patient records for cases treated over an 80-month period were examined retrospectively. An owner postal questionnaire using a clinical metrology instrument (Liverpool Osteoarthritis in Dogs) evaluated the outcome at least 6 months after surgery. RESULTS: A total of 149 procedures were carried out in 120 dogs. Questionnaires were received for 64 dogs (53.3%), with a median follow-up time of 37.5 months. Outcome was judged to be satisfactory, based on frequency of lameness, in 63 (98.4%), while satisfactory outcomes were achieved in 61 (95.3%) based on severity of lameness and in 50 (78.1%) based on mobility score. Statistical analysis showed that age, bodyweight, TPA, meniscal injury and concurrent patellar surgery did not influence outcome, but time to follow-up positively correlated with mobility score. LIMITATIONS: This study involved one surgeon in one centre with outcome data based on the completion of an owner questionnaire, although this used a validated clinical metrology instrument. CONCLUSION: TTA-Rapid offers a treatment option for cranial cruciate-deficient stifles with a good medium to long-term outcome, and no risk factors were identified to suggest any limitations to its use.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38229408/