Vet Comp Orthop Traumatol 2018; 31(02): 131-136
DOI: 10.1055/s-0038-1627476
Original Research
Schattauer GmbH Stuttgart

The Effect of Tibial Plateau Levelling Osteotomy on Stifle Extensor Mechanism Load: A Canine Ex Vivo Study

Jarrod O. Drew
,
Mark R. Glyde
,
Giselle L. Hosgood
,
Alex J. Hayes
Funding This study was funded by the Research Masters in Training scholarship fund from The Animal Hospital at Murdoch University.
Further Information

Publication History

27 July 2017

19 December 2017

Publication Date:
13 March 2018 (online)

Abstract

Objective To evaluate the effect of tibial plateau levelling osteotomy on stifle extensor mechanism load in an ex vivo cruciate-intact canine cadaveric model.

Study DesignEx vivo mechanical testing study.

Animals Cadaveric canine pelvic limbs (n = 6).

Materials and Methods A 21-mm tibial radial osteotomy was performed on pelvic limbs (n = 6) prior to being mounted into a load-bearing limb press. The proximal tibial segment was incrementally rotated until the anatomical tibial plateau angle had been rotated to at least 1°. The proportional change in stifle extensor mechanism load between the anatomical tibial plateau angle and the neutralized (∼6.5 degrees) and over-rotated (∼1°) tibial plateau angle was analysed using a one-sample t-test against a null hypothesis of no change. A p-value ≤0.05 was considered significant.

Results There was no significant change in the stifle extensor mechanism load from the anatomical tibial plateau angle (308 N [261–355 N]) to the neutralized tibial plateau angle (313 N [254–372 N]; p =.81), or from the anatomical tibial plateau angle to the over-rotated tibial plateau angle (303 N [254–352 N; p = 0.67).

Conclusion Tibial plateau levelling osteotomy does not significantly alter stifle extensor mechanism load at either a neutralized or over-rotated tibial plateau angle in our cruciate-intact model.

Author Contributions

All authors contributed to the study conception, the study design, the acquisition of data, data analysis and interpretation, drafting or revising of the manuscript, and approved the submitted manuscript.


 
  • References

  • 1 Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin North Am Small Anim Pract 1993; 23 (04) 777-795
  • 2 Warzee CC, Dejardin LM, Arnoczky SP, Perry RL. Effect of tibial plateau leveling on cranial and caudal tibial thrusts in canine cranial cruciate-deficient stifles: an in vitro experimental study. Vet Surg 2001; 30 (03) 278-286
  • 3 Haynes KH, Biskup J, Freeman A, Conzemius MG. Effect of tibial plateau angle on cranial cruciate ligament strain: an ex vivo study in the dog. Vet Surg 2015; 44 (01) 46-49
  • 4 Boudrieau RJ. Tibial plateau leveling osteotomy or tibial tuberosity advancement?. Vet Surg 2009; 38 (01) 1-22
  • 5 Pozzi A, Dunbar NJ, Kim SE. Effect of tibial plateau leveling osteotomy on patellofemoral alignment: a study using canine cadavers. Vet J 2013; 198 (01) 98-102
  • 6 Mattern KL, Berry CR, Peck JN, De Haan JJ. Radiographic and ultrasonographic evaluation of the patellar ligament following tibial plateau leveling osteotomy. Vet Radiol Ultrasound 2006; 47 (02) 185-191
  • 7 Carey K, Aiken SW, DiResta GR, Herr LG, Monette S. Radiographic and clinical changes of the patellar tendon after tibial plateau leveling osteotomy 94 cases (2000-2003). Vet Comp Orthop Traumatol 2005; 18 (04) 235-242
  • 8 DeSandre-Robinson DM, Tano CA, Fiore KL, Prytherch B. Radiographic evaluation and comparison of the patellar ligament following tibial plateau leveling osteotomy and tibial tuberosity advancement in dogs: 106 cases (2009-2012). J Am Vet Med Assoc 2017; 250 (01) 68-74
  • 9 Rutherford S, Bell JC, Ness MG. Fracture of the patella after TPLO in 6 dogs. Vet Surg 2012; 41 (07) 869-875
  • 10 Pacchiana PD, Morris E, Gillings SL, Jessen CR, Lipowitz AJ. Surgical and postoperative complications associated with tibial plateau leveling osteotomy in dogs with cranial cruciate ligament rupture: 397 cases (1998-2001). J Am Vet Med Assoc 2003; 222 (02) 184-193
  • 11 Kergosien DH, Barnhart MD, Kees CE. , et al. Radiographic and clinical changes of the tibial tuberosity after tibial plateau leveling osteotomy. Vet Surg 2004; 33 (05) 468-474
  • 12 Apelt D, Kowaleski MP, Boudrieau RJ. Effect of tibial tuberosity advancement on cranial tibial subluxation in canine cranial cruciate-deficient stifle joints: an in vitro experimental study. Vet Surg 2007; 36 (02) 170-177
  • 13 Hoffmann DE, Kowaleski MP, Johnson KA, Evans RB, Boudrieau RJ. Ex vivo biomechanical evaluation of the canine cranial cruciate ligament-deficient stifle with varying angles of stifle joint flexion and axial loads after tibial tuberosity advancement. Vet Surg 2011; 40 (03) 311-320
  • 14 Reif U, Probst CW. Comparison of tibial plateau angles in normal and cranial cruciate deficient stifles of Labrador retrievers. Vet Surg 2003; 32 (04) 385-389
  • 15 Dismukes DI, Tomlinson JL, Fox DB, Cook JL, Witsberger TH. Radiographic measurement of canine tibial angles in the sagittal plane. Vet Surg 2008; 37 (03) 300-305
  • 16 Kowaleski MP, McCarthy RJ. Geometric analysis evaluating the effect of tibial plateau leveling osteotomy position on postoperative tibial plateau slope. Vet Comp Orthop Traumatol 2004; 17: 30-34
  • 17 Hamilton K, Tarlton J, Parsons K, Toscano M, Burton N. Effect of osteotomy position and tibial plateau rotation on the tensile force required for failure of the canine quadriceps mechanism. Vet Surg 2015; 44 (06) 763-771
  • 18 Kowaleski MJ, Boudrieau RJ, Pozzi A. Stifle joint. In: Tobias KM, Johnston SA. , eds. 2nd ed. Veterinary Surgery Small Animal. Saint Louis, MO: Elsevier Saunders; 2017: 1119
  • 19 Kneifel W, Borak D, Bockstahler B, Schnabl-Feichter E. Use of a custom-made limb-press model to assess intra- and extracapsular techniques for treating cranial cruciate ligament rupture in cats. J Feline Med Surg 2017; X17704562
  • 20 Hottinger HA, DeCamp CE, Olivier NB, Hauptman JG, Soutas-Little RW. Noninvasive kinematic analysis of the walk in healthy large-breed dogs. Am J Vet Res 1996; 57 (03) 381-388
  • 21 Bergh MS, Peirone B. Complications of tibial plateau levelling osteotomy in dogs. Vet Comp Orthop Traumatol 2012; 25 (05) 349-358
  • 22 De Sousa R, Sutcliffe M, Rousset N, Holmes M, Langley-Hobbs SJ. Treatment of cranial cruciate ligament rupture in the feline stifle. Biomechanical comparison of a standard fabella-tibial suture and lateral sutures placed between quasi-isometric points. Vet Comp Orthop Traumatol 2015; 28 (06) 401-408
  • 23 Özkaya N. Fundamentals of Biomechanics: Equilibrium, Motion, and Deformation. 3rd ed. New York, NY: Springer-Verlag; 2012: 175
  • 24 Brinckmann P. Musculoskeletal Biomechanics. 1st ed. Stuttgart, Germany: Thieme Medical Publishers; 2002: 141
  • 25 Zatsiorsky V, Prilutsky B. Biomechanics of Skeletal Muscles. 1st ed. Champaign, IL: Human Kinetics; 2012: 111
  • 26 Hulse D, Beale B, Kerwin S. Second look arthroscopic findings after tibial plateau leveling osteotomy. Vet Surg 2010; 39 (03) 350-354
  • 27 Kalff S, Meachem S, Preston C. Incidence of medial meniscal tears after arthroscopic assisted tibial plateau leveling osteotomy. Vet Surg 2011; 40 (08) 952-956
  • 28 Kim SE, Pozzi A, Banks SA, Conrad BP, Lewis DD. Effect of tibial plateau leveling osteotomy on femorotibial contact mechanics and stifle kinematics. Vet Surg 2009; 38 (01) 23-32
  • 29 Kim SE, Lewis DD, Pozzi A. Effect of tibial plateau leveling osteotomy on femorotibial subluxation: in vivo analysis during standing. Vet Surg 2012; 41 (04) 465-470