Vet Comp Orthop Traumatol 2019; 32(04): 332-340
DOI: 10.1055/s-0039-1683872
Original Research
Georg Thieme Verlag KG Stuttgart · New York

Complications Following Surgical Correction of Medial Patellar Luxation in Small-to-Medium-Size Dogs

Matteo Rossanese
1   Small Animal Teaching Hospital, School of Veterinary Science, University of Liverpool, Leahurst Neston, United Kingdom
,
Alexander J. German
1   Small Animal Teaching Hospital, School of Veterinary Science, University of Liverpool, Leahurst Neston, United Kingdom
2   Institute of Ageing and Chronic Disease, William Henry Duncan Building, Liverpool, United Kingdom
,
Eithne Comerford
1   Small Animal Teaching Hospital, School of Veterinary Science, University of Liverpool, Leahurst Neston, United Kingdom
2   Institute of Ageing and Chronic Disease, William Henry Duncan Building, Liverpool, United Kingdom
,
Rob Pettitt
1   Small Animal Teaching Hospital, School of Veterinary Science, University of Liverpool, Leahurst Neston, United Kingdom
,
Andrew Tomlinson
1   Small Animal Teaching Hospital, School of Veterinary Science, University of Liverpool, Leahurst Neston, United Kingdom
,
Felipe de Vicente
3   Pride Veterinary Centre, Derby, United Kingdom
4   Hospital Veterinario Puchol, Madrid, Spain
› Author Affiliations
Further Information

Publication History

24 July 2018

06 February 2019

Publication Date:
28 March 2019 (online)

Abstract

Objective The main aim of this study was to describe complications in dogs weighing < 20 kg treated for medial patellar luxation and to determine risk factors associated with these complications.

Materials and Methods Medical records were reviewed and cases were grouped based on four techniques of stabilization for the tibial tuberosity transposition (TTT). Variables including animal signalment, clinical presentation, TTT technique, other concurrent surgical techniques and associated complications were investigated. Multiple logistic regression was used to determine the association of the same variables with specific complications such as tibial tuberosity fractures or avulsions, patellar reluxation and implant-related complications.

Results Of the 100 procedures performed, 37 suffered a complication. There were no significant differences in the overall complication rate between TTT stabilization techniques. Preservation of the tibial tuberosity distal cortical attachment was associated with a reduced risk of implant-related complications, whereas adding a medial release to the surgical techniques was associated with an increased risk of medial patellar reluxation. The type of trochleoplasty performed did not affect the complication rate.

Conclusions In the current study, a high rate of complications was found in dogs < 20 kg undergoing medial patellar luxation surgery. Performing a medial release and preserving the distal cortical attachment of the tibial tuberosity were the only variables associated respectively with an increase and a reduction in the risk of postsurgical complications.

Author Contribution

Matteo Rossanese and Felipe De Vicente contributed to conception of study, study design, acquisition of data and data analysis and interpretation. Alexander J. German contributed to study design and data analysis and interpretation. Eithne Comerford, Rob Pettitt and Andrew Tomlinson contributed to acquisition of data and data analysis and interpretation. All Authors drafted, revised and approved the submitted manuscript.


 
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