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Vet Comp Orthop Traumatol 2019; 32(04): 314-323
DOI: 10.1055/s-0039-1684050
Original Research
Georg Thieme Verlag KG Stuttgart · New York

Comparison of Outcomes Associated with Tibial Plateau Levelling Osteotomy and a Modified Technique for Tibial Tuberosity Advancement for the Treatment of Cranial Cruciate Ligament Disease in Dogs: A Randomized Clinical Study

Véronique Livet
1   Small Animal Surgery Department, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
2   Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
,
Arnaud Baldinger
1   Small Animal Surgery Department, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
2   Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
,
Éric Viguier
1   Small Animal Surgery Department, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
2   Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
,
Mathieu Taroni
1   Small Animal Surgery Department, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
2   Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
,
Mathieu Harel
3   Small Animal Imaging Department, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
,
Claude Carozzo
1   Small Animal Surgery Department, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
2   Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
,
Thibaut Cachon
1   Small Animal Surgery Department, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
2   Research Unit ICE, UPSP 2016-A104, Université de Lyon, VetAgro Sup, Marcy l'Etoile, France
› Author Affiliations Funding The authors received no financial support for the research, authorship and/or publication of this article.
Further Information

Publication History

23 April 2018

23 February 2019

Publication Date:
03 April 2019 (online)

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Abstract

Objectives This study aimed to compare outcomes between the tibial plateau levelling osteotomy (TPLO) procedure and a modified tibial tuberosity advancement (TTA Rapid) in dogs with cranial cruciate ligament rupture.

Materials and Methods Twenty-six dogs were prospectively randomized into two groups: a TPLO group (n = 13) and a TTA Rapid group (n = 13). A lameness score evaluation, gait analysis and radiographical examination were performed before surgery, the 3 days after surgery, and then at 1, 3 and 6 months postoperatively. Finally, owners were asked to subjectively rate their level of satisfaction.

Results The duration of surgery was significantly shorter for the TTA Rapid procedure (p < 0.0001). There was no significant difference in the occurrence of complications between groups. Lameness scores were significantly higher during the first 3 days after surgery for the TPLO group (p = 0.01 at day 1, p = 0.01 at day 2 and p = 0.003 at day 3). One month after surgery, the symmetry index between healthy and affected limbs for the relative stance time during the gait cycle (symmetry index/%) was significantly higher for the TTA Rapid group (p < 0.01). No gait parameters were significantly different between the two groups 6 months after surgery. All of the owners of dogs in the TPLO group were completely satisfied, whereas only 11/13 owners of dogs in the TTA rapid group were completely satisfied.

Clinical Significance Tibial plateau levelling osteotomy and TTA Rapid were associated with high long-term success rates in dogs. The immediate postoperative recovery seemed faster with TTA Rapid, but thereafter there was no difference.

Keywords

dogs - cruciate ligament disease - tibial plateau levelling osteotomy - tibial tuberosity advancement - lameness score

Author Contribution

Véronique Livet and Thibaut Cachon contributed to conception of study, study design, acquisition of data and data analysis and interpretation. Arnaud Baldinger and Éric Viguier contributed to study design, acquisition of data and data analysis and interpretation. Mathieu Harel contributed to acquisition of data and data analysis and interpretation. Mathieu Taroni and Claude Carozzo contributed to data analysis and interpretation. All authors drafted, revised and approved the submitted manuscript.


 

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