Force Plate Gait Analysis and Clinical Results after Tibial Plateau Levelling Osteotomy for Cranial Cruciate Ligament Rupture in Small Breed Dogs

Hirokazu Amimoto; Tetsuaki Koreeda; Yoshiyuki Ochi; Ryota Kimura; Hideo Akiyoshi; Hidetaka Nishida; Takayoshi Miyabayashi; Brian S. Beale; Kei Hayashi; Naomi Wada

doi:10.1055/s-0039-1700990

Veterinary and Comparative Orthopaedics and Traumatology, Inhaltsverzeichnis

Vet Comp Orthop Traumatol 2020; 33(03): 183-188
DOI: 10.1055/s-0039-1700990

Original Research

Georg Thieme Verlag KG Stuttgart · New York

Force Plate Gait Analysis and Clinical Results after Tibial Plateau Levelling Osteotomy for Cranial Cruciate Ligament Rupture in Small Breed Dogs

Authors

Hirokazu Amimoto

¹Fujiidera Animal Hospital Animal Joint Reconstruction Center, Fujiidera-City, Osaka, Japan

²Department of System Physiology, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yoshida, Yamaguchi, Japan
Tetsuaki Koreeda

¹Fujiidera Animal Hospital Animal Joint Reconstruction Center, Fujiidera-City, Osaka, Japan
Yoshiyuki Ochi

¹Fujiidera Animal Hospital Animal Joint Reconstruction Center, Fujiidera-City, Osaka, Japan
Ryota Kimura

¹Fujiidera Animal Hospital Animal Joint Reconstruction Center, Fujiidera-City, Osaka, Japan
Hideo Akiyoshi

³Laboratory of Veterinary Surgery, Division of Veterinary Science, Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Ohrai-kita, Izumisano, Osaka, Japan
Hidetaka Nishida

³Laboratory of Veterinary Surgery, Division of Veterinary Science, Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Ohrai-kita, Izumisano, Osaka, Japan
Takayoshi Miyabayashi

⁴The Institute of Veterinary Education & Advanced Technology, Munakata, Fukuoka, Japan
Brian S. Beale

⁵Gulf Coast Veterinary Specialists, Houston, Texas, United States
Kei Hayashi

⁶Department of Clinical Sciences, Cornell University, College of Veterinary Medicine, Ithaca, New York, United States
Naomi Wada

²Department of System Physiology, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yoshida, Yamaguchi, Japan

Abstract

Objective The aim of this study was to evaluate objective limb function using force plate gait analysis after tibial plateau levelling osteotomy (TPLO) in small breed dogs with cranial cruciate ligament rupture (CCLR).

Materials and Methods Small breed dogs (15 kg or less) with unilateral CCLR treated with TPLO were evaluated using symmetry index (SI) of peak vertical force (PVF), vertical impulse and vector magnitude at PVF performed preoperatively and at 1, 2, 4 and 6 months postoperatively after routine TPLO surgery.

Results Twelve dogs met the inclusion criteria. Hindlimb function was markedly improved after TPLO, with all three postoperative SI significantly higher after a month than preoperative values (p < 0.01). At 2 months after surgery, the SI was nearly normalized to 1.0 (preoperative SI: 0.50 ± 0.20, 0.44 ± 0.19 and 0.51 ± 0.19, and 2 months postoperative SI: 0.92 ± 0.16, 0.90 ± 0.18 and 0.92 ± 0.16 respectively). Complications were noted in two dogs (fibular fracture and a partial implant failure), neither of which required a revision surgery for acceptable functional recovery.

Conclusion The objective limb function of the affected hindlimb improved continuously after surgery and reached a near normal value at 6 months after surgery. It was suggested that TPLO for small breed dogs had good outcomes based on force plate gait analysis.

Keywords

cranial cruciate ligament rupture - tibial plateau levelling osteotomy - small breed dogs - postoperative tibial tuberosity width - force plate gait analysis

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References
1 Witsberger TH, Villamil JA, Schultz LG, Hahn AW, Cook JL. Prevalence of and risk factors for hip dysplasia and cranial cruciate ligament deficiency in dogs. J Am Vet Med Assoc 2008; 232 (12) 1818-1824
2 Comerford EJ, Smith K, Hayashi K. Update on the aetiopathogenesis of canine cranial cruciate ligament disease. Vet Comp Orthop Traumatol 2011; 24 (02) 91-98
3 Bergh MS, Sullivan C, Ferrell CL, Troy J, Budsberg SC. Systematic review of surgical treatments for cranial cruciate ligament disease in dogs. J Am Anim Hosp Assoc 2014; 50 (05) 315-321
4 Cosenza G, Reif U, Martini FM. Tibial plateau levelling osteotomy in 69 small breed dogs using conically coupled 1.9/2.5 mm locking plates. A clinical and radiographic retrospective assessment. Vet Comp Orthop Traumatol 2015; 28 (05) 347-354
5 Flesher K, Beale BS, Hudson CC. Technique and outcome of a modified tibial plateau levelling osteotomy for treatment of concurrent medial patellar luxation and cranial cruciate ligament rupture in 76 stifles. Vet Comp Orthop Traumatol 2019; 32 (01) 26-32
6 Christopher SA, Beetem J, Cook JL. Comparison of long-term outcomes associated with three surgical techniques for treatment of cranial cruciate ligament disease in dogs. Vet Surg 2013; 42 (03) 329-334
7 Lazar TP, Berry CR, deHaan JJ, Peck JN, Correa M. Long-term radiographic comparison of tibial plateau leveling osteotomy versus extracapsular stabilization for cranial cruciate ligament rupture in the dog. Vet Surg 2005; 34 (02) 133-141
8 Morgan JP, Voss K, Damur DM, Guerrero T, Haessig M, Montavon PM. Correlation of radiographic changes after tibial tuberosity advancement in dogs with cranial cruciate-deficient stifles with functional outcome. Vet Surg 2010; 39 (04) 425-432
9 Robinson DA, Mason DR, Evans R, Conzemius MG. The effect of tibial plateau angle on ground reaction forces 4-17 months after tibial plateau leveling osteotomy in Labrador Retrievers. Vet Surg 2006; 35 (03) 294-299
10 Foss KD, Smith RL, da Costa RC. Kinetic and kinematic follow-up gait analysis in Doberman Pinschers with cervical spondylomyelopathy treated medically and surgically. J Vet Intern Med 2018; 32 (03) 1126-1132
11 Gordon-Evans WJ, Griffon DJ, Bubb C, Knap KM, Sullivan M, Evans RB. Comparison of lateral fabellar suture and tibial plateau leveling osteotomy techniques for treatment of dogs with cranial cruciate ligament disease. J Am Vet Med Assoc 2013; 243 (05) 675-680
12 Nelson SA, Krotscheck U, Rawlinson J, Todhunter RJ, Zhang Z, Mohammed H. Long-term functional outcome of tibial plateau leveling osteotomy versus extracapsular repair in a heterogeneous population of dogs. Vet Surg 2013; 42 (01) 38-50
13 Au KK, Gordon-Evans WJ, Dunning D. , et al. Comparison of short- and long-term function and radiographic osteoarthrosis in dogs after postoperative physical rehabilitation and tibial plateau leveling osteotomy or lateral fabellar suture stabilization. Vet Surg 2010; 39 (02) 173-180
14 Conzemius MG, Evans RB, Besancon MF. , et al. Effect of surgical technique on limb function after surgery for rupture of the cranial cruciate ligament in dogs. J Am Vet Med Assoc 2005; 226 (02) 232-236
15 Kapatkin AS, Kim JY, Garcia-Nolan TC. , et al. Modification of the contact area of a standard force platform and runway for small breed dogs. Vet Comp Orthop Traumatol 2014; 27 (04) 257-262
16 Comerford E, Forster K, Gorton K, Maddox T. Management of cranial cruciate ligament rupture in small dogs: a questionnaire study. Vet Comp Orthop Traumatol 2013; 26 (06) 493-497
17 Witte PG, Scott HW. Tibial plateau leveling osteotomy in small breed dogs with high tibial plateau angles using a 4-hole 1.9/2.5 mm locking T-plate. Vet Surg 2014; 43 (05) 549-557
18 Reif U, Dejardin LM, Probst CW, DeCamp CE, Flo GL, Johnson AL. Influence of limb positioning and measurement method on the magnitude of the tibial plateau angle. Vet Surg 2004; 33 (04) 368-375
19 Bergh MS, Rajala-Schultz P, Johnson KA. Risk factors for tibial tuberosity fracture after tibial plateau leveling osteotomy in dogs. Vet Surg 2008; 37 (04) 374-382
20 Mossman H, von Pfeil DJ, Nicholson M. , et al. Accuracy of three pre- and intra-operative measurement techniques for osteotomy positioning in the tibial plateau levelling procedure. Vet Comp Orthop Traumatol 2015; 28 (04) 250-255
21 Talaat MB, Kowaleski MP, Boudrieau RJ. Combination tibial plateau leveling osteotomy and cranial closing wedge osteotomy of the tibia for the treatment of cranial cruciate ligament-deficient stifles with excessive tibial plateau angle. Vet Surg 2006; 35 (08) 729-739
22 Barnes DC, Trinterud T, Owen MR, Bush MA. Short-term outcome and complications of TPLO using anatomically contoured locking compression plates in small/medium-breed dogs with “excessive” tibial plateau angle. J Small Anim Pract 2016; 57 (06) 305-310
23 Knight R, Danielski A. Long-term complications following tibial plateau levelling osteotomy in small dogs with tibial plateau angles > 30°. Vet Rec 2018; 182 (16) 461
24 Böddeker J, Drüen S, Meyer-Lindenberg A, Fehr M, Nolte I, Wefstaedt P. Computer-assisted gait analysis of the dog: comparison of two surgical techniques for the ruptured cranial cruciate ligament. Vet Comp Orthop Traumatol 2012; 25 (01) 11-21
25 Krotscheck U, Nelson SA, Todhunter RJ, Stone M, Zhang Z. Long term functional outcome of tibial tuberosity advancement vs. tibial plateau leveling osteotomy and extracapsular repair in a heterogeneous population of dogs. Vet Surg 2016; 45 (02) 261-268
26 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
27 Budsberg SC, Rytz U, Johnston SA. Effects of acceleration on ground reaction forces collected in healthy dogs at a trot. Vet Comp Orthop Traumatol 1999; 12: 15-19
28 Voss K, Wiestner T, Galeandro L, Hässig M, Montavon PM. Effect of dog breed and body conformation on vertical ground reaction forces, impulses, and stance times. Vet Comp Orthop Traumatol 2011; 24 (02) 106-112
29 Voss K, Galeandro L, Wiestner T, Haessig M, Montavon PM. Relationships of body weight, body size, subject velocity, and vertical ground reaction forces in trotting dogs. Vet Surg 2010; 39 (07) 863-869