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Vet Comp Orthop Traumatol 2021; 34(02): 091-098
DOI: 10.1055/s-0040-1716682
Original Research

Comparison of Intra- and Postoperative Complications between Bilateral Simultaneous and Staged Tibial Plateau Levelling Osteotomy with Arthroscopy in 176 Cases

Raz Peress 
1   Surgery Department, Leader Animal Specialty Hospital, Cooper City, Florida, United States
,
Sebastian Mejia 
1   Surgery Department, Leader Animal Specialty Hospital, Cooper City, Florida, United States
,
Marcos Unis
1   Surgery Department, Leader Animal Specialty Hospital, Cooper City, Florida, United States
,
Giovanni Sotgiu
2   Surgical and Experimental Sciences, Sassari, Italy
,
Simone Dore
2   Surgical and Experimental Sciences, Sassari, Italy
,
Kenneth Bruecker
3   Veterinary Medical and Surgical Group, Ventura, California, United States
› Author Affiliations Funding None.
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Abstract

Objective The aim of this study was to compare the resulting short-term complications after simultaneous (SIM) or staged (ST) tibial plateau levelling osteotomy (TPLO) in patients that presented with bilaterally torn cranial cruciate ligaments.

Study Design This was a retrospective study.

Materials and Methods Medical records of dogs diagnosed with bilateral cranial cruciate ligament disease that underwent bilateral SIM or ST TPLO surgery with arthroscopy (2005–2015) were reviewed to evaluate the intra- and postoperative complications. Data were analysed and major and minor complications were compared between the two groups.

Results A total of 176 client-owned dogs (352 stifles) that had TPLO performed bilaterally with SIM or ST procedures were included for analysis. The overall complication rate was 47.5% for the SIM group and 19.5% for the ST group. The incidence of major complications was 10.1 and 3.8% in the SIM and ST groups respectively. Minor complications were 38.4 and 15.6% in the SIM and ST groups respectively. Tibial tuberosity fractures requiring revision were noted in 2% of the SIM group and none of the ST group.

Clinical Significance Although no significant difference was noted in major complication rate or tibial tuberosity fractures in our cohort of patients, a Type II statistical error was found. The complication rate in the SIM group is numerically greater by a factor of 2–3× or more for nearly all categories. Surgeons should consider the risks and benefits of SIM versus ST procedures as well as relevant individual patient and client factors before electing either alternative.

Keywords

bilateral complications - cranial cruciate ligament - tibial plateau levelling osteotomy - arthroscopy - dog

Authors’ Contributions

R.P., M.U., S.M., K.B. designed the study and contributed to writing the manuscript. G.S. and S.D. assisted with the statistical portion of the study including performing the statistical analysis and writing the statistical portion of the manuscript.




Publication History

Received: 03 December 2019

Accepted: 31 July 2020

Article published online:
31 October 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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