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Vet Comp Orthop Traumatol 2012; 25(05): 402-409
DOI: 10.3415/VCOT-11-12-0175
Clinical Communication
Schattauer GmbH

Evaluation of complications and short-term outcome after unilateral or single-session bilateral tibial tuberosity advancement for cranial cruciate rupture in dogs

M. S. Hirshenson
1   Department of Clinical Science, Cornell University, Ithaca, NY , USA
,
U. Krotscheck
1   Department of Clinical Science, Cornell University, Ithaca, NY , USA
,
M. S. Thompson
1   Department of Clinical Science, Cornell University, Ithaca, NY , USA
,
H. M. Knapp-Hoch
1   Department of Clinical Science, Cornell University, Ithaca, NY , USA
,
A. R. Jay-Silva
1   Department of Clinical Science, Cornell University, Ithaca, NY , USA
,
M. McConkey
1   Department of Clinical Science, Cornell University, Ithaca, NY , USA
,
S. P. Bliss
1   Department of Clinical Science, Cornell University, Ithaca, NY , USA
2   Current: Port City Veterinary Referral Hospital, Portsmouth, NH, USA
,
R. Todhunter
3   College of Veterinary Medicine, Cornell University, Ithaca, NY, USA
,
H. O. Mohammed
4   Department of Population Medicine, Cornell University, Ithaca, NY, USA
› Author Affiliations
Further Information

Publication History

Received 15 December 2011

Accepted 08 May 2012

Publication Date:
18 December 2017 (online)

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Summary

Objective: To compare the resulting complications, short-term results, and client satisfaction for treatment of cranial cruciate ligament rupture using either unilateral or bilateral single-session tibial tuberosity advancement (TTA) in dogs.

Methods: Medical records of 68 dogs (101 stifles) undergoing unilateral or bilateral single-session TTA were evaluated. Data gathered included signalment, history, physical examination findings, anaesthesia and surgical time, type of cranial cruciate ligament rupture and meniscal injury, implants, and intra-operative and postoperative complications. A mixed effect logistic regression analysis was performed to determine if complications were grouped by surgical procedure. Linear regression was performed to determine the influence of the variables on the occurrence of complications. Values of p <0.05 were considered significant.

Results: No major intra-operative complications occurred. Twenty stifles (20%) developed a complication after surgery (11 minor, 9 major). There was no significant difference in occurrence of complications between dogs undergoing unilateral (n = 8) or bilateral single-session (n = 12) TTA (p = 0.69). The only risk factor found to be associated with complication occurrence was age.

Clinical significance: This is the first report evaluating the use of bilateral simultaneous TTA. There was no significant difference in complication rates between unilateral and bilateral single-session TTA. Additional evaluation is needed to fully determine the extent of complications and long-term outcome of bilateral single-session TTA.

Keywords

complications - tibial tuberosity advancement - cruciate - bilateral - unilateral - cranial

 

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