Subscribe to RSS
DOI: 10.1055/s-0043-1771231
Complications and Outcome of Cranial Cruciate Ligament Disease in Small Dogs Treated with Tiny TTA Rapid
Funding None.Abstract
The aim of this study was to evaluate the complications and the long-term outcome of TTA Tiny in small dogs using data from pressure-sensitive walkway analysis and the Liverpool Osteoarthritis in Dogs (LOAD) questionnaire. This is a retrospective study. Dogs under 15 kg were included. Breed, weight, gender, age, and lameness were recorded. Clinical examination, radiographs, and pressure-sensitive walkway analysis were performed during the long-term follow-up visit. Radiographs were assessed for the postoperative patellar tendon angle (PTA), bone healing, and implant position, and the postoperative complications were recorded. Twenty-nine stifles were included. One dog (3%) had an intraoperative major complication and 14 (48%) had minor complications. Medium- to long-term follow-up was available in 20 of the 23 dogs (87%). Eight (40%) dogs were followed up by telephone using the LOAD questionnaire and 12 dogs (60%) came back for a long-term follow-up appointment. The average LOAD score was 3.6 and the average lameness score was 0. All the dogs presented at a clinical follow-up were considered lame free. All the owners were pleased with the long-term result after surgery based on the LOAD score and the return to normal activity. The result from this study showed low rate of perioperative complications with the use of the TTA Tiny implant in small dogs and a good long-term outcome based on client questionnaire and the result from pressure-sensitive walkway analysis.
Publication History
Received: 20 February 2023
Accepted: 12 May 2023
Article published online:
04 December 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Harasen G. Canine cranial cruciate ligament rupture in profile. Can Vet J 2003; 44 (10) 845-846
- 2 Harasen G. Canine cranial cruciate ligament rupture in profile: 2002-2007. Can Vet J 2008; 49 (02) 193-194
- 3 Dyall B, Schmökel H. Tibial tuberosity advancement in small-breed dogs using TTA Rapid implants: complications and outcome. J Small Anim Pract 2017; 58 (06) 314-322
- 4 Kowaleski MP, Boudrieau RJ, Pozzi A. Stifle joint. In: Johnston SA, Tobias KM. eds. Veterinary Surgery: Small Animal. 2nd ed. Philadelphia, PA: Elsevier; 2018: 1080-1081
- 5 Roush JK. Canine cranial cruciate disease: updating our knowledge about pathogenesis & diagnosis. Todays Vet Pract 2013
- 6 Brioschi V, Arthurs GI. Cranial cruciate ligament rupture in small dogs (<15 kg): a narrative literature review. J Small Anim Pract 2021; 62 (12) 1037-1050
- 7 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
- 8 Duerr FM, Martin KW, Rishniw M, Palmer RH, Selmic LE. Treatment of canine cranial cruciate ligament disease. A survey of ACVS diplomates and primary care veterinarians. Vet Comp Orthop Traumatol 2014; 27 (06) 478-483
- 9 Vasseur PB, Pool RR, Arnoczky SP, Lau RE. Correlative biomechanical and histologic study of the cranial cruciate ligament in dogs. Am J Vet Res 1985; 46 (09) 1842-1854
- 10 Ferreira AJA, Bom RM, Tavares SO. Tibial tuberosity advancement technique in small breed dogs: study of 30 consecutive dogs (35 stifles). J Small Anim Pract 2019; 60 (05) 305-312
- 11 Hackett M, St Germaine L, Carno MA, Hoffmann D. Comparison of outcome and complications in dogs weighing less than 12 kg undergoing miniature tibial tuberosity transposition and advancement versus extracapsular stabilization with tibial tuberosity transposition for cranial cruciate ligament disease with concomitant medial patellar luxation. Vet Comp Orthop Traumatol 2021; 34 (02) 99-107
- 12 Jandi AS, Schulman AJ. Incidence of motion loss of the stifle joint in dogs with naturally occurring cranial cruciate ligament rupture surgically treated with tibial plateau leveling osteotomy: longitudinal clinical study of 412 cases. Vet Surg 2007; 36 (02) 114-121
- 13 Lafaver S, Miller NA, Stubbs WP, Taylor RA, Boudrieau RJ. Tibial tuberosity advancement for stabilization of the canine cranial cruciate ligament-deficient stifle joint: surgical technique, early results, and complications in 101 dogs. Vet Surg 2007; 36 (06) 573-586
- 14 Boudrieau RJ. Tibial plateau leveling osteotomy or tibial tuberosity advancement?. Vet Surg 2009; 38 (01) 1-22
- 15 Dennler R, Kipfer NM, Tepic S, Hassig M, Montavon PM. Inclination of the patellar ligament in relation to flexion angle in stifle joints of dogs without degenerative joint disease. Am J Vet Res 2006; 67 (11) 1849-1854
- 16 Cook JL, Evans R, Conzemius MG. et al. Proposed definitions and criteria for reporting time frame, outcome, and complications for clinical orthopedic studies in veterinary medicine. Vet Surg 2010; 39 (08) 905-908
- 17 Kowaleski MP, Boudrieau RJ, Pozzi A. Stifle joint. In: Johnston SA, Tobias KM. eds. Veterinary Surgery: Small Animal. Philadelphia, PA: Elsevier; 2018: 1121
- 18 Jerram RM, Walker AM. Cranial cruciate ligament injury in the dog: pathophysiology, diagnosis and treatment. N Z Vet J 2003; 51 (04) 149-158
- 19 Johnson JM, Johnson AL. Cranial cruciate ligament rupture. Pathogenesis, diagnosis, and postoperative rehabilitation. Vet Clin North Am Small Anim Pract 1993; 23 (04) 717-733
- 20 Evans R, Horstman C, Conzemius M. Accuracy and optimization of force platform gait analysis in Labradors with cranial cruciate disease evaluated at a walking gait. Vet Surg 2005; 34 (05) 445-449
- 21 Bertram JE, Lee DV, Case HN, Todhunter RJ. Comparison of the trotting gaits of Labrador Retrievers and Greyhounds. Am J Vet Res 2000; 61 (07) 832-838
- 22 Mölsä SH, Hielm-Björkman AK, Laitinen-Vapaavuori OM. Force platform analysis in clinically healthy Rottweilers: comparison with Labrador Retrievers. Vet Surg 2010; 39 (06) 701-707
- 23 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
- 24 Budsberg SC, Verstraete MC, Soutas-Little RW, Flo GL, Probst CW. Force plate analyses before and after stabilization of canine stifles for cruciate injury. Am J Vet Res 1988; 49 (09) 1522-1524
- 25 Jevens DJ, DeCamp CE, Hauptman J, Braden TD, Richter M, Robinson R. Use of force-plate analysis of gait to compare two surgical techniques for treatment of cranial cruciate ligament rupture in dogs. Am J Vet Res 1996; 57 (03) 389-393
- 26 Lascelles BD, Roe SC, Smith E. et al. Evaluation of a pressure walkway system for measurement of vertical limb forces in clinically normal dogs. Am J Vet Res 2006; 67 (02) 277-282
- 27 Brønniche Møller Nielsen M, Pedersen T, Mouritzen A. et al. Kinetic gait analysis in healthy dogs and dogs with osteoarthritis: an evaluation of precision and overlap performance of a pressure-sensitive walkway and the use of symmetry indices. PLoS One 2020; 15 (12) e0243819
- 28 Selmi AL, Padilha Filho JG. Rupture of the cranial cruciate ligament associated with deformity of the proximal tibia in five dogs. J Small Anim Pract 2001; 42 (08) 390-393
- 29 Macias C, Mckee WM, May C. Caudal proximal tibial deformity and cranial cruciate ligament rupture in small-breed dogs. J Small Anim Pract 2002; 43 (10) 433-438
- 30 Petazzoni M. CCLR in toy breeds. Do we really need locking plates? Paper presented at: 16th ESVOT Congress,. Bologna, Italy on September 12–15, 2012
- 31 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
- 32 Su L, Townsend KL, Au J, Wittum TE. Comparison of tibial plateau angles in small and large breed dogs. Can Vet J 2015; 56 (06) 610-614
- 33 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
- 34 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
- 35 Hayes GM, Langley-Hobbs SJ, Jeffery ND. Risk factors for medial meniscal injury in association with cranial cruciate ligament rupture. J Small Anim Pract 2010; 51 (12) 630-634
- 36 Stein S, Schmoekel H. Short-term and eight to 12 months results of a tibial tuberosity advancement as treatment of canine cranial cruciate ligament damage. J Small Anim Pract 2008; 49 (08) 398-404
- 37 Hoffmann DE, Miller JM, Ober CP, Lanz OI, Martin RA, Shires PK. Tibial tuberosity advancement in 65 canine stifles. Vet Comp Orthop Traumatol 2006; 19 (04) 219-227
- 38 Dymond NL, Goldsmid SE, Simpson DJ. Tibial tuberosity advancement in 92 canine stifles: initial results, clinical outcome and owner evaluation. Aust Vet J 2010; 88 (10) 381-385