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DOI: 10.3415/VCOT-08-11-0111
Tibial plateau levelling osteotomy in an alpaca
Publikationsverlauf
Received:10. November 2008
Accepted:16. Februar 2009
Publikationsdatum:
18. Dezember 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00035023/200904/lookinside/thumbnails/10-3415-vcot-08-11-0111-1.jpg)
Summary
In this report, a case of cranial cruciate ligament (CrCL) rupture treated by tibial plateau levelling osteotomy (TPLO), in a 36-month-old male breeding alpaca, is described. The alpaca was presented with the complaint of acute onset of right pelvic limb lameness. The findings of our clinical and radiographic examinations were consistent with CrCL insufficiency of the right stifle joint. The right tibial plateau angle measured prior to surgery was 19°. A TPLO was performed and this eliminated cranial tibial thrust. Culture of a swab taken from the surgical site prior to wound closure was positive for Pseudomonas aeruginosa. Enrofloxacin was administered parenterally for two weeks postoperatively. There were not any clinical signs of infection noted. Outcome assessments included veterinary examination (two and six weeks) and owner assessment (28 months). At two weeks the animal walked with a grade 2/5 lameness, and at six weeks radiographic examination showed progression of bone healing at the site of tibial osteotomy. A return to full breeding fitness occurred by eight weeks after the surgery. The alpaca remained free from lameness 28 months later, according to the owner.
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References
- 1 Marriott M, Dart A, MacPherson C. et al. Repair of cranial cruciate ligament rupture in an alpaca. Aust Vet J 1999; 77: 654-655.
- 2 Zanolari P, Tschundi M, Rytz U. et al. Treatment of temporary upward fixation of the patella in an alpaca by abrasion trochleoplasty and imbrication of the medial retinacular fascia. Vet Rec 2002; 150: 752-754.
- 3 Slocum B, Devine T. Cranial tibial wedge osteotomy: a technique for eliminating cranial tibial thrust in cranial cruciate ligament repair. J Am Vet Med Assoc 1984; 184: 564-569.
- 4 Slocum B, Slocum TD. Tibial plateau levelling osteotomy for repair of cruciate ligament rupture in the canine. Vet Clin North Am Small Anim Pract 1993; 23: 777-795.
- 5 Talaat MB, Kowaleski MP, Boudrieau RJ. Combination tibial plateau levelling 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: 729-739.
- 6 Damur DM, Tepic S, Montavon PM. Proximal tibial osteotomy for the repair of cranial cruciate-deficient stifle joints in dogs. Vet Comp Orthop Traumatol 2003; 16: 211-216.
- 7 Bruce WJ, Rose A, Tuke J. et al. Evaluation of the triple tibial osteotomy (TTO): a new technique for the management of the cranial cruciate-deficient stifle. Vet Comp Orthop Traumatol 2007; 20 (03) 159-168.
- 8 Hildreth BE, Marcellin-Little DJ, Rose SC. et al. In vitro evaluation of five canine tibial plateau levelling methods. Am J Vet Res 2006; 67: 693-700.
- 9 Anderson D. Fascia lata autograph for treatment of congenital cranial cruciate ligament deficiency in a Llama. J Am Vet Med Assoc 1997; 210: 811-813.
- 10 Ray WM, Gustafson SB, Huber MJ. Tibial plateau levelling osteotomy in a llama with a ruptured cranial cruciate ligament. J Am Vet Med Assoc 2004; 225: 1739-1742.
- 11 D’Alterio GL. Introduction to the alpaca and its veterinary care in the UK. In Practice 2006; 28: 404-411.
- 12 Geels JJ, Roush JK, Hoskinson JJ. et al. Evaluation of an intracapsular technique for the treatment of cranial cruciate ligament rupture. Vet Comp Orthop Traumatol 2000; 13: 197-203.
- 13 Dejardin LM. Tibial plateau levelling osteotomy, in Slatter D (ed): Textbook of Small Animal Surgery (ed 3, Vol. 2.). Philadelphia, PA: Saunders; 2003: 2133-2143.
- 14 Piermattei DL, Johnson KA. An atlas of surgical approaches to the bones and joints of the dog and cat. (ed 4). Philadelphia, PA: Saunders; 2004: 366-369.
- 15 Riebold TW. Ruminants In: Lumb & Jones’ Veterinary Anesthesia and Analgesia (4th edn). Tranquilli WJ, Thurmon JC, Grimm KA (eds). Oxford, UK: Blackwell Publishing Ltd; 2007: 731-746.
- 16 Hayashi K, Manley PA, Muir P. Cranial cruciate ligament pathophysiology in dogs with cruciate disease: a review. J Am Anim Hosp Assoc 2004; 40: 385-390.
- 17 Reif U, Probst CS. Comparison of tibial plateau angles in normal and cranial cruciate deficient stifles of Labrador retrievers. Vet Surg 2003: 385-389.
- 18 Wilke VL, Conzemius MG, Besancon MF. et al. Comparison of tibial plateau angle between clinically normal greyhounds and Labrador retrievers with and without rupture of the cranial cruciate ligament. J Am Vet Med Assoc 2002; 221: 1426-1429.
- 19 Morris E, Lipowitz AJ. Comparison of tibial plateau angles in dogs with and cranial cruciate ligament injuries. J Am Vet Med Assoc 2001; 218: 363-366.
- 20 Weese JS. A review of post-operative infections in veterinary orthopaedic surgery. Vet Comp Orthop Traumatol 2008; 21: 99-105.