Tibial plateau levelling osteotomy in eleven cats with cranial cruciate ligament rupture

Julia K. Mindner; Malgorzata J. Bielecki; Stefan Scharvogel; Diane Meiler

doi:10.3415/VCOT-15-11-0184

Veterinary and Comparative Orthopaedics and Traumatology, Inhaltsverzeichnis

Vet Comp Orthop Traumatol 2016; 29(06): 528-535
DOI: 10.3415/VCOT-15-11-0184

Clinical Communication

Schattauer GmbH

Tibial plateau levelling osteotomy in eleven cats with cranial cruciate ligament rupture

Julia K. Mindner

¹Tierklinik Haar, Haar, Germany

,

Malgorzata J. Bielecki

¹Tierklinik Haar, Haar, Germany

,

Stefan Scharvogel

¹Tierklinik Haar, Haar, Germany

,

Diane Meiler

¹Tierklinik Haar, Haar, Germany

› Institutsangaben

Abstract

Summary

Objective: To report the surgical procedure, intra- and postoperative complications, and short-term follow-up of tibial plateau levelling osteotomy (TPLO) in feline patients with cranial cruciate ligament (CrCL) rupture using a 2.0 or 2.4 mm Synthes^® TPLO plate.

Study design: Prospective study.

Material and methods: Eleven cats with a CrCL rupture were included in the study. Inspection of intra-articular structures was carried out via arthroscopy or arthrotomy. Each patient was re-examined one and 10 days after surgery. Orthopaedic examination and follow-up radiographs were obtained four to 12 weeks postoperatively.

Results: Two meniscopathies and one partial CrCL rupture were detected. Minor intra- operative complications occurred in five cats (suboptimal positioning of the plate [n = 3], proximal fibular fracture [n = 1], a visible osteotomy gap [n = 1]). Postoperatively, minor complications were detected in three cats (mild patellar desmitis [n = 2], superficial wound infection [n = 1]). No additional surgical reintervention, graded as major complication, was necessary. Four to eight weeks postoperatively, all cats showed no to mild intermittent lameness. Complete bone union was apparent within four to 12 weeks. Owners reported a high level of comfort and mobility during the last follow-up.

Conclusion: The preliminary results of this study support the use of TPLO in cats, but larger case numbers are needed to evaluate its practicability, as well as long-term outcome (>1 year), especially evaluating the development and the clinical relevance of osteoarthritis.

Supplementary Material to this article is available online at http://dx.doi.org/10.3415/VCOT-15-11-0184.

Keywords

TPLO - tibial plateau levelling osteotomy - feline - complications - short-term outcome - cranial cruciate ligament rupture - cat

Volltext

Referenzen

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